2015-19079. Medicare and Medicaid Programs; CY 2016 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements; Correction

AGENCY:

Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION:

Proposed rule; correction.

SUMMARY:

This document corrects technical errors in the proposed rule that appeared in the July 10, 2015 Federal Register entitled “Medicare and Medicaid Programs; CY 2016 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; and Home Health Quality Reporting Requirements.”

DATES:

Comments on the proposed rule published on July 10, 2015 (80 FR 39839), continue to be accepted until September 4, 2015.

FOR FURTHER INFORMATION CONTACT:

Hillary Loeffler, [phone].

SUPPLEMENTARY INFORMATION:

I. Background

In FR Doc. 2015-16790, published in the Federal Register of July 10, 2015 (80 FR 39839), there were technical errors that are identified and corrected in the Correction of Errors section of this correcting document.

II. Summary of Errors

On page 39854, in our discussion of case-mix weights, there was a sorting error in Table 9: CY 2016 Case-Mix Payment Weights.

On page 39906, in our discussion of the overall impact of the home health prospective payment system in CY 2016, we inadvertently provided the incorrect percent decrease in expenditures when comparing CY 2015 payments to estimated CY 2016 payments.

III. Correction of Errors

In FR Doc. 2015-16790 of July 10, 2015 (80 FR 39839), make the following corrections:

On page 39854, Table 9—CY 2016 Case-Mix Payment Weights is corrected to read as follows:

Table 9—CY 2016 Case-Mix Payment Weights

Payment group	Step (episode and/or therapy visit ranges)	Clinical and functional levels (1 = low; 2 = medium; 3= high)	CY 2016 Case-mix weights
10111	1st and 2nd Episodes, 0 to 5 Therapy Visits	C1F1S1	0.5969
10112	1st and 2nd Episodes, 6 Therapy Visits	C1F1S2	0.7216
10113	1st and 2nd Episodes, 7 to 9 Therapy Visits	C1F1S3	0.8462
10114	1st and 2nd Episodes, 10 Therapy Visits	C1F1S4	0.9708
10115	1st and 2nd Episodes, 11 to 13 Therapy Visits	C1F1S5	1.0954
10121	1st and 2nd Episodes, 0 to 5 Therapy Visits	C1F2S1	0.7123
10122	1st and 2nd Episodes, 6 Therapy Visits	C1F2S2	0.8240
10123	1st and 2nd Episodes, 7 to 9 Therapy Visits	C1F2S3	0.9357
10124	1st and 2nd Episodes, 10 Therapy Visits	C1F2S4	1.0474
10125	1st and 2nd Episodes, 11 to 13 Therapy Visits	C1F2S5	1.1591
10131	1st and 2nd Episodes, 0 to 5 Therapy Visits	C1F3S1	0.7709
10132	1st and 2nd Episodes, 6 Therapy Visits	C1F3S2	0.8868
10133	1st and 2nd Episodes, 7 to 9 Therapy Visits	C1F3S3	1.0027
10134	1st and 2nd Episodes, 10 Therapy Visits	C1F3S4	1.1186
10135	1st and 2nd Episodes, 11 to 13 Therapy Visits	C1F3S5	1.2345
10211	1st and 2nd Episodes, 0 to 5 Therapy Visits	C2F1S1	0.6339
10212	1st and 2nd Episodes, 6 Therapy Visits	C2F1S2	0.7637
10213	1st and 2nd Episodes, 7 to 9 Therapy Visits	C2F1S3	0.8935
10214	1st and 2nd Episodes, 10 Therapy Visits	C2F1S4	1.0234
10215	1st and 2nd Episodes, 11 to 13 Therapy Visits	C2F1S5	1.1532
10221	1st and 2nd Episodes, 0 to 5 Therapy Visits	C2F2S1	0.7492
10222	1st and 2nd Episodes, 6 Therapy Visits	C2F2S2	0.8661
10223	1st and 2nd Episodes, 7 to 9 Therapy Visits	C2F2S3	0.9830
10224	1st and 2nd Episodes, 10 Therapy Visits	C2F2S4	1.0999
10225	1st and 2nd Episodes, 11 to 13 Therapy Visits	C2F2S5	1.2169
10231	1st and 2nd Episodes, 0 to 5 Therapy Visits	C2F3S1	0.8079
10232	1st and 2nd Episodes, 6 Therapy Visits	C2F3S2	0.9290
10233	1st and 2nd Episodes, 7 to 9 Therapy Visits	C2F3S3	1.0501
10234	1st and 2nd Episodes, 10 Therapy Visits	C2F3S4	1.1712
10235	1st and 2nd Episodes, 11 to 13 Therapy Visits	C2F3S5	1.2923
10311	1st and 2nd Episodes, 0 to 5 Therapy Visits	C3F1S1	0.6876
10312	1st and 2nd Episodes, 6 Therapy Visits	C3F1S2	0.8424
10313	1st and 2nd Episodes, 7 to 9 Therapy Visits	C3F1S3	0.9973
10314	1st and 2nd Episodes, 10 Therapy Visits	C3F1S4	1.1522
10315	1st and 2nd Episodes, 11 to 13 Therapy Visits	C3F1S5	1.3071
10321	1st and 2nd Episodes, 0 to 5 Therapy Visits	C3F2S1	0.8029
10322	1st and 2nd Episodes, 6 Therapy Visits	C3F2S2	0.9449
10323	1st and 2nd Episodes, 7 to 9 Therapy Visits	C3F2S3	1.0868
10324	1st and 2nd Episodes, 10 Therapy Visits	C3F2S4	1.2288
10325	1st and 2nd Episodes, 11 to 13 Therapy Visits	C3F2S5	1.3707
10331	1st and 2nd Episodes, 0 to 5 Therapy Visits	C3F3S1	0.8616
10332	1st and 2nd Episodes, 6 Therapy Visits	C3F3S2	1.0077
10333	1st and 2nd Episodes, 7 to 9 Therapy Visits	C3F3S3	1.1539
10334	1st and 2nd Episodes, 10 Therapy Visits	C3F3S4	1.3000
10335	1st and 2nd Episodes, 11 to 13 Therapy Visits	C3F3S5	1.4462
21111	1st and 2nd Episodes, 14 to 15 Therapy Visits	C1F1S1	1.2201
21112	1st and 2nd Episodes, 16 to 17 Therapy Visits	C1F1S2	1.4237
21113	1st and 2nd Episodes, 18 to 19 Therapy Visits	C1F1S3	1.6273
21121	1st and 2nd Episodes, 14 to 15 Therapy Visits	C1F2S1	1.2708
21122	1st and 2nd Episodes, 16 to 17 Therapy Visits	C1F2S2	1.4643
21123	1st and 2nd Episodes, 18 to 19 Therapy Visits	C1F2S3	1.6578
21131	1st and 2nd Episodes, 14 to 15 Therapy Visits	C1F3S1	1.3504
21132	1st and 2nd Episodes, 16 to 17 Therapy Visits	C1F3S2	1.5410
21133	1st and 2nd Episodes, 18 to 19 Therapy Visits	C1F3S3	1.7316
21211	1st and 2nd Episodes, 14 to 15 Therapy Visits	C2F1S1	1.2830
21212	1st and 2nd Episodes, 16 to 17 Therapy Visits	C2F1S2	1.4994
21213	1st and 2nd Episodes, 18 to 19 Therapy Visits	C2F1S3	1.7157
21221	1st and 2nd Episodes, 14 to 15 Therapy Visits	C2F2S1	1.3338
21222	1st and 2nd Episodes, 16 to 17 Therapy Visits	C2F2S2	1.5400
21223	1st and 2nd Episodes, 18 to 19 Therapy Visits	C2F2S3	1.7461
21231	1st and 2nd Episodes, 14 to 15 Therapy Visits	C2F3S1	1.4134
21232	1st and 2nd Episodes, 16 to 17 Therapy Visits	C2F3S2	1.6167
21233	1st and 2nd Episodes, 18 to 19 Therapy Visits	C2F3S3	1.8200
21311	1st and 2nd Episodes, 14 to 15 Therapy Visits	C3F1S1	1.4619
21312	1st and 2nd Episodes, 16 to 17 Therapy Visits	C3F1S2	1.6962
21313	1st and 2nd Episodes, 18 to 19 Therapy Visits	C3F1S3	1.9304
21321	1st and 2nd Episodes, 14 to 15 Therapy Visits	C3F2S1	1.5127
21322	1st and 2nd Episodes, 16 to 17 Therapy Visits	C3F2S2	1.7368
21323	1st and 2nd Episodes, 18 to 19 Therapy Visits	C3F2S3	1.9609
21331	1st and 2nd Episodes, 14 to 15 Therapy Visits	C3F3S1	1.5923
21332	1st and 2nd Episodes, 16 to 17 Therapy Visits	C3F3S2	1.8135
21333	1st and 2nd Episodes, 18 to 19 Therapy Visits	C3F3S3	2.0347
22111	3rd+ Episodes, 14 to 15 Therapy Visits	C1F1S1	1.2795
22112	3rd+ Episodes, 16 to 17 Therapy Visits	C1F1S2	1.4633
22113	3rd+ Episodes, 18 to 19 Therapy Visits	C1F1S3	1.6471
22121	3rd+ Episodes, 14 to 15 Therapy Visits	C1F2S1	1.2952
22122	3rd+ Episodes, 16 to 17 Therapy Visits	C1F2S2	1.4806
22123	3rd+ Episodes, 18 to 19 Therapy Visits	C1F2S3	1.6659
22131	3rd+ Episodes, 14 to 15 Therapy Visits	C1F3S1	1.3761
22132	3rd+ Episodes, 16 to 17 Therapy Visits	C1F3S2	1.5581
22133	3rd+ Episodes, 18 to 19 Therapy Visits	C1F3S3	1.7401
22211	3rd+ Episodes, 14 to 15 Therapy Visits	C2F1S1	1.3660
22212	3rd+ Episodes, 16 to 17 Therapy Visits	C2F1S2	1.5546
22213	3rd+ Episodes, 18 to 19 Therapy Visits	C2F1S3	1.7433
22221	3rd+ Episodes, 14 to 15 Therapy Visits	C2F2S1	1.3817
22222	3rd+ Episodes, 16 to 17 Therapy Visits	C2F2S2	1.5719
22223	3rd+ Episodes, 18 to 19 Therapy Visits	C2F2S3	1.7621
22231	3rd+ Episodes, 14 to 15 Therapy Visits	C2F3S1	1.4626
22232	3rd+ Episodes, 16 to 17 Therapy Visits	C2F3S2	1.6495
22233	3rd+ Episodes, 18 to 19 Therapy Visits	C2F3S3	1.8364
22311	3rd+ Episodes, 14 to 15 Therapy Visits	C3F1S1	1.5916
22312	3rd+ Episodes, 16 to 17 Therapy Visits	C3F1S2	1.7826
22313	3rd+ Episodes, 18 to 19 Therapy Visits	C3F1S3	1.9736
22321	3rd+ Episodes, 14 to 15 Therapy Visits	C3F2S1	1.6073
22322	3rd+ Episodes, 16 to 17 Therapy Visits	C3F2S2	1.7999
22323	3rd+ Episodes, 18 to 19 Therapy Visits	C3F2S3	1.9924
22331	3rd+ Episodes, 14 to 15 Therapy Visits	C3F3S1	1.6882
22332	3rd+ Episodes, 16 to 17 Therapy Visits	C3F3S2	1.8774
22333	3rd+ Episodes, 18 to 19 Therapy Visits	C3F3S3	2.0667
30111	3rd+ Episodes, 0 to 5 Therapy Visits	C1F1S1	0.4805
30112	3rd+ Episodes, 6 Therapy Visits	C1F1S2	0.6403
30113	3rd+ Episodes, 7 to 9 Therapy Visits	C1F1S3	0.8001
30114	3rd+ Episodes, 10 Therapy Visits	C1F1S4	0.9599
30115	3rd+ Episodes, 11 to 13 Therapy Visits	C1F1S5	1.1197
30121	3rd+ Episodes, 0 to 5 Therapy Visits	C1F2S1	0.5648
30122	3rd+ Episodes, 6 Therapy Visits	C1F2S2	0.7109
30123	3rd+ Episodes, 7 to 9 Therapy Visits	C1F2S3	0.8570
30124	3rd+ Episodes, 10 Therapy Visits	C1F2S4	1.0031
30125	3rd+ Episodes, 11 to 13 Therapy Visits	C1F2S5	1.1492
30131	3rd+ Episodes, 0 to 5 Therapy Visits	C1F3S1	0.6114
30132	3rd+ Episodes, 6 Therapy Visits	C1F3S2	0.7644
30133	3rd+ Episodes, 7 to 9 Therapy Visits	C1F3S3	0.9173
30134	3rd+ Episodes, 10 Therapy Visits	C1F3S4	1.0703
30135	3rd+ Episodes, 11 to 13 Therapy Visits	C1F3S5	1.2232
30211	3rd+ Episodes, 0 to 5 Therapy Visits	C2F1S1	0.4961
30212	3rd+ Episodes, 6 Therapy Visits	C2F1S2	0.6700
30213	3rd+ Episodes, 7 to 9 Therapy Visits	C2F1S3	0.8440
30214	3rd+ Episodes, 10 Therapy Visits	C2F1S4	1.0180
30215	3rd+ Episodes, 11 to 13 Therapy Visits	C2F1S5	1.1920
30221	3rd+ Episodes, 0 to 5 Therapy Visits	C2F2S1	0.5803
30222	3rd+ Episodes, 6 Therapy Visits	C2F2S2	0.7406
30223	3rd+ Episodes, 7 to 9 Therapy Visits	C2F2S3	0.9009
30224	3rd+ Episodes, 10 Therapy Visits	C2F2S4	1.0612
30225	3rd+ Episodes, 11 to 13 Therapy Visits	C2F2S5	1.2214
30231	3rd+ Episodes, 0 to 5 Therapy Visits	C2F3S1	0.6270
30232	3rd+ Episodes, 6 Therapy Visits	C2F3S2	0.7941
30233	3rd+ Episodes, 7 to 9 Therapy Visits	C2F3S3	0.9612
30234	3rd+ Episodes, 10 Therapy Visits	C2F3S4	1.1284
30235	3rd+ Episodes, 11 to 13 Therapy Visits	C2F3S5	1.2955
30311	3rd+ Episodes, 0 to 5 Therapy Visits	C3F1S1	0.6211
30312	3rd+ Episodes, 6 Therapy Visits	C3F1S2	0.8152
30313	3rd+ Episodes, 7 to 9 Therapy Visits	C3F1S3	1.0093
30314	3rd+ Episodes, 10 Therapy Visits	C3F1S4	1.2034
30315	3rd+ Episodes, 11 to 13 Therapy Visits	C3F1S5	1.3975
30321	3rd+ Episodes, 0 to 5 Therapy Visits	C3F2S1	0.7054
30322	3rd+ Episodes, 6 Therapy Visits	C3F2S2	0.8858
30323	3rd+ Episodes, 7 to 9 Therapy Visits	C3F2S3	1.0662
30324	3rd+ Episodes, 10 Therapy Visits	C3F2S4	1.2466
30325	3rd+ Episodes, 11 to 13 Therapy Visits	C3F2S5	1.4269
30331	3rd+ Episodes, 0 to 5 Therapy Visits	C3F3S1	0.7521
30332	3rd+ Episodes, 6 Therapy Visits	C3F3S2	0.9393
30333	3rd+ Episodes, 7 to 9 Therapy Visits	C3F3S3	1.1265
30334	3rd+ Episodes, 10 Therapy Visits	C3F3S4	1.3138
30335	3rd+ Episodes, 11 to 13 Therapy Visits	C3F3S5	1.5010
40111	All Episodes, 20+ Therapy Visits	C1F1S1	1.8309
40121	All Episodes, 20+ Therapy Visits	C1F2S1	1.8512
40131	All Episodes, 20+ Therapy Visits	C1F3S1	1.9222
40211	All Episodes, 20+ Therapy Visits	C2F1S1	1.9320
40221	All Episodes, 20+ Therapy Visits	C2F2S1	1.9523
40231	All Episodes, 20+ Therapy Visits	C2F3S1	2.0233
40311	All Episodes, 20+ Therapy Visits	C3F1S1	2.1647
40321	All Episodes, 20+ Therapy Visits	C3F2S1	2.1850
40331	All Episodes, 20+ Therapy Visits	C3F3S1	2.2559

On page 39906, second column, line 31 the number “0.1” is corrected to read “1.8”.

Dated: July 29, 2015.

Madhura Valverde,

Executive Secretary to the Department, Department of Health and Human Services.