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67652 Federal Register / Vol. 72, No.

230 / Friday, November 30, 2007 / Rules and Regulations

year for displays during the second six Index published prior to December 1, of Billing for Skilled Nursing Facilities for
months of the preceding calendar year. that year. FY 2008; Final Rule.’’
(f) Terms of use. (1) The rates of this (b) On the same date of the notices DATES: Effective Date: This correction is
schedule are for unlimited use for a published pursuant to paragraph (a) of effective January 1, 2008.
period of three years from the date of this section, the Copyright Royalty
the first use of the work under this Judges shall publish in the Federal FOR FURTHER INFORMATION CONTACT: Bill
schedule. Succeeding use periods will Register a revised schedule of rates for Ullman, (410) 786–5667.
require the following additional § 381.5 which shall adjust those royalty SUPPLEMENTARY INFORMATION:
payment: Additional one-year period— amounts established in dollar amounts
I. Background
25 percent of the initial three-year fee; according to the change in the cost of
second three-year period—50 percent of living determined as provided in On September 28, 2007, we published
the initial three-year fee; each three-year paragraph (a) of this section. Such a correction notice (FR Doc. E7–18732,
period thereafter—25 percent of the royalty rates shall be fixed at the nearest 72 FR 55085) to correct a number of
initial three-year fee; provided that a dollar. technical errors that appeared in the FY
100 percent additional payment prior to (c) The adjusted schedule for rates for 2008 Skilled Nursing Facility
the expiration of the first three-year § 381.5 shall become effective thirty Prospective Payment System (SNF PPS)
period will cover use during all days after publication in the Federal final rule on August 3, 2007 (FR Doc.
subsequent use periods without Register. 07–3784, 72 FR 43412). In this notice,
limitation. Such succeeding uses which we are correcting certain technical
are subsequent to December 31, 2012, § 381.11 Notice of restrictions on use of errors in the wage index values, which
reproductions of transmission programs.
shall be subject to the rates established have been recently identified.
in this schedule. Any public broadcasting entity which, Specifically, we have determined that in
(2) Pursuant to the provisions of 17 pursuant to 17 U.S.C. 118, supplies a the process of developing the most
U.S.C. 118(e), nothing in this schedule reproduction of a transmission program recent hospital wage index, an inpatient
shall be construed to permit, beyond the to governmental bodies or nonprofit hospital provider was inadvertently
limits of fair use as provided in 17 institutions shall include with each assigned to the wrong Core-Based
U.S.C. 107, the production of a copy of the reproduction a warning Statistical Area (CBSA). This provider
transmission program drawn to any notice stating in substance that the was incorrectly located in CBSA 16180
substantial extent from a published reproductions may be used for a period (Carson City, NV) instead of CBSA
compilation of pictorial, graphic, or of not more than seven days from the 39900 (Reno-Sparks, NV). Accordingly,
sculptural works. specified date of transmission, that the we are revising the wage index values
reproductions must be destroyed by the for CBSA 16180 Carson City, NV from
§ 381.9 Unknown copyright owners. user before or at the end of such period, 0.9353 to the corrected value of 1.0003.
If PBS and its stations, NPR and its and that a failure to fully comply with Similarly, we are revising the wage
stations, or other public broadcasting these terms shall subject the body or index value for CBSA 39900 Reno-
entity is not aware of the identity of, or institution to the remedies for Sparks, NV from 1.0959 to the corrected
unable to locate, a copyright owner who infringement of copyright. value of 1.0715. As we are revising the
is entitled to receive a royalty payment Dated: November 23, 2007. entries for only these two particular
under this part, they shall retain the CBSAs, we are not republishing the
James Scott Sledge,
required fee in a segregated trust lengthy Table 8, ‘‘FY 2008 Wage Index
Chief Copyright Royalty Judge.
account for a period of three years from for Urban Areas Based on CBSA Labor
the date of the required payment. No [FR Doc. E7–23145 Filed 11–29–07; 8:45 am]
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market Areas,’’ in its entirety in this
claim to such royalty fees shall be valid notice. We note that the corrected
after the expiration of the three-year version of this table is available online
period. Public broadcasting entities may on the SNF PPS website, at http://
establish a joint trust fund for the DEPARTMENT OF HEALTH AND
HUMAN SERVICES www.cms.hhs.gov/SNFPPS/
purposes of this section. Public 04_WageIndex.asp.
broadcasting entities shall make
Centers for Medicare & Medicaid The corrections in this document
available to the Copyright Royalty
Services appear below in the ‘‘Correction of
Judges, upon request, information
Errors’’ section. The provisions in this
concerning fees deposited in trust
42 CFR Part 409 correction notice are effective as of
funds.
January 1, 2008.
[CMS–1545–CN2]
§ 381.10 Cost of living adjustment.
II. Correction of Errors
(a) On or before December 1, 2007, the RIN 0938–AM46
Copyright Royalty Judges shall publish In FR Doc. 07–3784 (72 FR 43412),
in the Federal Register a notice of the Medicare Program; Prospective make the following corrections:
change in the cost of living as Payment System and Consolidated 1. On page 43441, in column 3
determined by the Consumer Price Billing for Skilled Nursing Facilities; (‘‘Wage Index’’) of Table 8, ‘‘Wage Index
Index (all consumers, all items) during Corrections for Urban Areas Based on CBSA Labor
the period from the most recent Index AGENCY: Centers for Medicare & Market Areas’’, the entry ‘‘0.9353’’ for
published prior to December 1, 2006, to Medicaid Services (CMS), HHS. CBSA 16180 Carson City, NV is
the most recent Index published prior to ACTION: Final rule; correction notice.
corrected to read ‘‘1.0003’’.
December 1, 2007. On each December 1 2. On page 43455, in column 3
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thereafter the Copyright Royalty Judges SUMMARY: This document corrects (‘‘Wage Index’’) of Table 8, ‘‘Wage Index
shall publish a notice of the change in technical errors that appeared in the for Urban Areas Based on CBSA Labor
the cost of living during the period from August 3, 2007 Federal Register, Market Areas’’, the entry ‘‘1.0959’’ for
the most recent index published prior to entitled ‘‘Medicare Program; Prospective CBSA 39900 Reno-Sparks, NV is
the previous notice, to the most recent Payment System and Consolidated corrected to read ‘‘1.0715’’.

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Federal Register / Vol. 72, No. 230 / Friday, November 30, 2007 / Rules and Regulations 67653

III. Waiver of Proposed Rulemaking SUMMARY: The Medicaid Integrity the efforts of the State Medicaid
We ordinarily publish a notice of Program (the Program) provides that the agencies through a combination of
proposed rulemaking in the Federal Secretary promote the integrity of the oversight and technical assistance.
Register to provide a period for public Medicaid program by entering into Although individual States work to
comment before the provisions of a contracts with contractors that will ensure the integrity of their respective
notice take effect in accordance with review the actions of individuals or Medicaid programs, the Program
section 553(b) of the Administrative entities furnishing items or services represents CMS’ first comprehensive
Procedure Act (APA) (5 U.S.C. 553(b)). (whether fee-for-service, risk, or other national strategy to detect and prevent
However, we can waive the notice and basis) for which payment may be made Medicaid fraud and abuse. The Program
comment procedure if the Secretary under an approved State plan and/or will provide CMS with the ability to
finds, for good cause, that a notice and any waiver of the plan approved under more directly ensure the accuracy of
comment process is impracticable, section 1115 of the Social Security Act; Medicaid payments and to deter those
unnecessary or contrary to the public audit claims for payment of items or who would exploit the program.
interest, and incorporates a statement of services furnished, or administrative The new section 1936 of the Act states
services furnished, under a State plan; that the Secretary shall promote the
the finding and the reasons therefore in
identify overpayments of individuals or integrity of the Medicaid program by
the notice.
We find for good cause that it is entities receiving Federal funds; and entering into contracts with eligible
unnecessary to undertake notice and educate providers of services, managed entities to carry out the following
comment rulemaking because this care entities, beneficiaries, and other activities:
notice merely provides technical individuals with respect to payment 1. Review of the actions of individuals
corrections to the regulations. We are integrity and quality of care. This final or entities furnishing items or services
not making substantive changes to our rule will provide for limitations on a (whether on a fee-for-service, risk or
payment methodologies or policies, but contractor’s liability while performing other basis) for which payment may be
rather, are simply implementing these services under the Program. made under a State plan approved
The final rule will, to the extent under title XIX (or under any waiver of
correctly the payment methodologies
possible, employ the same or this plan approved under section 1115
and policies that we previously
comparable standards and other of the Act) to determine whether fraud,
proposed, received comment on, and
substantive and procedural provisions waste, and/or abuse has occurred, or is
subsequently finalized. The public has
as are contained in section 1157 likely to occur, or whether these actions
already had the opportunity to comment
(Limitation on Liability) of the Social have any potential for resulting in an
on these payment methodologies and
Security Act. expenditure of funds under title XIX in
policies, and this correction notice is
intended solely to ensure that the FY DATES: Effective Date: These regulations a manner that is not intended under the
2008 SNF PPS final rule accurately are effective on December 31, 2007. provisions of title XIX.
reflects them. Therefore, we believe that FOR FURTHER INFORMATION CONTACT: 2. Audit of claims for payment for
undertaking further notice and comment Barbara Rufo, 410–786–5589 or Crystal items or services furnished, or
procedures to incorporate these High, 410–786–8366. administrative services rendered, under
corrections into the update notice is SUPPLEMENTARY INFORMATION: a State plan under title XIX, including
unnecessary and contrary to the public cost reports, consulting contracts; and
I. Background risk contracts under section 1903(m) of
interest.
A. Current Law the Act.
(Catalog of Federal Domestic Assistance 3. Identification of overpayments to
Program No. 93.773, Medicare—Hospital States and the Federal Government
individuals or entities receiving Federal
Insurance; and Program No. 93.774, share in the responsibility for
Medicare—Supplementary Medical funds under title XIX.
safeguarding Medicaid program 4. Education of providers of services,
Insurance Program) integrity. States must comply with managed care entities, beneficiaries, and
Dated: November 19, 2007. Federal requirements designed to ensure other individuals with respect to
Ann C. Agnew, that Medicaid funds are properly spent payment integrity and quality of care.
Executive Secretary to the Department. (or recovered, when necessary). The Section 1936 of the Act also provides
[FR Doc. E7–23219 Filed 11–29–07; 8:45 am] Centers for Medicare & Medicaid that the Secretary will, by regulation,
BILLING CODE 4120–01–P
Services (CMS) is the primary Federal provide for the limitation of a
agency responsible for providing contractor’s liability for actions taken to
oversight of States’ activities and carry out a contract under the Medicaid
DEPARTMENT OF HEALTH AND facilitating their program integrity Integrity Program.
HUMAN SERVICES efforts.
II. Provisions of the Proposed
B. Medicaid Integrity Program Regulation and Response to Comments
Centers for Medicare & Medicaid
Services Section 6034 of the Deficit Reduction
Act (DRA) of 2005 (Pub. L. 109–171, Limitations on Contractor Liability
42 CFR Part 455 enacted on February 8, 2006) amended Section 6034 of the Deficit Reduction
title XIX of the Social Security Act (the Act of 2005 amended title XIX of the
[CMS–2264–F]
Act), (42 U.S.C. 1396 et seq.) by Act by establishing, under the new
RIN 0938–AO88 redesignating the old section 1936 as section 1936, the Medicaid Integrity
section 1937; and inserting the new Program to promote the integrity of the
Medicaid Integrity Program; Limitation section 1936 to combat Medicaid fraud Medicaid program by authorizing the
on Contractor Liability
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and abuse. For the first time, the Centers for Medicare & Medicaid
AGENCY: Centers for Medicare & Program authorizes the Federal Services (CMS) (on behalf of the
Medicaid Services (CMS), HHS. Government to directly identify, Secretary) to enter into contracts with
recover, and prevent inappropriate contractors that will (1) review the
ACTION: Final rule.
Medicaid payments. It will also support actions of individuals or entities

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