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]
=======================================================================
-----------------------------------------------------------------------
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