[Federal Register Volume 84, Number 249 (Monday, December 30, 2019)]
[Proposed Rules]
[Pages 71887-71888]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-28179]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 430, 433, 447, 455, and 457

[CMS-2393-N]
RIN 0938-AT50


Medicaid Program; Medicaid Fiscal Accountability Regulation; 
Supplement and Extension of Comment Period

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

ACTION: Proposed rule; supplement and extension of comment period.

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SUMMARY: This document extends the comment period for the proposed rule 
entitled ``Medicaid Program; Medicaid Fiscal Accountability 
Regulation'' that appeared in the November 18, 2019 Federal Register. 
The comment period for the proposed rule, which would end on January 
17, 2020, is extended 15 days to February 1, 2020. We additionally note 
that based on public comments received on this proposed rule, we will 
adjust the effective dates of our policies to allow for adequate 
implementation timelines, as appropriate.

DATES: The comment period for the proposed rule published November 18, 
2019 (84 FR 63722), is extended to 5 p.m., eastern daylight time, on 
February 1, 2020.

ADDRESSES: You may submit comments as outlined in the November 18, 2019 
proposed rule (84 FR 63722). Please choose only one method listed.

FOR FURTHER INFORMATION CONTACT: 
    Andrew Badaracco, (410) 786-4589, Richard Kimball, (410) 786-2278, 
and Daniil Yablochnikov, (410) 786-8912, for Medicaid Provider 
Payments, Supplemental Payments, Upper Payment Limits, Provider 
Categories, Intergovernmental Transfers, and Certified Public 
Expenditures.
    Timothy Davidson, (410) 786-1167, Jonathan Endelman, (410) 786-
4738, and Stuart Goldstein, (410) 786-0694, for Health Care-Related 
Taxes, Provider-Related Donations, and Disallowances.
    Lia Adams, (410) 786-8258, Charlie Arnold, (404) 562-7425, Richard 
Cuno, (410) 786-1111, and Charles Hines, (410) 786-0252, for Medicaid 
Disproportionate Share Hospital Payments and Overpayments.
    Jennifer Clark, (410) 786-2013 and Deborah McClure, (410) 786-3128, 
for Children's Health Insurance Program (CHIP).

SUPPLEMENTARY INFORMATION: In the ``Medicaid Program; Medicaid Fiscal 
Accountability Regulation'' proposed rule that appeared in the November 
18, 2019 Federal Register (84 FR 63722), we solicited public comments 
on proposed policies that aim to promote transparency by establishing 
new reporting requirements for states to provide CMS with certain 
information on supplemental payments to Medicaid providers, including 
supplemental payments approved under either Medicaid state plan or 
demonstration authority, and on applicable upper payment limits. 
Additionally, the proposed rule would establish requirements to ensure 
that state plan amendments proposing new supplemental payments are 
consistent with the proper and efficient operation of the state plan 
and with efficiency, economy, and quality of care. This proposed rule 
addresses the financing of supplemental and base Medicaid payments 
through the non-federal share, including states' uses of health care-
related taxes and bona fide provider-related donations, as well as the 
requirements necessary to properly implement the non-federal share of 
any Medicaid payment.
    Since the issuance of the proposed rule, we have received inquiries 
from a variety of stakeholders, including healthcare provider 
organizations and industry representatives requesting an extension to 
the comment period. We also recognize that the comment period for the 
proposed rule crosses over several federal holidays, which may hinder 
the ability of the public to provide meaningful comment on the proposed 
rule. In order to maximize the opportunity for the public to provide 
meaningful input to CMS, we believe that it is important to allow 
additional time for the public to prepare comments on the proposed 
rule. In addition, we believe that granting an extension to the public 
comment period in this instance would further our overall objective to 
obtain public input on the proposed provisions to promote transparency 
and oversight on payments made in the Medicaid program. Therefore, we 
are extending the comment period for the proposed rule for an 
additional 15 days.
    While we believe it is in the best interest of the public and our 
proposed policies to extend the comment period for this proposed rule, 
we also acknowledge that stakeholders require appropriate 
implementation timelines that could be impacted by this extension. 
Therefore, we note that we will take this comment period extension into 
account in determining the effective date(s) of the policies in any

[[Page 71888]]

final rule, to allow for adequate implementation timelines as 
appropriate.

    Dated: December 19, 2019.
Seema Verma,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2019-28179 Filed 12-26-19; 4:15 pm]
 BILLING CODE 4120-01-P