[Federal Register Volume 63, Number 190 (Thursday, October 1, 1998)]
[Rules and Regulations]
[Pages 52610-52614]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-26242]
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DEPARTMENT OF HEALTH AND HUMAN SERVICE
Health Care Financing Administration
42 CFR Parts 400, 403, 410, 411, 417, and 422
[HCFA-1030-CN]
RIN 0938-A129
Medicare Program; Establishment of the Medicare+Choice Program
AGENCY: Health Care Financing Administration (HCFA), HHS.
ACTION: Correction of interim final rule with comment period.
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SUMMARY: On June 26, 1998, we published in the Federal Register, at 63
FR 34968. an interim final rule with comment period that explains and
implements those provisions of the Balanced Budget Act of 1997 that
established the Medicare+Choice program. This notice corrects errors
made in the June 26 document.
EFFECTIVE DATE: July 27, 1998.
FOR FURTHER INFORMATION CONTACT:
Anthony Culotta (410) 786-4661.
SUPPLEMENTARY INFORMATION:
Background
In drafting Federal Register Document 98-16731, we attempted to
avoid setting forth identical provisions in two CFR parts. Our plan was
to replace certain existing provisions in part 417 with a cross-
reference to identical (in effect, if not wording) provisions being
established in part 422. In doing this, however, we inadvertently and
incorrectly applied the marketing activity provisions of Sec. 422.80
and the beneficiary appeals and grievance procedures of subpart M of
part 422 to health maintenance organizations and competitive medical
plans with contracts under section 1876 of the Social Security Act (the
Act). This notice corrects this error by removing amendatory items 5,
10, and 11. Thus organizations with contracts under section 1876 of the
Act remain subject to subpart K, which includes marketing, and subpart
Q, which includes beneficiary appeals, of part 417.
In some cases, an M+C organization that has both a Medicare
contract and a contract with an employer group health plan arranges for
the employer to process election forms for Medicare-entitled group
members who wish to enroll under the Medicare contract. However, there
can be a delay between the time the beneficiary enrolls through the
employer and he or she becomes entitled to receive services from the
M+C organization, and when the election form is actually received by
the M+C organization. The statute at section 1853(a)(2)(B) of the Act
allows for adjustments in payment to account for these situations. We
inadvertently failed to address this situation in the June 26, 1998,
interim final rule. This notice corrects that by adding Secs. 422.60(f)
and 422.66(f), and revising Sec. 422.250(b) to allow for adjustments in
effective dates to conform with the payment adjustments.
We inadvertently omitted the statutory limitation at section
1854(a)(5)(A) of the Act on cost sharing for supplemental benefits
offered by M+C private fee-for-service plans. Therefore, we are
correcting Sec. 422.308(b) by adding that, for supplemental benefits,
the actuarial value of its cost-sharing may not exceed the amounts
approved in the ACR for those benefits, as determined under
Sec. 422.310 on an annual basis. Also, to clarify that additional
adjustments are not limited to a reduction in the adjusted community
rate ``in addition'' was added to the beginning of the second sentence
of Sec. 422.310(c)(4).
In addition, we are also making a number of clarifying changes and
technical corrections to paragraph designations and cross-references.
Correction of Errors
Preamble
1. On page 34984, in column 3, in the first full paragraph, in the
ninth line, ``1854(h)(4)'' is corrected to read ``1851(h)(4)''.
2. On page 35011, in column 2, in the heading of section I.1,
``Sec. 422.500'' is corrected to read ``Sec. 422.400''.
3. On page 35012, in column 1, in the heading of section I.2,
``Sec. 422.502'' is corrected to read ``Sec. 422.402''.
4. On page 35034, in column 2, in the third full paragraph, in the
14th line, ``Sec. 422.58(d)(2)'' is corrected to read
``Sec. 422.62(b)''.
5. On page 35034, in column 3, 22 lines from the top of the column,
``Sec. 422.110(b)(2)(ii)'' is corrected to read
``Sec. 422.111(b)(2)(ii)''.
6. On page 35034, in column 3, in the heading of section D.1,
``Sec. 422.102'' is corrected to read ``Sec. 422.103''.
7. On page 35034, in column 3, in the first full paragraph, in the
first line, ``Sec. 422.102'' is corrected to read ``Sec. 422.103''.
8. On page 35034, in column 3, in the first full paragraph, in the
fifth line, ``Sec. 422.102(a)'' is corrected to read
``Sec. 422.103(a)''.
9. On page 35034, in column 3, in the second full paragraph, in the
first line,
[[Page 52611]]
``Sec. 422.102(b)'' is corrected to read ``Sec. 422.103(b)''.
10. On page 35035, in column 1, in the first full paragraph,
``Sec. 422.102(c)'' is corrected to read ``Sec. 422.103(c)'' each time
it appears (twice).
11. On page 35035, in column 3, in the heading of section D.2.,
``422.103'' is corrected to read ``422.104''.
12. On page 35035, in column 3, in the first full paragraph, in the
ninth line, ``Sec. 422.103(a)'' is corrected to read
``Sec. 422.104(a)''.
13. On page 35035, in column 3, in the first full paragraph, the
reference to ``Sec. 422.103(a)(2)'' is corrected to read
``Sec. 422.104(b)'' each time it appears (twice).
14. On page 35036, in column 2, in the first full paragraph
``Sec. 422.154(b)(1)'' is corrected to read ``Sec. 422.154(c)''.
15. On page 35038, in column 2, in the first full paragraph, in the
first line, ``Sec. 422.500(b)(2)'' is corrected to read
``Sec. 422.502(b)''.
16. On page 35062, in column 1, in the fourth full paragraph, ``but
no later than 30 calendar days'' is corrected to read ``but no later
than 14 calendar days''.
17. On page 35062, in column 1, the fourth full paragraph is
corrected by adding the following sentence at the end: ``The M+C
organization may extend the 14-day deadline by up to 14 calendar days
if the enrollee requests the extension or if the organization justifies
a need for additional information and how the delay is in the interest
of the enrollee (for example, the receipt of additional medical
evidence may change an M+C organization's decision to deny).''
18. On page 35062, in column 2, in the first full paragraph,
``using the 30-calendar-day timeframe'' is corrected to read ``using
the 14 calendar-day timeframe''.
19. On page 35062, in column 2, in the fifth full paragraph,
beginning in the fourth line, ``if the organization finds that it needs
additional information and the delay'' is corrected to read ``if the
organization justifies a need for additional information and how the
delay''.
20. On page 35063, in column 1, in the third full paragraph,
beginning in the second line, ``or a health care professional'' is
corrected to read ``or a physician''.
21. On page 35063, in column 1, in the fourth full paragraph, the
phrase ``the 45-day timeframe'' is corrected to read ``the 30-day
timeframe'' each time it appears (twice).
22. On page 35063, in column 1, in the seventh full paragraph, ``If
the M+C organization makes'' is corrected to read ``For service
requests, if the M+C organization makes''.
23. On page 35063, in column 1, in the seventh full paragraph,
``but no later than 45 calendar days'' is corrected to read ``but no
later than 30 calendar days''.
24. On page 35063, in column 1, the seventh full paragraph is
corrected by adding a sentence after the end of the first sentence to
read: ``The M+C organization may extend the 30-day deadline by up to 14
calendar days if the enrollee requests the extension or if the
organization justifies a need for additional information and how the
delay is in the interest of the enrollee.''
25. On page 35063, in column 1 and continuing into column 2, the
eighth full paragraph that begins with ``If the M+C organization
affirms, * * *'' and ends with ``to the independent entity'' is
corrected to read: ``If the M+C organization affirms, in whole or in
part, its adverse organization determination, it must prepare a written
explanation and send the case file to the independent entity contracted
by us no later than 30 calendar days from the date it receives the
request for a standard reconsideration (or no later than the expiration
of an extension described in Sec. 422.590(a)(1)). The organization must
make reasonable and diligent efforts to assist in gathering and
forwarding information to the independent entity.''
26. On page 35063, in column 2, in the first full paragraph,
beginning in the fifth line, ``or to obtain a good cause extension
described in paragraph (e) of this section,'' is removed.
27. On page 35063, in column 2, in the second full paragraph,
beginning in the fourth line, ``if the organization finds that it needs
additional information and the delay'' is corrected to read ``if the
organization justifies a need for additional information and how the
delay''.
Regulations Text
1. On page 35065, in the third column, amendatory instruction
``2.'' is corrected to read as follows: ``In Sec. 400.200, the
definition for ``PRO'' is revised, the definition for ``Utilization and
Quality Control Peer Review Organization'' is removed, and the
following definitions are added in alphabetical order.''
2. On page 35066, in column 3 and continuing on page 35067, column
1, amendatory instruction 5 is removed.
3. On page 35067, in column 1, amendatory instructions 6, 7, 8, and
9 are renumbered as amendatory instructions 5, 6, 7, and 8,
respectively.
4. On page 35067, renumbered amendatory instruction 6 is corrected
to read as follows:
``Sections 417.520, 417.522, and 417.523 of subpart M are
redesignated as Secs. 422.550, 422.522, and 422.553, respectively, in a
new subpart L in part 422, and the heading for the new subpart L to
part 422 is added to read `Effect of Change of Ownership or Leasing of
Facilities During Term of Contract'.''
5. On page 35067, in column 1, amendatory instruction 10 is
removed.
6. On page 35067, in column 2, amendatory instruction 11 is
removed, and amendatory instruction 12 is renumbered as amendatory
instruction 9.
Sec. 417.800 [Corrected]
7. On page 35067, in column 2, the definition of ``Health care
prepayment plan'' is corrected to read as follows:
Sec. 417.800 Payment to HCPPS: Definitions and basic rules.
* * * * *
Health care prepayment plan (HCPP) means an organization that meets
the following conditions:
(1) Effective January 1, 1999, (or on the effective date of the
HCPP agreement in the case of a 1998 applicant) either--
(A) Is union or employer sponsored; or
(B) Does not provide, or arrange for the provision of, any
inpatient hospital services.
(2) Is responsible for the organization, financing, and delivery of
covered Part B services to a defined population on a prepayment basis.
(3) Meets the conditions specified in paragraph (b) of this
section.
(4) Elects to be reimbursed on a reasonable cost basis.
* * * * *
8. On page 35071, in column 1, in the subpart heading, ``Subpart
B'' is corrected to read ``Subpart B''.
Sec. 422.50 [Corrected]
9. In Sec. 422.50 the following changes are made:
a. On page 35071, in the first column, in paragraph (a)
introductory text, the first ``an'' is corrected to read ``An''.
b. On page 35071, in the first column, in paragraph (a)(1), the
second appearance of ``may continue to be enrolled in the M+C
organization'' is removed.
Sec. 422.54 [Corrected]
10. On page 35071, in the second column, in Sec. 422.54, in
paragraph (d)(2)(i), ``meet requirements'' is corrected to read ``meet
the requirement''.
[[Page 52612]]
Sec. 422.56 [Corrected]
11. On page 35071, in the third column, in Sec. 422.56, in
paragraph (d), ``Sec. 422.103'' is corrected to read ``Sec. 422.104''.
Sec. 422.60 [Corrected]
12. In Sec. 422.60, the following changes are made:
a. On page 35072, in the first column, in paragraph (a)(1), ``plan
that M+C organization'' is corrected to read ``plan that the M+C
organizaton''.
b. On the same page, in the same column, in paragraph (b)(1),
``Sec. 422.306(a)(2)'' is corrected to read ``Sec. 422.306(a)(1)''.
c. On the same page, in the same column, in paragraph (c)(1), in
the second sentence, the word ``beneficiary'' is removed.
d. On the same page, in the second column, in paragraph (3)(4)(i),
``Promptly informs'' is corrected to read ``Informs''.
e. On the same page, in the second column, Sec. 422.60 is further
corrected by adding a new paragraph (f) to read as follows:
Sec. 422.60 Election process.
* * * * *
(f) Exception for employer group health plans. (1) In cases in
which an M+C organization has both a Medicare contract and a contract
with an employer group health plan, and in which the M+C organization
arranges for the employer to process election forms for Medicare-
entitled group members who wish to enroll under the Medicare contract,
the effective date of the election may be up to, but may not exceed, 90
days before the date the M+C organization received the election from
the employer. Any adjustment in effective date must conform with
adjustments in payment, as described under Sec. 422.250(b).
(2) In order to obtain the effective date described in paragraph
(f)(1) of this section, the beneficiary must certify that, at the time
of enrollment in the M+C organization, he or she received the
disclosure statement specified in Sec. 422.111.
(3) The M+C organization must submit the enrollment within 30 days
from receipt of the election form from the employer.
Sec. 422.62 [Corrected]
13. In Sec. 422.62, the following changes are made:
a. On page 35073, in the first column, in paragraph (b),
introductory text, beginning in the second line, ``for M+C plans, and
as of January 1, 2002, for all MSA other types of M+C MSA plans,'' is
corrected to read ``for M+C MSA plans, and as of January 1, 2002, for
all other types of M+C plans,''.
b. On the same page, in the same column, in paragraph (c), in the
fifth line, ``coverage election'' is corrected to read ``enrollment''.
c. On the same page, in the second column, in paragraph (d), in the
heading, ``M+C plans'' is corrected to read ``M+C MSA plans''.
d. On the same page, in the same column, in paragraph (d)(1), ``M+C
plan'' is corrected to read ``M+C MSA plan''.
e. On the same page, in the same column, in paragraph (d)(2)
introductory text, ``M+C plan'' is corrected to read ``M+C MSA plan''.
Sec. 422.66 [Corrected]
14. On page 35074, in the third column, Sec. 422.66 is corrected by
adding a new paragraph (f) to read as follows:
Sec. 422.66 Coordination of enrollment and disenrollment through M+C
organizations.
(f) Exception for employer group health plans. (1) In cases when an
M+C organization has both a Medicare contract and a contract with an
employer group health plan, and when the M+C organization arranges for
the employer to process election forms for Medicare-entitled group
members who wish to disenroll from the Medicare contract, the effective
date of the election may be up to, but may not exceed, 90 days before
the date the M+C organization received the election from the employer.
Any adjustment in effective date must conform with adjustments in
payment, as described under Sec. 422.250(b).
(2) The M+C organization must submit a disenrollment notice to NCFA
within 15 days of receipt of the notice from the employer.
Sec. 422.74 [Corrected]
15. On page 35075, in the first column, in Sec. 422.74, in
paragraph (b)(3), ``reduces service'' is corrected to read ``reduces
the service''.
Sec. 422.80 [Corrected]
16. In Sec. 422.80, the following changes are made:
a. On page 35076, in the third column, in paragraph (c)(3) ``the
organization'' is corrected to read ``the M+C organization''.
b. On the same page, in the same column, in paragraph (d) the word
``material'' is corrected to read ``materials''.
c. On the same page, in the same column, in paragraph (e)(1)(iv),
in teh fourth line, ``organization, the'' is corrected to read
``organization. The''.
d. On page 35077, in the first column, in paragraph (e)(3)(i),
``Demonstrate the HCFA's'' is corrected to read ``Demonstrate to
HCFA's''.
e. On the same page, in the same column, in paragraph (f),
``potions'' is corrected to read ``portions''.
Sec. 422.110 [Corrected]
17. On page 35079, in the third column, in Sec. 422.110, in
paragraph (c), ``(see Sec. 422.501(h))'' is corrected to read ``(see
Sec. 422.502(h))''.
Sec. 422.112 [Corrected]
18. Beginning on page 35080, in the second column, in order to make
numerous paragraph redesignations and other corrections, Sec. 422.112
is corrected to read as follows:
Sec. 422.112 Access to services.
(a) Rules for coordinated care plans and network M+C MSA plans. An
M+C organization that offers an M+C coordinated care plan or network
M+C MSA plan may specify the networks of providers from whom enrollees
may obtain services if the M+C organization ensures that all covered
services, including additional or supplemental services contracted for
by (or on behalf of) the Medicare enrollee, are available and
accessible under the plan. To accomplish this, the M+C organization
must meet the following requirements:
(1) Provider network. Maintain and monitor a network of appropriate
providers that is supported by written agreements and is sufficient to
provide adequate access to covered services to meet the needs of the
population served. These providers are typically utilized in the
network as primary care providers (PCPs), specialists, hospitals,
skilled nursing facilities, home health agencies, ambulatory clinics,
and other providers.
(2) PCP panel. Establish the panel of PCPs from which the enrollee
selects a PCP.
(3) Specialty care. Provide or arrange for necessary specialty
care, and in particular give women enrollees the option of direct
access to a women's health specialist within the network for women's
routine and preventive health care services provided as basic benefits
(as defined in Sec. 422.2) notwithstanding that the plan maintains a
PCP or some other means for continuity of care.
(4) Serious medical conditions. Ensure that each plan has in effect
HCFA-approved procedures that enable the plan to--
(i) Identify individuals with complex or serious medical
conditions;
(ii) Assess those conditions, and use medical procedures to
diagnose and monitor them on an ongoing basis; and
[[Page 52613]]
(iii) Establish and implement a treatment plan that--
(A) Is appropriate to those conditions;
(B) Includes an adequate number of direct access visits to
specialists consistent with the treatment plan; and
(C) Is time-specific and updated periodically by the PCP.
(5) Involuntary termination. If the M+C organization terminates an
M+C plan or any specialists for a reason other than for cause, the M+C
organization must do the following:
(i) Inform beneficiaries, at the time of termination, of their
right to maintain access to specialists.
(ii) Provide the names of other M+C plans in the area that contract
with specialists of the beneficiary's choice.
(iii) Explain the process the beneficiary would need to follow
should he or she decide to return to original Medicare.
(6) Service area expansion. If seeking a service area expansion for
an M+C plan, demonstrate that the number and type of providers
available to plan enrollees are sufficient to meet projected needs of
the population to be served.
(7) Credentialed providers. Demonstrate to HCFA that its providers
in an M+C plan are credentialed through the process set forth at
Sec. 422.204(a).
(8) Written standards. Establish written standards for the
following:
(i) Timeliness of access to care and member services that meet or
exceed standards established by HCFA. Timely access to care and member
services within a plan's provider network must be continuously
monitored to ensure compliance with these standards, and the M+C
organization must take corrective action as necessary.
(ii) Policies and procedures (coverage rules, practice guidelines,
payment policies, and utilization management) that allow for individual
medical necessity determinations.
(iii) Provider consideration of beneficiary input into the
provider's proposed treatment plan.
(9) Hours of operation. Ensure, for each M+C plan, that--
(i) The hours of operation of its M+C plan providers are convenient
to the population served by the plan and do not discriminate against
Medicare enrollees; and
(ii) The plan makes plan services available 24 hours a day, 7 days
a week, when medically necessary.
(10) Cultural considerations. (i) Ensure that services are provided
in a culturally competent manner to all enrollees, including those with
limited English proficiency or reading skills, diverse cultural and
ethnic backgrounds, and physical or mental disabilities.
(ii) Provide coverage for emergency and urgent care services in
accordance with paragraph (c) of this section.
(b) Rules for all M+C organizations to ensure continuity of care.
The M+C organization must ensure continuity of care and integration of
services through arrangements that include, but are not limited to the
following--
(1) Use of a practitioner who is specifically designated as having
primary responsibility for coordinating the enrollee's overall health
care.
(2) Policies that specify whether services are coordinated by the
enrollee's primary care practitioner or through some other means.
(3) An ongoing source of primary care, regardless of the mechanism
adopted for coordination of services.
(4) Programs for coordination of plan services with community and
social services generally available through contracting or
noncontracting providers in the area served by the M+C plan, including
nursing home and community-based services.
(5) Procedures to ensure that the M+C organization and its provider
network have the information required for effective and continuous
patient care and quality review, including procedures to ensure that--
(i) An initial assessment of each enrollee's health care needs is
completed within 90 days of the effective date of enrollment;
(ii) Each provider, supplier, and practitioner furnishing services
to enrollees maintains an enrollee health record in accordance with
standards established by the M+C organization, taking into account
professional standards; and
(iii) That there is appropriate and confidential exchange of
information among provider network components.
(6) Procedures to ensure that enrollees are informed of specific
health care needs that require follow-up and receive, as appropriate,
training in self-care and other measures they may take to promote their
own health; and
(7) Systems to address barriers to enrollee compliance with
prescribed treatments or regimens.
(c) Special rules for all M+C organizations for emergency and
urgently needed services--(1) Coverage. The M+C organization covers
emergency and urgently needed services--
(i) Regardless of whether the services are obtained within or
outside the organization; and
(ii) Without required prior authorization.
(2) Financial Responsibility. The M+C organization may not deny
payment for a condition--
(i) That is an emergency medical condition as defined in
Sec. 422.2; or
(ii) For which a plan provider or other M+C organization
representative instructs an enrollee to seek emergency services within
or outside the plan.
(3) Stabilized condition. The physician treating the enrollee must
decide when the enrollee may be considered stabilized for transfer or
discharge, and that decision is binding on the M+C organization.
(4) Limits on charges to enrollees. For emergency services obtained
outside the M+C plan's provider network, the organization may not
charge the enrollee more than $50 or what it would charge the enrollee
if he or she obtained the services through the organization, whichever
is less.
19. On page 35090, in the third column, in Sec. 422.250, paragraph
(b) is corrected to read as follows:
Sec. 422.250 general provisions.
* * * * *
(b) Adjustment of payments to reflect number of Medicare
enrollees--(1) General rule. HCFA adjusts payments retroactively to
take into account any difference between the actual number of Medicare
enrollees and the number on which it based an advance monthly payment.
(2) Special rules for certain enrollees. (i) Subject to paragraph
(b)(2)(ii) of this section, HCFA may make adjustments, for a period
(not to exceed 90 days) that begins when a beneficiary elects a group
health plan (as defined in Sec. 411.101 of this chapter) offered by an
M+C organization, and ends when the beneficiary is enrolled in an M+C
plan offered by the M+C organization.
(ii) HCFA does not make an adjustment unless the beneficiary
certifies that, at the time of enrollment under the M+C plan, he or she
received from the organization the disclosure statement specified in
Sec. 422.111.
* * * * *
Sec. 422.268 [Corrected]
20. On page 35093, in the third column, in Sec. 422.268, in
paragraph (b), in the third line, ``Secs. 422.105'' is corrected to
read ``Secs. 422.109''.
Sec. 422.308 [Corrected]
21. In Sec. 422.308 the following corrections are made:
a. On the same page, in the same column, the text of paragraph (b)
is redesignated as paragraph (b)(1) and a new paragraph (b)(2) is added
to read as follows:
[[Page 52614]]
Sec. 422.308 Limits on premiums and cost sharing amounts.
* * * * *
(b) * * *
(2) For supplemental benefits, the actuarial value of its cost-
sharing may not exceed the amounts approved in the ACR for those
benefits, as determined under Sec. 422.310 on an annual basis.
* * * * *
Sec. 422.310 [Corrected]
22. On page 35096, in the second column, in Sec. 422.310 (that
section begins on page 35095), in paragraph (c)(4), ``component.
Adjustments will be'' is corrected to read ``component. In addition,
adjustments will be''.
Sec. 422.502 [Corrected]
23. In Sec. 422.502, the following corrections are made:
a. On page 35100, in the third column, in paragraph (a)(2),
``Sec. 422.108'' is corrected to read ``Sec. 422.110''.
b. On the same page, in the same column, in paragraph (a)(3)(i),
``Sec. 422.100'' is corrected to read ``Sec. 422.101'', and
``Sec. 422.101'' is corrected to read ``Sec. 422.102''.
c. On page 35101, in the first column, in paragraph (a)(4),
``Sec. 422.110'' is corrected to read ``Sec. 422.111''.
d. On page 35103, in the second column, paragraph (m) is
redesignated as paragraph (1)(4) and is corrected to read as follows:
Sec. 422.502 Contract provisions.
* * * * *
(l) * * *
(4) The CEO or CFO must certify that the information in its ACR
submission is accurate and fully conforms to the requirements in
Sec. 422.310.
Sec. 422.550 [Corrected]
24. On page 35106, in the second column, amendatory instruction
``19. a.'' is corrected to read as follows:
a. In paragraph (b)(1), the following sentence is added at the end:
``The M+C organization must also provide updated financial information
and a discussion of the financial and solvency impact of the change of
ownership on the surviving organization.''
Sec. 422.608 [Corrected]
25. On page 35111, in the third column, in Sec. 422.608, in the
heading, the acronym ``(DAB)'' is corrected to read ``(the Board)'' and
in the text ``DAB'' is corrected to read ``Board'' each time it appears
(twice).
Sec. 422.612 [Corrected]
26. In Sec. 422.612, the following corrections are made:
a. On page 35111, in the third column, in paragraph (a)(1) ``DAB''
is corrected to read ``Board''.
b. On the same page, in the same column, in the heading of
paragraph (b), ``DAB'' is corrected to read ``Board''.
c. On the same page, in the same column, in the text of paragraph
(b) introductory text, ``DAB'' is corrected to read ``Board''.
Sec. 422.616 [Corrected]
27. On page 35111, in the third column that continues on page
35112, in Sec. 422.616(a), ``DAB'' is corrected to read ``Board''.
Sec. 422.620 [Corrected]
28. On page 35112, in the second column, in Sec. 422.620, in
paragraph (a), ``Sec. 422.112(b)'' is corrected to read
``Sec. 422.112(c)''.
Sec. 422.622 [Corrected]
29. On page 35112, in the third column, in Sec. 422.622, in
paragraph (c)(1)(i) ``Sec. 422.112(b)'' is corrected to read
``Sec. 422.112(c)'' each time it appears (twice).
Sec. 422.752 [Corrected]
30. On page 35115, in the second column, in Sec. 422.752, in
paragraph (a)(6), ``Sec. 422.204'' is corrected to read
``Sec. 422.206''.
(Catalog of Federal Domestic Assistance Program No. 93,773,
Medicare--Hospital Insurance; and Program No. 93.766, Medicare--
Supplementary Medical Insurance Program)
Dated: September 25, 1998.
Neil J. Stillman,
Deputy Assistant Secretary for Information Resources Management.
[FR Doc. 98-26242 Filed 9-30-98; 8:45 am]
BILLING CODE 4120-01-M
