[Federal Register Volume 61, Number 19 (Monday, January 29, 1996)]
[Rules and Regulations]
[Pages 2725-2727]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-1532]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
42 CFR Parts 412 and 413
[BPD-825-FCN]
RIN 0938-AG95
Medicare Program; Changes to the Hospital Inpatient Prospective
Payment Systems and Fiscal Year 1996 Rates; Corrections
AGENCY: Health Care Financing Administration (HCFA), HHS.
ACTION: Correction to final rule.
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SUMMARY: In the September 1, 1995, issue of the Federal Register (60 FR
45778), we published a final rule with comment period revising the
Medicare hospital inpatient prospective payment systems for operating
costs and capital-related costs to implement necessary changes arising
from our continuing experience with the system. In the addendum to that
final rule with comment period, we announced the prospective payment
rates for Medicare hospital inpatient services for operating costs and
capital-related costs applicable to discharges occurring on or after
October 1, 1995, and set forth update factors for the rate-of-increase
limits for hospitals and hospital units excluded from the prospective
payment systems. This document corrects errors made in that document.
EFFECTIVE DATE: October 1, 1995.
FOR FURTHER INFORMATION CONTACT: Stephen Phillips (410) 786-4548.
SUPPLEMENTARY INFORMATION: In the September 1, 1995, final rule with
comment period (60 FR 45778), we indicated that if a hospital believes
its wage index value is incorrect as a result of an intermediary or
HCFA error that the hospital could not have known about before
reviewing data made available in mid-August, the hospital must notify
the intermediary and HCFA in writing, to be received no later than
September 21, 1995 (see 60 FR 45794). As a result of this process, we
have identified several corrections to the wage data. Accordingly, the
wage index values for several areas have changed and are corrected in
this notice.
The final rule with comment period also contained other technical
and typographical errors. In particular, we inadvertently failed to
correct a technical error in Sec. 412.105(d), which now indicates that
the current method for determining the education adjustment factor for
hospitals that incur indirect costs for graduate medical education
(IME) programs is effective only for discharges occurring before
October 1, 1995. Since section 4002(b)(3) of the Omnibus Budget
Reconciliation Act of 1990 amended section 1886(d)(5)(B)(ii) of the
Social Security Act to eliminate the requirement that the current
method for calculating the IME adjustment was to expire as of October
1, 1995, we needed to delete the incorrect reference to the October 1,
1995, expiration date in our September 1, 1995, final rule with comment
period.
Therefore, we are making the following corrections to the September
1, 1995, final rule with comment period:
Sec. 412.105 [Corrected]
1. On page 45848, column one, item 10, the phrase ``paragraph (b)
is revised to read as follows:'' is corrected to read ``paragraphs (b)
and (d) are revised to read as follows:''
2. On page 45848, column one, item 10, insert corrected paragraph
(d), which reads as follows:
* * * * *
(d) Determination of education adjustment factor. For discharges
occurring on or after October 1, 1988, each hospital's education
adjustment factor is calculated as follows:
* * * * *
Sec. 413.40 [Corrected]
3. On page 45850, column one, Sec. 413.40(g)(1), in the third line
the phrase ``under paragraph (e) of this section'' is corrected to read
``under paragraph (g) of this section''.
4. On pages 45867 through 45882, in Table 3C--Hospital Case Mix
Indexes for Discharges Occurring in Federal Fiscal Year 1994, Hospital
Average Hourly Wage for Federal Fiscal Year 1996 Wage Index, the
average hourly wage is corrected as follows:
------------------------------------------------------------------------
Corrected
Provider Case mix Avg. hourly avg. hourly
index wage wage
------------------------------------------------------------------------
090004 01.6239 22.47 22.45
090005 01.2725 25.88 25.02
090008 01.5653 19.96 23.02
210003 01.5173 26.44 26.40
210005 01.1988 18.75 18.50
210008 01.3734 19.80 19.78
210026 01.3603 22.97 22.82
210060 01.0967 21.07 21.23
230002 01.2674 18.51 18.81
330023 01.1830 21.41 21.64
340039 01.2728 17.98 18.05
340064 01.2236 15.48 17.13
340098 01.6534 17.84 17.68
340166 01.3806 18.12 18.14
390174 01.7096 23.29 23.19
390226 01.7113 22.03 21.84
450025 01.4725 15.12 15.36
450029 01.4012 11.81 12.01
450121 01.5746 18.89 19.39
450196 01.4781 13.63 14.62
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[[Page 2726]]
5. On pages 45883 through 45889, in Table 4A--Wage Index and
Capital Geographic Adjustment Factor (GAF) for Urban Areas, the MSA
titles and counties are corrected as follows:
------------------------------------------------------------------------
MSA Corrected MSA
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1123 *Boston-Brockton-Nashua, MA- *Boston-Worcester-Lawrence-Lowell-
NH. Brockton, MA-NH.
1960 Davenport-Rock Island-Moline, Davenport-Moline-Rock Island, IA-IL.
IA-IL.
5483 *New Haven-Bridgeport- *New Haven-Bridgeport-Stamford-
Stamford-Danbury-Waterbury, CT. Waterbury-Danbury, CT.
6483 *Providence-Warwick, RI...... *Providence-Warwick-Pawtucket, RI.
7440 *San Juan-Bayamon, PR........ Counties also include: Morovis, PR;
Naguabo, PR.
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6. On pages 45883 through 45889, in Table 4A--Wage Index and
Capital Geographic Adjustment Factor (GAF) for Urban Areas, the wage
index values and GAFs are corrected as follows:
------------------------------------------------------------------------
Changed
Urban area Wage GAF wage Changed
index index GAF
------------------------------------------------------------------------
0720 Baltimore, MD.... 0.9866 0.9908 0.9865 0.9907
1520 Charlotte- 0.9668 0.9771 0.9661 0.9767
Gastonia-Rock
Hill, NC-SC.
2160 Detroit, MI...... 1.0834 1.0564 1.0837 1.0566
2281 Dutchess Co., NY. 1.0697 1.0472 1.0754 1.0510
2800 Fort Worth- 1.0052 1.0036 1.0066 1.0045
Arlington, TX.
3290 Hickory-Morganton- 0.7983 0.8570 0.8002 0.8584
Lenoir, NC.
4080 Laredo, TX....... 0.6750 0.7640 0.6834 0.7705
4640 Lynchburg, VA.... 0.8205 0.8733 0.8319 0.8816
6160 Philadelphia, PA- 1.1098 1.0739 1.1092 1.0736
NJ.
8840 Washington, DC-MD- 1.1075 1.0724 1.1116 1.0751
VA-WV.
9080 Wichita Falls, TX 0.7763 0.8408 0.7826 0.8455
------------------------------------------------------------------------
7. On pages 45889 through 45890, in Table 4B--Wage Index and
Capital Geographic Adjustment Factor (GAF) for Rural Areas, the wage
index values and the GAFs are corrected as follows:
------------------------------------------------------------------------
Changed
Non-urban Area Wage GAF wage Changed
index index GAF
------------------------------------------------------------------------
North Carolina.............. 0.7983 0.8570 0.8002 0.8584
Texas....................... 0.7302 0.8063 0.7316 0.8073
------------------------------------------------------------------------
8. On pages 45890 through 45891, in Table 4C--Wage Index and
Capital Geographic Adjustment Factor (GAF) for Hospitals that are
Reclassified, the wage index values and the GAFs are corrected as
follows:
------------------------------------------------------------------------
Changed
Area reclassified to Wage GAF wage Changed
index index GAF
------------------------------------------------------------------------
Charlotte-Gastonia-Rock
Hill, NC-SC................ 0.9668 0.9771 0.9661 0.9767
Detroit, MI................. 1.0834 1.0564 1.0837 1.0566
Dutchess Co., NY............ 1.0546 1.0371 1.0583 1.0396
Fort Worth-Arlington, TX.... 1.0052 1.0036 1.0066 1.0045
Philadelphia, PA-NJ......... 1.1098 1.0739 1.1092 1.0736
Washington, DC-MD-VA-WV..... 1.1075 1.0724 1.1116 1.0751
Rural North Carolina........ 0.7983 0.8570 0.8002 0.8584
------------------------------------------------------------------------
9. On pages 45891 through 45892, in Table 4D--Average Hourly Wage
for Urban Areas, the average hourly wage is corrected as follows:
------------------------------------------------------------------------
Corrected
Urban area Average average
hourly wage hourly wage
------------------------------------------------------------------------
Baltimore, MD................................. 18.6758 18.6732
Charlotte-Gastonia-Rock Hill, NC-SC........... 18.3004 18.2886
Detroit, MI................................... 20.4975 20.5027
Dutchess Co., NY.............................. 20.2495 20.3568
Fort Worth-Arlington, TX...................... 19.0148 19.0420
Laredo, TX.................................... 12.7772 12.9369
Lynchburg, VA................................. 15.5313 15.7477
Philadelphia, PA-NJ........................... 21.0452 21.0345
[[Page 2727]]
Washington, DC-MD-VA-WV....................... 20.9642 21.0413
Wichita Falls, TX............................. 14.6944 14.8144
------------------------------------------------------------------------
10. On pages 45892 through 45893, in Table 4E--Average Hourly Wage
for Rural Areas, the average hourly wage is corrected as follows:
------------------------------------------------------------------------
Corrected
Urban area Average average
hourly wage hourly wage
------------------------------------------------------------------------
North Carolina................................ 15.1058 15.1415
Texas......................................... 13.8226 13.8482
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(Catalog of Federal Domestic Assistance Program No. 93.778, Medical
Assistance Program; No. 93.773 Medicare--Hospital Insurance; and No.
93.774, Medicare--Supplementary Medical Insurance)
Dated: December 7, 1995.
Michael Carleton,
Acting Deputy Assistant Secretary for Information Resource Management.
[FR Doc. 96-1532 Filed 1-26-96; 8:45 am]
BILLING CODE 4120-01-P
