61142 Federal Register / Vol. 84, No. 218 / Tuesday, November 12, 2019 / Rules and Regulations DEPARTMENT OF HEALTH AND DATES: via email [email protected] or HUMAN SERVICES Effective date: This final rule is at 410–786–4142 or Mitali Dayal via effective on January 1, 2020. email [email protected] or at Centers for Medicare & Medicaid Comment period: To be assured 410–786–4329. Services consideration, comments on the Ambulatory Surgical Center Quality payment classifications assigned to the Reporting (ASCQR) Program 42 CFR Parts 405, 410, 412, 414, 416, interim APC assignments and/or status Administration, Validation, and 419, and 486 indicators of new or replacement Level Reconsideration Issues, contact Anita II HCPCS codes in this final rule with [CMS–1717–FC] Bhatia via email Anita.Bhatia@ comment period must be received at one cms.hhs.gov or at 410–786–7236. RIN 0938–AT74 of the addresses provided in the Ambulatory Surgical Center Quality ADDRESSES section no later than 5 p.m. Reporting (ASCQR) Program Measures, Medicare Program: Changes to EST on December 2, 2019. contact Nicole Hewitt via email Hospital Outpatient Prospective ADDRESSES: In commenting, please refer [email protected] or at 410– Payment and Ambulatory Surgical to file code CMS–1717–FC when 786–7778. Center Payment Systems and Quality commenting on the issues in this final Blood and Blood Products, contact Reporting Programs; Revisions of rule with comment period. Because of Josh McFeeters via email Organ Procurement Organizations staff and resource limitations, we cannot [email protected] or at Conditions of Coverage; Prior accept comments by facsimile (FAX) 410–786–9732. Authorization Process and transmission. Cancer Hospital Payments, contact Requirements for Certain Covered Comments, including mass comment Scott Talaga via email Scott.Talaga@ Outpatient Department Services; submissions, must be submitted in one cms.hhs.gov or at 410–786–4142. Potential Changes to the Laboratory of the following three ways (please CMS Web Posting of the OPPS and Date of Service Policy; Changes to choose only one of the ways listed): ASC Payment Files, contact Chuck Grandfathered Children’s Hospitals- 1. Electronically. You may (and we Braver via email Chuck.Braver@ Within-Hospitals; Notice of Closure of encourage you to) submit electronic cms.hhs.gov or at 410–786–6719. Two Teaching Hospitals and comments on this regulation to http:// Control for Unnecessary Increases in Opportunity To Apply for Available www.regulations.gov. Follow the Volume of Outpatient Services, contact Slots instructions under the ‘‘submit a Elise Barringer via email comment’’ tab. [email protected] or at 410– AGENCY: Centers for Medicare & 2. By regular mail. You may mail 786–9222. Medicaid Services (CMS), HHS. written comments to the following Composite APCs (Low Dose ACTION: Final rule with comment period. address ONLY: Centers for Medicare & Brachytherapy and Multiple Imaging), Medicaid Services, Department of SUMMARY: contact Elise Barringer via email This final rule with comment Health and Human Services, Attention: [email protected] or at 410– period revises the Medicare hospital CMS–1717–FC, P.O. Box 8013, 786–9222. outpatient prospective payment system Baltimore, MD 21244–1850. (OPPS) and the Medicare ambulatory Please allow sufficient time for mailed Comprehensive APCs (C–APCs), surgical center (ASC) payment system comments to be received before the contact Lela Strong-Holloway via email for Calendar Year 2020 based on our close of the comment period. [email protected] or at 410–786– continuing experience with these 3. By express or overnight mail. You 3213, or Mitali Dayal via email at systems. In this final rule with comment may send written comments via express [email protected] or at 410– period, we describe the changes to the or overnight mail to the following 786–4329. amounts and factors used to determine address ONLY: Centers for Medicare & CPT and Level II HCPCS Codes, the payment rates for Medicare services Medicaid Services, Department of contact Marjorie Baldo via email paid under the OPPS and those paid Health and Human Services, Attention: [email protected] or at 410– under the ASC payment system. Also, CMS–1717–FC, Mail Stop C4–26–05, 786–4617. this final rule with comment period 7500 Security Boulevard, Baltimore, MD Grandfathered Children’s Hospitals- updates and refines the requirements for 21244–1850. within-Hospitals, contact Michele the Hospital Outpatient Quality b. For delivery in Baltimore, MD— Hudson via email Michele.Hudson@ Reporting (OQR) Program and the ASC Centers for Medicare & Medicaid cms.hhs.gov or 410–786–4487. Quality Reporting (ASCQR) Program. In Services, Department of Health and Hospital Cost Reporting and addition, this final rule with comment Human Services, 7500 Security Chargemaster Comment Solicitation, period establishes a process and Boulevard, Baltimore, MD 21244–1850. contact Dr. Terri Postma at 410–786– requirements for prior authorization for For information on viewing public 4169. certain covered outpatient department comments, we refer readers to the Hospital Outpatient Quality Reporting services; revise the conditions for beginning of the SUPPLEMENTARY (OQR) Program Administration, coverage of organ procurement INFORMATION section. Validation, and Reconsideration Issues, organizations; and revise the regulations FOR FURTHER INFORMATION CONTACT: contact Anita Bhatia via email to allow grandfathered children’s 2–Midnight Rule (Short Inpatient [email protected] or at 410– hospitals-within-hospitals to increase Hospital Stays), contact Lela Strong- 786–7236. the number of beds without resulting in Holloway via email Lela.Strong@ Hospital Outpatient Quality Reporting the loss of grandfathered status; and cms.hhs.gov or at 410–786–3213. (OQR) Program Measures, contact provides notice of the closure of two Advisory Panel on Hospital Vinitha Meyyur via email teaching hospitals and the opportunity Outpatient Payment (HOP Panel), [email protected] or at 410– to apply for available slots for purposes contact the HOP Panel mailbox at 786–8819. of indirect medical education (IME) and [email protected]. Hospital Outpatient Visits (Emergency direct graduate medical education Ambulatory Surgical Center (ASC) Department Visits and Critical Care (DGME) payments. Payment System, contact Scott Talaga Visits), contact Elise Barringer via email VerDate Sep<11>2014 20:50 Nov 08, 2019 Jkt 250001 PO 00000 Frm 00002 Fmt 4701 Sfmt 4700 E:\FR\FM\12NOR2.SGM 12NOR2 Federal Register / Vol. 84, No. 218 / Tuesday, November 12, 2019 / Rules and Regulations 61143 [email protected] or at 410– Payment Policy Mailbox at Current Procedural Terminology (CPT) 786–9222. [email protected]. Copyright Notice Inpatient Only (IPO) Procedures List, Prior Authorization Process and Throughout this final rule with contact Lela Strong-Holloway via email Requirements for Certain Hospital comment period, we use CPT codes and [email protected] or at 410–786– Outpatient Department Services, contact descriptions to refer to a variety of 3213, or Au’Sha Washington via email Thomas Kessler via email at services. We note that CPT codes and at [email protected] or at [email protected] or at 410– descriptions are copyright 2018 410–786–3736. 786–1991. American Medical Association. All New Technology Intraocular Lenses Rural Hospital Payments, contact Josh Rights Reserved. CPT is a registered (NTIOLs), contact Scott Talaga via email McFeeters via email at trademark of the American Medical [email protected] or at 410– [email protected] or at Association (AMA). Applicable Federal 786–4142. 410–786–9732. Acquisition Regulations (FAR and No Cost/Full Credit and Partial Credit Defense Federal Acquisition Regulations Devices, contact Scott Talaga via email Skin Substitutes, contact Josh (DFAR) apply. [email protected] or at 410– McFeeters via email Joshua.McFeeters@ 786–4142. cms.hhs.gov or at 410–786–9732. Table of Contents Notice of Closure of Two Teaching Supervision of Outpatient I. Summary and Background Hospitals and Opportunity to Apply for Therapeutic Services in Hospitals and CAHs, contact Josh McFeeters via email A. Executive Summary of This Document Available Slots, contact Michele B. Legislative and Regulatory Authority for Hudson via email Michele.Hudson@ [email protected] or at the Hospital OPPS cms.hhs.gov or 410–786–4487. 410–786–9732. C. Excluded OPPS Services and Hospitals OPPS Brachytherapy, contact Scott All Other Issues Related to Hospital D. Prior Rulemaking Talaga via email Scott.Talaga@ Outpatient and Ambulatory Surgical E. Advisory Panel on Hospital Outpatient cms.hhs.gov or at 410–786–4142. Center Payments Not Previously Payment (the HOP Panel or the Panel) OPPS Data (APC Weights, Conversion Identified, contact Elise Barringer via F. Public Comments Received in Response Factor, Copayments, Cost-to-Charge to the CY 2020 OPPS/ASC Proposed email [email protected] or at Rule Ratios (CCRs), Data Claims, Geometric 410–786–9222. G. Public Comments Received on the CY Mean Calculation, Outlier Payments, SUPPLEMENTARY INFORMATION: 2019 OPPS/ASC Final Rule With and Wage Index), contact Erick Chuang Inspection of Public Comments: All Comment Period via email [email protected] or II. Updates Affecting OPPS Payments at 410–786–1816, or Scott Talaga via comments received before the close of A.