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
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