Federal Register: November 4, 2009 (Volume 74, Number 212)
DOCID: fr04no09-22 FR Doc E9-26529
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
CFR Citation: 42 CFR Part 410, 413 and 414
RIN ID: RIN 0938-AP57
CMS ID: [CMS-1418-N]
NOTICE: PROPOSED RULES
DOCID: fr04no09-22
DOCUMENT ACTION: Notice of extension of comment period for proposed rule.
SUBJECT CATEGORY:
Medicare Programs; End-Stage Renal Disease Prospective Payment System; Extension of Comment Period
DATES: Effective Date: The comment period is extended to 5 p.m. on December 16, 2009.
DOCUMENT SUMMARY:
This notice extends the comment period for a proposed rule published in the Federal Register on September 29, 2009, (74 FR 49922). The proposed rule would implement a casemix adjusted bundled prospective payment system (PPS) for Medicare outpatient endstage renal disease (ESRD) dialysis facilities. The proposed ESRD PPS would also replace the current basic casemix adjusted composite payment system and the methodologies for the reimbursement of separately billable outpatient ESRD services. The comment period for the proposed rule, which would have ended on November 16, 2009, is extended for 30 days.
SUMMARY:
Medicare Programs;
SUPPLEMENTAL INFORMATION
On September 29, 2009, we published a proposed rule in the Federal Register (74 FR 49922 through 50102) that would implement a casemix adjusted bundled PPS for Medicare outpatient ESRD dialysis facilities beginning January 1, 2011, in compliance with the statutory requirement of the Medicare Improvements for Patients and Providers Act (MIPPA), enacted July 15, 2008. The proposed ESRD PPS would replace the current basic casemix adjusted composite payment system and the methodologies for the reimbursement of separately billable outpatient ESRD services.
The proposed rule, ``Medicare Program; EndStage Renal Disease
Prospective Payment System,'' is significant in that it proposes a
completely new payment system for outpatient ESRD services. Due to the
complexity and scope of the September 29, 2009 proposed rule, we
believe additional time is necessary for the public to examine the
proposed rule and to provide meaningful comments on its provisions.
Therefore, we have decided to extend the comment period for an
additional 30 days. This document announces the extension of the public comment period to December 16, 2009.
(Catalog of Federal Domestic Assistance Program No. 93.773, MedicareHospital
[[Page 57128]]
Insurance; and Program No. 93.774, MedicareSupplementary Medical Insurance Program)
Dated: October 26, 2009.
Charlene Frizzera,
Acting Administrator, Centers for Medicare & Medicaid Services.
Approved: October 30, 2009.
Kathleen Sebelius,
Secretary.
[FR Doc. E926529 Filed 11309; 8:45 am]
BILLING CODE 412001P
FOR FURTHER INFORMATION CONTACT
William Cymer, (410) 7864533.
Lynn Riley, (410) 7861286, (ESRD Quality Incentive Program).