[Federal Register Volume 85, Number 198 (Tuesday, October 13, 2020)]
[Rules and Regulations]
[Pages 64401-64404]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-22481]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 417, 422, and 423

[CMS-4190-CN]
RIN 0938-AT97


Medicare Program; Contract Year 2021 Policy and Technical Changes 
to the Medicare Advantage Program, Medicare Prescription Drug Benefit 
Program, and Medicare Cost Plan Program; Correction

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

ACTION: Final rule; correction.

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SUMMARY: This document corrects technical errors that appeared in the 
final rule published in the Federal Register on June 2, 2020 entitled 
``Medicare Program; Contract Year 2021 Policy and Technical Changes to 
the Medicare Advantage Program, Medicare Prescription Drug Benefit 
Program, and Medicare Cost Plan Program.''

DATES: Effective date: This correcting document is effective on October 
13, 2020.

FOR FURTHER INFORMATION CONTACT: 
    Cali Diehl, (410) 786-4053 or Christopher McClintick, (410) 786-
4682--General Questions.
    Kimberlee Levin, (410) 786-2549--Part C Issues.
    Stacy Davis, (410) 786-7813--Part C and D Payment Issues.
    Melissa Seeley, (212) 616-2329--D-SNP Issues.

SUPPLEMENTARY INFORMATION:

I. Background

    In FR Doc. 2020-11342 of June 2, 2020 (85 FR 33796), there were a 
number of technical errors that are identified and corrected in this 
correcting document. The provisions in this correction document are 
effective as if they had been included in the document published June 
2, 2020. Accordingly, the corrections are effective August 3, 2020.

II. Summary of Errors

    On page 33820, in our discussion of dual eligible special needs 
plans, we inadvertently included a disclaimer that was not applicable 
to the published final rule.
    On pages 33876 and 33877, in our discussion of the information 
collection requirements regarding Special Supplemental Benefits for the 
Chronically Ill (SSBCI), we inadvertently identified the wrong 
Paperwork Reduction Act package in our narrative and omitted several 
Office of Management and Budget (OMB) control numbers from Table 3.
    On page 33881, in our discussion of the information collection 
requirements regarding medical savings account (MSA) medical loss ratio 
(MLR), we made inadvertent errors the amount of time it would take 
beneficiaries to complete an enrollment form.
    On page 33883, in the table that provides a summary of the annual 
information collection burden (Table 6), we made the following 
typographical errors:
     In the table title, we included the term ``requirements'' 
instead of ``burden''.

[[Page 64402]]

     In the SSBCI entries there were errors in the 
identification numbers in the ``OMB Control No.'' column.
     In the MSA MLR entries, there were errors in the values 
and numbers for the ``Regulatory citation'', ``OMB Control No.'', 
``Total number of respondents'', and the ``Total number of responses''.
    On pages 33889 and 33890, in the table that displays the per-year 
calculations regarding kidney acquisition costs (Table 11), we made 
inadvertent errors in the table title (we omitted ``s'' in the term 
``costs''). Additionally, on page 33890, the column headings are listed 
for the years 2013 to 2020 instead of 2021 to 2030.

III. Waiver of Proposed Rulemaking

    Under 5 U.S.C. 553(b) of the Administrative Procedure Act (APA), 
the agency is required to publish a notice of the proposed rule in the 
Federal Register before the provisions of a rule take effect. 
Similarly, section 1871(b)(1) of the Act requires the Secretary to 
provide for notice of the proposed rule in the Federal Register and 
provide a period of not less than 60 days for public comment. In 
addition, section 553(d) of the APA, and section 1871(e)(1)(B)(i) of 
the Act mandate a 30-day delay in effective date after issuance or 
publication of a rule. Sections 553(b)(B) and 553(d)(3) of the APA 
provide for exceptions from the notice and comment and delay in 
effective date APA requirements; in cases in which these exceptions 
apply, sections 1871(b)(2)(C) and 1871(e)(1)(B)(ii) of the Act provide 
exceptions from the notice and 60-day comment period and delay in 
effective date requirements of the Act as well. Section 553(b)(B) of 
the APA and section 1871(b)(2)(C) of the Act authorize an agency to 
dispense with normal rulemaking requirements for good cause if the 
agency makes a finding that the notice and comment process are 
impracticable, unnecessary, or contrary to the public interest. In 
addition, both section 553(d)(3) of the APA and section 
1871(e)(1)(B)(ii) of the Act allow the agency to avoid the 30-day delay 
in effective date where such delay is contrary to the public interest 
and an agency includes a statement of support.
    Section 553(d) of the APA ordinarily requires a 30-day delay in 
effective date of final rules after the date of their publication in 
the Federal Register. This 30-day delay in effective date can be 
waived, however, if an agency finds for good cause that the delay is 
impracticable, unnecessary, or contrary to the public interest, and the 
agency incorporates a statement of the findings and its reasons in the 
rule issued.
    We believe that this correcting document does not constitute a rule 
that would be subject to the notice and comment or delayed effective 
date requirements of the APA or section 1871 of the Act. This 
correcting document corrects technical errors in the preamble and 
regulation text of the final rule but does not make substantive changes 
to the policies that were adopted in the final rule. As a result, this 
correcting document is intended to ensure that the information in the 
final rule accurately reflects the policies adopted in that final rule.
    In addition, even if this were a rule to which the notice and 
comment procedures and delayed effective date requirements applied, we 
find that there is good cause to waive such requirements. Undertaking 
further notice and comment procedures to incorporate the corrections in 
this document into the final rule or delaying the effective date would 
be contrary to the public interest because it is in the public's 
interest to ensure that final rule accurately reflects our policies. 
Furthermore, such procedures would be unnecessary, as we are not 
altering payment eligibility or benefit methodologies or policies, but 
rather, simply implementing correctly the policies that we previously 
proposed, received comment on, and subsequently finalized. This 
correcting document is intended solely to ensure that the final rule 
accurately reflects these policies. Therefore, we believe we have good 
cause to waive the notice and comment and effective date requirements.

IV. Correction of Errors

    In FR Doc. 2020-11342 of June 2, 2020 (85 FR 33796), make the 
following corrections:
    1. On page 33820, lower third of the page, the text box that 
includes the phrase ``DISCLAIMER: Based on the tight time constraints 
and the need to expedite'' is corrected by removing the text box.
    2. On page 33876, lower three-fourths of the page (after the 
table), second column, sixth full paragraph, lines 6 and 7, the 
reference to ``control number 0938-0763 (CMS-R-262)'' is corrected to 
read ``control number 0938-0753 (CMS-R-267)''.
    3. On page 33877, lower third of the page, the table titled ``TABLE 
3--SUMMARY OF BURDEN FOR SSBCI AT Sec.  422.102'' is corrected by 
correcting the third column (OMB Control No.) for the listed entries 
(SSBCI provisions) to read as follows:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                            Total       Time per
    Provision      Regulatory citation    OMB Control         Subject        Number of    number of     response    Total time   Labor cost  Annual cost
                                              No.                           respondents   responses       (hr)         (hr)        ($/hr)        ($)
--------------------------------------------------------------------------------------------------------------------------------------------------------
SSBCI............  Sec.                      0938-0753  SSBCI: Criteria             234            1           12         2808       103.33       96,717
                    422.102(f)(3)(i).                    (Initial
                                                         Software).
SSBCI............  Sec.                      0938-0753  SSBCI: Criteria             234            1           36         8424        193.7    1,631,729
                    422.102(f)(3)(i).                    (Physician
                                                         review).
SSBCI............  Sec.                      0938-0753  SSBCI: Criteria             234            1            5         1170        85.26       99,754
                    422.102(f)(3)(i).                    (Software
                                                         updates).
SSBCI............  Sec.                      0938-0753  Written criteria..          234            1            2          468        56.34       26,367
                    422.102(f)(3)(ii).
SSBCI............  Sec.                      0938-0753  Enrollee                    234            1            9         2106        86.95      179,465
                    422.102(f)(3)(iii).                  eligibility.
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    4. On page 33881, first column, fourth full paragraph, line 8, the 
phrase ``0.5 hours at $25.72/hr'' is corrected to read ``0.3333 hours 
at $25.72/hr''
    5. On page 33883, in the table titled ``TABLE 6--ANNUAL INFORMATION 
COLLECTION REQUIREMENTS'' the table is corrected by--
    a. Correcting the table title ``TABLE 6--ANNUAL INFORMATION 
COLLECTION REQUIREMENTS'' to read ``TABLE 6--ANNUAL INFORMATION 
COLLECTION BURDEN''.
    b. Correcting the second (Regulatory citation), third (OMB Control 
No.), sixth (Total number of respondents), and seventh columns (Total 
number of responses) for the listed entry (third row the first MSA MLR 
provision) to read as follows:

[[Page 64403]]



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                                                                                                                                 Total       Time per                                   Total
     Provision        Regulatory citation      OMB Control No.       Respondent type      Response summary     Total number    number of     response    Total annual    Labor cost  annual cost
                                                                                                              of respondents   responses       (hr)        time (hr)       ($/hr)        ($)
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MSA MLR............  Sec.   422.2440......  0938-NEW............  Enrollees...........  MSA MLR: Filling out           2,765        2,765       0.3333             922        25.72       23,705
                                                                                         enrollment forms..
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    c. Correcting the identification numbers in third column (OMB 
Control No.) for the listed entries (SSBCI provisions) to read as 
follows:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                                 Total       Time per                                   Total
     Provision        Regulatory citation      OMB Control No.       Respondent type      Response summary     Total number    number of     response    Total annual    Labor cost  annual cost
                                                                                                              of respondents   responses       (hr)        time (hr)       ($/hr)        ($)
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SSCBI..............  Sec.                   0938-0753...........  MA Plans............  SSBCI: Criteria                  234            1           12            2808       103.33       96,717
                      422.102(f)(3)(i).                                                  (initial software
                                                                                         update).
SSCBI..............  Sec.                   0938-0753...........  MA Plans............  SSBCI: Criteria                  234            1           36            8424        193.7    1,631,729
                      422.102(f)(3)(i).                                                  (Annual physician
                                                                                         review).
SSCBI..............  Sec.                   0938-0753...........  MA Plans............  SSBCI: Criteria                  234            1            5            1170        85.26       99,754
                      422.102(f)(3)(i).                                                  (Software updates).
SSCBI..............  Sec.                   0938-0753...........  MA Plans............  SSBCI: Documentation             234            1            2             468        56.34       26,367
                      422.102(f)(3)(ii).
SSCBI..............  Sec.                   0938-0753...........  MA Plans............  SSBCI: Enrollee                  234            1            9             702        86.95       61,039
                      422.102(f)(3)(iii).                                                records.
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    d. Correcting the second (Regulatory citation) and seventh columns 
(Total number of responses) for the listed entries (the specified MSA 
MLR provisions) to read as follows:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                                 Total       Time per                                   Total
     Provision        Regulatory citation      OMB Control No.       Respondent type      Response summary     Total number    number of     response    Total annual    Labor cost  annual cost
                                                                                                              of respondents   responses       (hr)        time (hr)       ($/hr)        ($)
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
MSA MLR............  Sec.   422.2440......  0938-0753...........  MA Plans............  MSA MLR: Notify                    8        2,765       0.0167              46        77.14        3,548
                                                                                         enrollees.
MSA MLR............  Sec.   422.2440......  0938-0753...........  MA Plans............  MSA MLR: Submit to                 8        2,765       0.0167              46        77.14        3,548
                                                                                         CMS.
MSA MLR............  Sec.   422.2440......  0938-0753...........  MA Plans............  MSA MLR: Archive....               8        2,765       0.0833             230        36.82        8,481
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    e. Correcting column 2 (Regulatory citation) for the listed entry 
(the specified MSA MLR provision) to read as follows:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                                 Total       Time per                                   Total
     Provision        Regulatory citation      OMB Control No.       Respondent type      Response summary     Total number    number of     response    Total annual    Labor cost  annual cost
                                                                                                              of respondents   responses       (hr)        time (hr)       ($/hr)        ($)
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
MSA MLR............  Sec.   422.2440......  0938-1252...........  MA Plans............  MSA MLR: Calculation               8            8       0.0833          0.6664       116.32           78
                                                                                         of the deductible
                                                                                         factor.
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    6. On pages 33889 and 33890, in the table titled ``Table 11, Per-
Year Calculations, Representing the Pre-Statute Baseline Based on 
Medicare FFS Coverage of Kidney Acquisition Cost'', the table title and 
table are corrected to read as follows:

            Table 11--Per-Year Calculations, Representing the Pre-Statute Baseline Based on Medicare FFS Coverage of Kidney Acquisition Costs
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                                    2013       2014       2015       2016       2017       2018       2019       2020
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Kidney Acquisition Costs              1.72       1.82       1.95       2.08       2.20       2.34       2.49       2.65
 (PMPM):.......................
                                ------------------------------------------------------------------------------------------------------------------------
                                      2021       2022       2023       2024       2025       2026       2027       2028       2029       2030  2021-2030
                                ------------------------------------------------------------------------------------------------------------------------
Kidney Acquisition Costs              2.82       3.00       3.20       3.40       3.62       3.85       4.10       4.36       4.64       4.94  .........
 (PMPM):.......................
Medicare Advantage Enrollment       24,690     25,624     26,508     27,380     28,237     29,070     29,861     30,607     31,313     32,035  .........
 Projection (000's):...........
Gross Savings ($Millions):.....      836.2      923.5    1,016.6    1,117.4    1,226.3    1,343.4    1,468.4    1,601.7    1,743.7    1,898.4   13,175.6
Average government share of          83.0%      83.0%      83.0%      83.1%      83.2%      83.2%      83.2%      83.4%      83.4%      83.4%  .........
 Gross Savings:................
Net of Part B Premium:.........      85.6%      85.6%      85.5%      85.4%      85.3%      85.2%      85.0%      84.9%      84.9%      84.9%  .........
Net Savings ($Millions):.......      594.1      655.7      721.5      792.3      869.5      951.7    1,038.9    1,134.1    1,235.9    1,345.6    9,339.3
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[[Page 64404]]

    Dated: October 1, 2020.
Wilma M. Robinson,
Deputy Executive Secretary to the Department, Department of Health and 
Human Services.
[FR Doc. 2020-22481 Filed 10-8-20; 8:45 am]
BILLING CODE 4120-01-P