Reasonable Charges for Medical Care or Services; 2009 Calendar Year Update, 75495 [E8-29390]
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Federal Register / Vol. 73, No. 239 / Thursday, December 11, 2008 / Notices
rounded down to the whole dollar
amount.
Computation of Calendar Year 2009
Medication Copayment Amount
Includes:
a. Prescription Drug Medical
Consumer Price Index as of September
30, 2008 = 377.1.
b. Prescription Drug Medical
Consumer Price Index as of September
30, 2001 = 304.8.
c. Index = 377.1 divided by 304.8 =
1.2371.
d. (INDEX) × $7 = $8.66.
e. Copayment amount = $8.00.
Dated: December 4, 2008.
Gordon Mansfield,
Deputy Secretary of Veterans Affairs.
[FR Doc. E8–29327 Filed 12–10–08; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
Reasonable Charges for Medical Care
or Services; 2009 Calendar Year
Update
Department of Veterans Affairs.
Notice.
AGENCY:
mstockstill on PROD1PC66 with NOTICES
ACTION:
SUMMARY: Title 38 of the Code of Federal
Regulations (CFR), § 17.101 sets forth
the Department of Veterans Affairs (VA)
medical regulations concerning
‘‘reasonable charges’’ for medical care or
services provided or furnished by VA to
a veteran for : (1) A non-serviceconnected disability for which the
veteran is entitled to care or the
payment of expenses for care under a
health plan contract; (2) a non-serviceconnected disability incurred incident
to the veteran’s employment and
covered under a worker’s compensation
law or plan that provides
reimbursement or indemnification for
such care and services; or (3) a nonservice-connected disability incurred as
a result of a motor vehicle accident in
a State that requires automobile
accident reparations insurance.
The regulations include
methodologies for establishing billed
amounts for the following types of
charges: Acute inpatient facility charges;
skilled nursing facility and sub-acute
inpatient facility charges; partial
hospitalization facility charges;
outpatient facility charges; physician
and other professional charges,
including professional charges for
anesthesia services and dental services;
pathology and laboratory charges;
VerDate Aug<31>2005
17:27 Dec 10, 2008
Jkt 217001
observation care facility charges;
ambulance and other emergency
transportation charges; and charges for
durable medical equipment, drugs,
injectables, and other medical services,
items, and supplies identified by
Healthcare Common Procedure Coding
System (HCPCS) Level II codes. The
regulations also provide that data for
calculating actual charge amounts at
individual VA facilities based on these
methodologies will either be published
as a notice in the Federal Register or
will be posted on the Internet site of the
Veterans Health Administration Chief
Business Office, currently at https://
www.va.gov/cbo, under ‘‘Charge Data.’’
The charge tables and supplemental
tables that are applicable to this Federal
Register notice can be viewed on the
Veterans Health Administration Chief
Business Office’s Intranet and Internet
Web sites. Certain charges are hereby
updated as described in the
SUPPLEMENTARY INFORMATION Section of
this notice. These changes are effective
January 1, 2009.
In circumstances when charges for
medical care or services provided or
furnished at VA expense, by either VA
or non-VA providers, have not been
established under other provisions or
regulations, the method for determining
VA’s charges is set forth at 38 CFR
17.101(a)(8).
FOR FURTHER INFORMATION CONTACT:
Romona Greene, Chief Business Office
(168), Veterans Health Administration,
Department of Veterans Affairs, 810
Vermont Avenue, NW., Washington, DC
20420, (202) 461–1595. (This is not a
toll-free number.)
SUPPLEMENTARY INFORMATION: Of the
charge types listed in the Summary
section of this notice, acute inpatient
facility charges and skilled nursing
facility/sub-acute inpatient facility
charges are not being changed. Acute
inpatient facility charges remain the
same as set forth in a notice published
in the Federal Register on October 1,
2008 (73 FR 57219). VA’s current
inpatient charge structure utilizes the
methodology set forth in 38 CFR 17.101
and does not itemize inpatient bills.
Skilled nursing facility/sub-acute
inpatient facility charges also remain
the same as set forth in a notice
published in the Federal Register on
October 1, 2008 (73 FR 57219).
Based on the methodologies set forth
in 38 CFR 17.101, this document
provides an update to charges for 2009
HCPCS Level II and Current Procedural
Technology (CPT) codes. Charges are
PO 00000
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Fmt 4703
Sfmt 4703
75495
also being updated based on more
recent versions of data sources for the
following charge types: Partial
hospitalization facility charges;
outpatient facility charges; physician
and other professional charges,
including professional charges for
anesthesia services and dental services;
pathology and laboratory charges;
observation care facility charges;
ambulance and other emergency
transportation charges; and charges for
durable medical equipment, drugs,
injectables, and other medical services,
items, and supplies identified by
HCPCS Level II codes. These updated
charges are effective January 1, 2009.
In this update, we are retaining the
table designations used for HCPCS Level
II and Current Procedural Technology
(CPT) Codes in the notice posted on the
Internet site of the Veterans Health
Administration Chief Business Office
currently at https://www.va.gov/cbo,
under ‘‘Charge Data.’’ The effective date
of this change was December 26, 2007
and the notice can also be found in the
Federal Register (72 FR 73063).
Accordingly, the tables identified as
being updated by this notice correspond
to the applicable tables posted on the
Internet with the notice, beginning with
Table C.
VA has updated the list of data
sources presented in Supplementary
Table 1 to reflect the updated data
sources used to establish the updated
charges described in this notice.
The list of VA medical facility
locations has also been updated. As a
reminder, in Supplementary Table 3 we
set forth the list of VA medical facility
locations, which includes the first three
digits of their zip codes and provider
based/non-provider based designations.
Consistent with the VA’s regulations,
the updated data tables and
supplementary tables containing the
changes described in this notice will be
posted on the Internet site of the
Veterans Health Administration Chief
Business Office, currently at https://
www.va.gov/cbo, under ’’Charge Data
(Rates).’’ The updated data tables and
supplementary tables containing the
changes described will be effective until
changed by a subsequent Federal
Register notice.
Approved: December 4, 2008.
Gordon H. Mansfield,
Deputy Secretary of Veterans Affairs.
[FR Doc. E8–29390 Filed 12–10–08; 8:45 am]
BILLING CODE 8320–01–P
E:\FR\FM\11DEN1.SGM
11DEN1
Agencies
[Federal Register Volume 73, Number 239 (Thursday, December 11, 2008)]
[Notices]
[Page 75495]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-29390]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
Reasonable Charges for Medical Care or Services; 2009 Calendar
Year Update
AGENCY: Department of Veterans Affairs.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: Title 38 of the Code of Federal Regulations (CFR), Sec.
17.101 sets forth the Department of Veterans Affairs (VA) medical
regulations concerning ``reasonable charges'' for medical care or
services provided or furnished by VA to a veteran for : (1) A non-
service-connected disability for which the veteran is entitled to care
or the payment of expenses for care under a health plan contract; (2) a
non-service-connected disability incurred incident to the veteran's
employment and covered under a worker's compensation law or plan that
provides reimbursement or indemnification for such care and services;
or (3) a non-service-connected disability incurred as a result of a
motor vehicle accident in a State that requires automobile accident
reparations insurance.
The regulations include methodologies for establishing billed
amounts for the following types of charges: Acute inpatient facility
charges; skilled nursing facility and sub-acute inpatient facility
charges; partial hospitalization facility charges; outpatient facility
charges; physician and other professional charges, including
professional charges for anesthesia services and dental services;
pathology and laboratory charges; observation care facility charges;
ambulance and other emergency transportation charges; and charges for
durable medical equipment, drugs, injectables, and other medical
services, items, and supplies identified by Healthcare Common Procedure
Coding System (HCPCS) Level II codes. The regulations also provide that
data for calculating actual charge amounts at individual VA facilities
based on these methodologies will either be published as a notice in
the Federal Register or will be posted on the Internet site of the
Veterans Health Administration Chief Business Office, currently at
https://www.va.gov/cbo, under ``Charge Data.'' The charge tables and
supplemental tables that are applicable to this Federal Register notice
can be viewed on the Veterans Health Administration Chief Business
Office's Intranet and Internet Web sites. Certain charges are hereby
updated as described in the SUPPLEMENTARY INFORMATION Section of this
notice. These changes are effective January 1, 2009.
In circumstances when charges for medical care or services provided
or furnished at VA expense, by either VA or non-VA providers, have not
been established under other provisions or regulations, the method for
determining VA's charges is set forth at 38 CFR 17.101(a)(8).
FOR FURTHER INFORMATION CONTACT: Romona Greene, Chief Business Office
(168), Veterans Health Administration, Department of Veterans Affairs,
810 Vermont Avenue, NW., Washington, DC 20420, (202) 461-1595. (This is
not a toll-free number.)
SUPPLEMENTARY INFORMATION: Of the charge types listed in the Summary
section of this notice, acute inpatient facility charges and skilled
nursing facility/sub-acute inpatient facility charges are not being
changed. Acute inpatient facility charges remain the same as set forth
in a notice published in the Federal Register on October 1, 2008 (73 FR
57219). VA's current inpatient charge structure utilizes the
methodology set forth in 38 CFR 17.101 and does not itemize inpatient
bills. Skilled nursing facility/sub-acute inpatient facility charges
also remain the same as set forth in a notice published in the Federal
Register on October 1, 2008 (73 FR 57219).
Based on the methodologies set forth in 38 CFR 17.101, this
document provides an update to charges for 2009 HCPCS Level II and
Current Procedural Technology (CPT) codes. Charges are also being
updated based on more recent versions of data sources for the following
charge types: Partial hospitalization facility charges; outpatient
facility charges; physician and other professional charges, including
professional charges for anesthesia services and dental services;
pathology and laboratory charges; observation care facility charges;
ambulance and other emergency transportation charges; and charges for
durable medical equipment, drugs, injectables, and other medical
services, items, and supplies identified by HCPCS Level II codes. These
updated charges are effective January 1, 2009.
In this update, we are retaining the table designations used for
HCPCS Level II and Current Procedural Technology (CPT) Codes in the
notice posted on the Internet site of the Veterans Health
Administration Chief Business Office currently at https://www.va.gov/
cbo, under ``Charge Data.'' The effective date of this change was
December 26, 2007 and the notice can also be found in the Federal
Register (72 FR 73063). Accordingly, the tables identified as being
updated by this notice correspond to the applicable tables posted on
the Internet with the notice, beginning with Table C.
VA has updated the list of data sources presented in Supplementary
Table 1 to reflect the updated data sources used to establish the
updated charges described in this notice.
The list of VA medical facility locations has also been updated. As
a reminder, in Supplementary Table 3 we set forth the list of VA
medical facility locations, which includes the first three digits of
their zip codes and provider based/non-provider based designations.
Consistent with the VA's regulations, the updated data tables and
supplementary tables containing the changes described in this notice
will be posted on the Internet site of the Veterans Health
Administration Chief Business Office, currently at https://www.va.gov/
cbo, under ''Charge Data (Rates).'' The updated data tables and
supplementary tables containing the changes described will be effective
until changed by a subsequent Federal Register notice.
Approved: December 4, 2008.
Gordon H. Mansfield,
Deputy Secretary of Veterans Affairs.
[FR Doc. E8-29390 Filed 12-10-08; 8:45 am]
BILLING CODE 8320-01-P