2024-22501. Medicare and Medicaid Programs and the Children's Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal ...

CCN	MGCRB case No.	Approved CBSA	Final rule CBSA
220015	25C0368	49340	49340

10. On page 69308, third column, middle of the page, the untitled table is corrected to read as follows:

FY 2025 25th Percentile Wage Index Value	0.9009

11. On page 69313, second column, first partial paragraph, line 13, the figure “23” is corrected to read “22”.

12. On page 69315, third column, first full paragraph, line 1, the figure “23” is corrected to read “22”.

13. On page 69369, second column, fourth full paragraph, line 14, the phrase “mental-health-only geographic” is corrected to read “mental-health-only population and geographic”.

14. On page 69400, second column, last partial paragraph, line 9, the phrase “beneficiaries, ERRs, and aggregate” is corrected to read “beneficiaries, excess readmission ratios (ERRs), and aggregate”.

15. On page 69455, third column, third footnote paragraph (footnote 266), lines 4 and 5, the web address “ https://www.cdc.gov/​hai/​data/​archive/​2021-HAI-progress-report.html#2018” is corrected to read “ https://archive.cdc.gov/​#/​details?​url=​https://www.cdc.gov/​hai/​data/​archive/​2021-HAI-progress-report.html”.

16. On page 69458, second column, second footnote paragraph (footnote 297), lines 4 through 6, the web address “ https://qualitynet.gov/​inpatient/​iqr/​proposedmeasures” is corrected to “ https://qualitynet.cms.gov/​inpatient/​iqr/​proposedmeasures”.

17. On page 69463, lower half of the page, first column, first footnote paragraph (footnote 304), lines 3 through 5, the web address “ https://qualitynet.gov/​inpatient/​iqr/​proposedmeasures” is corrected to “ https://qualitynet.cms.gov/​inpatient/​iqr/​proposedmeasures.”

18. On page 69476, first column, third footnote paragraph (footnote 341), lines 4 through 8, the web address https://www.cdc.gov/​healthcare-associated-infections/​?CDC_​AAref_​Val=​https://www.cdc.gov/​hai/​prevent/​infection%25C2%25ADcontrol%25C2%25AD.assessment%25C2%25ADtools.html is corrected to “ https://www.cdc.gov/​infection-control/​media/​pdfs/​IPC-Instructions-508.pdf.”

19. On page 69481, first and second columns, footnote paragraph (footnote 366), last line and lines 1 and 2, the web address “ https://mmshub.cms.gov/​sites/​default/​files/​PSSMTEP-Summary-Report-202306.pdf” is corrected to “ https://mmshub.cms.gov/​sites/​default/​files/​PSSM-TEP-Summary-Report-202306.pdf.”

20. On page 69489, in the first column; first footnote paragraph (footnote 394), lines 3 through 5, the web address “ https://qualitynet.gov/​inpatient/​iqr/​proposedmeasures” is corrected to “ https://qualitynet.cms.gov/​inpatient/​iqr/​proposedmeasures.”

21. On page 69503, third column, second full paragraph, lines 15 through 17, the web address, “ https://hcahpsonline.org/​en/​mode-patient-mix-adj/​#jan2023publiclyreported” is corrected to read, “ https://hcahpsonline.org/​en/​mode--patient-mix-adj/​#jan2023publiclyreported.”

22. On page 69512, second column, first footnote paragraph (footnote 437), lines 1 through 4, “Medicare Hospital Quality Chartbook. National Rates over Time. Available at: https://www.cmshospitalchartbook.com/​visualization/​national-rates-over-time. Accessed March 12, 2024.” is corrected to read “MedPAC. (2019). Update: MedPAC's evaluation of Medicare's Hospital Readmission Reduction Program. Available at: https://www.medpac.gov/​update-medpac-s-evaluation-of-medicare-s-hospital-readmission-reduction-program/​.”

23. On page 69529, first column, second footnote paragraph (footnote 531), lines 2 through 4, the footnote “CDC. (2024). National and State Healthcare-associated Infections Progress Report. Available at: https://www.cdc.gov/​healthcare-associated-infections/​php/​data/​progress-report.html.” is corrected to read “CDC. (2022). Antibiotic Resistance & Patient Safety Portal: Catheter-Associated Urinary Tract Infections. Available at: https://arpsp.cdc.gov/​profile/​nhsn/​cauti.”.

24. On page 69533, first column, second full paragraph, lines 9 through 17, the sentences “In CAUTI and CLABSI SIRs, risk adjustment is applied at the individual location level, resulting in a count of infection events (SIR numerator) and predicted number of infections (SIR denominator). The NHSN then aggregates location-specific results for all of a facility's locations prior to calculating the SIR.” are corrected to read “The NHSN then aggregates location-specific results for all of a facility's locations prior to calculating the SIR.”

25. On page 69534, first column, second full paragraph, lines 18-21, the ( print page 80104) sentence “This would also allow more direct comparison with the CAUTI-Onc and CLABSI-Onc measures used in the PCHQR Program.” is corrected to read “The oncology-specific measures would also allow more direct comparison with the CAUTI and CLABSI measures used in the PCHQR Program.”.

26. On page 69538, first column, last paragraph, lines 6 through 12, the sentence “Hospitals must report on the following three eCQMs: (1) Hospital Harm—Severe Hypoglycemia eCQM; (2) Hospital Harm—Severe Hyperglycemia eCQM; and (3) Hospital Harm—Opioid-Related Adverse Events eCQM.” is corrected to read “Hospitals must report on the following three eCQMs: (1) the Safe Use of Opioids—Concurrent Prescribing eCQM; (2) the Cesarean Birth eCQM; and (3) the Severe Obstetric Complications eCQM.”.

27. On page 69540, first column, last paragraph, line 11, the reference “section XXXX” is corrected to read “section X.A.”.

28. On page 69544, third column, last paragraph, lines 6 through 12, the sentence “Hospitals must report the following three eCQMs: (1) Hospital Harm—Severe Hypoglycemia eCQM; (2) Hospital Harm—Severe Hyperglycemia eCQM; and (3) Hospital Harm—Opioid-Related Adverse Events eCQM.” is corrected to read “Hospitals must report the following three eCQMs: (1) the Safe Use of Opioids—Concurrent Prescribing eCQM; (2) the Cesarean Birth eCQM; and (3) the Severe Obstetric Complications eCQM.”.

29. On page 69545, third column, first partial paragraph, line 3, the reference “section XXXX” is corrected to read “section X.A.”.

30. On page 69549, first column, fourth full paragraph, lines 5 through 7, the web address “ https://qualitynet.cms.gov/​inpatient/​iqr/​measures” is corrected to read “ https://qualitynet.cms.gov/​inpatient/​measures.”

31. On page 69572, third column, last paragraph, line 25, the table reference “Table IX.C.XXXX” is corrected to read “Table IX.C.10.”.

32. On page 69573, top of the page:

a. First column, first paragraph, line 1, the table reference “Table IX.C.XXXX” is corrected to read “Table IX.C.10.”

b. In the table titled, “TABLE IX.C.X:XXX. NEWLY FINALIZED eCQM REPORTING AND SUBMISSION REQUIREMENTS FOR THE CY 2026 REPORTING PERIOD/FY 2028 PAYMENT DETERMINATION AND SUBSEQUENT YEARS”, line 1, the table number “TABLE IX.C.XXXX” is corrected to read “TABLE IX.C.10.”.

33. On page 69575:

a. Top third of the page, third column, first full paragraph, line 3, the reference “Table IX.C.10.” is corrected to read “Table IX.C.11.”.

b. Middle of the page, in the table titled, “TABLE IX.C.10. SUMMARY OF THE CURRENT AND NEWLY MODIFIED VALIDATION SCORING POLICIES”, line 1, the table number “TABLE IX.C.10” is corrected to read “TABLE IX.C.11.”.

34. On page 69577, third column, last partial paragraph, the parenthetical reference “(86 FR 36341)” is corrected to read “(89 FR 36341)”.

35. On page 69578, first column, first partial paragraph, line 2, the parenthetical reference “(86 FR 36341)” is corrected to read “(89 FR 36341)”.

36. On page 69590, first column, first partial paragraph, line 6, the word “effect” is corrected to read “effective”.

37. On pages 69605 and 69606 remove the undesignated table.

38. On pages 69606 through 69613 correct “TABLE IX.F.-01.: SUMMARY OF OBJECTIVES AND MEASURES FOR THE MEDICARE PROMOTING INTEROPERABILITY PROGRAM FOR THE EHR REPORTING PERIOD IN CY 2025” to read as follows:

( print page 80105)

( print page 80106)

( print page 80107)

( print page 80108)

( print page 80109)

( print page 80110)

( print page 80111)

39. On page 69621, top of the page, lines 1 and 2, the table title “TABLE IX.F.-05: PREVIOUSLY FINALIZED ECQMS FOR ELIGIBLE HOSPITALS ( print page 80112) AND CAHS FOR THE CY 2024 THE REPORTING PERIOD” is corrected to read “TABLE IX.F.-05: PREVIOUSLY FINALIZED ECQMS FOR ELIGIBLE HOSPITALS AND CAHS FOR THE CY 2024 REPORTING PERIOD”.

40. On page 69622, third column, last paragraph, line 19, the phrase “CY 206” is corrected to read “CY 2026”.

41. On page 69880, third column, second full paragraph, line 2, the phrase, “supporting our CMS's proposal” is corrected to read “supported CMS's proposal”.

42. On page 69901, lower half of the page, second column, partial paragraph, line 16, the phrase “section . and IX.E.7.b.” is corrected to read “section IX.E.7.b.”.

43. On page 69902, top of the page, in the table title “TABLE XII.B-08: U.S. BUREAU OF LABOR AND STATISTICS' MAY 2021 NATIONAL OCCUPATIONAL EMPLOYMENT AND WAGE ESTIMATES, line 1, the date “MAY 2021” is corrected to read “MAY 2022”.

C. Corrections of Errors in the Addendum

44. On page 69948, the table titled “Summary of FY 2025 Budget Neutrality Factors” is corrected to read:

45. On page 69955, third column, first full paragraph, line 6 through 11, the phrase “(estimated capital outlier payments of $292,195,135 divided by (estimated capital outlier payments of $292,195,135 plus the estimated total capital Federal payment of $6,564,012,091))” is corrected to read: “(estimated capital outlier payments of $292,277,686 divided by (estimated capital outlier payments of $292,277,686 plus the estimated total capital Federal payment of $6,564,098,157))”.

46. On page 69960, third column:

a. First full paragraph:

i. Line 4, the figure “0.24849” is corrected to “0.248486”,

ii. Line 6, the figure “0.252248” is corrected to “0.252261”, and

iii. Line 17, the figure “1.015123” is corrected to “1.015192”.

b. Second full paragraph:

i. Line 5, the figure “0.017716” is corrected to “0.017718”,

ii. Line 7, the figure “0.017666” is corrected to “0.017669”, and

iii. Line 18, the figure “0.997178” is corrected to “0.997234”.

47. On page 69961, second column:

a. First full paragraph:

i. Line 22, the figure “$46,152” is corrected to “$46,147”,

ii. Line 24, the figure “$4,349,520,041” is corrected to “$4,350,072,899”,

iii. Line 25, the figure “$80,269,760,637” is corrected to “$80,279,536,469”,

iv. Line 40, the figure “$46,502” is corrected to “$46,498”, and

v. Line 51, the figure “$46,152” is corrected to “$46,147”.

b. the untitled table, the figure “0.957682” is corrected to “0.957678.

48. On page 69963, the table titled “CHANGES FROM FY 2024 STANDARDIZED AMOUNTS TO THE FY 2025 STANDARDIZED AMOUNTS” is corrected to read as follows:

( print page 80113)

49. On page 69966, third column, first full paragraph, line 6, the figure “1.33 percent” is corrected to read “1.30 percent”.

50. On page 69969, second column, second partial paragraph, line 17, the figure “0.9887” is corrected to read “0.9884”.

51. On page 69970:

a. First column, first full paragraph, line 8, the mathematical phrase, “(0.9887) is 0.9856 (0.9969 × 0.9887)” is corrected to read “(0.9884) is 0.9854 (0.9969 × 0.9884)”.

b. Second column, second full paragraph, line 2, the figure “0.9856” is corrected to read “0.9854”.

c. Third column:

i. First partial paragraph, line 5, the figure “$510.51” is corrected to read “$510.39”.

ii. Second bulleted paragraph, line 12, the figure “0.9856” is corrected to read “0.9854”.

iii. Last paragraph:

A. Line 13, the figure “1.44” is corrected to read “1.46”.

B. Line 25, the figure “1.33” is corrected to read “1.30”.

52. On page 69971:

a. Top of the page, the table titled “COMPARISON OF FACTORS AND ADJUSTMENTS: FY 2024 CAPITAL FEDERAL RATE AND THE FY 2025 CAPITAL FEDERAL RATE” is corrected to read as follows:

( print page 80114)

b. Lower three-fourths of the page, first column, second paragraph, last line, the figure “$46,152” is corrected to read “$46,147”.

53. On page 69987, first column, first full paragraph,

a. Line 13, the figure “$46,152” is corrected to read “$46,147”.

b. Last line, the figure “$46,152” is corrected to read “$46,147”.

54. On page 69990:

a. The table titled “TABLE 1A—NATIONAL ADJUSTED OPERATING STANDARDIZED AMOUNTS, LABOR/NONLABOR (67.6 PERCENT LABOR SHARE/32.4 PERCENT NONLABOR SHARE IF WAGE INDEX IS GREATER THAN 11)—FY 2025” is corrected to read as follows:

b. The table titled “TABLE 1B.—NATIONAL ADJUSTED OPERATING STANDARDIZED AMOUNTS, LABOR/NONLABOR (62 PERCENT LABOR SHARE/38 PERCENT NONLABOR SHARE IF WAGE INDEX IS LESS THAN OR EQUAL TO 1)—FY 2025” is corrected to read as follows:

c. The table titled “TABLE 1C.— ADJUSTED OPERATING STANDARDIZED AMOUNTS FOR HOSPITALS IN PUERTO RICO, LABOR/NONLABOR (NATIONAL: 62 PERCENT LABOR SHARE/38 PERCENT NONLABOR SHARE BECAUSE WAGE INDEX IS LESS THAN OR EQUAL TO 1)—FY 2025” is corrected to read as follows:

( print page 80115)

d. The table titled “TABLE 1D.— CAPITAL STANDARD FEDERAL PAYMENT RATE—FY 2025” is corrected to read as follows:

TABLE 1D.— CAPITAL STANDARD FEDERAL PAYMENT RATE—FY 2025

	Rate
National	$510.39