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 Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes; Correction

DEPARTMENT OF HEALTH AND HUMAN SERVICES <SUBAGY>Centers for Medicare & Medicaid Services</SUBAGY> <CFR>42 CFR Parts 412, 413, 431, 482, 485, 495, and 512</CFR> <DEPDOC>[CMS-1808-CN]</DEPDOC> <RIN>RIN 0938-AV34</RIN> <SUBJECT>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 Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes; Correction</SUBJECT> <HD SOURCE="HED">AGENCY:</HD> Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS). <HD SOURCE="HED">ACTION:</HD> Proposed rule; correction <SUM> <HD SOURCE="HED">SUMMARY:</HD> This document corrects technical and typographical errors in the proposed rule that appeared in the May 2, 2024 <E T="04">Federal Register</E> titled “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 Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes.” </SUM> <EFFDATE> <HD SOURCE="HED">DATES:</HD> June 4, 2024. </EFFDATE> <FURINF> <HD SOURCE="HED">FOR FURTHER INFORMATION CONTACT:</HD> Donald Thompson and Michele Hudson, <E T="03">DAC@cms.hhs.gov,</E> (410) 786-4487, Direct Graduate Medical Education Issues. Lily Yuan, <E T="03">NewTech@cms.hhs.gov,</E> New Technology Add-On Payments Issues. Lang Le, <E T="03">lang.le@cms.hhs.gov,</E> Hospital Readmissions Reduction Program and Advancing Patient Safety and Outcomes Across the Hospital Quality Programs. Julia Venanzi, <E T="03">julia.venanzi@cms.hhs.gov,</E> Hospital Inpatient Quality Reporting Program, Hospital Value-Based Purchasing Program and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey Measure. Lorraine Wickiser, <E T="03">Lorraine.wickiser@cms.hhs.gov,</E> Long-term Care Hospital Quality Reporting Program. Jessica Warren, <E T="03">jessica.warren@cms.hhs.gov,</E> and Elizabeth Holland, <E T="03">elizabeth.holland@cms.hhs.gov,</E> Medicare Promoting Interoperability Program. <E T="03">CMMI_TEAM@cms.hhs.gov,</E> Transforming Episode Accountability Model (TEAM). </FURINF> <SUPLINF> <HD SOURCE="HED">SUPPLEMENTARY INFORMATION:</HD> <HD SOURCE="HD1">I. Background</HD> In FR Doc. 2024-07567 of May 2, 2024 (89 FR 35934), there were a number of typographical and technical errors that are identified and corrected in this correcting document. <HD SOURCE="HD1">II. Summary of Errors</HD> <HD SOURCE="HD2">A. Summary of Errors in the Preamble</HD> On pages 36034, 36038, 36041, 36048, 36055, 36062, 36067, 36073, 36079, 36084, 36090, 36095, 36102, 36110, 36112, 36114, 36118, 36125, 36131, and 36135, in the discussion of the new technology add-on payment, we are correcting inadvertent typographical and technical errors made in the tables identifying the files that were used by applicants in standardizing charges for their cost analyses. On page 36225, within our discussion of technical fixes to the direct graduate medical education (DGME) regulations, removal of obsolete regulations under § 413.79(d)(6), we are correcting a typographical error. On page 36242, in the discussion of the Hospital Value-Based Purchasing Program, we are correcting a typographical error in the preamble. On pages 36286, 36287, and 36292, in our discussion of the proposed adoption of the Patient Safety Structural Measure, we are correcting several typographical and technical errors. On pages 36294 and 36304, in the discussion of the updates to the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Survey measure, we are correcting typographical and technical errors in the preamble. On page 36305, in the Advancing Patient Safety and Outcomes Across the Hospital Quality Programs request for comment, we are correcting a technical error. On pages 36314, 36317, 36320, 36323, 36325, 36326, 36329, 36330, 36332 36333, and 36335, in our discussion of the Hospital Inpatient Quality Reporting Program, we are correcting several typographical and technical errors. On pages 36346, 36350, 36351, and 36352, in the discussion of the Long-term Care Hospital Quality Reporting Program (LTCH QRP), we are correcting several technical and typographical errors. On pages 36373, 36374, 36375, 36376, 36378, and 36380, in our discussion of the Medicare Promoting Interoperability Program, we are correcting several typographical and technical errors. On pages 36413 through 36415, 36449, and 36451, in our discussion of the Transforming Episode Accountability Model (TEAM), we are correcting inadvertent errors in the references and hyperlinks for several footnotes. On page 36414, in our TEAM overview, we are clarifying that the discussion of episode counts is specific to Bundle Payments for Care Improvement Initiative (BPCI) Advanced episodes. On pages 36415, 36416, and 36418, in our discussion of TEAM, we are correcting the inadvertent omission of cross-references to proposed changes to spinal fusion MS-DRGs for FY 2025 which, if finalized, would affect the Medicare Severity Diagnosis Related Groups (MS-DRGs) proposed for TEAM. <HD SOURCE="HD2">B. Summary of Errors in the Appendices</HD> On page 36611, in our discussion of the impact analysis of Table III: Provider Deciles by Beneficiary Characteristics, we made an inadvertent error in a hyperlink for a footnote. On page 36621, in our discussion of the Effects under the Hospital Readmissions Reduction Program, we are correcting a typographical error. On page 36642 in our discussion of the Effects of the LTCH QRP, we are correcting a typographical error. <HD SOURCE="HD1">III. Correction of Errors</HD> In FR Doc. 2024-07567 of May 2, 2024 (89 FR 35934), we are making the following corrections: <HD SOURCE="HD2">A. Corrections of Errors in the Preamble</HD> 1. On page 36034, top of the page, in the table titled “CASGEVY <E T="51">TM</E> COST ANALYSIS  <SU>17</SU> ”, the entry for Standardized charges is corrected to read as follows: <GPOTABLE COLS="2" OPTS="L2,nj,tp0,p1,8/9,i1" CDEF="xs90,r100"> <TTITLE> </TTITLE> <CHED H="1"> </CHED> <CHED H="1"> </CHED> <ROW EXPSTB="01" RUL="s"> <ENT>The applicant used the standardization formula provided in Appendix A of the application. The applicant used all relevant values reported in the Impact File posted with the FY 2024 IPPS/LTCH PPS final rule.</ENT> </ROW> </GPOTABLE> 2. On page 36038, bottom of the page, in the table titled “CASGEVY <E T="51">TM</E> COST ANALYSIS  <SU>21</SU> ”, the entry for Standardized charges is corrected to read as follows: <GPOTABLE COLS="2" OPTS="L2,nj,tp0,p1,8/9,i1" CDEF="xs90,r100"> <TTITLE> </TTITLE> <CHED H="1"> </CHED> <CHED H="1"> </CHED> <ROW EXPSTB="01" RUL="s"> <ENT>The applicant used the standardization formula provided in Appendix A of the application. The applicant used all relevant values reported in the Impact File posted with the FY 2024 IPPS/LTCH PPS final rule.</ENT> </ROW> </GPOTABLE> 3. On page 36041, middle of the page, in the table titled “DURAGRAFT® COST ANALYSIS  <SU>25</SU> ”, the table title and entry for Standardized charges are corrected to read as follows: <GPOTABLE COLS="2" OPTS="L2,nj,tp0,p1,8/9,i1" CDEF="xs90,r100"> <TTITLE> </TTITLE> <CHED H="1"> </CHED> <CHED H="1"> </CHED> <ROW EXPSTB="01" RUL="s"> <ENT I="21"> <E T="02">DuraGraft® COST ANALYSIS</E>   <SU>25</SU> </ENT> </ROW> <ROW EXPSTB="00"> <ENT I="01">Standardized charges</ENT> <ENT>The applicant used the standardization formula provided in Appendix A of the application. The applicant used all relevant values reported in the Impact File posted with the FY 2022 IPPS/LTCH PPS final rule and correction notice.</ENT> </ROW> </GPOTABLE> 4. On page 36048, top of the page, in the table titled “ELREXFIO <E T="51">TM</E> COST ANALYSIS”, the entry for Standardized charges is corrected to read as follows: <GPOTABLE COLS="2" OPTS="L2,nj,tp0,p1,8/9,i1" CDEF="xs90,r100"> <TTITLE> </TTITLE> <CHED H="1"> </CHED> <CHED H="1"> </CHED> <ROW EXPSTB="01" RUL="s"> <ENT>The applicant used the standardization formula provided in Appendix A of the application. The applicant used all relevant values reported in the Standardizing File posted with the FY 2024 IPPS/LTCH PPS final rule and in the Impact File posted with the FY 2022 IPPS/LTCH PPS final rule.</ENT> </ROW> </GPOTABLE> 5. On page 36055, top of the page, in the table titled “FLOPATCH FP120 COST ANALYSIS”, the entry for Standardized charges is corrected to read as follows: <GPOTABLE COLS="2" OPTS="L2,nj,tp0,p1,8/9,i1" CDEF="xs90,r100"> <TTITLE> </TTITLE> <CHED H="1"> </CHED> <CHED H="1"> </CHED> <ROW EXPSTB="01" RUL="s"> <ENT I="21"> <E T="02">FLOPATCH FP120 COST ANALYSIS</E> </ENT> </ROW> <ROW EXPSTB="00"> <ENT I="01">Standardized charges</ENT> <ENT>The applicant did not apply standardization to the charge per case. The applicant used values from the “average charge” from the FY2022 MedPAR file.</ENT> </ROW> </GPOTABLE> 6. On page 36062, top of the page, in the table titled “HEPZATO <E T="51">TM</E> KIT COST ANALYSIS  <SU>54</SU> ”, the entry for Standardized charges is corrected to read as follows: <GPOTABLE COLS="2" OPTS="L2,nj,tp0,p1,8/9,i1" CDEF="xs90,r100"> <TTITLE> </TTITLE> <CHED H="1"> </CHED> <CHED H="1"> </CHED> <ROW EXPSTB="01" RUL="s"> <ENT I="21"> <E T="02"> HEPZATO <SU>TM</SU> KIT COST ANALYSIS <ENT>The applicant used the standardization formula provided in Appendix A of the application. The applicant used all relevant values reported in the Standardizing and Impact Files po ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ Preview showing 10k of 38k characters. Full document text is stored and available for version comparison. ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━