[Federal Register Volume 84, Number 117 (Tuesday, June 18, 2019)]
[Proposed Rules]
[Pages 28263-28264]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-12906]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 412, 413, and 495

[CMS-1716-CN]
RIN 0938-AT73


Medicare Program; Hospital Inpatient Prospective Payment Systems 
for Acute Care Hospitals and the Long-Term Care Hospital Prospective 
Payment System and Proposed Policy Changes and Fiscal Year 2020 Rates; 
Proposed Quality Reporting Requirements for Specific Providers; 
Medicare and Medicaid Promoting Interoperability Programs Proposed 
Requirements for Eligible Hospitals and Critical Access Hospitals; 
Correction

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Proposed rule; correction.

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SUMMARY: This document corrects technical errors in the proposed rule 
that appeared in the May 3, 2019, issue of the Federal Register 
entitled ``Medicare Program; Hospital Inpatient Prospective Payment 
Systems for Acute Care Hospitals and the Long-Term Care Hospital 
Prospective Payment System and Proposed Policy Changes and Fiscal Year 
2020 Rates; Proposed Quality Reporting Requirements for Specific 
Providers; Medicare and Medicaid Promoting Interoperability Programs 
Proposed Requirements for Eligible Hospitals and Critical Access 
Hospitals.''

DATES: June 18, 2019.

FOR FURTHER INFORMATION CONTACT: 
Erin Patton, (410) 786-2437.
Dylan Podson, (410)-786-5031.

SUPPLEMENTARY INFORMATION:

I. Background

    In FR Doc. 2019-08330 of May 3, 2019 (84 FR 19158), there were a 
number of technical errors that are identified and corrected in the 
Correction of Errors section of this correcting document.

[[Page 28264]]

II. Summary of Errors

A. Summary of Errors in the Preamble

    On page 19428, in our discussion of the proposed revisions to the 
definition of the base operating DRG payment amount for purposes of the 
Hospital Readmissions Reduction Program, we made an error in describing 
our policy for the treatment of the difference between the hospital-
specific payment rate and the Federal payment rate for purposes of 
calculating the base operating DRG payment amount with respect to a 
Medicare-dependent, small rural hospital that receives payments under 
Sec.  412.108(c) or a sole community hospital that receives payments 
under Sec.  412.92(d). We are correcting this language to reflect our 
current policy that the base operating DRG payment amount includes the 
difference between the hospital-specific payment rate and the Federal 
payment rate for a Medicare-dependent, small rural hospital and does 
not include the difference between the hospital-specific payment rate 
and the Federal payment rate for a sole community hospital. We also 
made an error in our citation to the applicable statutory provision. We 
erroneously cited to section 1886(q)(2)(b)(i) instead of section 
1886(q)(2)(B)(i) of the Act.
    On pages 19568, in our discussion of the Medicare and Medicaid 
Promoting Interoperability Programs, we made an error in a web link.

B. Summary of Errors in the Regulations Text

    On page 19581, in our proposed amendments to the definition of the 
base operating DRG payment amount for purposes of the Hospital 
Readmissions Reduction Program, we made an error in describing our 
current policy for determining the base operating DRG payment amount by 
stating that with respect to a sole community hospital that receives 
payments under Sec.  412.92(d) or a Medicare-dependent, small rural 
hospital that receives payments under Sec.  412.108(c), this amount 
includes the difference between the hospital-specific payment rate and 
the Federal payment rate determined under subpart D of this part. We 
are correcting this language to reflect our current policy, which is 
that the base operating DRG payment amount for a sole community 
hospital that receives payments under Sec.  412.92(d) does not include 
the difference between the hospital-specific payment rate and the 
Federal payment rate determined under subpart D of this part while the 
base operating DRG payment amount for a Medicare-dependent, small rural 
hospital that receives payments under Sec.  412.108(c) does include the 
difference between the hospital-specific payment rate and the Federal 
payment rate determined under subpart D of this part.

IV. Correction of Errors

    In FR Doc. 2019-08330 of May 3, 2019 (84 FR 19158), we make the 
following corrections:

A. Errors in the Preamble

    1. On page 19428, first column, last partial paragraph, lines 10 
through 13, the phrase ``amount also includes the difference between 
the hospital-specific payment rate and the Federal payment rate 
determined under the subpart.'' is corrected to read ``amount also 
includes the difference between the hospital-specific payment rate and 
the Federal payment rate determined under the subpart for a Medicare-
dependent, small rural hospital that receives payments under Sec.  
412.108(c) and does not include the difference between the hospital-
specific payment rate and the Federal payment rate determined under the 
subpart for a sole community hospital that receives payment under Sec.  
412.92(d).''
    2. On page 19428, second column, first partial paragraph, lines 1 
through 4, the phrase ``1886(q)(2)(b)(i) of the Act, because the 
regulatory text was not updated following the expiration of the FY 2013 
changes.'' is corrected to read ``1886(q)(2)(B)(i) of the Act by 
specifying the differential treatment following the expiration of the 
special treatment for Medicare-dependent, small rural hospitals for FY 
2013 in the statute.''
    3. On page 19568, third column, last paragraph (footnote 830), 
lines 1 and 2, the hyperlink ``https://www.healthit.gov/sites/default/
files/onc_pghd_final_white_paper.pdf.%95'' is corrected to read 
``https://www.healthit.gov/sites/default/files/
onc_pghd_final_white_paper.pdf''.

B. Errors in the Regulations Text


Sec.  412.152  [Corrected]

    4. On page 19581, third column, first paragraph (definition of Base 
operating DRG payment amount), lines 17 through 26, ``With respect to a 
sole community hospital that receives payments under Sec.  412.92(d) or 
a Medicare-dependent, small rural hospital that receives payments under 
Sec.  412.108(c), this amount also includes the difference between the 
hospital-specific payment rate and the Federal payment rate determined 
under subpart D of this part. '' is corrected to read ``With respect to 
a sole community hospital that receives payments under Sec.  412.92(d) 
this amount also does not include the difference between the hospital-
specific payment rate and the Federal payment rate determined under 
subpart D of this part. With respect to a Medicare-dependent, small 
rural hospital that receives payments under Sec.  412.108(c), this 
amount includes the difference between the hospital-specific payment 
rate and the Federal payment rate determined under subpart D of this 
part.''

    Dated: June 12, 2019.
Ann C. Agnew,
Executive Secretary to the Department, Department of Health and Human 
Services.
[FR Doc. 2019-12906 Filed 6-17-19; 8:45 am]
 BILLING CODE 4120-01-P