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13798 Federal Register / Vol. 72, No.

56 / Friday, March 23, 2007 / Notices

from the Secretary, a waiver of the may consult on an as-needed basis with SUMMARY: This document corrects wage
above requirements under certain the Public Health Service’s Division of index values and a relative weighting
specified conditions. A waiver allows Transplantation, the United Network for factor error that appeared in the
the hospital to have an agreement with Organ Sharing, and our regional offices. correction notice published in the
an OPO other than the one initially If necessary, we may request additional Federal Register on January 5, 2007
designated by CMS, if the hospital clarifying information from the applying entitled ‘‘Medicare Program; Changes to
meets certain conditions specified in hospital or others. We will then make a the Hospital Inpatient Prospective
section 1138(a)(2)(A) of the Act. In final determination on the waiver Payment Systems and Fiscal Year 2007
addition, the Secretary may review request and notify the hospital and the Rates; Final Fiscal Year 2007 Wage
additional criteria described in section designated and requested OPOs. Indices and Payment Rates After
1138(a)(2)(B) of the Act to evaluate the Application of Revised Occupational
hospital’s request for a waiver. III. Hospital Waiver Request Mix Adjustment to Wage Index;
Section 1138(a)(2)(A) of the Act states [If you choose to comment on issues Corrections’’.
that in granting a waiver, the Secretary in this section, please include the DATES: Effective Dates. The corrections
must determine that the waiver—(1) is caption ‘‘Hospital Waiver Request’’ at to the wage index values listed in items
expected to increase organ donations; the beginning of your comments.] 1a, 1b, and 2 of section III. of this notice
and (2) will ensure equitable treatment As permitted by 42 CFR 486.308(e),
are effective as of November 3, 2006.
of patients referred for transplants Select Specialty Hospital-Quad Cities, of The corrections to the wage index
within the service area served by the Davenport, Iowa has requested a waiver values listed in item 1c of section III. of
designated OPO and within the service in order to enter into an agreement with this notice are effective November 21,
area served by the OPO with which the a designated OPO other than the OPO 2006. The correction to the relative
hospital seeks to enter into an designated for the service area in which weighting factor listed in item 3 of
agreement under the waiver. In making the hospital is located. Select Specialty section III. of this notice is effective
a waiver determination, section Hospital-Quad Cities is requesting a October 1, 2006.
1138(a)(2)(B) of the Act provides that waiver to work with:
Iowa Donor Network, 550 Madison FOR FURTHER INFORMATION CONTACT:
the Secretary may consider, among
other factors: (1) Cost-effectiveness; (2) Avenue, North Liberty, Iowa 52317. Brian Slater, (410) 786–5229.
improvements in quality; (3) whether Select Specialty Hospital’s Designated SUPPLEMENTARY INFORMATION:
there has been any change in a OPO is: I. Background
hospital’s designated OPO due to the Gift of Hope Organ and Tissue Donor
changes made in definitions for Network, 660 North Industrial Drive, In the October 11, 2006 Federal
metropolitan statistical areas; and (4) Elmhurst, IL 60126–1520. Register (71 FR 59886), we published a
the length and continuity of a hospital’s notice entitled ‘‘Hospital Inpatient
Authority: Section 1138 of the Social
relationship with an OPO other than the Prospective Payment Systems and Fiscal
Security Act (42 U.S.C. 1320b–8).
hospital’s designated OPO. Under Year 2007 Rates; Final Fiscal Year 2007
(Catalog of Federal Domestic Assistance
section 1138(a)(2)(D) of the Act, the Program No. 93.773, Medicare—Hospital
Wage Indices and Payment Rates After
Secretary is required to publish a notice Insurance; Program No. 93.774, Medicare— Application of Revised Occupational
of any waiver application received from Supplementary Medical Insurance, and Mix Adjustment to Wage Index’’
a hospital within 30 days of receiving Program No. 93.778, Medical Assistance (hereinafter referred to as the ‘‘FY 2007
the application, and to offer interested Program.) IPPS notice’’). After publication of the
parties an opportunity to comment in Dated: March 16, 2007. October 11, 2006 notice, we became
writing during the 60-day period Leslie V. Norwalk, aware of errors in the wage indices.
beginning on the publication date in the Section 412.64(k)(1) of the regulations
Acting Administrator, Centers for Medicare
Federal Register. & Medicaid Services. requires that wage index corrections
The criteria that the Secretary uses to made after October 1 are effective
[FR Doc. E7–5328 Filed 3–22–07; 8:45 am]
evaluate the waiver in these cases are prospectively for the remainder of the
BILLING CODE 4120–01–P
the same as those described above under fiscal year from the date the fiscal
sections 1138(a)(2)(A) and (B) of the Act intermediaries are informed of the
and have been incorporated into the DEPARTMENT OF HEALTH AND correction. We recalculated the wage
regulations at 42 CFR 486.308(e) and (f). HUMAN SERVICES indices for the affected hospitals, and on
November 3, 2006, sent a Joint Signature
II. Waiver Request Procedures Centers for Medicare & Medicaid Memorandum to the fiscal
[If you choose to comment on issues Services intermediaries informing them to pay
in this section, please include the hospitals using the corrected wage
[CMS–1488–CN3] indices. Subsequent to the November 3,
caption ‘‘Waiver Request Procedures’’ at
the beginning of your comments.] RIN 0938–A012 2006 Joint Signature Memorandum,
In October 1995, we issued a Program additional errors in the wage indices
Memorandum (Transmittal No. A–95– Medicare Program; Changes to the were brought to our attention and were
11) detailing the waiver process and Hospital Inpatient Prospective corrected through a November 21, 2006
discussing the information that Payment Systems and Fiscal Year 2007 Joint Signature Memorandum. In the
hospitals must provide in requesting a Rates; Final Fiscal Year 2007 Wage January 5, 2007 Federal Register (FR
waiver. We indicated that upon receipt Indices and Payment Rates After Doc. 06–9976, 72 FR 569), we then
of a waiver request, we would publish Application of Revised Occupational published a correction notice entitled
a Federal Register notice to solicit Mix Adjustment to the Wage Index; ‘‘Changes to the Hospital Inpatient
sroberts on PROD1PC70 with NOTICES

public comments, as required by section Corrections Prospective Payment Systems and Fiscal
1138(a)(2)(D) of the Act. AGENCY: Centers for Medicare & Year 2007 Rates; Final Fiscal Year 2007
According to these requirements, we Medicaid Services (CMS), HHS. Wage Indices and Payment Rates After
will review the request and comments Application of Revised Occupational
ACTION: Correction of notice.
received. During the review process, we Mix Adjustment to Wage Index;

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Federal Register / Vol. 72, No. 56 / Friday, March 23, 2007 / Notices 13799

Corrections’’ (hereinafter referred to as FY 2007 a final rule would ordinarily require a


Provider No.
the ‘‘FY 2007 IPPS correction notice’’) wage index 30-day delay in effective date after the
in order to reflect the recalculations date of publication in the Federal
included in the two Joint Signature 070003 ...................................... 1.2452 Register. This correction of the rates
070038 ...................................... 1.2591 published in the FY 2007 IPPS notice
Memoranda. Since the publication of 260015 ...................................... 0.8353
the January 5, 2007 correction notice, 260047 ...................................... 0.8341
and subsequent FY 2007 IPPS correction
we have become aware of several 340073 ...................................... 0.9775 notice does constitute a rule under the
technical errors included in the January 390044 ...................................... 1.0996 Administrative Procedure Act, because
5, 2007 correction notice. The Joint 390096 ...................................... 1.0996 in our FY 2007 IPPS final rule (71 FR
Signature Memoranda used to inform 47870, August 18, 2006), we already
fiscal intermediaries of hospital b. Deleting the following entries published the methodologies and
payment rates did not contain such effective November 3, 2006: formulas we use for determining the
errors, in part because those Memoranda wage index, geographic adjustment
FY 2007 factors, and other rates. This notice does
use a slightly different format for Provider No. wage index
presenting wage index data. Thus, the not change our methodology or
corrections in this notice do not alter 530008 ...................................... 0.9057
formulas, but merely ensures that our
530009 ...................................... 0.9057 notice accurately reflects the rates that
the rates already being used by fiscal
530010 ...................................... 0.9057 are already being used to pay hospitals.
intermediaries to pay hospitals. Rather,
530011 ...................................... 0.9057 As this notice is not a rule under the
the corrections ensure that the Federal
530014 ...................................... 0.9057 Administrative Procedure Act, no notice
Register accurately reflects the rates 530017 ...................................... 0.9057 of proposed rulemaking or delay in
actually in place. 530032 ...................................... 0.9057 effective date is necessary.
In sections II. and III. of this (Catalog of Federal Domestic Assistance
correction notice, we summarize, c. Correcting the following entries Program No. 93.773, Medicare—Hospital
identify, and correct the errors in the effective November 21, 2006: Insurance; and Program No. 93.774,
January 5, 2007 correction notice. We Medicare—Supplementary Medical
FY 2007 Insurance Program)
note that the corrections to items 1a, 1b Provider No. wage index
and 2 of section III. of this notice are Dated: March 16, 2007.
effective November 3, 2006; the 230013 ...................................... 1.0492 Ann C. Agnew,
correction to item 1c of section III of this 230019 ...................................... 1.0492 Executive Secretary to the Department.
notice is effective November 21, 2006, 230029 ...................................... 1.0492
230071 ...................................... 1.0492 [FR Doc. E7–5290 Filed 3–22–07; 8:45 am]
and the correction to item 3 of section BILLING CODE 4120–01–P
230130 ...................................... 1.0492
III of this notice is effective October 1,
230151 ...................................... 1.0492
2006. 230207 ...................................... 1.0492
II. Summary of the Corrections to the 230223 ...................................... 1.0492 DEPARTMENT OF HEALTH AND
FY 2007 IPPS Correction Notice
230254 ...................................... 1.0492 HUMAN SERVICES
230269 ...................................... 1.0492
We made corrections to several of the 230277 ...................................... 1.0492 Centers for Medicare & Medicaid
wage index values that were published Services
2. On page 571, third column, second
in Table 2 in order to ensure that the full paragraph, that ends with the
published tables accurately reflect the [CMS–1384–N]
parenthetical phrase ‘‘(April 1–
rates actually being used by fiscal September 30, 2007),’’ the paragraph is Medicare Program; Extension of
intermediaries. We also added a corrected by adding a sentence to read Certain Hospital Wage Index
sentence to the note that appears at the as follows: Reclassifications
end of Table 2. In addition, we are
The separate wage index values for the first AGENCY: Centers for Medicare &
making a technical correction in Table
and second halves of FY 2007 can be viewed Medicaid Services (CMS) HHS.
5 to the relative weighting factor listed in Supplemental Table 2 on the CMS Web
for DRG 525. site at: http://www.cms.hhs.gov/ ACTION: Notice.
AcuteInpatientPPS/WIFN/
III. Correction of Errors list.asp#TopOfPage. SUMMARY: This notice announces the
extension of the expiration date for
In FR Doc. 06–9976 of January 5, 2007 3. On page 573 in Table 5.—List of certain geographic reclassifications as
(72 FR 569), make the following Diagnosis-Related Groups (DRGs), implemented by Division B, Title I,
corrections: Relative Weighting Factors, and section 106 of the Tax Relief and Health
1. On pages 570 through 571, in Table Geometric and Arithmetic Mean Length Care Act of 2006. These geographic
2.—Hospital Case-Mix Indexes for of Stay (LOS), first line (DRG 525), classifications, which affected hospitals’
Discharges Occurring in Federal Fiscal seventh column (weights), the figure wage indices, were previously set to
Year 2005; Hospital Wage Indexes for ‘‘2.2268’’ is corrected to read ‘‘12.2268’’. expire on March 31, 2007 and are now
Federal Fiscal Year 2007; Hospital IV. Discussion of Effective Date and extended to September 30, 2007.
Average Hourly Wages for Federal Notice and Comment Rulemaking DATES: Effective Date: April 1, 2007.
Fiscal Years 2005 (2001 Wage Data), We ordinarily publish a notice of FOR FURTHER INFORMATION CONTACT:
2006 (2002 Wage Data), and 2007 (2003 proposed rulemaking in the Federal Brian Slater, for hospital inpatient
sroberts on PROD1PC70 with NOTICES

Wage Data); Wage Indexes and 3-Year Register to provide a period for public prospective payment systems questions,
Average of Hospital Average Hourly comment before the provisions of a rule (410) 786–5229. Chris Smith-Ritter, for
Wages, is corrected by— take effect in accordance with section hospital outpatient prospective payment
a. Correcting the following entries 553(b) of the Administrative Procedure systems questions, (410) 786–4636.
effective November 3, 2006: Act (APA) (5 U.S.C. 553(b). In addition, SUPPLEMENTARY INFORMATION:

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