DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 409, 424, and 484
[CMS-1625-CN]
RIN 0938-AS46
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, (410) 786-0456.
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 andfunctional
levels
(1 = low;
2 = medium;
3= high)
CY 2016Case-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.