Health and Human Services Department Proposed Rule

2026-04467: Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program; Correction

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Summary

This document corrects technical errors in the proposed rule that appeared in the February 11, 2026, Federal Register titled "Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program."

The agency’s own summary, as published.

The rule, in full

6,193 words as published, March 06, 2026. View the original →

Federal Register, Volume 91 Issue 44 (Friday, March 6, 2026) [Federal Register Volume 91, Number 44 (Friday, March 6, 2026)] [Proposed Rules] [Pages 11006-11017] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 2026-04467] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Part 600 Office of the Secretary 45 CFR Parts 153, 154, 155, 156, and 158 [CMS-9883-CN] RIN 0938-AV62 Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program; Correction

Agency

Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS). [[Page 11007]]

Action

Proposed rule; correction. -----------------------------------------------------------------------

Summary

This document corrects technical errors in the proposed rule that appeared in the February 11, 2026, Federal Register titled ``Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2027; and Basic Health Program.''

Dates

This correction is effective March 6, 2026.

For Further Information Contact

Jeff Wu, (301) 492-4305, Rogelyn McLean, (410) 786-1524, Grace Bristol, (410) 786-8437, for general information. Ayesha Anwar, (301) 448-3625, or Joshua Paul, (301) 492-4347, for matters related to the HHS-operated risk adjustment and risk adjustment data validation (HHS-RADV) programs.

Supplementary Information

I. Background

In FR Doc. 2026-02769 of February 11, 2026 (91 FR 6292), there were a number of technical errors that are identified and corrected in this correcting document.

II. Summary of Errors

On pages 6306 through 6319, we inadvertently omitted column headings in Tables 1 through 7.

III. Correction of Errors

In FR Doc. 2026-02769 of February 11, 2026 (91 FR 6292), make the following corrections:

1. On pages 6306 through 6312, the table titled ``TABLE 1: Proposed

Adult Risk Adjustment Model Factors for the 2027 Benefit Year'' is corrected to read as follows: Table 1--Proposed Adult Risk Adjustment Model Factors for the 2027 Benefit Year ---------------------------------------------------------------------------------------------------------------- HCC or RXC No. Factor Platinum Gold Silver Bronze Catastrophic ---------------------------------------------------------------------------------------------------------------- Demographic Factors ---------------------------------------------------------------------------------------------------------------- Age 21-24, Male...... 0.189 0.135 0.097 0.068 0.060 Age 25-29, Male...... 0.201 0.142 0.100 0.067 0.059 Age 30-34, Male...... 0.231 0.166 0.118 0.080 0.070 Age 35-39, Male...... 0.252 0.183 0.130 0.088 0.076 Age 40-44, Male...... 0.280 0.206 0.149 0.101 0.088 Age 45-49, Male...... 0.322 0.244 0.183 0.132 0.118 Age 50-54, Male...... 0.371 0.286 0.219 0.163 0.147 Age 55-59, Male...... 0.413 0.322 0.250 0.188 0.171 Age 60-64, Male...... 0.467 0.366 0.286 0.216 0.198 Age 21-24, Female.... 0.278 0.196 0.132 0.082 0.067 Age 25-29, Female.... 0.311 0.221 0.149 0.091 0.074 Age 30-34, Female.... 0.384 0.288 0.209 0.144 0.126 Age 35-39, Female.... 0.435 0.335 0.253 0.184 0.166 Age 40-44, Female.... 0.484 0.379 0.292 0.216 0.195 Age 45-49, Female.... 0.491 0.385 0.293 0.214 0.192 Age 50-54, Female.... 0.506 0.397 0.302 0.219 0.197 Age 55-59, Female.... 0.467 0.358 0.265 0.184 0.162 Age 60-64, Female.... 0.467 0.355 0.260 0.177 0.154 ---------------------------------------------------------------------------------------------------------------- Diagnosis Factors ---------------------------------------------------------------------------------------------------------------- HCC001........................ HIV/AIDS............. 0.000 0.000 0.000 0.000 0.000 ---------------------------------------------------------------------------------------------------------------- HCC002........................ Septicemia, Sepsis, 8.520 8.314 8.233 8.129 8.123 Systemic Inflammatory Response Syndrome/ Shock. HCC003........................ Central Nervous 7.760 7.653 7.601 7.527 7.511 System Infections, Except Viral Meningitis. HCC004........................ Viral or Unspecified 6.855 6.746 6.678 6.590 6.569 Meningitis. HCC006........................ Opportunistic 8.110 8.053 7.995 7.916 7.892 Infections. HCC008........................ Metastatic Cancer.... 22.129 21.703 21.654 21.525 21.533 HCC009........................ Lung, Brain, and 12.286 11.994 11.925 11.798 11.789 Other Severe Cancers, Including Pediatric Acute Lymphoid Leukemia. HCC010........................ Non-Hodgkin Lymphomas 5.400 5.216 5.126 5.002 4.980 and Other Cancers and Tumors. HCC011........................ Colorectal, Breast 3.851 3.657 3.554 3.419 3.396 (Age <50), Kidney, and Other Cancers. HCC012........................ Breast (Age 50+) and 2.465 2.326 2.237 2.127 2.105 Prostate Cancer, Benign/Uncertain Brain Tumors, and Other Cancers and Tumors. HCC013........................ Thyroid Cancer, 1.025 0.930 0.825 0.710 0.681 Melanoma, Neurofibromatosis, and Other Cancers and Tumors. HCC018........................ Pancreas Transplant 5.506 5.552 5.642 5.734 5.757 Status. HCC019........................ Diabetes with Acute 0.189 0.145 0.102 0.060 0.050 Complications. HCC020........................ Diabetes with Chronic 0.189 0.145 0.102 0.060 0.050 Complications. HCC021........................ Diabetes without 0.189 0.145 0.102 0.060 0.050 Complication. HCC022........................ Type 1 Diabetes 0.179 0.155 0.111 0.045 0.023 Mellitus, add-on to Diabetes HCCs 19-21. HCC023........................ Protein-Calorie 10.099 9.974 9.925 9.854 9.843 Malnutrition. HCC026........................ Mucopolysaccharidosis 18.785 18.604 18.567 18.498 18.495 HCC027........................ Lipidoses and 18.785 18.604 18.567 18.498 18.495 Glycogenosis. HCC029........................ Amyloidosis, 5.455 5.353 5.299 5.229 5.216 Porphyria, and Other Metabolic Disorders. [[Page 11008]] HCC030........................ Adrenal, Pituitary, 1.291 1.216 1.150 1.071 1.053 and Other Significant Endocrine Disorders. HCC034........................ Liver Transplant 5.506 5.552 5.642 5.734 5.757 Status/Complications. HCC035_1 \a\.................. Acute Liver Failure/ 6.880 6.693 6.630 6.548 6.543 Disease, Including Neonatal Hepatitis. HCC035_2...................... Chronic Liver Failure/ 2.234 2.070 2.000 1.906 1.896 End-Stage Liver Disorders. HCC036........................ Cirrhosis of Liver... 0.616 0.537 0.476 0.401 0.387 HCC037_1...................... Chronic Viral 0.516 0.455 0.396 0.336 0.325 Hepatitis C. HCC037_2...................... Chronic Hepatitis, 0.516 0.455 0.396 0.336 0.325 Except Chronic Viral Hepatitis C. HCC041........................ Intestine Transplant 5.506 5.552 5.642 5.734 5.757 Status/Complications. HCC042........................ Peritonitis/ 10.409 10.234 10.209 10.146 10.144 Gastrointestinal Perforation/ Necrotizing Enterocolitis. HCC045........................ Intestinal 4.795 4.594 4.499 4.369 4.350 Obstruction. HCC046........................ Chronic Pancreatitis. 2.131 1.971 1.875 1.755 1.738 HCC047........................ Acute Pancreatitis... 2.131 1.971 1.875 1.755 1.738 HCC048........................ Inflammatory Bowel 3.007 2.889 2.788 2.652 2.614 Disease. HCC054........................ Necrotizing Fasciitis 6.731 6.567 6.536 6.475 6.470 HCC055........................ Bone/Joint/Muscle 4.138 3.961 3.912 3.843 3.843 Infections/Necrosis. HCC056........................ Rheumatoid Arthritis 1.363 1.259 1.188 1.104 1.086 and Specified Autoimmune Disorders. HCC057........................ Systemic Lupus 0.355 0.286 0.198 0.098 0.069 Erythematosus and Other Autoimmune Disorders. HCC061........................ Osteogenesis 1.753 1.635 1.546 1.437 1.415 Imperfecta and Other Osteodystrophies. HCC062........................ Congenital/ 1.753 1.635 1.546 1.437 1.415 Developmental Skeletal and Connective Tissue Disorders. HCC063........................ Cleft Lip/Cleft 0.823 0.732 0.640 0.542 0.520 Palate. HCC066........................ Hemophilia........... 70.952 70.627 70.590 70.491 70.495 HCC067........................ Myelodysplastic 9.888 9.761 9.718 9.648 9.639 Syndromes and Myelofibrosis. HCC068........................ Aplastic Anemia...... 9.888 9.761 9.718 9.648 9.639 HCC069........................ Acquired Hemolytic 9.888 9.761 9.718 9.648 9.639 Anemia, Including Hemolytic Disease of Newborn. HCC070........................ Sickle Cell Anemia 1.833 1.725 1.635 1.537 1.518 (Hb-SS) and Thalassemia Beta Zero. HCC071........................ Sickle-Cell 1.457 1.397 1.348 1.292 1.279 Disorders, Except Sickle-Cell Anemia (Hb-SS) and Thalassemia Beta Zero; Beta Thalassemia Major. HCC073........................ Combined and Other 4.364 4.272 4.239 4.184 4.176 Severe Immunodeficiencies. HCC074........................ Disorders of the 4.364 4.272 4.239 4.184 4.176 Immune Mechanism. HCC075........................ Coagulation Defects 2.167 2.085 2.024 1.948 1.930 and Other Specified Hematological Disorders. HCC081........................ Drug Use with 1.479 1.349 1.232 1.092 1.059 Psychotic Complications. HCC082........................ Drug Use Disorder, 1.479 1.349 1.232 1.092 1.059 Moderate/Severe, or Drug Use with Non- Psychotic Complications. HCC083........................ Alcohol Use with 0.857 0.746 0.647 0.533 0.507 Psychotic Complications. HCC084........................ Alcohol Use Disorder, 0.857 0.746 0.647 0.533 0.507 Moderate/Severe, or Alcohol Use with Specified Non- Psychotic Complications. HCC087_1...................... Schizophrenia........ 2.215 2.050 1.928 1.784 1.757 HCC087_2...................... Delusional and Other 2.087 1.932 1.803 1.645 1.611 Specified Psychotic Disorders, Unspecified Psychosis. HCC088........................ Major Depressive 0.927 0.831 0.728 0.609 0.578 Disorder, Severe, and Bipolar Disorders. HCC090........................ Personality Disorders 0.666 0.587 0.487 0.377 0.343 HCC094........................ Anorexia/Bulimia 1.855 1.749 1.663 1.555 1.529 Nervosa. HCC096........................ Prader-Willi, Patau, 9.243 9.207 9.184 9.155 9.144 Edwards, and Autosomal Deletion Syndromes. HCC097........................ Down Syndrome, 0.779 0.715 0.659 0.596 0.581 Fragile X, Other Chromosomal Anomalies, and Congenital Malformation Syndromes. HCC102........................ Autistic Disorder.... 0.670 0.590 0.496 0.397 0.367 HCC103........................ Pervasive 0.666 0.587 0.487 0.377 0.343 Developmental Disorders, Except Autistic Disorder. HCC106........................ Traumatic Complete 9.567 9.405 9.331 9.227 9.211 Lesion Cervical Spinal Cord. HCC107........................ Quadriplegia......... 9.567 9.405 9.331 9.227 9.211 HCC108........................ Traumatic Complete 6.337 6.186 6.106 5.994 5.975 Lesion Dorsal Spinal Cord. HCC109........................ Paraplegia........... 6.337 6.186 6.106 5.994 5.975 HCC110........................ Spinal Cord Disorders/ 4.665 4.482 4.406 4.296 4.280 Injuries. HCC111........................ Amyotrophic Lateral 6.067 5.909 5.822 5.707 5.686 Sclerosis and Other Anterior Horn Cell Disease. HCC112........................ Quadriplegic Cerebral 0.975 0.868 0.773 0.658 0.631 Palsy. HCC113........................ Cerebral Palsy, 0.426 0.363 0.300 0.229 0.210 Except Quadriplegic. [[Page 11009]] HCC114........................ Spina Bifida and 1.116 1.035 0.959 0.864 0.841 Other Brain/Spinal/ Nervous System Congenital Anomalies. HCC115........................ Myasthenia Gravis/ 4.927 4.844 4.822 4.783 4.779 Myoneural Disorders and Guillain-Barre Syndrome/ Inflammatory and Toxic Neuropathy. HCC117........................ Muscular Dystrophy... 1.362 1.272 1.191 1.094 1.070 HCC118........................ Multiple Sclerosis... 2.461 2.331 2.253 2.151 2.131 HCC119........................ Parkinson's, 1.362 1.272 1.191 1.094 1.070 Huntington's, and Spinocerebellar Disease, and Other Neurodegenerative Disorders. HCC120........................ Seizure Disorders and 0.929 0.840 0.758 0.660 0.637 Convulsions. HCC121........................ Hydrocephalus........ 8.919 8.823 8.773 8.704 8.689 HCC122........................ Nontraumatic Coma, 9.620 9.477 9.417 9.325 9.307 Except Diabetic, Hepatic, or Hypoglycemic; Nontraumatic Brain Compression/Anoxic Damage. HCC123........................ Narcolepsy and 4.303 4.171 4.101 4.006 3.987 Cataplexy. HCC125........................ Respirator Dependence/ 20.117 19.902 19.845 19.752 19.744 Tracheostomy Status. HCC126........................ Respiratory Arrest... 7.858 7.659 7.579 7.478 7.472 HCC127........................ Cardio-Respiratory 7.858 7.659 7.579 7.478 7.472 Failure and Shock, Including Respiratory Distress Syndromes. HCC128........................ Heart Assistive 14.408 14.322 14.312 14.307 14.304 Device/Artificial Heart. HCC129........................ Heart Transplant 14.408 14.322 14.312 14.307 14.304 Status/Complications. HCC130........................ Heart Failure........ 1.628 1.543 1.490 1.421 1.407 HCC131........................ Acute Myocardial 4.410 4.188 4.129 4.044 4.047 Infarction. HCC132........................ Unstable Angina and 3.261 3.073 2.986 2.868 2.856 Other Acute Ischemic Heart Disease. HCC135........................ Heart Infection/ 7.943 7.850 7.792 7.709 7.689 Inflammation, Except Rheumatic. HCC137........................ Hypoplastic Left 2.004 1.911 1.843 1.763 1.745 Heart Syndrome and Other Severe Congenital Heart Disorders. HCC138........................ Major Congenital 2.004 1.911 1.843 1.763 1.745 Heart/Circulatory Disorders. HCC139........................ Atrial and 2.004 1.911 1.843 1.763 1.745 Ventricular Septal Defects, Patent Ductus Arteriosus, and Other Congenital Heart/Circulatory Disorders. HCC142........................ Specified Heart 1.831 1.725 1.640 1.531 1.501 Arrhythmias. HCC145........................ Intracranial 9.782 9.608 9.545 9.452 9.441 Hemorrhage. HCC146........................ Ischemic or 1.438 1.326 1.258 1.173 1.161 Unspecified Stroke. HCC149........................ Cerebral Aneurysm and 1.977 1.859 1.772 1.659 1.634 Arteriovenous Malformation. HCC150........................ Hemiplegia/ 2.618 2.497 2.459 2.405 2.403 Hemiparesis. HCC151........................ Monoplegia, Other 2.198 2.088 2.019 1.931 1.916 Paralytic Syndromes. HCC153........................ Atherosclerosis of 7.585 7.409 7.407 7.376 7.389 the Extremities with Ulceration or Gangrene. HCC154........................ Vascular Disease with 4.906 4.756 4.694 4.605 4.591 Complications. HCC156........................ Pulmonary Embolism 7.104 7.018 6.942 6.837 6.805 and Deep Vein Thrombosis. HCC158........................ Lung Transplant 11.333 11.261 11.238 11.227 11.221 Status/Complications. HCC159........................ Cystic Fibrosis...... 2.992 2.873 2.799 2.714 2.700 HCC160........................ Chronic Obstructive 0.615 0.539 0.454 0.360 0.334 Pulmonary Disease, Including Bronchiectasis. HCC161_1...................... Severe Asthma........ 0.615 0.539 0.454 0.360 0.334 HCC161_2...................... Asthma, Except Severe 0.615 0.539 0.454 0.360 0.334 HCC162........................ Fibrosis of Lung and 1.305 1.231 1.161 1.075 1.052 Other Lung Disorders. HCC163........................ Aspiration and 6.880 6.765 6.706 6.629 6.616 Specified Bacterial Pneumonias and Other Severe Lung Infections. HCC174........................ Exudative Macular 1.231 1.115 0.988 0.838 0.804 Degeneration. HCC183........................ Kidney Transplant 5.506 5.552 5.642 5.734 5.757 Status/Complications. HCC184........................ End Stage Renal 17.965 17.541 17.668 17.485 17.544 Disease. HCC187........................ Chronic Kidney 0.749 0.679 0.661 0.621 0.622 Disease, Stage 5. HCC188........................ Chronic Kidney 0.749 0.679 0.661 0.621 0.622 Disease, Severe (Stage 4). HCC203........................ Ectopic and Molar 1.438 1.302 1.131 0.927 0.875 Pregnancy. HCC204........................ Miscarriage with 0.638 0.554 0.420 0.253 0.193 Complications. HCC205........................ Miscarriage with No 0.638 0.554 0.420 0.253 0.193 or Minor Complications. HCC207........................ Pregnancy with 3.610 3.349 3.031 2.654 2.581 Delivery with Major Complications. HCC208........................ Pregnancy with 3.610 3.349 3.031 2.654 2.581 Delivery with Complications. HCC209........................ Pregnancy with 2.645 2.446 2.126 1.713 1.597 Delivery with No or Minor Complications. HCC210........................ (Ongoing) Pregnancy 0.668 0.572 0.416 0.240 0.186 without Delivery with Major Complications. HCC211........................ (Ongoing) Pregnancy 0.494 0.412 0.283 0.148 0.106 without Delivery with Complications. HCC212........................ (Ongoing) Pregnancy 0.023 0.000 0.000 0.000 0.000 without Delivery with No or Minor Complications. HCC217........................ Chronic Ulcer of 1.351 1.259 1.205 1.140 1.131 Skin, Except Pressure. HCC218........................ Extensive Third 28.529 28.296 28.253 28.168 28.162 Degree Burns. [[Page 11010]] HCC219........................ Major Skin Burn or 2.661 2.532 2.452 2.356 2.337 Condition. HCC223........................ Severe Head Injury... 16.085 15.926 15.853 15.744 15.724 HCC226........................ Hip and Pelvic 7.742 7.485 7.431 7.338 7.340 Fractures. HCC228........................ Vertebral Fractures 4.007 3.844 3.742 3.608 3.582 without Spinal Cord Injury. HCC234........................ Traumatic Amputations 4.272 4.112 4.068 3.998 3.995 and Amputation Complications. HCC251........................ Stem Cell, Including 17.990 18.025 18.043 18.074 18.067 Bone Marrow, Transplant Status/ Complications. HCC253........................ Artificial Openings 5.400 5.276 5.237 5.177 5.172 for Feeding or Elimination. HCC254........................ Amputation Status, 0.923 0.828 0.775 0.708 0.699 Upper Limb or Lower Limb. ---------------------------------------------------------------------------------------------------------------- Interacted HCC Counts Factors ---------------------------------------------------------------------------------------------------------------- Severe illness, 1 -5.506 -5.552 -5.642 -5.734 -5.757 payment HCC. Severe illness, 2 -5.381 -5.451 -5.529 -5.615 -5.630 payment HCCs. Severe illness, 3 -4.624 -4.683 -4.671 -4.664 -4.645 payment HCCs. Severe illness, 4 -4.046 -4.060 -3.933 -3.798 -3.740 payment HCCs. Severe illness, 5 -3.634 -3.590 -3.359 -3.113 -3.027 payment HCCs. Severe illness, 6 -3.188 -3.063 -2.734 -2.385 -2.275 payment HCCs. Severe illness, 7 -2.710 -2.475 -2.060 -1.614 -1.485 payment HCCs. Severe illness, 8 -2.359 -2.047 -1.553 -1.014 -0.870 payment HCCs. Severe illness, 9 -0.965 -0.515 0.053 0.682 0.839 payment HCCs. Severe illness, 10 or 4.976 5.806 6.546 7.415 7.608 more payment HCCs. Transplant severe 3.531 3.394 3.262 3.071 3.034 illness, 4 payment HCCs. Transplant severe 6.812 6.664 6.540 6.354 6.326 illness, 5 payment HCCs. Transplant severe 10.112 9.960 9.839 9.656 9.631 illness, 6 payment HCCs. Transplant severe 15.321 15.165 15.051 14.879 14.859 illness, 7 payment HCCs. Transplant severe 29.664 29.601 29.511 29.375 29.357 illness, 8 or more payment HCCs. ---------------------------------------------------------------------------------------------------------------- Enrollment Duration Factors ---------------------------------------------------------------------------------------------------------------- Enrolled for 1 month, 11.074 9.697 8.663 7.661 7.414 at least one payment HCC. Enrolled for 2 4.976 4.271 3.729 3.226 3.102 months, at least one payment HCC. Enrolled for 3 3.206 2.743 2.369 2.026 1.944 months, at least one payment HCC. Enrolled for 4 1.883 1.566 1.297 1.054 0.995 months, at least one payment HCC. Enrolled for 5 1.400 1.164 0.955 0.763 0.714 months, at least one payment HCC. Enrolled for 6 0.936 0.762 0.599 0.448 0.407 months, at least one payment HCC. ---------------------------------------------------------------------------------------------------------------- Affiliated Cost Factors ---------------------------------------------------------------------------------------------------------------- ACF01......................... HIV Pre-Exposure 3.620 3.551 3.472 3.304 3.258 Prophylaxis (PrEP). ---------------------------------------------------------------------------------------------------------------- Prescription Drug Factors ---------------------------------------------------------------------------------------------------------------- RXC01......................... Anti-HIV Agents...... 4.595 4.125 3.714 3.356 3.280 RXC02......................... Anti-Hepatitis C 9.107 8.614 8.476 8.335 8.361 (HCV) Agents, Direct Acting Agents. RXC03 \b\..................... Antiarrhythmics...... 0.058 0.052 0.046 0.039 0.046 RXC04......................... Phosphate Binders.... 0.868 0.993 0.785 0.988 0.917 RXC05......................... Inflammatory Bowel 1.133 1.100 1.040 0.981 0.962 Disease Agents. RXC06......................... Insulin.............. 1.313 1.147 0.991 0.843 0.805 RXC07......................... Anti-Diabetic Agents, 0.973 0.862 0.698 0.485 0.419 Except Insulin and Metformin Only. RXC08......................... Multiple Sclerosis 12.472 11.759 11.490 11.110 11.042 Agents. RXC09......................... Immune Suppressants 11.545 10.994 10.921 10.759 10.777 and Immunomodulators. RXC10......................... Cystic Fibrosis 22.801 22.295 22.221 22.083 22.098 Agents. RXC01 x HCC001................ Additional effect for 2.629 2.556 2.848 3.009 3.091 enrollees with RXC 01 and HCC 001. RXC02 x HCC037_1, 036, 035_2, Additional effect for -0.516 -0.455 -0.396 -0.336 -0.325 035_1, 034. enrollees with RXC 02 and (HCC 037_1 or 036 or 035_2 or 035_1 or 034). RXC03 x HCC142................ Additional effect for 0.000 0.000 0.000 0.000 0.000 enrollees with RXC 03 and HCC 142. RXC04 x HCC184, 183, 187, 188. Additional effect for 0.000 0.000 0.000 0.000 0.000 enrollees with RXC 04 and (HCC 184 or 183 or 187 or 188). RXC05 x HCC048, 041........... Additional effect for -1.106 -1.087 -1.040 -0.981 -0.962 enrollees with RXC 05 and (HCC 048 or 041). RXC06 x HCC018, 019, 020, 021. Additional effect for 0.466 0.511 0.522 0.482 0.474 enrollees with RXC 06 and (HCC 018 or 019 or 020 or 021). RXC07 x HCC018, 019, 020, 021. Additional effect for -0.187 -0.143 -0.102 -0.060 -0.050 enrollees with RXC 07 and (HCC 018 or 019 or 020 or 021). RXC08 x HCC118................ Additional effect for -0.156 0.110 0.411 0.745 0.854 enrollees with RXC 08 and HCC 118. [[Page 11011]] RXC09 x HCC056 or 057 and 048 Additional effect for 0.492 0.557 0.646 0.751 0.780 or 041. enrollees with RXC 09 and (HCC 048 or 041) and (HCC 056 or 057). RXC09 x HCC056................ Additional effect for -1.363 -1.259 -1.188 -1.104 -1.086 enrollees with RXC 09 and HCC 056. RXC09 x HCC057................ Additional effect for -0.355 -0.286 -0.198 -0.098 -0.069 enrollees with RXC 09 and HCC 057. RXC09 x HCC048, 041........... Additional effect for -1.901 -1.802 -1.748 -1.670 -1.651 enrollees with RXC 09 and (HCC 048 or 041). RXC10 x HCC159, 158........... Additional effect for 36.448 36.460 36.625 36.751 36.785 enrollees with RXC 10 and (HCC 159 or 158). ---------------------------------------------------------------------------------------------------------------- \a\ HCC numbers that appear with an underscore in this document will appear without the underscore in the ``Do It Yourself (DIY)'' software. For example, HCC 35_1 in this table will appear as HCC 351 in the DIY software. \b\ We constrain RXC 03 to be equal to average plan liability for RXC 03 drugs, RXC 04 to be equal to the average plan liability for RXC 04 drugs, and we constrain RXC 03 x HCC142 and RXC 04 x HCC184, 183, 187, 188 to be equal to zero. See March 2016 Risk Adjustment Methodology Discussion Paper (2016 March, 16), available at: https://www.cms.gov/cciio/resources/forms-reports-and-other-resources/downloads/ra-march-31-white-paper-032416.pdf (where we previously discussed the use of constraints in the HHS risk adjustment models).

2. On pages 6313 through 6316, the table titled ``TABLE 2: Proposed

Child Risk Adjustment Model Factors for the 2027 Benefit Year'' is corrected to read as follows: Table 2--Proposed Child Risk Adjustment Model Factors for the 2027 Benefit Year ---------------------------------------------------------------------------------------------------------------- Factor Platinum Gold Silver Bronze Catastrophic ---------------------------------------------------------------------------------------------------------------- Demographic Factors ---------------------------------------------------------------------------------------------------------------- Age 2-4, Male..................................... 0.297 0.217 0.162 0.118 0.106 Age 5-9, Male..................................... 0.222 0.154 0.113 0.085 0.077 Age 10-14, Male................................... 0.210 0.146 0.108 0.082 0.076 Age 15-20, Male................................... 0.246 0.179 0.132 0.097 0.088 Age 2-4, Female................................... 0.237 0.166 0.124 0.092 0.084 Age 5-9, Female................................... 0.162 0.102 0.067 0.044 0.039 Age 10-14, Female................................. 0.216 0.153 0.115 0.089 0.082 Age 15-20, Female................................. 0.267 0.187 0.124 0.077 0.063 ---------------------------------------------------------------------------------------------------------------- Diagnosis Factors ---------------------------------------------------------------------------------------------------------------- HIV/AIDS.......................................... 4.494 4.068 3.903 3.679 3.658 Septicemia, Sepsis, Systemic Inflammatory Response 14.480 14.282 14.169 14.032 14.013 Syndrome/Shock................................... Central Nervous System Infections, Except Viral 14.430 14.273 14.207 14.113 14.097 Meningitis....................................... Viral or Unspecified Meningitis................... 12.991 12.869 12.785 12.679 12.655 Opportunistic Infections.......................... 20.233 20.191 20.119 20.039 20.013 Metastatic Cancer................................. 31.479 31.228 31.163 31.056 31.045 Lung, Brain, and Other Severe Cancers, Including 9.613 9.381 9.254 9.091 9.059 Pediatric Acute Lymphoid Leukemia................ Non-Hodgkin Lymphomas and Other Cancers and Tumors 8.609 8.408 8.278 8.118 8.083 Colorectal, Breast (Age <50), Kidney, and Other 3.753 3.604 3.500 3.366 3.332 Cancers.......................................... Breast (Age 50+) and Prostate Cancer, Benign/ 3.753 3.604 3.500 3.366 3.332 Uncertain Brain Tumors, and Other Cancers and Tumors........................................... Thyroid Cancer, Melanoma, Neurofibromatosis, and 1.204 1.092 0.978 0.855 0.818 Other Cancers and Tumors......................... Pancreas Transplant Status........................ 11.308 11.349 11.403 11.462 11.475 Diabetes with Acute Complications................. 2.107 1.904 1.613 1.264 1.175 Diabetes with Chronic Complications............... 2.107 1.904 1.613 1.264 1.175 Diabetes without Complication..................... 2.107 1.904 1.613 1.264 1.175 Protein-Calorie Malnutrition...................... 17.913 17.788 17.745 17.685 17.674 Mucopolysaccharidosis............................. 27.455 27.228 27.158 27.051 27.042 Lipidoses and Glycogenosis........................ 27.455 27.228 27.158 27.051 27.042 Congenital Metabolic Disorders, Not Elsewhere 4.860 4.741 4.671 4.584 4.566 Classified....................................... Amyloidosis, Porphyria, and Other Metabolic 4.860 4.741 4.671 4.584 4.566 Disorders........................................ Adrenal, Pituitary, and Other Significant 4.585 4.353 4.263 4.148 4.135 Endocrine Disorders.............................. Liver Transplant Status/Complications............. 11.308 11.349 11.403 11.462 11.475 Acute Liver Failure/Disease, Including Neonatal 12.753 12.612 12.564 12.499 12.492 Hepatitis........................................ Chronic Liver Failure/End-Stage Liver Disorders... 8.744 8.588 8.509 8.401 8.379 Cirrhosis of Liver................................ 2.077 1.972 1.888 1.798 1.778 Chronic Viral Hepatitis C......................... 2.077 1.972 1.888 1.798 1.778 Chronic Hepatitis, Except Chronic Viral Hepatitis 1.367 1.287 1.195 1.098 1.073 C................................................ Intestine Transplant Status/Complications......... 15.155 15.082 15.015 14.930 14.907 Peritonitis/Gastrointestinal Perforation/ 17.893 17.607 17.538 17.427 17.422 Necrotizing Enterocolitis........................ Intestinal Obstruction............................ 3.920 3.746 3.616 3.458 3.423 [[Page 11012]] Chronic Pancreatitis.............................. 9.814 9.635 9.554 9.449 9.434 Acute Pancreatitis................................ 6.643 6.415 6.272 6.089 6.054 Inflammatory Bowel Disease........................ 10.636 10.225 10.089 9.880 9.859 Necrotizing Fasciitis............................. 4.686 4.490 4.367 4.224 4.197 Bone/Joint/Muscle Infections/Necrosis............. 4.686 4.490 4.367 4.224 4.197 Rheumatoid Arthritis and Specified Autoimmune 4.802 4.534 4.429 4.288 4.270 Disorders........................................ Systemic Lupus Erythematosus and Other Autoimmune 1.211 1.106 1.002 0.884 0.852 Disorders........................................ Osteogenesis Imperfecta and Other Osteodystrophies 1.112 1.008 0.919 0.822 0.799 Congenital/Developmental Skeletal and Connective 1.112 1.008 0.919 0.822 0.799 Tissue Disorders................................. Cleft Lip/Cleft Palate............................ 0.852 0.729 0.606 0.470 0.433 Hemophilia........................................ 59.554 59.072 58.973 58.779 58.763 Myelodysplastic Syndromes and Myelofibrosis....... 11.606 11.431 11.349 11.244 11.231 Aplastic Anemia................................... 11.606 11.431 11.349 11.244 11.231 Acquired Hemolytic Anemia, Including Hemolytic 11.606 11.431 11.349 11.244 11.231 Disease of Newborn............................... Sickle Cell Anemia (Hb-SS) and Thalassemia Beta 3.359 3.193 3.083 2.958 2.929 Zero............................................. Sickle-Cell Disorders, Except Sickle-Cell Anemia 3.359 3.193 3.083 2.958 2.929 (Hb-SS) and Thalassemia Beta Zero; Beta Thalassemia Major................................ Combined and Other Severe Immunodeficiencies...... 5.693 5.547 5.470 5.368 5.350 Disorders of the Immune Mechanism................. 5.693 5.547 5.470 5.368 5.350 Coagulation Defects and Other Specified 4.135 4.022 3.937 3.839 3.817 Hematological Disorders.......................... Drug Use with Psychotic Complications............. 2.239 2.101 1.978 1.833 1.799 Drug Use Disorder, Moderate/Severe, or Drug Use 2.239 2.101 1.978 1.833 1.799 with Non-Psychotic Complications................. Alcohol Use with Psychotic Complications.......... 0.811 0.683 0.540 0.377 0.338 Alcohol Use Disorder, Moderate/Severe, or Alcohol 0.811 0.683 0.540 0.377 0.338 Use with Specified Non-Psychotic Complications... Schizophrenia..................................... 3.875 3.617 3.437 3.224 3.185 Delusional and Other Specified Psychotic 3.273 3.038 2.852 2.625 2.575 Disorders, Unspecified Psychosis................. Major Depressive Disorder, Severe, and Bipolar 2.710 2.509 2.352 2.169 2.126 Disorders........................................ Personality Disorders............................. 0.597 0.513 0.416 0.311 0.277 Anorexia/Bulimia Nervosa.......................... 2.132 1.994 1.886 1.751 1.717 Prader-Willi, Patau, Edwards, and Autosomal 12.106 12.042 12.004 11.952 11.938 Deletion Syndromes............................... Down Syndrome, Fragile X, Other Chromosomal 0.799 0.693 0.601 0.491 0.463 Anomalies, and Congenital Malformation Syndromes. Autistic Disorder................................. 2.710 2.509 2.352 2.169 2.126 Pervasive Developmental Disorders, Except Autistic 0.597 0.513 0.416 0.321 0.297 Disorder......................................... Traumatic Complete Lesion Cervical Spinal Cord.... 10.342 10.139 10.066 9.954 9.944 Quadriplegia...................................... 10.342 10.139 10.066 9.954 9.944 Traumatic Complete Lesion Dorsal Spinal Cord...... 7.706 7.483 7.370 7.223 7.201 Paraplegia........................................ 7.706 7.483 7.370 7.223 7.201 Spinal Cord Disorders/Injuries.................... 4.354 4.171 4.045 3.880 3.841 Amyotrophic Lateral Sclerosis and Other Anterior 44.922 44.615 44.563 44.454 44.447 Horn Cell Disease................................ Quadriplegic Cerebral Palsy....................... 1.301 1.125 1.017 0.881 0.861 Cerebral Palsy, Except Quadriplegic............... 0.394 0.278 0.202 0.113 0.091 Spina Bifida and Other Brain/Spinal/Nervous System 1.403 1.295 1.208 1.102 1.078 Congenital Anomalies............................. Myasthenia Gravis/Myoneural Disorders and Guillain- 11.196 11.067 11.035 10.986 10.988 Barre Syndrome/Inflammatory and Toxic Neuropathy. Muscular Dystrophy................................ 6.335 6.182 6.087 5.966 5.942 Multiple Sclerosis................................ 7.535 7.183 7.067 6.898 6.885 Parkinson's, Huntington's, and Spinocerebellar 6.335 6.182 6.087 5.966 5.942 Disease, and Other Neurodegenerative Disorders... Seizure Disorders and Convulsions................. 1.519 1.389 1.256 1.104 1.063 Hydrocephalus..................................... 11.643 11.592 11.599 11.603 11.602 Nontraumatic Coma, Except Diabetic, Hepatic, or 11.490 11.480 11.484 11.487 11.485 Hypoglycemic; Nontraumatic Brain Compression/ Anoxic Damage.................................... Narcolepsy and Cataplexy.......................... 3.550 3.402 3.296 3.156 3.115 Respirator Dependence/Tracheostomy Status......... 26.852 26.609 26.531 26.418 26.408 Respiratory Arrest................................ 15.129 14.889 14.754 14.581 14.559 Cardio-Respiratory Failure and Shock, Including 15.129 14.889 14.754 14.581 14.559 Respiratory Distress Syndromes................... Heart Assistive Device/Artificial Heart........... 15.155 15.082 15.015 14.930 14.907 Heart Transplant Status/Complications............. 15.155 15.082 15.015 14.930 14.907 Heart Failure..................................... 3.656 3.549 3.481 3.391 3.370 Acute Myocardial Infarction....................... 0.225 0.196 0.157 0.107 0.088 Unstable Angina and Other Acute Ischemic Heart 0.225 0.196 0.157 0.107 0.088 Disease.......................................... Heart Infection/Inflammation, Except Rheumatic.... 15.433 15.322 15.236 15.136 15.111 Hypoplastic Left Heart Syndrome and Other Severe 3.711 3.564 3.444 3.307 3.273 Congenital Heart Disorders....................... Major Congenital Heart/Circulatory Disorders...... 0.962 0.862 0.757 0.652 0.624 [[Page 11013]] Atrial and Ventricular Septal Defects, Patent 0.525 0.439 0.352 0.268 0.248 Ductus Arteriosus, and Other Congenital Heart/ Circulatory Disorders............................ Specified Heart Arrhythmias....................... 3.136 2.983 2.882 2.759 2.732 Intracranial Hemorrhage........................... 12.158 12.048 12.010 11.963 11.955 Ischemic or Unspecified Stroke.................... 0.531 0.420 0.353 0.272 0.255 Cerebral Aneurysm and Arteriovenous Malformation.. 0.813 0.690 0.607 0.502 0.480 Hemiplegia/Hemiparesis............................ 4.230 4.089 3.989 3.861 3.834 Monoplegia, Other Paralytic Syndromes............. 2.776 2.633 2.537 2.417 2.392 Atherosclerosis of the Extremities with Ulceration 10.094 9.865 9.741 9.588 9.568 or Gangrene...................................... Vascular Disease with Complications............... 12.595 12.449 12.389 12.300 12.286 Pulmonary Embolism and Deep Vein Thrombosis....... 19.285 19.147 19.070 18.968 18.947 Lung Transplant Status/Complications.............. 15.155 15.082 15.015 14.930 14.907 Cystic Fibrosis................................... 49.902 49.319 49.258 49.095 49.105 Chronic Obstructive Pulmonary Disease, Including 1.825 1.669 1.534 1.379 1.342 Bronchiectasis................................... Severe Asthma..................................... 1.253 1.093 0.929 0.748 0.704 Asthma, Except Severe............................. 0.323 0.248 0.165 0.092 0.072 Fibrosis of Lung and Other Lung Disorders......... 1.444 1.329 1.211 1.083 1.051 Aspiration and Specified Bacterial Pneumonias and 11.365 11.349 11.403 11.462 11.475 Other Severe Lung Infections..................... Kidney Transplant Status/Complications............ 11.308 11.349 11.403 11.462 11.475 End Stage Renal Disease........................... 23.942 23.682 23.657 23.578 23.576 Chronic Kidney Disease, Stage 5................... 2.630 2.522 2.430 2.344 2.325 Chronic Kidney Disease, Severe (Stage 4).......... 2.630 2.522 2.430 2.344 2.325 Ectopic and Molar Pregnancy....................... 0.988 0.833 0.642 0.431 0.386 Miscarriage with Complications.................... 0.526 0.409 0.233 0.036 0.005 Miscarriage with No or Minor Complications........ 0.526 0.409 0.233 0.036 0.005 Pregnancy with Delivery with Major Complications.. 3.019 2.757 2.391 1.934 1.805 Pregnancy with Delivery with Complications........ 3.019 2.757 2.391 1.934 1.805 Pregnancy with Delivery with No or Minor 2.183 1.972 1.629 1.180 1.023 Complications.................................... (Ongoing) Pregnancy without Delivery with Major 0.513 0.378 0.189 0.011 0.000 Complications.................................... (Ongoing) Pregnancy without Delivery with 0.513 0.378 0.189 0.011 0.000 Complications.................................... (Ongoing) Pregnancy without Delivery with No or 0.284 0.182 0.068 0.000 0.000 Minor Complications.............................. Chronic Ulcer of Skin, Except Pressure............ 2.113 2.020 1.939 1.855 1.833 Extensive Third Degree Burns...................... 22.256 22.021 21.922 21.792 21.772 Major Skin Burn or Condition...................... 2.590 2.420 2.281 2.120 2.083 Severe Head Injury................................ 22.256 22.021 21.922 21.792 21.772 Hip and Pelvic Fractures.......................... 4.114 3.906 3.772 3.623 3.596 Vertebral Fractures without Spinal Cord Injury.... 4.144 3.952 3.811 3.639 3.600 Traumatic Amputations and Amputation Complications 3.694 3.520 3.372 3.192 3.147 Stem Cell, Including Bone Marrow, Transplant 15.155 15.082 15.015 14.930 14.907 Status/Complications............................. Artificial Openings for Feeding or Elimination.... 4.495 4.323 4.257 4.161 4.151 Amputation Status, Upper Limb or Lower Limb....... 3.694 3.520 3.372 3.192 3.147 ---------------------------------------------------------------------------------------------------------------- Interacted HCC Counts Factors ---------------------------------------------------------------------------------------------------------------- Severe illness, 1 payment HCC..................... -11.308 -11.349 -11.403 -11.462 -11.475 Severe illness, 2 payment HCCs.................... -11.308 -11.349 -11.403 -11.462 -11.475 Severe illness, 3 payment HCCs.................... -10.149 -10.211 -10.174 -10.162 -10.141 Severe illness, 4 payment HCCs.................... -9.055 -9.082 -8.919 -8.762 -8.697 Severe illness, 5 payment HCCs.................... -8.454 -8.416 -8.172 -7.938 -7.853 Severe illness, 6 or 7 payment HCCs............... -4.190 -3.978 -3.561 -3.133 -3.003 Severe illness, 8 or more payment HCCs............ 18.133 18.860 19.604 20.422 20.625 Transplant severe illness, 4 or more payment HCCs. 15.299 15.306 15.287 15.271 15.267 ---------------------------------------------------------------------------------------------------------------- Affiliated Cost Factors ---------------------------------------------------------------------------------------------------------------- HIV Pre-Exposure Prophylaxis (PrEP)............... 2.089 2.042 1.984 1.923 1.905 ----------------------------------------------------------------------------------------------------------------

3. On page 6317, the table titled ``TABLE 3: HHS HCCs Selected for

the HCC Interacted Counts Variables for the Adult and Child Models for the 2027 Benefit Year'' is corrected to read as follows: Table 3--HHS HCCs Selected for the HCC Interacted Counts Variables for the Adult and Child Models for the 2027 Benefit Year ------------------------------------------------------------------------ Severity illness Transplant Payment HCC indicator indicator ------------------------------------------------------------------------ HCC 2 Septicemia, Sepsis, Systemic X ................ Inflammatory Response Syndrome/ Shock.............................. HCC 3 Central Nervous System X ................ Infections, Except Viral Meningitis [[Page 11014]] HCC 4 Viral or Unspecified X ................ Meningitis......................... HCC 6 Opportunistic Infections...... X ................ HCC 23 Protein-Calorie Malnutrition. X ................ HCC 34 Liver Transplant Status/ X X Complications...................... HCC 41 Intestine Transplant Status/ X X Complications...................... HCC 42 Peritonitis/Gastrointestinal X ................ Perforation/Necrotizing Enterocolitis...................... HCC 96 Prader-Willi, Patau, Edwards, X ................ and Autosomal Deletion Syndromes... HCC 121 Hydrocephalus............... X ................ HCC 122 Nontraumatic Coma, Except X ................ Diabetic, Hepatic, or Hypoglycemic; Nontraumatic Brain Compression/ Anoxic Damage...................... HCC 125 Respirator Dependence/ X ................ Tracheostomy Status................ HCC 135 Heart Infection/ X ................ Inflammation, Except Rheumatic..... HCC 145 Intracranial Hemorrhage..... X ................ HCC 156 Pulmonary Embolism and Deep X ................ Vein Thrombosis.................... HCC 158 Lung Transplant Status/ X X Complications...................... HCC 163 Aspiration and Specified X ................ Bacterial Pneumonias and Other Severe Lung Infections............. HCC 218 Extensive Third Degree Burns X ................ HCC 223 Severe Head Injury.......... X ................ HCC 251 Stem Cell, Including Bone X X Marrow, Transplant Status/ Complications...................... G13 (Includes HCC 126 Respiratory X ................ Arrest and HCC 127 Cardio- Respiratory Failure and Shock, Including Respiratory Distress Syndromes)......................... G14 (Includes HCC 128 Heart X X Assistive Device/Artificial Heart and HCC 129 Heart Transplant Status/ Complications)..................... G24 (Includes HCC 18 Pancreas X X Transplant Status and HCC 183 Kidney Transplant Status/ Complications)..................... ------------------------------------------------------------------------

4. On page 6318, top half of the page, the table titled ``TABLE 4:

Proposed Infant Risk Adjustment Model Factors for the 2027 Benefit Year'' is corrected to read as follows: Table 4--Proposed Infant Risk Adjustment Model Factors for the 2027 Benefit Year ---------------------------------------------------------------------------------------------------------------- Group Platinum Gold Silver Bronze Catastrophic ---------------------------------------------------------------------------------------------------------------- Extremely Immature * Severity Level 5 (Highest)... 197.671 196.159 195.801 195.221 195.198 Extremely Immature * Severity Level 4............. 129.748 128.048 127.479 126.693 126.619 Extremely Immature * Severity Level 3............. 29.087 27.703 27.191 26.528 26.453 Extremely Immature * Severity Level 2............. 29.087 27.703 27.191 26.528 26.453 Extremely Immature * Severity Level 1 (Lowest).... 29.087 27.703 27.191 26.528 26.453 Immature * Severity Level 5 (Highest)............. 123.452 121.973 121.649 121.124 121.107 Immature * Severity Level 4....................... 67.497 65.845 65.420 64.760 64.712 Immature * Severity Level 3....................... 29.087 27.703 27.191 26.528 26.453 Immature * Severity Level 2....................... 22.383 21.155 20.619 19.967 19.876 Immature * Severity Level 1 (Lowest).............. 21.881 20.636 20.094 19.436 19.346 Premature/Multiples * Severity Level 5 (Highest).. 107.440 105.978 105.584 105.002 104.960 Premature/Multiples * Severity Level 4............ 27.962 26.600 26.069 25.389 25.317 Premature/Multiples * Severity Level 3............ 12.192 11.287 10.647 9.906 9.741 Premature/Multiples * Severity Level 2............ 7.667 6.967 6.351 5.654 5.480 Premature/Multiples * Severity Level 1 (Lowest)... 5.481 4.884 4.306 3.679 3.503 Term * Severity Level 5 (Highest)................. 80.094 78.884 78.453 77.860 77.791 Term * Severity Level 4........................... 16.487 15.512 14.880 14.150 14.017 Term * Severity Level 3........................... 5.490 4.920 4.339 3.704 3.528 Term * Severity Level 2........................... 3.764 3.279 2.717 2.108 1.931 Term * Severity Level 1 (Lowest).................. 2.081 1.689 1.247 0.869 0.778 Age1 * Severity Level 5 (Highest)................. 69.546 68.851 68.623 68.313 68.286 Age1 * Severity Level 4........................... 12.005 11.504 11.187 10.827 10.759 Age1 * Severity Level 3........................... 2.842 2.580 2.365 2.151 2.097 Age1 * Severity Level 2........................... 1.802 1.576 1.352 1.132 1.070 Age1 * Severity Level 1 (Lowest).................. 0.569 0.478 0.421 0.380 0.368 Age 0 Male........................................ 0.498 0.460 0.421 0.360 0.340 Age 1 Male........................................ 0.067 0.052 0.032 0.011 0.007 ----------------------------------------------------------------------------------------------------------------

5. On page 6318, bottom half of the page, the table titled ``TABLE

5: HHS HCCs Included in Infant Model Maturity Categories'' is corrected to read as follows: [[Page 11015]] Table 5--HHS HCCs Included in Infant Model Maturity Categories ------------------------------------------------------------------------ Maturity category HCC/description ------------------------------------------------------------------------ Extremely Immature................ Extremely Immature Newborns, Birth weight <500 Grams. Extremely Immature................ Extremely Immature Newborns, Including Birth weight 500-749 Grams. Extremely Immature................ Extremely Immature Newborns, Including Birth weight 750-999 Grams. Immature.......................... Premature Newborns, Including Birth weight 1000-1499 Grams. Immature.......................... Premature Newborns, Including Birth weight 1500-1999 Grams. Premature/Multiples............... Premature Newborns, Including Birth weight 2000-2499 Grams. Premature/Multiples............... Other Premature, Low Birth weight, Malnourished, or Multiple Birth Newborns. Term.............................. Term or Post-Term Singleton Newborn, Normal or High Birth weight. Age 1............................. All age 1 infants. ------------------------------------------------------------------------

6. On page 6319 through the top half of page 6321, the table titled

``TABLE 6: HHS HCCs Included in Infant Model Severity Categories'' is corrected to read as follows: Table 6--HHS HCCs Included in Infant Model Severity Categories ------------------------------------------------------------------------ Severity category HCC/description ------------------------------------------------------------------------ Severity Level 5 (Highest)........ Metastatic Cancer. Severity Level 5.................. Pancreas Transplant Status. Severity Level 5.................. Liver Transplant Status/ Complications. Severity Level 5.................. Intestine Transplant Status/ Complications. Severity Level 5.................. Peritonitis/Gastrointestinal Perforation/Necrotizing Enterocolitis. Severity Level 5.................. Respirator Dependence/Tracheostomy Status. Severity Level 5.................. Heart Assistive Device/Artificial Heart. Severity Level 5.................. Heart Transplant Status/ Complications. Severity Level 5.................. Heart Failure. Severity Level 5.................. Hypoplastic Left Heart Syndrome and Other Severe Congenital Heart Disorders. Severity Level 5.................. Lung Transplant Status/ Complications. Severity Level 5.................. Kidney Transplant Status/ Complications. Severity Level 5.................. End Stage Renal Disease. Severity Level 5.................. Stem Cell, Including Bone Marrow, Transplant Status/Complications. Severity Level 4.................. Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/ Shock. Severity Level 4.................. Lung, Brain, and Other Severe Cancers, Including Pediatric Acute Lymphoid Leukemia. Severity Level 4.................. Mucopolysaccharidosis. Severity Level 4.................. Adrenal, Pituitary, and Other Significant Endocrine Disorders. Severity Level 4.................. Acute Liver Failure/Disease, Including Neonatal Hepatitis. Severity Level 4.................. Chronic Liver Failure/End-Stage Liver Disorders. Severity Level 4.................. Major Congenital Anomalies of Diaphragm, Abdominal Wall, and Esophagus, Age <2. Severity Level 4.................. Myelodysplastic Syndromes and Myelofibrosis. Severity Level 4.................. Aplastic Anemia. Severity Level 4.................. Combined and Other Severe Immunodeficiencies. Severity Level 4.................. Traumatic Complete Lesion Cervical Spinal Cord. Severity Level 4.................. Quadriplegia. Severity Level 4.................. Amyotrophic Lateral Sclerosis and Other Anterior Horn Cell Disease. Severity Level 4.................. Quadriplegic Cerebral Palsy. Severity Level 4.................. Myasthenia Gravis/Myoneural Disorders and Guillain-Barre Syndrome/Inflammatory and Toxic Neuropathy. Severity Level 4.................. Nontraumatic Coma, Except Diabetic, Hepatic, or Hypoglycemic; Nontraumatic Brain Compression/ Anoxic Damage. Severity Level 4.................. Respiratory Arrest. Severity Level 4.................. Cardio-Respiratory Failure and Shock, Including Respiratory Distress Syndromes. Severity Level 4.................. Acute Myocardial Infarction. Severity Level 4.................. Heart Infection/Inflammation, Except Rheumatic. Severity Level 4.................. Major Congenital Heart/Circulatory Disorders. Severity Level 4.................. Intracranial Hemorrhage. Severity Level 4.................. Ischemic or Unspecified Stroke. Severity Level 4.................. Vascular Disease with Complications. Severity Level 4.................. Pulmonary Embolism and Deep Vein Thrombosis. Severity Level 4.................. Aspiration and Specified Bacterial Pneumonias and Other Severe Lung Infections. Severity Level 4.................. Chronic Kidney Disease, Stage 5. Severity Level 4.................. Artificial Openings for Feeding or Elimination. Severity Level 3.................. HIV/AIDS. Severity Level 3.................. Central Nervous System Infections, Except Viral Meningitis. Severity Level 3.................. Opportunistic Infections. Severity Level 3.................. Non-Hodgkin Lymphomas and Other Cancers and Tumors. Severity Level 3.................. Colorectal, Breast (Age <50), Kidney, and Other Cancers. Severity Level 3.................. Breast (Age 50+) and Prostate Cancer, Benign/Uncertain Brain Tumors, and Other Cancers and Tumors. Severity Level 3.................. Lipidoses and Glycogenosis. Severity Level 3.................. Intestinal Obstruction. Severity Level 3.................. Necrotizing Fasciitis. Severity Level 3.................. Bone/Joint/Muscle Infections/ Necrosis. [[Page 11016]] Severity Level 3.................. Osteogenesis Imperfecta and Other Osteodystrophies. Severity Level 3.................. Cleft Lip/Cleft Palate. Severity Level 3.................. Hemophilia. Severity Level 3.................. Sickle Cell Anemia (Hb-SS) and Thalassemia Beta Zero. Severity Level 3.................. Disorders of the Immune Mechanism. Severity Level 3.................. Coagulation Defects and Other Specified Hematological Disorders. Severity Level 3.................. Drug Use with Psychotic Complications. Severity Level 3.................. Drug Use Disorder, Moderate/Severe, or Drug Use with Non-Psychotic Complications. Severity Level 3.................. Alcohol Use with Psychotic Complications. Severity Level 3.................. Alcohol Use Disorder, Moderate/ Severe, or Alcohol Use with Specified Non-Psychotic Complications. Severity Level 3.................. Prader-Willi, Patau, Edwards, and Autosomal Deletion Syndromes. Severity Level 3.................. Traumatic Complete Lesion Dorsal Spinal Cord. Severity Level 3.................. Paraplegia. Severity Level 3.................. Spinal Cord Disorders/Injuries. Severity Level 3.................. Cerebral Palsy, Except Quadriplegic. Severity Level 3.................. Spina Bifida and Other Brain/Spinal/ Nervous System Congenital Anomalies. Severity Level 3.................. Muscular Dystrophy. Severity Level 3.................. Parkinson's, Huntington's, and Spinocerebellar Disease, and Other Neurodegenerative Disorders. Severity Level 3.................. Hydrocephalus. Severity Level 3.................. Unstable Angina and Other Acute Ischemic Heart Disease. Severity Level 3.................. Atrial and Ventricular Septal Defects, Patent Ductus Arteriosus, and Other Congenital Heart/ Circulatory Disorders. Severity Level 3.................. Specified Heart Arrhythmias. Severity Level 3.................. Cerebral Aneurysm and Arteriovenous Malformation. Severity Level 3.................. Hemiplegia/Hemiparesis. Severity Level 3.................. Cystic Fibrosis. Severity Level 3.................. Extensive Third Degree Burns. Severity Level 3.................. Severe Head Injury. Severity Level 3.................. Hip and Pelvic Fractures. Severity Level 3.................. Vertebral Fractures without Spinal Cord Injury. Severity Level 2.................. Viral or Unspecified Meningitis. Severity Level 2.................. Thyroid Cancer, Melanoma, Neurofibromatosis, and Other Cancers and Tumors. Severity Level 2.................. Diabetes with Acute Complications. Severity Level 2.................. Diabetes with Chronic Complications. Severity Level 2.................. Diabetes without Complication. Severity Level 2.................. Protein-Calorie Malnutrition. Severity Level 2.................. Congenital Metabolic Disorders, Not Elsewhere Classified. Severity Level 2.................. Amyloidosis, Porphyria, and Other Metabolic Disorders. Severity Level 2.................. Cirrhosis of Liver. Severity Level 2.................. Chronic Pancreatitis. Severity Level 2.................. Acute Pancreatitis. Severity Level 2.................. Inflammatory Bowel Disease. Severity Level 2.................. Rheumatoid Arthritis and Specified Autoimmune Disorders. Severity Level 2.................. Systemic Lupus Erythematosus and Other Autoimmune Disorders. Severity Level 2.................. Congenital/Developmental Skeletal and Connective Tissue Disorders. Severity Level 2.................. Acquired Hemolytic Anemia, Including Hemolytic Disease of Newborn. Severity Level 2.................. Sickle-Cell Disorders, Except Sickle- Cell Anemia (Hb-SS) and Thalassemia Beta Zero; Beta Thalassemia Major. Severity Level 2.................. Down Syndrome, Fragile X, Other Chromosomal Anomalies, and Congenital Malformation Syndromes. Severity Level 2.................. Seizure Disorders and Convulsions. Severity Level 2.................. Monoplegia, Other Paralytic Syndromes. Severity Level 2.................. Atherosclerosis of the Extremities with Ulceration or Gangrene. Severity Level 2.................. Chronic Obstructive Pulmonary Disease, Including Bronchiectasis. Severity Level 2.................. Severe Asthma. Severity Level 2.................. Fibrosis of Lung and Other Lung Disorders. Severity Level 2.................. Chronic Kidney Disease, Severe (Stage 4). Severity Level 2.................. Chronic Ulcer of Skin, Except Pressure. Severity Level 2.................. Major Skin Burn or Condition. Severity Level 1 (Lowest)......... Chronic Viral Hepatitis C. Severity Level 1.................. Chronic Hepatitis, Except Chronic Viral Hepatitis C. Severity Level 1.................. Autistic Disorder. Severity Level 1.................. Pervasive Developmental Disorders, Except Autistic Disorder. Severity Level 1.................. Multiple Sclerosis. Severity Level 1.................. Asthma, Except Severe. Severity Level 1.................. Traumatic Amputations and Amputation Complications. Severity Level 1.................. Amputation Status, Upper Limb or Lower Limb. ------------------------------------------------------------------------

7. On page 6321, bottom half of the page, the table titled ``TABLE

7: R-Squared Statistics for Proposed 2027 Benefit Year HHS Risk Adjustment Models'' is corrected to read as follows: [[Page 11017]] Table 7--R-Squared Statistics for Proposed 2027 Benefit Year HHS Risk Adjustment Models ---------------------------------------------------------------------------------------------------------------- BY2021 Enrollee- BY2022 Enrollee- BY2023 Enrollee- Model level EDGE data level EDGE data level EDGE data ---------------------------------------------------------------------------------------------------------------- Platinum Adult......................................... 0.4213 0.4094 0.4152 Gold Adult............................................. 0.4154 0.4032 0.4089 Silver Adult........................................... 0.4122 0.3996 0.4048 Bronze Adult........................................... 0.4077 0.3948 0.3996 Catastrophic Adult..................................... 0.4068 0.3937 0.3982 Platinum Child......................................... 0.3569 0.3639 0.3412 Gold Child............................................. 0.3540 0.3612 0.3381 Silver Child........................................... 0.3516 0.3588 0.3357 Bronze Child........................................... 0.3484 0.3555 0.3324 Catastrophic Child..................................... 0.3474 0.3545 0.3314 Platinum Infant........................................ 0.3099 0.2883 0.2727 Gold Infant............................................ 0.3062 0.2847 0.2687 Silver Infant.......................................... 0.3044 0.2827 0.2667 Bronze Infant.......................................... 0.3019 0.2802 0.2640 Catastrophic Infant.................................... 0.3014 0.2797 0.2635 ---------------------------------------------------------------------------------------------------------------- Liesl I. Fowler, Executive Secretary to the Department, Department of Health and Human Services. [FR Doc. 2026-04467 Filed 3-5-26; 8:45 am] BILLING CODE 4120-01-P

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Amends 6 parts of the Code of Federal Regulations — the standing rules this notice rewrites.

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