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Federal Register/Vol. 80, No. 84/Friday, May 1, 2015/Proposed 25012 Federal Register / Vol. 80, No. 84 / Friday, May 1, 2015 / Proposed Rules DEPARTMENT OF HEALTH AND address ONLY: Centers for Medicare & psychiatric facility quality reporting HUMAN SERVICES Medicaid Services, Department of program. Health and Human Services, Attention: SUPPLEMENTARY INFORMATION: Centers for Medicare & Medicaid CMS–1627–P, P.O. Box 8010, Baltimore, Services MD 21244–1850. Availability of Certain Tables Please allow sufficient time for mailed Exclusively Through the Internet on the 42 CFR Part 412 comments to be received before the CMS Web Site [CMS–1627–P] close of the comment period. In the past, tables setting forth the 3. By express or overnight mail. You Wage Index for Urban Areas Based on RIN 0938–AS47 may send written comments to the CBSA Labor Market Areas and the Wage following address ONLY: Centers for Index Based on CBSA Labor Market Medicare Program; Inpatient Medicare & Medicaid Services, Areas for Rural Areas were published in Psychiatric Facilities Prospective Department of Health and Human the Federal Register as an Addendum to Payment System—Update for Fiscal Services, Attention: CMS–1627–P, Mail the annual PPS rulemaking (that is, the Year Beginning October 1, 2015 (FY Stop C4–26–05, 7500 Security PPS proposed and final rules or, when 2016) Boulevard, Baltimore, MD 21244–1850. applicable, the current update notice). AGENCY: Centers for Medicare & 4. By hand or courier. Alternatively, However, beginning in FY 2015, these Medicaid Services (CMS), HHS. you may deliver (by hand or courier) wage index tables are no longer ACTION: Proposed rule. your written comments ONLY to the published in the Federal Register. following addresses prior to the close of Instead, these tables will be available SUMMARY: This proposed rule would the comment period: exclusively through the Internet. The update the prospective payment rates a. For delivery in Washington, DC— wage index tables for this proposed rule for Medicare inpatient hospital services Centers for Medicare & Medicaid are available exclusively through the provided by inpatient psychiatric Services, Department of Health and Internet on the CMS Web site at http:// facilities (IPFs) (which are freestanding Human Services, Room 445–G, Hubert www.cms.gov/Medicare/Medicare-Fee- IPFs and psychiatric units of an acute H. Humphrey Building, 200 for-Service-Payment/IPFPPS/Wage care hospital or critical access hospital). Independence Avenue SW., Index.html. These changes would be applicable to Washington, DC 20201. To assist readers in referencing IPF discharges occurring during the sections contained in this document, we (Because access to the interior of the are providing the following table of fiscal year (FY) beginning October 1, Hubert H. Humphrey Building is not readily 2015 through September 30, 2016 (FY available to persons without Federal contents. 2016). This proposed rule also proposes: government identification, commenters are I. Executive Summary A new IPF-specific market basket; to encouraged to leave their comments in the A. Purpose update the IPF labor-related share; a CMS drop slots located in the main lobby of B. Summary of the Major Provisions transition to new Core Based Statistical the building. A stamp-in clock is available for C. Summary of Impacts Area (CBSA) designations in the FY persons wishing to retain a proof of filing by II. Background 2016 IPF Prospective Payment System stamping in and retaining an extra copy of A. Overview of the Legislative the comments being filed.) Requirements of the IPF PPS (PPS) wage index; to phase out the rural B. Overview of the IPF PPS adjustment for IPF providers whose b. For delivery in Baltimore, MD— C. Annual Requirements for Updating the status changes from rural to urban as a Centers for Medicare & Medicaid IPF PPS result of the proposed wage index CBSA Services, Department of Health and III. Provisions of the Proposed Rule changes; and new quality measures and Human Services, 7500 Security A. Proposed Market Basket for the IPF PPS reporting requirements under the IPF Boulevard, Baltimore, MD 21244–1850. 1. Background quality reporting program. This If you intend to deliver your 2. Overview of the Proposed 2012-Based IPF Market Basket proposed rule also reminds IPFs of the comments to the Baltimore address, call 3. Creating an IPF-Specific Market Basket October 1, 2015 implementation of the telephone number (410) 786–4492 in a. Development of Cost Categories and International Classification of Diseases, advance to schedule your arrival with Weights 10th Revision, Clinical Modification one of our staff members. i. Medicare Cost Reports (ICD–10–CM), and updates providers on Comments erroneously mailed to the ii. Final Major Cost Category Computation the status of IPF PPS refinements. addresses indicated as appropriate for iii. Derivation of the Detailed Operating hand or courier delivery may be delayed Cost Weights DATES: To be assured consideration, iv. Derivation of the Detailed Capital Cost comments must be received at one of and received after the comment period. Weights the addresses provided below, no later For information on viewing public v. Proposed 2012-Based IPF Market Basket than 5 p.m. on June 23, 2015. comments, see the beginning of the Cost Categories and Weights ADDRESSES: In commenting, please refer SUPPLEMENTARY INFORMATION section. b. Selection of Price Proxies to file code CMS–1627–P. Because of FOR FURTHER INFORMATION CONTACT: i. Price Proxies for the Operating Portion of Katherine Lucas or Jana Lindquist, the Proposed 2012-Based IPF Market staff and resource limitations, we cannot Basket accept comments by facsimile (FAX) (410) 786–7723, for general information. ii. Price Proxies for the Capital Portion of transmission. Hudson Osgood, (410) 786–7897 or the Proposed 2012-Based IPF Market You may submit comments in one of Bridget Dickensheets, (410) 786–8670, Basket four ways (please choose only one of the for information regarding the market iii. Summary of All Price Proxies of the ways listed): basket and labor-related share. Proposed 2012-Based IPF Market Basket 1. Electronically. You may submit Theresa Bean, (410) 786–2287, for 4. Proposed FY 2016 Market Basket Update electronic comments on this regulation information regarding the regulatory 5. Proposed Productivity Adjustment 6. Proposed Labor-Related Share to http://www.regulations.gov. Follow impact analysis. B. Proposed Updates to the IPF PPS Rates the ‘‘Submit a comment’’ instructions. Rebecca Kliman, (410) 786–9723, or for FY Beginning October 1, 2016 2. By regular mail. You may mail Jeffrey Buck, (410) 786–0407, for 1. Determining the Standardized Budget- written comments to the following information regarding the inpatient Neutral Federal Per Diem Base Rate VerDate Sep<11>2014 19:04 Apr 30, 2015 Jkt 235001 PO 00000 Frm 00002 Fmt 4701 Sfmt 4702 E:\FR\FM\01MYP2.SGM 01MYP2 mstockstill on DSK4VPTVN1PROD with PROPOSALS2 Federal Register / Vol. 80, No. 84 / Friday, May 1, 2015 / Proposed Rules 25013 2. Proposed Update of the Federal Per F. Changes to Reporting Requirements ECI Employment Cost Index Diem Base Rate and Electroconvulsive 1. Proposed Changes to Reporting by Age ESRD End State Renal Disease Therapy Rate and Quarter FR Federal Register C. Proposed Updates to the IPF PPS 2. Proposed Changes to Aggregate FTE Full-time equivalent Patient-Level Adjustment Factors Population Count Reporting FY Federal Fiscal Year (October 1 through 1. Overview of the IPF PPS Adjustment 3. Proposed Changes to Sampling September 30) Factors Requirements for FY 2018 Payment GDP Gross Domestic Product 2. IPF–PPS Patient-Level Adjustments Determination and Subsequent Years GME Graduate Medical Education a. MS–DRG Assignment G. Public Display and Review HHA Home Health Agency b. Payment for Comorbid Conditions Requirements HBIPS Hospital Based Inpatient Psychiatric 3. Patient Age Adjustments H. Form, Manner, and Timing of Quality Services 4. Variable Per Diem Adjustments Data Submission ICD–9–CM International Classification of D. Proposed Updates to the IPF PPS 1. Procedural and Submission Diseases, 9th Revision, Clinical Facility-Level Adjustments Requirements Modification 1. Proposed Wage Index Adjustment 2. Proposed Change to the Reporting ICD–10–CM International Classification of a. Background Periods and Submission Timeframes Diseases, 10th Revision, Clinical b. Proposed Wage Index for FY 2016 3. Population, Sampling, and Minimum Modification c. OMB Bulletins and Proposed Case Threshold ICD–10–PCS International Classification of Transitional Wage Index 4. Data Accuracy and Completeness Diseases, 10th Revision, Procedure Coding d. Adjustment for Rural Location and Acknowledgement (DACA) System Proposal To Phase Out the Rural Requirements IGI IHS Global Insight, Inc. Adjustment for IPFs Losing Their Rural I. Reconsideration and Appeals Procedures I–O Input—Output Adjustment Due to CBSA Changes J. Exceptions to Quality Reporting IPFs Inpatient Psychiatric Facilities e. Budget Neutrality Adjustment Requirements IPFQR Inpatient Psychiatric Facilities 2. Teaching Adjustment VI. Collection of Information Requirements Quality Reporting 3. Cost of Living Adjustment for IPFs A. Wage Estimates IRFs Inpatient Rehabilitation Facilities Located in Alaska and Hawaii B. ICRs Regarding the Inpatient Psychiatric LOS Length of Stay 4. Adjustment for IPFs With a Qualifying Quality Reporting (IPFQR) Program LTCHs Long-Term Care Hospitals Emergency Department (ED) 1. Changes in Time Required to Chart- MAC Medicare Administrative Contractor E.
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