<?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-2011-19516">
    <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>2011_register</waisDatabaseName>
        <branch>executive</branch>
        <dateIngested>2011-08-05</dateIngested>
    </extension>
    <genre authority="marcgt">article</genre>
    <titleInfo>
        <title>Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2012; Changes in Size and Square Footage of Inpatient Rehabilitation Units and Inpatient Psychiatric Units</title>
        <partNumber>Part III</partNumber>
        <partName>Rules and Regulations</partName>
    </titleInfo>
    <relatedItem type="otherFormat" xlink:href="https://www.govinfo.gov/content/pkg/FR-2011-08-05/html/2011-19516.htm">
        <identifier type="FDsys Unique ID">D09002ee1c7ff80b1</identifier>
    </relatedItem>
    <relatedItem type="otherFormat" xlink:href="https://www.govinfo.gov/content/pkg/FR-2011-08-05/pdf/2011-19516.pdf">
        <identifier type="FDsys Unique ID">D09002ee1c7ff8198</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>Centers for Medicare &amp; Medicaid 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>
    <abstract>This final rule will implement section 3004 of the Affordable Care Act, which establishes a new quality reporting program that provides for a 2 percent reduction in the annual increase factor beginning in 2014 for failure to report quality data to the Secretary of Health and Human Services. This final rule will also update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2012 (for discharges occurring on or after October 1, 2011 and on or before September 30, 2012) as required under section 1886(j)(3)(C) of the Social Security Act (the Act). Section 1886(j)(5) of the Act requires the Secretary to publish in the Federal Register on or before the August 1 that precedes the start of each FY the classification and weighting factors for the IRF prospective payment system (PPS) case-mix groups and a description of the methodology and data used in computing the prospective payment rates for that fiscal year. We are also consolidating, clarifying, and revising existing policies regarding IRF hospitals and IRF units of hospitals to eliminate unnecessary confusion and enhance consistency. Furthermore, in accordance with the general principles of the President's January 18, 2011 Executive Order entitled "Improving Regulation and Regulatory Review," we are amending existing regulatory provisions regarding "new" facilities and changes in the bed size and square footage of IRFs and inpatient psychiatric facilities (IPFs) to improve clarity and remove obsolete material.</abstract>
    <identifier type="FR citation">76 FR 47836</identifier>
    <identifier type="uri">https://www.govinfo.gov/app/details/FR-2011-08-05/2011-19516</identifier>
    <identifier type="FR Doc No.">2011-19516</identifier>
    <identifier type="former granule identifier">fr05au11-20</identifier>
    <identifier type="Regulation ID Number">RIN 0938-AQ28</identifier>
    <identifier type="billing code">4120-01-P</identifier>
    <identifier type="department code">CMS-1349-F</identifier>
    <location>
        <url displayLabel="Content Detail" access="object in context">https://www.govinfo.gov/app/details/FR-2011-08-05/2011-19516</url>
        <url access="raw object" displayLabel="HTML rendition">https://www.govinfo.gov/content/pkg/FR-2011-08-05/html/2011-19516.htm</url>
        <url access="raw object" displayLabel="PDF rendition">https://www.govinfo.gov/content/pkg/FR-2011-08-05/pdf/2011-19516.pdf</url>
    </location>
    <subject>
        <topic>Administrative Practice and Procedure</topic>
        <topic>Health Facilities</topic>
        <topic>Medicare</topic>
        <topic>Puerto Rico</topic>
        <topic>Reporting and Recordkeeping Requirements</topic>
    </subject>
    <physicalDescription>
        <extent>80 p.</extent>
    </physicalDescription>
    <part type="Part III">
        <extent unit="pages">
            <start>47836</start>
            <end>47915</end>
        </extent>
    </part>
    <identifier type="preferred citation">76 FR 47836</identifier>
    <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>Regulation Identification Number 0938-AQ28</title>
        </titleInfo>
        <identifier type="regulation ID number">RIN 0938-AQ28</identifier>
    </relatedItem>
    <extension>
        <searchTitle>Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2012; Changes in Size and Square Footage of Inpatient Rehabilitation Units and Inpatient Psychiatric Units; Federal Register Vol. 76, Issue </searchTitle>
        <granuleClass>RULE</granuleClass>
        <accessId>2011-19516</accessId>
        <partNumber>III</partNumber>
        <agency order="1">DEPARTMENT OF HEALTH AND HUMAN SERVICES</agency>
        <agency order="2">Centers for Medicare &amp; Medicaid Services</agency>
        <effectiveDate>2011-10-01</effectiveDate>
        <departmentDoc>CMS-1349-F</departmentDoc>
        <rin number="0938-AQ28"/>
        <billingCode>4120-01-P</billingCode>
        <frDocNumber>2011-19516</frDocNumber>
        <action>Final rule.</action>
        <summary>This final rule will implement section 3004 of the Affordable Care Act, which establishes a new quality reporting program that provides for a 2 percent reduction in the annual increase factor beginning in 2014 for failure to report quality data to the Secretary of Health and Human Services. This final rule will also update the prospective payment rates for inpatient rehabilitation facilities (IRFs) for Federal fiscal year (FY) 2012 (for discharges occurring on or after October 1, 2011 and on or before September 30, 2012) as required under section 1886(j)(3)(C) of the Social Security Act (the Act). Section 1886(j)(5) of the Act requires the Secretary to publish in the Federal Register on or before the August 1 that precedes the start of each FY the classification and weighting factors for the IRF prospective payment system (PPS) case-mix groups and a description of the methodology and data used in computing the prospective payment rates for that fiscal year. We are also consolidating, clarifying, and revising existing policies regarding IRF hospitals and IRF units of hospitals to eliminate unnecessary confusion and enhance consistency. Furthermore, in accordance with the general principles of the President's January 18, 2011 Executive Order entitled "Improving Regulation and Regulatory Review," we are amending existing regulatory provisions regarding "new" facilities and changes in the bed size and square footage of IRFs and inpatient psychiatric facilities (IPFs) to improve clarity and remove obsolete material.</summary>
        <dates>Effective Date: This final rule becomes effective on October 1, 2011.</dates>
        <contact>Gwendolyn Johnson, (410) 786-6954, for general information about the final rule. Hillary Loeffler, (410) 786-0456, for information about the payment rates. Susanne Seagrave, (410) 786-0044, for information about the payment policies. Judith C. Tobin, (410) 786-6892, for information about the quality reporting program.</contact>
        <cfr title="42">
                                    
            <part number="412"/>
                                    
            <subject>Administrative Practice and Procedure</subject>
                                    
            <subject>Health Facilities</subject>
                                    
            <subject>Medicare</subject>
                                    
            <subject>Puerto Rico</subject>
                                    
            <subject>Reporting and Recordkeeping Requirements</subject>
                                
        </cfr>
        <tocSubject1>Medicare Program:</tocSubject1>
        <tocDoc>Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2012
, </tocDoc>
        <emailRef>OIRA_submission@omb.eop.gov</emailRef>
        <urlRef>http://ecfr.gpoaccess.gov/cgi/t/text/text-idx?c=ecfr&amp;sid=2465b064ba6965cc1fbd2eae60854b11&amp;rgn=div8&amp;view=text&amp;node=13:1.0.1.1.16.1.266.9&amp;idno=13</urlRef>
        <urlRef>http://edocket.access.gpo.gov/2008/pdf/E8-17914.pdf</urlRef>
        <urlRef>http://www.acumenllc.com/reports/cms</urlRef>
        <urlRef>http://www.bls.gov/mfp</urlRef>
        <urlRef>http://www.bls.gov/mfp/mprtech.pdf</urlRef>
        <urlRef>http://www.cdc.gov.nhsn/forms/instr/57_114.pdf</urlRef>
        <urlRef>http://www.cdc.gov/</urlRef>
        <urlRef>http://www.cdc.gov/nhsn/</urlRef>
        <urlRef>http://www.cdc.gov/nhsn/PDFs/slides/CAUTI.pdf</urlRef>
        <urlRef>http://www.census.gov/geo/www/us_regdiv.pdf</urlRef>
        <urlRef>http://www.cms.gov/IdentifiableDataFiles/</urlRef>
        <urlRef>http://www.cms.gov/InpatientRehabFacPPS/</urlRef>
        <urlRef>http://www.cms.gov/InpatientRehabFacPPS/03_OutlierR.asp#TopOfPage</urlRef>
        <urlRef>http://www.cms.gov/InpatientRehabFacPPS/04_IRFPAI.asp#TopOfPage</urlRef>
        <urlRef>http://www.cms.gov/InpatientRehabFacPPS/06_Software.asp</urlRef>
        <urlRef>http://www.cms.gov/InpatientRehabFacPPS/07_DataFiles.asp#TopOfPage</urlRef>
        <urlRef>http://www.cms.gov/InpatientRehabFacPPS/09_Research.asp#TopOfPage</urlRef>
        <urlRef>http://www.cms.gov/LTCH-IRF-Hospice-Quality-Reporting/</urlRef>
        <urlRef>http://www.cms.gov/LTCH-IRF-Hospice-Quality-Reporting/by</urlRef>
        <urlRef>http://www.cms.gov/Transmittals/2010Trans/list.asp?intNumPerPage=10</urlRef>
        <urlRef>http://www.healthcare.gov/center/reports/quality03212011a.html#es</urlRef>
        <urlRef>http://www.hhs.gov/ash/initiatives/hai/actionplan/index.html</urlRef>
        <urlRef>http://www.pacdemo.rti.org</urlRef>
        <urlRef>http://www.whitehouse.gov/omb/bulletins/index.html</urlRef>
        <urlRef>http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf</urlRef>
        <urlRef>https://www.cms.gov/LTCH-IRF-Hospice-Quality-Reporting/</urlRef>
    </extension>
    <relatedItem type="host" ID="P0b002ee180dc4fd9" xlink:href="https://www.govinfo.gov/metadata/pkg/FR-2011-08-05/mods.xml">
        <titleInfo>
            <title>Federal Register</title>
            <partNumber>Vol. 76, no. 151</partNumber>
        </titleInfo>
        <originInfo>
            <publisher>Office of the Federal Register, National Archives and Records Administration</publisher>
            <dateIssued encoding="w3cdtf">2011-08-05</dateIssued>
            <issuance>continuing</issuance>
            <frequency>daily</frequency>
        </originInfo>
        <physicalDescription>
            <note type="source content type">deposited</note>
            <digitalOrigin>born digital</digitalOrigin>
            <extent>570 p.</extent>
        </physicalDescription>
        <tableOfContents xlink:href="https://www.govinfo.gov/app/frtoc/2011-08-05">    
		  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-2011-08-05</identifier>
        <identifier type="local">P0b002ee180dc4fd9</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:fr05au11</identifier>
        <location>
            <url displayLabel="Content Detail" access="object in context">https://www.govinfo.gov/app/details/FR-2011-08-05</url>
            <url displayLabel="PDF rendition" access="raw object">https://www.govinfo.gov/content/pkg/FR-2011-08-05/pdf/FR-2011-08-05.pdf</url>
            <url displayLabel="XML rendition" access="raw object">https://www.govinfo.gov/content/pkg/FR-2011-08-05/xml/FR-2011-08-05.xml</url>
        </location>
        <accessCondition type="GPO scope determination">fdlp</accessCondition>
        <part type="issue">
            <extent unit="pages">
                <start>47423</start>
                <end>47984</end>
            </extent>
        </part>
        <recordInfo>
            <recordContentSource authority="marcorg">DGPO</recordContentSource>
            <recordCreationDate encoding="w3cdtf">2011-08-05</recordCreationDate>
            <recordChangeDate encoding="w3cdtf">2024-06-04</recordChangeDate>
            <recordIdentifier source="DGPO">FR-2011-08-05</recordIdentifier>
            <recordOrigin>machine generated</recordOrigin>
            <languageOfCataloging>
                <languageTerm type="code" authority="iso639-2b">eng</languageTerm>
            </languageOfCataloging>
        </recordInfo>
        <extension>
            <docClass>FR</docClass>
            <accessId>FR-2011-08-05</accessId>
            <volume>76</volume>
            <issue>151</issue>
        </extension>
    </relatedItem>
</mods>
