TRICARE, Formerly Known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Fiscal Year (FY) 2008 Mental Health Rate Updates, 55751-55752 [07-4829]

Download as PDF 55751 Federal Register / Vol. 72, No. 189 / Monday, October 1, 2007 / Notices Special Accommodations This meeting is physically accessible to people with disabilities. Requests for sign language interpretation or other auxiliary aids should be directed to Ms. Carolyn Porter at (503) 820–2280 at least 5 days prior to the meeting date. Dated: September 26, 2007. Tracey L. Thompson, Acting Director, Office of Sustainable Fisheries, National Marine Fisheries Service. [FR Doc. E7–19319 Filed 9–28–07; 8:45 am] BILLING CODE 3510–22–S DEPARTMENT OF DEFENSE Office of the Secretary TRICARE, Formerly Known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Fiscal Year (FY) 2008 Mental Health Rate Updates Department of Defense. Notice of updated mental health per diem rates. AGENCY: ACTION: SUMMARY: This notice provides for the updating of institution-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 lowvolume providers for FY 2008 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 FY 2008. DATES: Effective Date: The FY 2008 rates contained in this notice are effective for services occurring on or after October 1. 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 FY. 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 2008, 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 2008 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 2007 updated by 3.4 percent for FY 2008. Partial hospitalization rates for full-day and half-day programs will also be updated by 3.4 percent for FY 2008. The cap amount for high-volume hospitals and units will also be updated by the 3.4 percent for FY 2008. The beneficiary cost share for low volume hospitals and units will also be updated by the 3.4 percent for FY 2008. Consistent with Medicare, the wage portion of the regional rate subject to the area wage adjustment is 75.788 percent for FY 2008. The following reflect an update of 3.4 percent for FY 2008. Regional Specific Rates for Psychiatric Hospitals and Units With Low TRICARE Volume UNITED STATES CENSUS REGION Rate @ Northeast: New England ......................... Mid-Atlantic ............................ Midwest: East North Central ................. West North Central ................ South: South Atlantic ........................ East South Central ................ West South Central ............... West: Mountain ................................ Pacific .................................... Puerto Rico ............................ $707 681 588 555 701 750 639 638 754 481 @ Wage portion of the rate, subject to the area wage adjustment—75.788. Beneficiary cost share: Beneficiary cost-share (other than dependents of Active Duty members) for care paid on the basis of a regional per diem rate is the lower of $187 per day or 25 percent of the hospital billed charges effective for services rendered on or after October 1, 2007. Cap Amount: Updated cap amount for hospitals and units with high TRICARE volume is $889 per day for FY 2008. The following reflect an update of 3.4 percent for FY 2008. PARTIAL HOSPITALIZATION RATES FOR FULL-DAY AND HALF-DAY PROGRAMS [Fiscal year 2007] Full-day rate (6 hours or more) mstockstill on PROD1PC66 with NOTICES United States Census Region Northeast: New England (Maine, N.H., Vt., Mass., R.I., Conn.) ........................................................................... Mid-Atlantic: (N.Y., N.J., Penn.) ................................................................................................................................ Midwest: East North Central (Ohio, Ind., Ill., Mich., Wis.) ................................................................................... West North Central: (Minn., Iowa, Mo., N.D., S.D., Neb., Kan.) ........................................................................................... South: South Atlantic (Del., Md., D.C., Va., W.Va., N.C., S.C., Ga., Fla.) ..................................................... East South Central: (Ky., Tenn., Aa., Miss.) ......................................................................................................................... West South Central: (Ark., La., Texas, Okla.) ....................................................................................................................... West: Mountain (Mon., Idaho, Wyo., Col., N.M., Ariz., Utah, Nev.) ............................................................... Pacific (Wash., Ore., Calif., Alaska, Hawaii) ........................................................................................ Puerto Rico .................................................................................................................................................. VerDate Aug<31>2005 19:03 Sep 28, 2007 Jkt 214001 PO 00000 Frm 00016 Fmt 4703 Sfmt 4703 E:\FR\FM\01OCN1.SGM Half-day rate (3–5 hours) $284 308 232 271 203 271 203 292 219 315 237 315 237 318 312 203 01OCN1 $214 240 234 153 55752 Federal Register / Vol. 72, No. 189 / Monday, October 1, 2007 / Notices The above rates are effective for services rendered on or after October 1, 2007. CHANGES: DMDC 01 SYSTEM IDENTIFIER: SYSTEM NAME: Dated: September 25, 2007. L.M. Bynum, Alternate OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. 07–4829 Filed 9–28–7; 8:45 am] Delete entry and replace with ‘‘DMDC 01’’. * * * * * BILLING CODE 5001–06–M Add to entry ‘‘Guard and Reserve civilian employment information.’’ CATEGORIES OF RECORDS IN THE SYSTEM: DEPARTMENT OF DEFENSE ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES OF USERS AND THE PURPOSES OF SUCH USES: Office of the Secretary of Defense [DoD–2007–OS–0109] Privacy Act of 1974; System of Records Office of the Secretary, DoD. Notice to amend two systems of AGENCY: ACTION: records. NOTIFICATION PROCEDURE: The Office of the Secretary of Defense is amending two systems of records notices in its existing inventory of record systems subject to the Privacy Act of 1974, (5 U.S.C. 552a), as amended. DATES: This proposed action will be effective without further notice on October 31, 2007 unless comments are received which result in a contrary determination. ADDRESSES: Send comments to the OSD Privacy Act Coordinator, Records Management Section, Washington Headquarters Services, 1155 Defense Pentagon, Washington, DC 20301–1155. FOR FURTHER INFORMATION CONTACT: Ms. Karen Finnegan at (703) 696–3081. SUPPLEMENTARY INFORMATION: The Office of the Secretary of Defense systems of records notices subject to the Privacy Act of 1974, (5 U.S.C. 552a), as amended, have been published in the Federal Register and are available from the address above. The specific changes to the record systems being amended are set forth below followed by the notice, as amended, published in its entirety. The proposed amendments are not within the purview of subsection (r) of the Privacy Act of 1974, (5 U.S.C. 552a), as amended, which requires the submission of a new or altered system report. mstockstill on PROD1PC66 with NOTICES SUMMARY: Dated: September 25, 2007. L.M. Bynum, Alternative OSD Federal Register Liaison Officer, Department of Defense. S322.10 DMDC SYSTEM NAME: Defense Manpower Data Center Data Base (January 8, 2007, 72 FR 737). VerDate Aug<31>2005 Delete entry and replace with ‘‘The DoD ‘Blanket Routine Uses’ set forth at the beginning of the OSD compilation of systems of records notices apply to this system.’’ * * * * * 18:31 Sep 28, 2007 Jkt 214001 Delete entry and replace with ‘‘Individuals seeking to determine whether information about themselves is contained in this system should address written inquiries to the Privacy Act Officer, Office of Freedom of Information, Washington Headquarters Services, 1155 Defense Pentagon, Washington, DC 20301–1155. Written requests should contain the individual’s full name, Social Security Number (SSN), date of birth, and current address and telephone number of the individual.’’ RECORD ACCESS PROCEDURES: Delete entry and replace with ‘‘Individuals seeking access to information about themselves contained in this system should address written inquiries to the Privacy Act Officer, Office of Freedom of Information, Washington Headquarters Services, 1155 Defense Pentagon, Washington, DC 20301–1155. Written requests should contain the individual’s full name, Social Security Number (SSN), date of birth, and current address and telephone number of the individual.’’ CONTESTING RECORD PROCEDURES: Delete entry and replace with ‘‘The OSD rules for accessing records, for contesting contents and appealing initial agency determinations are published in OSD Administrative Instruction 81; 32 CFR part 311; or may be obtained from the Privacy Act Officer, Office of Freedom of Information, Washington Headquarters Services, 1155 Defense Pentagon, Washington, DC 20301–1155. * * * * * PO 00000 Frm 00017 Fmt 4703 Sfmt 4703 Defense Manpower Data Center Data Base SYSTEM LOCATION: Naval Postgraduate School Computer Center, Naval Postgraduate School, Monterey, CA 93943–5000. CATEGORIES OF INDIVIDUALS COVERED BY THE SYSTEM: All Army, Navy, Air Force, and Marine Corps officer and enlisted personnel who served on active duty from July 1, 1968, and after or who have been a member of a reserve component since July 1975; retired Army, Navy, Air Force, and Marine Corps officer and enlisted personnel; active and retired Coast Guard personnel; active and retired members of the commissioned corps of the National Oceanic and Atmospheric Administration; active and retired members of the commissioned corps of the Public Health Service; participants in Project 100,000 and Project Transition, and the evaluation control groups for these programs. All individuals examined to determine eligibility for military service at an Armed Forces Entrance and Examining Station from July 1, 1970, and later. Current and former DOD civilian employees since January 1, 1972. All veterans who have used the GI Bill education and training employment services office since January 1, 1971. All veterans who have used GI Bill education and training entitlements, who visited a state employment service office since January 1, 1971, or who participated in a Department of Labor special program since July 1, 1971. All individuals who ever participated in an educational program sponsored by the U.S. Armed Forces Institute and all individuals who ever participated in the Armed Forces Vocational Aptitude Testing Programs at the high school level since September 1969. Participants in the Department of Health and Human Services National Longitudinal Survey. Survivors of retired military personnel who are eligible for or currently receiving disability payments or disability income compensation from the Department of Veteran Affairs; surviving spouses of active or retired deceased military personnel; 100% disabled veterans and their survivors; survivors of retired Coast Guard personnel; and survivors of retired officers of the National Oceanic and Atmospheric Administration and the Public Health Service who are eligible for or are currently receiving Federal payments due to the death of the retiree. E:\FR\FM\01OCN1.SGM 01OCN1

Agencies

[Federal Register Volume 72, Number 189 (Monday, October 1, 2007)]
[Notices]
[Pages 55751-55752]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 07-4829]


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DEPARTMENT OF DEFENSE

Office of the Secretary


TRICARE, Formerly Known as the Civilian Health and Medical 
Program of the Uniformed Services (CHAMPUS); Fiscal Year (FY) 2008 
Mental Health Rate Updates

AGENCY: Department of Defense.

ACTION: Notice of updated mental health per diem rates.

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

SUMMARY: This notice provides for the updating of institution-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 2008 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 FY 2008.

DATES: Effective Date: The FY 2008 rates contained in this notice are 
effective for services occurring on or after October 1.

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 FY. 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 2008, 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 2008 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 2007 updated by 3.4 
percent for FY 2008. Partial hospitalization rates for full-day and 
half-day programs will also be updated by 3.4 percent for FY 2008. The 
cap amount for high-volume hospitals and units will also be updated by 
the 3.4 percent for FY 2008. The beneficiary cost share for low volume 
hospitals and units will also be updated by the 3.4 percent for FY 
2008.
    Consistent with Medicare, the wage portion of the regional rate 
subject to the area wage adjustment is 75.788 percent for FY 2008. The 
following reflect an update of 3.4 percent for FY 2008.

Regional Specific Rates for Psychiatric Hospitals and Units With Low 
TRICARE Volume

                       United States Census Region
------------------------------------------------------------------------
                                                                 Rate @
------------------------------------------------------------------------
Northeast:
    New England..............................................       $707
    Mid-Atlantic.............................................        681
Midwest:
    East North Central.......................................        588
    West North Central.......................................        555
South:
    South Atlantic...........................................        701
    East South Central.......................................        750
    West South Central.......................................        639
West:
    Mountain.................................................        638
    Pacific..................................................        754
    Puerto Rico..............................................        481
------------------------------------------------------------------------
@ Wage portion of the rate, subject to the area wage adjustment--75.788.

    Beneficiary cost share: Beneficiary cost-share (other than 
dependents of Active Duty members) for care paid on the basis of a 
regional per diem rate is the lower of $187 per day or 25 percent of 
the hospital billed charges effective for services rendered on or after 
October 1, 2007.
    Cap Amount: Updated cap amount for hospitals and units with high 
TRICARE volume is $889 per day for FY 2008.
    The following reflect an update of 3.4 percent for FY 2008.

    Partial Hospitalization Rates for Full-Day and Half-Day Programs
                           [Fiscal year 2007]
------------------------------------------------------------------------
                                    Full-day rate  (6  Half-day rate  (3-
    United States Census Region       hours or more)        5 hours)
------------------------------------------------------------------------
Northeast:
    New England (Maine, N.H., Vt.,               $284               $214
     Mass., R.I., Conn.)..........
Mid-Atlantic:
    (N.Y., N.J., Penn.)...........                308                232
Midwest:
    East North Central (Ohio,                     271                203
     Ind., Ill., Mich., Wis.).....
West North Central:
    (Minn., Iowa, Mo., N.D., S.D.,                271                203
     Neb., Kan.)..................
South:
    South Atlantic (Del., Md.,                    292                219
     D.C., Va., W.Va., N.C., S.C.,
     Ga., Fla.)...................
East South Central:
    (Ky., Tenn., Aa., Miss.)......                315                237
West South Central:
    (Ark., La., Texas, Okla.).....                315                237
West:
    Mountain (Mon., Idaho, Wyo.,                  318                240
     Col., N.M., Ariz., Utah,
     Nev.)........................
    Pacific (Wash., Ore., Calif.,                 312                234
     Alaska, Hawaii)..............
Puerto Rico.......................                203                153
------------------------------------------------------------------------


[[Page 55752]]

    The above rates are effective for services rendered on or after 
October 1, 2007.

    Dated: September 25, 2007.
L.M. Bynum,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 07-4829 Filed 9-28-7; 8:45 am]
BILLING CODE 5001-06-M
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