TRICARE Formerly Known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Fiscal Year 2007 Mental Health Rate Updates, 60114-60116 [06-8628]

Download as PDF 60114 Federal Register / Vol. 71, No. 197 / Thursday, October 12, 2006 / Notices TRICARE/CHAMPUS DRG-based payment system are in 32 CFR part 199. Dated: October 5, 2006. L.M. Bynum, Alternate OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. 06–8624 Filed 10–11–06; 8:45 am] BILLING CODE 5001–06–M Office of the Secretary TRICARE Formerly Known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Fiscal Year 2007 Mental Health Rate Updates Office of the Secretary, DoD. Notice of updated mental health per diem rates. AGENCY: ACTION: rwilkins on PROD1PC63 with NOTICES SUMMARY: This notice provides for the updating of hospital-specific per diem rates for high volume providers and regional per diem rates for low volume providers; the updated cap per diem for high volume providers; the beneficiary per diem cost-share amount for low volume providers for FY 2007 under the 16:21 Oct 11, 2006 Jkt 211001 Effective Date: The fiscal year 2007 rates contained in this notice are effective for services occurring on or after October 1, 2006. DATES: FOR FURTHER INFORMATION CONTACT: DEPARTMENT OF DEFENSE VerDate Aug<31>2005 TRICARE Mental Health Per Diem Payment System; and the updated per diem rates for both full-day and half-day TRICARE Partial Hospitalization Programs for fiscal year 2007. Christine Covie, Office of Medical Benefits and Reimbursement Systems, TRICARE Management Activity, telephone (303) 676–3841. The final rule published in the Federal Register on September 6, 1988, (53 FR 34285) set forth reimbursement changes that were effective for all inpatient hospital admissions in psychiatric hospitals and exempt psychiatric units occurring on or after January 1, 1989. The final rule published in the Federal Register on July 1, 1993, (58 FR 35–400) set forth maximum per diem rates for all partial hospitalization admissions on or after September 29, 1993. Included in these final rules were provisions for updating reimbursement rates for each federal fiscal year. As stated in the final rules, SUPPLEMENTARY INFORMATION: PO 00000 Frm 00008 Fmt 4703 Sfmt 4703 each per diem shall be updated by the Medicare update factor for hospitals and units exempt from the Medicare Prospective Payment System. For fiscal year 2007, Medicare has recommended a rate of increase of 3.4 percent for hospitals and units excluded from the prospective payment system. TRICARE will adopt this update factor for FY 2007 as the final update factor. Hospitals and units with hospitalspecific rates (hospitals and units with high TRICARE volume) and regional specific rates for psychiatric hospitals and units with low TRICARE volume will have their TRICARE rates for FY 2006 updated by 3.4 percent for FY 2007. Partial hospitalization rates for full day and half day programs will also be updated by 3.4 percent for FY 2007. The cap amount for high volume hospitals and units will also be updated by the 3.4 percent for FY 2007. The beneficiary cost-share for low volume hospitals and units will also be updated by the 3.4 percent for FY 2007. Consistent with Medicare, the wage portion of the regional rate subject to the area wage adjustment is 75.665 percent for FY 2007. E:\FR\FM\12OCN1.SGM 12OCN1 60115 Federal Register / Vol. 71, No. 197 / Thursday, October 12, 2006 / Notices The following reflect an update of 3.4 percent for FY 2007. PARTIAL HOSPITALIZATION RATES FOR FULL-DAY AND HALF-DAY PROGRAMS FY 2007 Full-day rate (6 hours or more) Northeast: New England (ME, NH, VT, MA, RI, CT) ......................................................................................................... Mid-Atlantic (NY, NJ, PA) ................................................................................................................................. Midwest: East North Central (OH, IN, IL, MI, WI) ........................................................................................................... West North Central (MN, IA, MO, ND, SD, NE, KS) ....................................................................................... South: South Atlantic (DE, MD, DC, VA, WV, NC, SC, GA, FL) ................................................................................ East South Central (KY, TN, AL, MS) .............................................................................................................. West South Central (AR, LA, TX, OK) ............................................................................................................. West: Mountain (MT, ID, WY, CO, NM, AZ, UT, NV) ................................................................................................ Pacific (WA, OR, CA, AK, HI) .......................................................................................................................... VerDate Aug<31>2005 16:21 Oct 11, 2006 Jkt 211001 PO 00000 Frm 00009 Fmt 4703 Sfmt 4703 E:\FR\FM\12OCN1.SGM 12OCN1 Half-day rate (3–5 hours) $275 298 $207 224 262 262 196 196 282 305 305 212 229 229 308 302 232 226 EN12OC06.012</GPH> rwilkins on PROD1PC63 with NOTICES United States census region 60116 Federal Register / Vol. 71, No. 197 / Thursday, October 12, 2006 / Notices PARTIAL HOSPITALIZATION RATES FOR FULL-DAY AND HALF-DAY PROGRAMS FY 2007—Continued Full-day rate (6 hours or more) United States census region Puerto Rico 196 The above rates are effective for services rendered on or after October 1, 2006. Dated: October 5, 2006. L.M. Bynum, Alternate OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. 06–8628 Filed 10–11–06; 8:45 am] BILLING CODE 5001–06–M DEPARTMENT OF DEFENSE Office of the Secretary Defense Advisory Board Department of Defense. Notice. AGENCY: ACTION: SUMMARY: The Defense Advisory Board meeting convened at 8 a.m., Friday, September 22, 2006, but did not have a quorum. The meeting was allowed and conducted in accordance with the Federal Advisory Committee Act (FACA) exception that no deliberation or voting can take place absent a quorum. These conditions were adhered to. Additionally, hard copies of all briefings from the meeting will be forwarded to the absent members and a confirmation printout of the transmitted briefings will be kept on file as a matter of record. Location: Pentagon, Room 2E219. rwilkins on PROD1PC63 with NOTICES Attendees Members David A. Janes, Chairman, DAB; Chairman and CEO, Janes Capital Partners. Donald V. Esmond, Senior VP Automotive Operations, Toyota Motor Sales. Walter P. Havenstein, Executive Vice President, BAE Systems North America. W. Thomas Musser, Chairman of the Board, Tri-M Group, LLC and Tri-M Holdings, LLC. Kathleen M. Naylor, Director, Worldwide Executive and Leadership Development, UNISYS Corp. Joyce Reed, Community Relations Manager, Tyson Foods, Inc. Absent William T. Powell, President, Institute for Defense and Business. VerDate Aug<31>2005 16:21 Oct 11, 2006 Jkt 211001 John T. Gremp, VP–Energy Production Systems, Energy Systems Group, FMC Technologies, Inc. Bradley T. MacDonald, Chairman and CEO, Medifast, Inc. Jeffery C. Crowe, Chairman and CEO, Landstar System, Inc. Michael J. Earley, President and CEO, Bankers Trust Company. Christopher K. Komisarjevsky, President and CEO, Emeritus, Burson-Marsteller Worldwide. Kenneth L. Gile, President, Skybus Airlines. Department of Defense The Honorable Thomas F. Hall, Assistant Secretary of Defense, Reserve Affairs. Craig W. Duehring, Principal Deputy Assistant Secretary of Defense, Reserve Affairs. Bob Hollingsworth, Executive Secretary, DAB. Mr. Tom Bush, Principal Deputy Manpower & Personnel, Office of the Secretary of Defense, Reserve Affairs. Phil Pope, Designated Federal Officer, DAB. Roxie Merritt, Office of the Assistant Secretary of Defense, PA, Internal Com/Public Liaison. Ted Kehr, Director, Employer Support Division, National Guard Bureau. Public Mr. Nick Dawson, Department of Labor, Veterans Employment and Training Services. Mr. Marcus Bradshaw, Department of Labor, Veterans Employment and Training Services. Speakers The Honorable Thomas F. Hall, Assistant Secretary of Defense, Reserve Affairs. Topic: Welcome and Opening Remarks. Kathleen Naylor, Director, Worldwide Executive and Leadership Development, UNISYS Corp. and Roxie Merritt, Office of the Secretary of Defense, PA for Internal Com/ Public Liaison. Topic: Communications/Outreach Update. Nick Dawson and Marcus Bradshaw, Veteran’s Administration Department of Labor. Topic: Uniformed Services Employment and Reemployment Rights Act (USERRA). PO 00000 Frm 00010 Fmt 4703 Sfmt 4703 Half-day rate (3–5 hours) 148 Bob Hollingsworth, National Committee for Employer Support of the Guard (NCESGR) and Reserve Executive Director and DAB Executive Secretary. Topic: ESGR Outreach Status Brief. Tom Bush, Principal Deputy Manpower and Personnel, Office of the Secretary of Defense, Reserve Affairs. Topic: ‘‘Transitioning To An Operational Reserve’’. DAB Meeting Summary Meeting discussions focused on four primary areas: (1) Leveraging and implementation of long-range strategic communications plan that uses public affairs tactics designed to assist branding NCESGR, while targeting key messages to employers. (2) An information brief of USERRA rights and responsibilities as they affect Reserve Component members/ employers. (3) Employer data and impact on employers as Guard and Reserve transition from a Strategic Reserve to an Operational Reserve. (4) OSD–RA Manpower and Personnel prospective of transition to an Operational Reserve. Invited speakers discussed more aggressive public affairs efforts to enhance communications with employers; the ongoing process to educate and inform employers and Defense Advisory Board (DAB) members regarding legal rights and responsibilities under the Uniformed Services Employment and Reemployment Rights Act (USERRA); the purpose and function of NCESGR and transitioning from a Strategic Reserve to an Operational Reserve. Opening Remarks Secretary Thomas F. Hall, Assistant Secretary of Defense, Reserve Affairs Secretary Hall thanked Mr. Hollingsworth and his team for a great Leadership Conference, and the culmination of a superb Freedom Award Dinner, which also resulted in late night news coverage emphasizing the significant support provided to the nation’s Guard and Reserve by America’s exceptional employers. General Cody did a great job with his E:\FR\FM\12OCN1.SGM 12OCN1

Agencies

[Federal Register Volume 71, Number 197 (Thursday, October 12, 2006)]
[Notices]
[Pages 60114-60116]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 06-8628]


-----------------------------------------------------------------------

DEPARTMENT OF DEFENSE

Office of the Secretary


TRICARE Formerly Known as the Civilian Health and Medical Program 
of the Uniformed Services (CHAMPUS); Fiscal Year 2007 Mental Health 
Rate Updates

AGENCY: Office of the Secretary, DoD.

ACTION:  Notice of updated mental health per diem rates.

-----------------------------------------------------------------------

SUMMARY: This notice provides for the updating of hospital-specific per 
diem rates for high volume providers and regional per diem rates for 
low volume providers; the updated cap per diem for high volume 
providers; the beneficiary per diem cost-share amount for low volume 
providers for FY 2007 under the TRICARE Mental Health Per Diem Payment 
System; and the updated per diem rates for both full-day and half-day 
TRICARE Partial Hospitalization Programs for fiscal year 2007.

DATES: Effective Date: The fiscal year 2007 rates contained in this 
notice are effective for services occurring on or after October 1, 
2006.

FOR FURTHER INFORMATION CONTACT: Christine Covie, Office of Medical 
Benefits and Reimbursement Systems, TRICARE Management Activity, 
telephone (303) 676-3841.

SUPPLEMENTARY INFORMATION: The final rule published in the Federal 
Register on September 6, 1988, (53 FR 34285) set forth reimbursement 
changes that were effective for all inpatient hospital admissions in 
psychiatric hospitals and exempt psychiatric units occurring on or 
after January 1, 1989. The final rule published in the Federal Register 
on July 1, 1993, (58 FR 35-400) set forth maximum per diem rates for 
all partial hospitalization admissions on or after September 29, 1993. 
Included in these final rules were provisions for updating 
reimbursement rates for each federal fiscal year. As stated in the 
final rules, each per diem shall be updated by the Medicare update 
factor for hospitals and units exempt from the Medicare Prospective 
Payment System. For fiscal year 2007, Medicare has recommended a rate 
of increase of 3.4 percent for hospitals and units excluded from the 
prospective payment system. TRICARE will adopt this update factor for 
FY 2007 as the final update factor. Hospitals and units with hospital-
specific rates (hospitals and units with high TRICARE volume) and 
regional specific rates for psychiatric hospitals and units with low 
TRICARE volume will have their TRICARE rates for FY 2006 updated by 3.4 
percent for FY 2007. Partial hospitalization rates for full day and 
half day programs will also be updated by 3.4 percent for FY 2007. The 
cap amount for high volume hospitals and units will also be updated by 
the 3.4 percent for FY 2007. The beneficiary cost-share for low volume 
hospitals and units will also be updated by the 3.4 percent for FY 
2007. Consistent with Medicare, the wage portion of the regional rate 
subject to the area wage adjustment is 75.665 percent for FY 2007.

[[Page 60115]]

[GRAPHIC] [TIFF OMITTED] TN12OC06.012

    The following reflect an update of 3.4 percent for FY 2007.

Partial Hospitalization Rates for Full-Day and Half-Day Programs FY 2007
------------------------------------------------------------------------
                                           Full-day rate
       United States census region          (6 hours or    Half-day rate
                                               more)        (3-5 hours)
------------------------------------------------------------------------
Northeast:
    New England (ME, NH, VT, MA, RI, CT)            $275            $207
    Mid-Atlantic (NY, NJ, PA)...........             298             224
Midwest:
    East North Central (OH, IN, IL, MI,              262             196
     WI)................................
    West North Central (MN, IA, MO, ND,              262             196
     SD, NE, KS)........................
South:
    South Atlantic (DE, MD, DC, VA, WV,              282             212
     NC, SC, GA, FL)....................
    East South Central (KY, TN, AL, MS).             305             229
    West South Central (AR, LA, TX, OK).             305             229
West:
    Mountain (MT, ID, WY, CO, NM, AZ,                308             232
     UT, NV)............................
    Pacific (WA, OR, CA, AK, HI)........             302             226

[[Page 60116]]

 
Puerto Rico                                          196             148
------------------------------------------------------------------------
 

    The above rates are effective for services rendered on or after 
October 1, 2006.

    Dated: October 5, 2006.
L.M. Bynum,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 06-8628 Filed 10-11-06; 8:45 am]
BILLING CODE 5001-06-M
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.