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Federal Register / Vol. 86, No. 189 / Monday, October 4, 2021 / Rules and Regulations 30174.4

Amended
3. Amend 30174.4 by removing the last sentence of the paragraph.

document published on August 4, 2021.
Accordingly, the corrections are effective October 1, 2021.

Appendix E to Chapter 301Removed and Reserved
II. Summary of Errors
4. Remove and reserve Appendix E to Chapter 301.

1. Inpatient Psychiatric Facilities Prospective Payment System IPF PPS
Corrections There was a technical error in the simulation of Inpatient Psychiatric Facilities IPF payments that affected the impact analysis and the calculation of the final outlier fixed dollar loss threshold amount. In estimating the percentage of outlier payments as a percentage of total payments, we inadvertently applied provider information from the January, 2021
update of the Provider-Specific File PSF instead of the most recently available update from April, 2021. For fiscal year FY 2022, we finalized our proposal to update the IPF outlier threshold amount using FY 2019 claims data and the same methodology that we used to set the initial outlier threshold amount in the Rate Year 2007 IPF PPS
final rule 71 FR 27072 and 27073. In accordance with that longstanding methodology, the calculation of estimated outlier payments should have used the April, 2021 provider information rather than the January, 2021 provider information.
As a result of the error in estimating outlier payments, the FY 2022 IPF PPS
final rule overstated the estimate of increased transfers from the federal government to IPF providers. We estimated $80 million in increased transfers from the federal government to IPF providers; however, based on the corrected calculation of the outlier fixed dollar loss threshold amount, the correct estimate of increased transfers from the federal government to IPF providers should be $70 million. Also, as a result of the error in estimating outlier payments, the FY 2022 IPF PPS final rule incorrectly estimated and described the impact of the final rule on various provider types and the total number of providers included in the analysis.
On page 42608, in the third column, second bullet, seventh sub-bullet, the fixed dollar loss threshold amount should be changed from $14,470 to $16,040.
On page 42609, the table summarizing Total Transfers and Cost reductions should reflect the corrected estimate of increased payments to IPFs during FY
2022, which should be corrected from $80 million to $70 million.
On page 42623, in the third column, in the third full paragraph, we incorrectly stated that IPF outlier

FR Doc. 202121391 Filed 10121; 8:45 am BILLING CODE P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid Services 42 CFR Part 412
CMS1750CN
RIN 0938AU40

Medicare Program; Fiscal Year FY
2022 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning October 1, 2021 FY
2022; Correction Centers for Medicare &
Medicaid Services CMS, HHS.
ACTION: Final rule; correction.
AGENCY:

This document corrects technical errors that appeared in the final rule published in the Federal Register on August 4, 2021 entitled Medicare Program; FY 2022 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning October 1, 2021 FY 2022.
DATES: This correction is effective October 1, 2021.
FOR FURTHER INFORMATION CONTACT:
Lauren Lowenstein, 410 7864507
for information regarding the Inpatient Psychiatric Facility Quality Reporting IPFQR Program.
The IPF Payment Policy mailbox at IPFPaymentPolicy@cms.hhs.gov for general information.
Nicolas Brock, 410 7865148 or Theresa Bean 410 7862287, for information regarding the outlier fixed dollar loss threshold amount and the regulatory impact analysis.
SUPPLEMENTARY INFORMATION:
SUMMARY:

I. Background In FR Doc. 202116336 of August 4, 2021 86 FR 42608, there were a number of technical errors that are identified and corrected in this correcting document. The provisions in this correction document are effective as if they had been included in the
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A. Summary of Errors in the Preamble
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payments as a percentage of total estimated payments were approximately 1.9 percent in FY 2021. The correct percentage should be 2.1 percent.
On page 42623, in the third column, in the third full paragraph, we incorrectly stated that we were decreasing the outlier threshold amount to $14,470. The correct update to the outlier threshold amount should be increased to $16,040.
2. Inpatient Psychiatric Facilities Quality Reporting IPFQR Program Corrections On page 42634, in footnote 93, we made a typographical error and listed the date information was accessed as July 6 instead of July 16.
On page 42645, in the second column in the first full paragraph, we inadvertently omitted several words from the phrase is this measures objective which should read is not this measures primary objective.
On page 42647, in footnote 154, we inadvertently omitted the end of the footnote, which should read, ., Alcohol: A probable risk factor of COVID19 severity, 7202021.
doi:10.1111/add.15194.
On page 42649, in the third column, in the first full paragraph, we made a typographical error and referred to a comprehensive program to address topped out instead of a comprehensive program to address tobacco use.
On page 42657, in the last paragraph under subsection b, we inadvertently included the phrase to no longer require facilities. . ..
On page 42659, in Table 7, we inadvertently included the Timely Transmission of Transition Record Discharges from an Inpatient Facility to Home/Self Care or any Other Site of Care in the table.
On page 42661, in the last paragraph, last sentence, under V. Collection of Information Requirements, we inadvertently stated We have not made any changes from what was proposed.
On page 42669, in Table 15, we made a typographical error and listed the annual cost update for the removal of the Timely Transmission of Transition Record Discharges from an Inpatient Facility to Home/Self Care or Any Other Site of Care and the total cost update as 10,199,836.5050 instead of 10,199,836.50.
3. Regulatory Impact Analysis Corrections On page 42672, in the second column, we incorrectly stated that we estimate that the total impact of these changes for FY 2022 payments compared to FY 2021

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