Senior Executive Service Performance Review Board, 61435-61436 [05-21183]
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Federal Register / Vol. 70, No. 204 / Monday, October 24, 2005 / Notices
assignment of the PreMDC DRGs. This
resulted in all neonate tracheostomies
and organ transplants to be grouped to
MDC 15 and not to DRGs 480–483 or
495. For admissions occurring on or
after October 1, 1998, the CHAMPUS
grouper hierarchy logic was changed to
move DRG 103 to the PreMDC DRGs and
to assign patients to PreMDC DRGs 480,
103 and 495 before assignment to MDC
15 DRGs and the neonatal DRGs. For
admissions occurring on or after
October 1, 2001, DRGs 512 and 513
were added to the PreMDC DRGs,
between DRGs 480 and 103 in the
TRICARE grouper hierarchy logic. For
admissions occurring on or after
October 1, 2004, DRG 483 was deleted
and replaced with DRGs 541 and 542,
splitting the assignment of cases on the
basis of the performance of a major
operating room procedure. The
description for DRG 480 was changed to
‘‘Liver Transplant and/or Intestinal
Transplant’’, and the description for
DRG 103 was changed to ‘‘Heart/Heart
Lung Transplant or Implant of Heart
Assist System’’. For FY 2006, CMS will
implement classification changes,
including surgical hierarchy changes.
The TRICARE Grouper will incorporate
all changes made to the Medicare
Grouper.
B. Wage Index and Medicare
Geographic Classification Review Board
Guidelines
TRICARE will continue to use the
same wage index amounts used for the
Medicare PPS. TRICARE will also
duplicate all changes with regard to the
wage index for specific hospitals that
are redesignated by the Medicare
Geographic Classification Review Board.
In addition, TRICARE will continue to
utilize the out commuting wage index
adjustment.
C. Revision of the Labor-Related Share
of the Wage Index
TRICARE is adopting CMS’
percentage of labor related share of the
standardized amount. For wage index
values greater than 1.0, the labor-related
portion of the ASA shall equal 69.7
percent. For wage index values less than
or equal to 1.0 the labor-related portion
of the ASA shall continue to equal 62
percent.
D. Hospital Market Basket
TRICARE will update the adjusted
standardized amounts according to the
final updated hospital market basket
used for the Medicare PPS for all
hospitals subject to the TRICARE DRGbased payment system according to
CMS’s August 12, 2005, final rule.
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E. Outlier Payments
II. Cost to Charge Ratio
Since TRICARE does not include
capital payments in our DRG-based
payments (TRICARE reimburses
hospitals for their capital costs as
reported annually to the contractor on a
pass through basis), we will use the
fixed loss cost outlier threshold
calculated by CMS for paying cost
outliers in the absence of capital
prospective payments. For FY 2006, the
fixed loss cost outlier threshold is based
on the sum of the applicable DRG-based
payment rate plus any amounts payable
for IDME plus a fixed dollar amount.
Thus, for FY 2006, in order for a case
to qualify for cost outlier payments, the
costs must exceed the TRICARE DRG
base payment rate (wage adjusted) for
the DRG plus the IDME payment plus
$21,783 (wage adjusted). The marginal
cost factor for cost outliers continues to
be 80 percent.
While CMS uses hospital-specific cost
to charge ratios, TRICARE uses a
national cost to charge ratio. For FY
2006, the cost-to-charge ratio used for
the TRICARE DRG-based payment
system will be 0.4060, which is
increased to 0.4130 to account for bad
debts. This shall be used to calculate the
adjusted standardized amounts and to
calculate cost outlier payments, except
for children’s hospitals. For children’s
hospital cost outliers, the cost-to-charge
ratio used is 0.4468. For FY 2006, the
neonatal cost-to-charge ratio of .64 is
being reduced to the same cost-to-charge
ratio of .4130 for acute care hospitals.
F. National Operating Standard Cost as
a Share of Total Costs
The FY 2006 TRICARE National
Operating Standard Cost as a Share of
Total Costs (NOSCASTC) used in
calculating the cost outlier threshold is
0.923. TRICARE uses the same
methodology as CMS for calculating the
NOSCASTC however, the variables are
different because TRICARE uses
national cost to charge ratios while CMS
uses hospital specific cost to charge
ratios.
G. Indirect Medical Education (IDME)
Adjustment
Passage of the MMA of 2003 modified
the formula multipliers to be used in the
calculation of the indirect medical
education IDME adjustment factor.
Since the IDME formula used by
TRICARE does not include
disproportionate share hospitals (DSHs),
the variables in the formula are different
than Medicare’s however; the
percentage reductions that will be
applied to Medicare’s formula will also
be applied to the TRICARE IDME
formula. The new multiplier for the
IDME adjustment factor for TRICARE for
FY 2006 is 1.04.
H. Expansion of the Post Acute Care
Transfer Policy
For FY 2006 TRICARE is adopting
CMS’ expanded post acute care transfer
policy according to CMS’ final rule
published August 12, 2005.
I. Blood Clotting Factor
For FY 2006, TRICARE is adopting
CMS’ payment methodology for blood
clotting factor according to CMS’ final
rule published August 12, 2005.
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III. Updated Rates and Weights
The updated rates and weights are
accessible through the Internet at https://
www.tricare.osd.mil under the
sequential headings TRICARE Provider
Information, Rates and Reimbursements,
and DRG Information. Table 1 provides
the ASA rates and Table 2 provides the
DRG weights to be used under the
TRICARE DRG-based payment system
during FY 2006 and which is a result of
the changes described above. The
implementing regulations for the
TRICARE/CHAMPUS DRG-based
payment system are in 32 CFR Part 199.
Dated: October 18, 2005.
L.M. Bynum,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 05–21184 Filed 10–21–05; 8:45 am]
BILLING CODE 5001–06–M
DEPARTMENT OF DEFENSE
Office of the Secretary
Senior Executive Service Performance
Review Board
Department of Defense Office
of the Inspector General.
ACTION: Notice.
AGENCY:
SUMMARY: This notice announces the
appointment of the members of the
Senior Executive Service (SES)
Performance Review Board (PRB) for the
Department of Defense Office of the
Inspector General (DoD OIG), as
required by 5 U.S.C. 4314(c)(4). The
PRB provides fair and impartial review
of SES performance appraisals and
makes recommendations regarding
performance ratings and performance
awards to the Inspector General.
DATES: October 20, 2005.
FOR FURTHER INFORMATION CONTACT: Mr.
Michael Peterson, Director, Human
Capital Management Directorate, Office
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Federal Register / Vol. 70, No. 204 / Monday, October 24, 2005 / Notices
of the Chief of Staff, OIG DoD, 400 Army
Navy Drive, Arlington, VA 22202, (703)
602–4516.
SUPPLEMENTARY INFORMATION: In
accordance with 5 U.S.C. 4314(c)(4), the
following executives are appointed to
the DoD OIG, PRB:
Charles W. Beardall, Director, Defense
Criminal Investigative Service,
Assistant Inspector General for
Investigations, ODIG–INV.
Patricia A. Brannin, Assistant Inspector
General for Audit Policy and
Oversight, ODIG–I&P.
Paul J. Granetto, Assistant Inspector
General for Defense Financial
Auditing Service, ODIG–AUD.
L. Jerry Hansen, Deputy Inspector
General for Inspections and Policy.
Melissa Heist, Assistant Inspector
General for Audit, Environmental
Protection Agency.
Donald M. Horstman, Director of
Investigations of Senior Officials,
ODIG–INV.
William B. Morrison, Assistant
Inspector General for Inspections and
Evaluations, ODIG–I&P.
Richard T. Race, Deputy Inspector
General for Investigations.
Francis E. Reardon, Deputy Inspector
General for Auditing.
George Rippey, Deputy Assistant
Inspector General for Audit Services,
Department of Education.
Linda Snider, Director for Audit Policy
and Administration Sanford Parnes
Counsel to the Inspector General,
Department of Energy.
Mary L. Ugone, Assistant Inspector
General for Acquisition and
Technology Management, ODIG–
AUD.
R. Keith West, Assistant Inspector
General for Audit Follow-Up and
Technical Support, ODIG–AUD.
Eugene L. Waszily, Assistant Inspector
General for Auditing, General
Services Administration.
Daniel F. Willkens, Deputy Director,
Defense Criminal Investigative
Service, ODIG–INV.
Shelton R. Young, Assistant Inspector
General for Intelligence, ODIG–
INTEL.
Dated: October 18, 2005.
L.M. Bynum,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 05–21183 Filed 10–21–05; 8:45 am]
BILLING CODE 5001–06–M
DEPARTMENT OF EDUCATION
Submission for OMB Review;
Comment Request
AGENCY:
Department of Education.
VerDate Aug<31>2005
15:19 Oct 21, 2005
Jkt 208001
SUMMARY: The Leader, Information
Management Case Services Team,
Regulatory Information Management
Services, Office of the Chief Information
Officer invites comments on the
submission for OMB review as required
by the Paperwork Reduction Act of
1995.
Interested persons are invited to
submit comments on or before
November 23, 2005.
ADDRESSES: Written comments should
be addressed to the Office of
Information and Regulatory Affairs,
Attention: Rachel Potter, Desk Officer,
Department of Education, Office of
Management and Budget, 725 17th
Street, NW., Room 10222, New
Executive Office Building, Washington,
DC 20503 or faxed to (202) 395–6974.
SUPPLEMENTARY INFORMATION: Section
3506 of the Paperwork Reduction Act of
1995 (44 U.S.C. Chapter 35) requires
that the Office of Management and
Budget (OMB) provide interested
Federal agencies and the public an early
opportunity to comment on information
collection requests. OMB may amend or
waive the requirement for public
consultation to the extent that public
participation in the approval process
would defeat the purpose of the
information collection, violate State or
Federal law, or substantially interfere
with any agency’s ability to perform its
statutory obligations. The Leader,
Information Management Case Services
Team, Regulatory Information
Management Services, Office of the
Chief Information Officer, publishes that
notice containing proposed information
collection requests prior to submission
of these requests to OMB. Each
proposed information collection,
grouped by office, contains the
following: (1) Type of review requested,
e.g. new, revision, extension, existing or
reinstatement; (2) Title; (3) Summary of
the collection; (4) Description of the
need for, and proposed use of, the
information; (5) Respondents and
frequency of collection; and (6)
Reporting and/or Recordkeeping
burden. OMB invites public comment.
DATES:
Dated: October 18, 2005.
Angela C. Arrington,
Leader, Information Management Case
Services Team, Regulatory Information
Management Services, Office of the Chief
Information Officer.
Office of Intergovernmental and
Interagency Affairs
Type of Review: Revision.
Title: No Child Left Behind—Blue
Ribbon Schools Program.
Frequency: One time.
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Affected Public: State, local, or tribal
gov’t, SEAs or LEAs; Not-for-profit
institutions.
Reporting and Recordkeeping Hour
Burden:
Responses: 413.
Burden Hours: 16,420.
Abstract: The purpose of the program
is to recognize and present as models
elementary and secondary schools in
the United States with high numbers of
students from disadvantaged
backgrounds that dramatically improve
student performance to a high level on
state or nationally-normed assessments
and to recognize schools whose students
achieve in the top 10 percent on state
or nationally-normed assessments.
Requests for copies of the information
collection submission for OMB review
may be accessed from https://
edicsweb.ed.gov, by selecting the
‘‘Browse Pending Collections’’ link and
by clicking on link number 2862. When
you access the information collection,
click on ‘‘Download Attachments’ to
view. Written requests for information
should be addressed to U.S. Department
of Education, 400 Maryland Avenue,
SW., Potomac Center, 9th Floor,
Washington, DC 20202–4700. Requests
may also be electronically mailed to the
Internet address OCIO_RIMG@ed.gov or
faxed to 202–245–6623. Please specify
the complete title of the information
collection when making your request.
Comments regarding burden and/or
the collection activity requirements
should be directed to Katrina Ingalls at
her e-mail address
Katrina.Ingalls@ed.gov. Individuals who
use a telecommunications device for the
deaf (TDD) may call the Federal
Information Relay Service (FIRS) at 1–
800–877–8339.
[FR Doc. 05–21204 Filed 10–21–05; 8:45 am]
BILLING CODE 4000–01–P
DEPARTMENT OF EDUCATION
Privacy Act of 1974; System of
Records—Presidential Scholars
Program Files and PSAonline
Application System (18–06–03)
Office of Communications and
Outreach, Department of Education.
ACTION: Notice of an altered system of
records.
AGENCY:
SUMMARY: In accordance with the
Privacy Act of 1974, as amended
(Privacy Act), we publish this notice to
amend the system of records entitled
‘‘Presidential Scholars Program Files
and PSAonline Application System’’
(18–06–03) to reflect the fact that the
general support system for the
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[Federal Register Volume 70, Number 204 (Monday, October 24, 2005)]
[Notices]
[Pages 61435-61436]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-21183]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
Senior Executive Service Performance Review Board
AGENCY: Department of Defense Office of the Inspector General.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice announces the appointment of the members of the
Senior Executive Service (SES) Performance Review Board (PRB) for the
Department of Defense Office of the Inspector General (DoD OIG), as
required by 5 U.S.C. 4314(c)(4). The PRB provides fair and impartial
review of SES performance appraisals and makes recommendations
regarding performance ratings and performance awards to the Inspector
General.
DATES: October 20, 2005.
FOR FURTHER INFORMATION CONTACT: Mr. Michael Peterson, Director, Human
Capital Management Directorate, Office
[[Page 61436]]
of the Chief of Staff, OIG DoD, 400 Army Navy Drive, Arlington, VA
22202, (703) 602-4516.
SUPPLEMENTARY INFORMATION: In accordance with 5 U.S.C. 4314(c)(4), the
following executives are appointed to the DoD OIG, PRB:
Charles W. Beardall, Director, Defense Criminal Investigative Service,
Assistant Inspector General for Investigations, ODIG-INV.
Patricia A. Brannin, Assistant Inspector General for Audit Policy and
Oversight, ODIG-I&P.
Paul J. Granetto, Assistant Inspector General for Defense Financial
Auditing Service, ODIG-AUD.
L. Jerry Hansen, Deputy Inspector General for Inspections and Policy.
Melissa Heist, Assistant Inspector General for Audit, Environmental
Protection Agency.
Donald M. Horstman, Director of Investigations of Senior Officials,
ODIG-INV.
William B. Morrison, Assistant Inspector General for Inspections and
Evaluations, ODIG-I&P.
Richard T. Race, Deputy Inspector General for Investigations.
Francis E. Reardon, Deputy Inspector General for Auditing.
George Rippey, Deputy Assistant Inspector General for Audit Services,
Department of Education.
Linda Snider, Director for Audit Policy and Administration Sanford
Parnes Counsel to the Inspector General, Department of Energy.
Mary L. Ugone, Assistant Inspector General for Acquisition and
Technology Management, ODIG-AUD.
R. Keith West, Assistant Inspector General for Audit Follow-Up and
Technical Support, ODIG-AUD.
Eugene L. Waszily, Assistant Inspector General for Auditing, General
Services Administration.
Daniel F. Willkens, Deputy Director, Defense Criminal Investigative
Service, ODIG-INV.
Shelton R. Young, Assistant Inspector General for Intelligence, ODIG-
INTEL.
Dated: October 18, 2005.
L.M. Bynum,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 05-21183 Filed 10-21-05; 8:45 am]
BILLING CODE 5001-06-M
