<?xml version="1.0" encoding="UTF-8"?><mods xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://www.loc.gov/mods/v3" version="3.3" xsi:schemaLocation="http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-3.xsd" ID="id-00-19108">
    <name type="corporate">
        <namePart>United States Government Publishing Office</namePart>
        <role>
            <roleTerm authority="marcrelator" type="text">publisher</roleTerm>
            <roleTerm authority="marcrelator" type="code">pbl</roleTerm>
        </role>
        <role>
            <roleTerm authority="marcrelator" type="text">distributor</roleTerm>
            <roleTerm authority="marcrelator" type="code">dst</roleTerm>
        </role>
    </name>
    <name type="corporate">
        <namePart>United States</namePart>
        <namePart>National Archives and Records Administration</namePart>
        <namePart>Office of the Federal Register</namePart>
        <role>
            <roleTerm authority="marcrelator" type="text">author</roleTerm>
            <roleTerm authority="marcrelator" type="code">aut</roleTerm>
        </role>
        <description>Government Organization</description>
    </name>
    <typeOfResource>text</typeOfResource>
    <genre authority="marcgt">government publication</genre>
    <language>
        <languageTerm type="code" authority="iso639-2b">eng</languageTerm>
    </language>
    <extension>
        <collectionCode>FR</collectionCode>
        <category>Regulatory Information</category>
        <waisDatabaseName>2000_register</waisDatabaseName>
        <branch>executive</branch>
        <dateIngested>2010-09-23</dateIngested>
    </extension>
    <genre authority="marcgt">article</genre>
    <titleInfo>
        <title>Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2001 Rates</title>
        <partNumber>Part II</partNumber>
        <partName>Rules and Regulations</partName>
    </titleInfo>
    <relatedItem type="otherFormat" xlink:href="https://www.govinfo.gov/content/pkg/FR-2000-08-01/html/00-19108.htm">
        <identifier type="FDsys Unique ID">D09002ee1c81f2ce8</identifier>
    </relatedItem>
    <relatedItem type="otherFormat" xlink:href="https://www.govinfo.gov/content/pkg/FR-2000-08-01/pdf/00-19108.pdf">
        <identifier type="FDsys Unique ID">D09002ee1c81f2dc5</identifier>
    </relatedItem>
    <name type="corporate">
        <namePart>United States</namePart>
        <namePart>Department of Health and Human Services</namePart>
        <role>
            <roleTerm authority="marcrelator" type="text">originator</roleTerm>
            <roleTerm authority="marcrelator" type="code">org</roleTerm>
        </role>
        <description>United States Government Agency or Subagency</description>
    </name>
    <name type="corporate">
        <namePart>United States</namePart>
        <namePart>Health Care Financing Administration</namePart>
        <role>
            <roleTerm authority="marcrelator" type="text">originator</roleTerm>
            <roleTerm authority="marcrelator" type="code">org</roleTerm>
        </role>
        <description>United States Government Agency or Subagency</description>
    </name>
    <abstract>We are revising the Medicare hospital inpatient prospective payment system for operating costs to: implement applicable statutory requirements, including a number of provisions of the Medicare, Medicaid, and State Children's Health Insurance Program Balanced Budget Refinement Act of 1999 (Pub. L. 106-113); and implement changes arising from our continuing experience with the system. In addition, in the Addendum to this final rule, we describe changes to the amounts and factors used to determine the rates for Medicare hospital inpatient services for operating costs and capital-related costs. These changes apply to discharges occurring on or after October 1, 2000. We also set forth rate-of-increase limits and make changes to our policy for hospitals and hospital units excluded from the prospective payment systems. We are making changes to the policies governing payments to hospitals for the direct costs of graduate medical education, sole community hospitals and critical access hospitals. We are adding a new condition of participation on organ, tissue, and eye procurement for critical access hospitals that parallels the condition of participation that we previously published for all other Medicare-participating hospitals. Lastly, we are finalizing a January 20, 2000 interim final rule with comment period (65 FR 3136) that sets forth the criteria to be used in calculating the Medicare disproportionate share adjustment in reference to Medicaid expansion waiver patient days under section 1115 of the Social Security Act.</abstract>
    <identifier type="FR citation">65 FR 47054</identifier>
    <identifier type="uri">https://www.govinfo.gov/app/details/FR-2000-08-01/00-19108</identifier>
    <identifier type="FR Doc No.">00-19108</identifier>
    <identifier type="former granule identifier">fr01au00-13</identifier>
    <identifier type="Regulation ID Number">RIN 0938-AK09</identifier>
    <identifier type="billing code">4120-01-P</identifier>
    <identifier type="department code">HCFA-1118-F</identifier>
    <location>
        <url displayLabel="Content Detail" access="object in context">https://www.govinfo.gov/app/details/FR-2000-08-01/00-19108</url>
        <url access="raw object" displayLabel="HTML rendition">https://www.govinfo.gov/content/pkg/FR-2000-08-01/html/00-19108.htm</url>
        <url access="raw object" displayLabel="PDF rendition">https://www.govinfo.gov/content/pkg/FR-2000-08-01/pdf/00-19108.pdf</url>
    </location>
    <subject>
        <topic>Health Facilities</topic>
        <topic>Health Professions</topic>
        <topic>Kidney Diseases</topic>
        <topic>Laboratories</topic>
        <topic>Medicare</topic>
        <topic>Rural Areas</topic>
        <topic>X-Rays</topic>
        <topic>Administrative Practice and Procedure</topic>
        <topic>Puerto Rico</topic>
        <topic>Reporting and Recordkeeping Requirements</topic>
        <topic>Grant Programs-Health</topic>
        <topic>Medicaid</topic>
    </subject>
    <physicalDescription>
        <extent>158 p.</extent>
    </physicalDescription>
    <part type="Part II">
        <extent unit="pages">
            <start>47054</start>
            <end>47211</end>
        </extent>
    </part>
    <identifier type="preferred citation">65 FR 47054</identifier>
    <relatedItem type="isReferencedBy">
        <titleInfo>
            <title>Code of Federal Regulations</title>
            <partNumber>Title 42 Part 410</partNumber>
        </titleInfo>
        <identifier type="CFR citation">42 CFR Part  410</identifier>
    </relatedItem>
    <relatedItem type="isReferencedBy">
        <titleInfo>
            <title>Code of Federal Regulations</title>
            <partNumber>Title 42 Part 412</partNumber>
        </titleInfo>
        <identifier type="CFR citation">42 CFR Part  412</identifier>
    </relatedItem>
    <relatedItem type="isReferencedBy">
        <titleInfo>
            <title>Code of Federal Regulations</title>
            <partNumber>Title 42 Part 413</partNumber>
        </titleInfo>
        <identifier type="CFR citation">42 CFR Part  413</identifier>
    </relatedItem>
    <relatedItem type="isReferencedBy">
        <titleInfo>
            <title>Code of Federal Regulations</title>
            <partNumber>Title 42 Part 485</partNumber>
        </titleInfo>
        <identifier type="CFR citation">42 CFR Part  485</identifier>
    </relatedItem>
    <relatedItem type="isReferencedBy">
        <titleInfo>
            <title>Regulation Identification Number 0938-AK09</title>
        </titleInfo>
        <identifier type="regulation ID number">RIN 0938-AK09</identifier>
    </relatedItem>
    <extension>
        <searchTitle>Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2001 Rates; Federal Register Vol. 65, Issue </searchTitle>
        <granuleClass>RULE</granuleClass>
        <accessId>00-19108</accessId>
        <partNumber>II</partNumber>
        <agency order="1">DEPARTMENT OF HEALTH AND HUMAN SERVICES</agency>
        <agency order="2">Health Care Financing Administration</agency>
        <effectiveDate>2000-10-01</effectiveDate>
        <commentDate>2000-08-01</commentDate>
        <departmentDoc>HCFA-1118-F</departmentDoc>
        <rin number="0938-AK09"/>
        <billingCode>4120-01-P</billingCode>
        <frDocNumber>00-19108</frDocNumber>
        <action>Final rule.</action>
        <summary>We are revising the Medicare hospital inpatient prospective payment system for operating costs to: implement applicable statutory requirements, including a number of provisions of the Medicare, Medicaid, and State Children's Health Insurance Program Balanced Budget Refinement Act of 1999 (Pub. L. 106-113); and implement changes arising from our continuing experience with the system. In addition, in the Addendum to this final rule, we describe changes to the amounts and factors used to determine the rates for Medicare hospital inpatient services for operating costs and capital-related costs. These changes apply to discharges occurring on or after October 1, 2000. We also set forth rate-of-increase limits and make changes to our policy for hospitals and hospital units excluded from the prospective payment systems. We are making changes to the policies governing payments to hospitals for the direct costs of graduate medical education, sole community hospitals and critical access hospitals. We are adding a new condition of participation on organ, tissue, and eye procurement for critical access hospitals that parallels the condition of participation that we previously published for all other Medicare-participating hospitals. Lastly, we are finalizing a January 20, 2000 interim final rule with comment period (65 FR 3136) that sets forth the criteria to be used in calculating the Medicare disproportionate share adjustment in reference to Medicaid expansion waiver patient days under section 1115 of the Social Security Act.</summary>
        <dates>The provisions of this final rule are effective October 1, 2000. This rule is a major rule as defined in 5 U.S.C. 804(2). Pursuant to 5 U.S.C. 801(a)(1)(A), we are submitting a report to Congress on this rule on August 1, 2000.</dates>
        <contact>Steve Phillips, (410) 786-4531, Operating Prospective Payment, Diagnostic Related Groups, Wage Index, Reclassifications, and Sole Community Hospital Issues Tzvi Hefter, (410) 786-4487, Capital Prospective Payment, Excluded Hospitals, Graduate Medical Education and Critical Access Hospital Issues</contact>
        <cfr title="42">
                                    
            <part number="410"/>
                                    
            <subject>Health Facilities</subject>
                                    
            <subject>Health Professions</subject>
                                    
            <subject>Kidney Diseases</subject>
                                    
            <subject>Laboratories</subject>
                                    
            <subject>Medicare</subject>
                                    
            <subject>Rural Areas</subject>
                                    
            <subject>X-Rays</subject>
                                
        </cfr>
        <cfr title="42">
                                    
            <part number="412"/>
                                    
            <subject>Administrative Practice and Procedure</subject>
                                    
            <subject>Puerto Rico</subject>
                                    
            <subject>Reporting and Recordkeeping Requirements</subject>
                                
        </cfr>
        <cfr title="42">
                                    
            <part number="413"/>
                                
        </cfr>
        <cfr title="42">
                                    
            <part number="485"/>
                                    
            <subject>Grant Programs-Health</subject>
                                    
            <subject>Medicaid</subject>
                                
        </cfr>
        <tocSubject1>Medicare:</tocSubject1>
        <tocDoc>Hospital inpatient prospective payment systems and 2001 FY rates, </tocDoc>
        <urlRef>http://www.access.gpo.gov/nara</urlRef>
        <urlRef>http://www.hcfa.gov</urlRef>
        <urlRef>http://www.hcfa.gov/medicare/icd9cm.htm</urlRef>
        <urlRef>http://www.hcfa.gov/medicare/ippsmain.htm</urlRef>
        <urlRef>http://www.hcfa.gov/regs/appeals</urlRef>
        <urlRef>http://www.hcfa.gov/stats/pubfiles.html</urlRef>
        <urlRef>swais.access.gpo.gov</urlRef>
    </extension>
    <relatedItem type="host" ID="P0b002ee1809edcfd" xlink:href="https://www.govinfo.gov/metadata/pkg/FR-2000-08-01/mods.xml">
        <titleInfo>
            <title>Federal Register</title>
            <partNumber>Vol. 65, no. 148</partNumber>
        </titleInfo>
        <originInfo>
            <publisher>Office of the Federal Register, National Archives and Records Administration</publisher>
            <dateIssued encoding="w3cdtf">2000-08-01</dateIssued>
            <issuance>continuing</issuance>
            <frequency>daily</frequency>
        </originInfo>
        <physicalDescription>
            <note type="source content type">deposited</note>
            <digitalOrigin>born digital</digitalOrigin>
            <extent>392 p.</extent>
        </physicalDescription>
        <tableOfContents xlink:href="https://www.govinfo.gov/app/frtoc/2000-08-01">    
		  Table of Contents: 
		</tableOfContents>
        <classification authority="sudocs">AE 2.7:</classification>
        <classification authority="sudocs">GS 4.107:</classification>
        <classification authority="sudocs">AE 2.106:</classification>
        <classification authority="lcc">KF70.A2</classification>
        <identifier type="uri">https://www.govinfo.gov/app/details/FR-2000-08-01</identifier>
        <identifier type="local">P0b002ee1809edcfd</identifier>
        <identifier type="issn">0097-6326</identifier>
        <identifier type="issn">0042-1219</identifier>
        <identifier type="issn">0364-1406</identifier>
        <identifier type="stock number">769-004-00000-9</identifier>
        <identifier type="ILS system id">000582072</identifier>
        <identifier type="former identifier">f:fr01au00</identifier>
        <location>
            <url displayLabel="Content Detail" access="object in context">https://www.govinfo.gov/app/details/FR-2000-08-01</url>
            <url displayLabel="PDF rendition" access="raw object">https://www.govinfo.gov/content/pkg/FR-2000-08-01/pdf/FR-2000-08-01.pdf</url>
            <url displayLabel="XML rendition" access="raw object">https://www.govinfo.gov/content/pkg/FR-2000-08-01/xml/FR-2000-08-01.xml</url>
        </location>
        <accessCondition type="GPO scope determination">fdlp</accessCondition>
        <part type="issue">
            <extent unit="pages">
                <start>46859</start>
                <end>47241</end>
            </extent>
        </part>
        <recordInfo>
            <recordContentSource authority="marcorg">DGPO</recordContentSource>
            <recordCreationDate encoding="w3cdtf">2010-09-23</recordCreationDate>
            <recordChangeDate encoding="w3cdtf">2024-06-08</recordChangeDate>
            <recordIdentifier source="DGPO">FR-2000-08-01</recordIdentifier>
            <recordOrigin>machine generated</recordOrigin>
            <languageOfCataloging>
                <languageTerm type="code" authority="iso639-2b">eng</languageTerm>
            </languageOfCataloging>
        </recordInfo>
        <extension>
            <docClass>FR</docClass>
            <accessId>FR-2000-08-01</accessId>
            <volume>65</volume>
            <issue>148</issue>
        </extension>
    </relatedItem>
</mods>
