TRICARE, Formerly Known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Fiscal Year (FY) 2009 Mental Health Rate Updates, 66864-66865 [E8-26759]

Download as PDF 66864 Federal Register / Vol. 73, No. 219 / Wednesday, November 12, 2008 / Notices which are changed periodically. All personnel whose official duties require access to the information are to have been trained in the proper safeguarding and use of the information, and are to have taken Information Assurance and Privacy Act training. mstockstill on PROD1PC66 with NOTICES RETENTION AND DISPOSAL: General files are destroyed three years after supersession or when no longer needed for reference whichever is later. These include agency-wide and departmental procedures for receiving, processing, and appealing requests for reasonable accommodation by employees and applicants. Files may include, but are not limited to, instructions, directives, notices, forms, timetables and guidelines for requesting, processing and approving requests and for appealing decisions for reasonable accommodation. Also included are records notifying the U.S. Equal Employment Opportunity Commission (EEOC), the agency’s collective bargaining representative(s), and the agency’s Equal Employment Opportunity office of the agency’s reasonable accommodation request and processing procedures as well as modifications to established procedures. Employee case files are destroyed three years after employee separation from the agency or when all appeals are concluded, whichever is later. These include individual employee files that are created, received, and maintained by the DLA Disability Program Manager, DLA Field Activity Disability Program Coordinators or employee relations coordinators, immediate supervisors, Computer/Electronic Accommodation Program (CAP) administrator, or Human Resource specialists containing records of requests by or for an employee or applicant for employment for reasonable accommodation and/or assistive technology devices and services through the agency or CAP. This series also includes, but is not limited to, request approvals and denials, notice of procedures for informal dispute resolution or appeal processes, forms, correspondence, emails, records of oral conversations, medical documentation, and notes. Supplemental files are destroyed three years after end of fiscal year in which accommodation is decided or when all appeals are concluded, whichever is later. Supplemental files may include records created, received, and maintained by the DLA Disability Program Manager, DLA Field Activity Disability Program Coordinators or employee relations coordinators, while advising on, implementing or appealing requests for or from an individual VerDate Aug<31>2005 18:30 Nov 10, 2008 Jkt 217001 employee or applicant for employment for reasonable accommodation. Some requests may involve Human Resource matters, including but not limited to changes in duties, reassignments, leave usage, and performance issues. Files may include, but are not limited to, policy guidance, resource information about accommodation providers, forms, emails, notes. Tracking system records and data created, received, and maintained for purposes of tracking agency compliance with Executive Order 13164 and U.S. Equal Employment Opportunity Commission (EEOC) guidance are deleted/destroyed three years after compliance report is filed or when no longer needed for reference. SYSTEMS MANAGER(S) AND ADDRESS: Director, Equal Employment Opportunity, Headquarters, Defense Logistics Agency, 8725 John J. Kingman Road, Fort Belvoir, VA 22060–6221. NOTIFICATION PROCEDURE: Individuals seeking to determine whether information about themselves is contained in this system should address written inquiries to the Privacy Act Office, Headquarters, Defense Logistics Agency, ATTN: DGA, 8725 John J. Kingman Road, Suite 1644, Fort Belvoir, VA 22060–6221 or to the Privacy Act Office of the DLA Field Activity where Reasonable Accommodation was requested. Official mailing addresses are published as an appendix to DLA’s compilation of systems of records notices. Written inquiry should contain the individual’s full name and the date of the request for accommodation. RECORD ACCESS PROCEDURES: Individuals seeking access to information about themselves contained in this system should address written inquiries to the Privacy Act Office, Headquarters, Defense Logistics Agency, ATTN: DGA, 8725 John J. Kingman Road, Suite 1644, Fort Belvoir, VA 22060–6221 or to the Privacy Act Office of the DLA Field Activity where Reasonable Accommodation was requested. Official mailing addresses are published as an appendix to DLA’s compilation of systems of records notices. Written inquiry should contain the individual’s full name and the date of the request for accommodation. CONTESTING RECORD PROCEDURES: The DLA rules for accessing records, for contesting contents, and appealing initial agency determinations are contained in 32 CFR part 323, or may PO 00000 Frm 00030 Fmt 4703 Sfmt 4703 be obtained from the Privacy Act Office, Headquarters, Defense Logistics Agency, ATTN: DGA, 8725 John J. Kingman Road, Suite 1644, Fort Belvoir, VA 22060–6221. RECORD SOURCE CATEGORIES: Individual requesting Reasonable Accommodation, input from individual’s supervisor/manager, documentation from individual’s medical practitioner, and/or agency medical representative. EXEMPTIONS CLAIMED FOR THE SYSTEM: None. [FR Doc. E8–26776 Filed 11–10–08; 8:45 am] BILLING CODE 5001–06–P 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) 2009 Mental Health Rate Updates Department of Defense. Notice of updated mental health rates for FY 2009. AGENCY: ACTION: SUMMARY: This notice provides the updated regional per diem rates for low volume mental health providers; the update factor for hospital-specific per diems; the updated cap per diem for high-volume providers; the beneficiary per diem cost share amount for lowvolume providers; and, the updated per diem rates for both full-day and half-day TRICARE Partial Hospitalization Programs for FY 2009. DATES: Effective Date: The FY 2009 rates contained in this notice are effective for services on or after October 1, 2008. FOR FURTHER INFORMATION CONTACT: Ann N. Fazzini, Medical Benefits and Reimbursement Branch, TRICARE Management Activity, telephone (303) 676–3803. 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, E:\FR\FM\12NON1.SGM 12NON1 66865 Federal Register / Vol. 73, No. 219 / Wednesday, November 12, 2008 / Notices each per diem shall be updated by the Medicare update factor for hospitals and units exempt from the Medicare Prospective Payment System (i.e., the update factor for inpatient psychiatric facilities). For FY 2009, Medicare has recommended a rate of increase of 3.2 percent. TRICARE will adopt this update factor for FY 2009 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 2008 updated by 3.2 percent for FY 2009. Partial hospitalization rates for full-day and half-day programs will also be updated by 3.2 percent for FY 2009. The cap amount for high-volume hospitals and units will also be updated by the 3.2 percent for FY 2009. The beneficiary cost share for low volume hospitals and units will also be updated by 3.2 percent for FY 2009. Per Title 32, Code of Federal Regulations (CFR), Part 199.14, the same area wage indexes used for the CHAMPUS DRG-based payment system shall be applied to the wage portion of the applicable regional per diem for each day of the admission. The wage portion shall be the same as that used for the CHAMPUS DRG-based payment system. For wage index values greater than 1.0, the wage portion of the regional rate subject to the area wage adjustment is 69.7 percent for FY 2009. For wage index values less than or equal to 1.0, the wage portion of the regional rate subject to the area wage adjustment is 62 percent. Additionally, Title 32, CFR Part 199.14, requires that hospital specific and regional per diems shall be updated by the Medicare update factor for hospitals and units exempt from the Medicare prospective payment system. The following reflect an update of 3.2 percent for FY 2009. REGIONAL SPECIFIC RATES FOR PSYCHIATRIC HOSPITALS AND UNITS WITH LOW TRICARE VOLUME FOR FISCAL YEAR 2009—Continued Regional rate United States Census Region East North Central .................. West North Central ................. South: South Atlantic .......................... East South Central .................. West South Central ................. West: Mountain ................................. Pacific ...................................... Puerto Rico ............................. 607 573 723 774 659 658 778 496 Beneficiary cost share: Beneficiary cost-share (other than dependents of REGIONAL SPECIFIC RATES FOR PSYActive Duty members) for care paid on CHIATRIC HOSPITALS AND UNITS the basis of a regional per diem rate is WITH LOW TRICARE VOLUME FOR the lower of $193 per day or 25 percent FISCAL YEAR 2009 of the hospital billed charges effective for services rendered on or after October Regional 1, 2008. United States Census Region rate Cap Amount: Updated cap amount for hospitals and units with high TRICARE Northeast: New England ........................... $730 volume is $917 per day for FY 2009. The following reflect an update of 3.2 Mid-Atlantic ............................. 703 percent for FY 2009. Midwest: PARTIAL HOSPITALIZATION RATES FOR FULL-DAY AND HALF-DAY PROGRAMS [Fiscal year 2009] Full-day rate (6 hours or more) 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., Al., 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 .............................................................................................................................................................. mstockstill on PROD1PC66 with NOTICES The above rates are effective for services rendered on or after October 1, 2008. Dated: November 4, 2008. Patricia L. Toppings, OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. E8–26759 Filed 11–10–08; 8:45 am] 18:30 Nov 10, 2008 Jkt 217001 $221 318 239 280 209 280 209 301 226 325 245 325 245 328 322 209 248 241 158 Notice to delete a system of Department of the Air Force [Docket ID: USAF–2008–0033] Privacy Act of 1974; System of Records Department of the Air Force, DoD. VerDate Aug<31>2005 $293 records. AGENCY: BILLING CODE 5001–06–P ACTION: DEPARTMENT OF DEFENSE Half-day rate (3–5 hours) PO 00000 Frm 00031 Fmt 4703 Sfmt 4703 SUMMARY: The Department of the Air Force is deleting a system of records in its existing inventory of record systems subject to the Privacy Act of 1974, (5 U.S.C. 552a), as amended. This proposed action will be effective without further notice on December 12, 2008, unless comments DATES: E:\FR\FM\12NON1.SGM 12NON1

Agencies

[Federal Register Volume 73, Number 219 (Wednesday, November 12, 2008)]
[Notices]
[Pages 66864-66865]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-26759]


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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) 2009 
Mental Health Rate Updates

AGENCY: Department of Defense.

ACTION: Notice of updated mental health rates for FY 2009.

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

SUMMARY: This notice provides the updated regional per diem rates for 
low volume mental health providers; the update factor for hospital-
specific per diems; the updated cap per diem for high-volume providers; 
the beneficiary per diem cost share amount for low-volume providers; 
and, the updated per diem rates for both full-day and half-day TRICARE 
Partial Hospitalization Programs for FY 2009.

DATES: Effective Date: The FY 2009 rates contained in this notice are 
effective for services on or after October 1, 2008.

FOR FURTHER INFORMATION CONTACT: Ann N. Fazzini, Medical Benefits and 
Reimbursement Branch, TRICARE Management Activity, telephone (303) 676-
3803.

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,

[[Page 66865]]

each per diem shall be updated by the Medicare update factor for 
hospitals and units exempt from the Medicare Prospective Payment System 
(i.e., the update factor for inpatient psychiatric facilities). For FY 
2009, Medicare has recommended a rate of increase of 3.2 percent. 
TRICARE will adopt this update factor for FY 2009 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 2008 updated by 3.2 percent for FY 2009. Partial 
hospitalization rates for full-day and half-day programs will also be 
updated by 3.2 percent for FY 2009. The cap amount for high-volume 
hospitals and units will also be updated by the 3.2 percent for FY 
2009. The beneficiary cost share for low volume hospitals and units 
will also be updated by 3.2 percent for FY 2009.
    Per Title 32, Code of Federal Regulations (CFR), Part 199.14, the 
same area wage indexes used for the CHAMPUS DRG-based payment system 
shall be applied to the wage portion of the applicable regional per 
diem for each day of the admission. The wage portion shall be the same 
as that used for the CHAMPUS DRG-based payment system. For wage index 
values greater than 1.0, the wage portion of the regional rate subject 
to the area wage adjustment is 69.7 percent for FY 2009. For wage index 
values less than or equal to 1.0, the wage portion of the regional rate 
subject to the area wage adjustment is 62 percent. Additionally, Title 
32, CFR Part 199.14, requires that hospital specific and regional per 
diems shall be updated by the Medicare update factor for hospitals and 
units exempt from the Medicare prospective payment system.
    The following reflect an update of 3.2 percent for FY 2009.

  Regional Specific Rates for Psychiatric Hospitals and Units With Low
                   TRICARE Volume for Fiscal Year 2009
------------------------------------------------------------------------
                                                               Regional
                 United States Census Region                     rate
------------------------------------------------------------------------
Northeast:
  New England...............................................        $730
  Mid-Atlantic..............................................         703
Midwest:
  East North Central........................................         607
  West North Central........................................         573
South:
  South Atlantic............................................         723
  East South Central........................................         774
  West South Central........................................         659
West:
  Mountain..................................................         658
  Pacific...................................................         778
  Puerto Rico...............................................         496
------------------------------------------------------------------------

    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 $193 per day or 25 percent of 
the hospital billed charges effective for services rendered on or after 
October 1, 2008.
    Cap Amount: Updated cap amount for hospitals and units with high 
TRICARE volume is $917 per day for FY 2009.
    The following reflect an update of 3.2 percent for FY 2009.

    Partial Hospitalization Rates for Full-Day and Half-Day Programs
                           [Fiscal year 2009]
------------------------------------------------------------------------
                                           Full-day rate
       United States Census Region          (6 hours or    Half-day rate
                                               more)        (3-5 hours)
------------------------------------------------------------------------
Northeast:
    New England (Maine, N.H., Vt.,                  $293            $221
     Mass., R.I., Conn.)................
Mid-Atlantic:
    (N.Y., N.J., Penn.).................             318             239
Midwest:
    East North Central (Ohio, Ind.,                  280             209
     Ill., Mich., Wis.).................
West North Central:
    (Minn., Iowa, Mo., N.D., S.D., Neb.,             280             209
     Kan.)..............................
South:
    South Atlantic (Del., Md., D.C.,                 301             226
     Va., W.Va., N.C., S.C., Ga., Fla.).
East South Central:
    (Ky., Tenn., Al., Miss.)............             325             245
West South Central:
    (Ark., La., Texas, Okla.)...........             325             245
West:
    Mountain (Mon., Idaho, Wyo., Col.,               328             248
     N.M., Ariz., Utah, Nev.)...........
    Pacific (Wash., Ore., Calif.,                    322             241
     Alaska, Hawaii)....................
Puerto Rico.............................             209             158
------------------------------------------------------------------------

    The above rates are effective for services rendered on or after 
October 1, 2008.

    Dated: November 4, 2008.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. E8-26759 Filed 11-10-08; 8:45 am]
BILLING CODE 5001-06-P
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