Extension of Provider Reimbursement Demonstration Project for the State of Alaska, 67179-67180 [E9-30090]
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Federal Register / Vol. 74, No. 242 / Friday, December 18, 2009 / Notices
personal identifiers or contact
information.
DOD Clearance Officer: Ms. Patricia
Toppings.
Written requests for copies of the
information collection proposal should
be sent to Ms. Toppings at WHS/ESD/
Information Management Division, 1777
North Kent Street, RPN, Suite 11000,
Arlington, VA 22209–2133.
Dated: December 4, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. E9–30088 Filed 12–17–09; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
Notice of an Extension of a TRICARE
Demonstration Project for the State of
Alaska
sroberts on DSKD5P82C1PROD with NOTICES
AGENCY: Office of the Secretary of
Defense (Health Affairs)/TRICARE
Management Activity, Department of
Defense.
ACTION: Notice of extension of
demonstration project.
SUMMARY: This notice advises interested
parties of the extension of a Military
Health System (MHS) demonstration
project entitled ‘‘TRICARE
Demonstration Project for the State of
Alaska.’’ The original demonstration
notice was published on May 18, 2004
(69 FR 28124–28125), and described a
demonstration project to exempt the
underwriting provisions for the cost of
civilian health care in the State of
Alaska from the TRICARE managed care
support contract for the Western Region.
The demonstration was to be conducted
for up to 5 years after the start of health
care delivery under the contract and
therefore, was scheduled to end on
March 31, 2009. On February 23, 2009,
a notice was published in the Federal
Register (74 FR 8068–8069) to extend
the demonstration for 1 additional year.
As the rulemaking process has not yet
been completed, the demonstration
project will now be extended for 1
additional year (March 31, 2011).
There is no cost impact that is caused
by this extension.
DATES: Effective Date: The extension of
the demonstration will be effective
April 1, 2010.
FOR FURTHER INFORMATION CONTACT: Mr.
Michael O’Bar, Office of the Assistant
Secretary of Defense (Health Affairs)—
TRICARE Management Activity,
TRICARE Policy and Operations
Directorate, 5111 Leesburg Pike, Suite
VerDate Nov<24>2008
17:33 Dec 17, 2009
Jkt 220001
810, Falls Church, VA 22041–3206;
telephone (703) 681–0039.
SUPPLEMENTARY INFORMATION:
A. Background
For additional information on the
TRICARE Demonstration Project for the
State of Alaska, please see 74 FR 8068–
8069. The demonstration notice focused
on the unique situation involved in the
delivery of health care services in the
State of Alaska, which cannot be
addressed fully by applying all of the atrisk standards that apply to the
TRICARE managed care support
contracts under which services are
provided in the other 49 States without
some modification. Under the extended
demonstration, the current Western
Region managed care support contractor
will continue to be exempt from the
underwriting provisions for the cost of
civilian health care in the State of
Alaska. The contractor shall provide all
the services required for Alaska as
specified in the TRICARE Operations
Manual, Chapter 23, but will not be
responsible for the underwriting fee
associated with providing those services
under that chapter. All other provisions
contained in the TRICARE managed
care support contract, TRICARE
Operations Manual (6010.51–M),
TRICARE Policy Manual 6010.54–M),
TRICARE Systems Manual (7950.1–M),
and TRICARE Reimbursement Manual
(6010.55–M), shall apply in Alaska.
B. Description of Extension of
Demonstration Project
The demonstration project will now
be extended for 1 additional year
(March 31, 2011).
Dated: December 15, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. E9–30089 Filed 12–17–09; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
Extension of Provider Reimbursement
Demonstration Project for the State of
Alaska
Department of Defense (DoD).
Notice of demonstration
extension.
AGENCY:
ACTION:
SUMMARY: This notice provides an
extension of the demonstration project
in the State of Alaska for individual
provider payment rates. Under the
demonstration, payment rates for
physicians and other non-institutional
PO 00000
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Fmt 4703
Sfmt 4703
67179
individual professional providers in the
State of Alaska have been set at a rate
higher than the Medicare rate. Further,
the enhanced portion of the State of
Alaska demonstration that provides for
reimbursement of 101 percent of
reasonable costs for inpatient and
outpatient facilities of Critical Access
Hospitals (CAHs) is terminated because
it is no longer necessary based on
publication of the TRICARE
Reimbursement of CAHs final rule (74
FR 44752) on August 31, 2009.
DATES: The portion of the demonstration
regarding payment rates for physicians
and other non-institutional providers is
extended through December 31, 2010.
The CAH portion of the demonstration
shall end on November 30, 2009.
ADDRESSES: TRICARE Management
Activity (TMA), Medical Benefits and
Reimbursement Branch, 16401 East
Centretech Parkway, Aurora, CO 80011–
9066.
FOR FURTHER INFORMATION CONTACT:
Glenn J. Corn, TRICARE Management
Activity, Medical Benefits and
Reimbursement Branch, telephone (303)
676–3566.
SUPPLEMENTARY INFORMATION: On
November 20, 2006, DoD published a
Notice of a TRICARE demonstration
project for the State of Alaska, with an
effective date of January 1, 2007 (71 FR
67113), to set payment rates for
physicians and other non-institutional
individual professional providers in the
State of Alaska at a rate higher than the
Medicare rate. The demonstration was
effective January 1, 2007, for a period of
three years, ending on December 31,
2009. Since that time, DoD has
determined that increasing provider
payment rates (factor rate increase) in
Alaska, across all services, has shown
mixed results on provider participation,
beneficiary access to care, cost of health
care services, military readiness, and
morale and welfare. The Agency feels an
extension of the demonstration is
needed to provide more time to fully
evaluate and implement a
comprehensive framework for managing
TRICARE in the State of Alaska. In the
meantime, the Agency is looking toward
developing a more comprehensive,
updated management and
reimbursement strategy that will
provide a foundation for developing and
implementing a comprehensive longterm plan through collaboration with
Federal Service Partners for mutually
accepted Federal rates. The
demonstration continues to be
conducted under statutory authority
provided in 10 United States Code 1092.
Subsequent to the publication of the
initial notice creating the increased rates
E:\FR\FM\18DEN1.SGM
18DEN1
67180
Federal Register / Vol. 74, No. 242 / Friday, December 18, 2009 / Notices
for individual providers, DoD published
a second notice on July 20, 2007,
expanding the TRICARE demonstration
project for the State of Alaska to
reimburse CAHs 101 percent of
reasonable costs for inpatient and
outpatient care with an effective date of
July 1, 2007 (72 FR 41501), using a
method similar to Medicare’s payment
for these hospitals. The CAH portion of
the State of Alaska demonstration is no
longer necessary because the DoD is
implementing such a reimbursement
system on a nationwide basis.
Consequently, the CAH portion of the
demonstration is terminated. The
TRICARE CAH final rule was published
on August 31, 2009 (74 FR 44752).
Dated: December 15, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. E9–30090 Filed 12–17–09; 8:45 am]
BILLING CODE 5001–06–P
Department of the Army; Corps of
Engineers
Extension of the Public Comment
Period for the Draft Environmental
Impact Statement for the Moffat
Collection System Project, City and
County of Denver, Adams County,
Boulder County, Jefferson County, and
Grand County, CO
sroberts on DSKD5P82C1PROD with NOTICES
AGENCY: Department of the Army, U.S.
Army Corps of Engineers, DoD.
ACTION: Notice.
SUMMARY: The U.S. Army Corps of
Engineers (Corps) Omaha District is
announcing a 32-day extension of the
public comment period for the Moffat
Collection System Project (Moffat
Project) Draft Environmental Impact
Statement (Draft EIS). The originally
announced comment period ends on
January 28, 2010, but has been extended
until March 1, 2010. The original Notice
of Availability of the Draft EIS was
published in the Federal Register on
Friday, October 30, 2009 (74 FR 56186).
DATES: Comments on the Draft EIS
should be postmarked no later than
March 1, 2010.
ADDRESSES: Written comments on the
Draft EIS should be sent to the attention
of: Scott Franklin, Moffat EIS Project
Manager, U.S. Army Corps of Engineers,
Omaha District—Denver Regulatory
Office, 9307 South Wadsworth
Boulevard, Littleton, CO 80128; via Fax
at 303–979–0602; or via e-mail at
moffat.eis@usace.army.mil.
17:33 Dec 17, 2009
Jkt 220001
None.
Timothy T. Carey,
Chief, Denver Regulatory Office.
[FR Doc. E9–30119 Filed 12–17–09; 8:45 am]
BILLING CODE 3720–58–P
DEPARTMENT OF DEFENSE
Department of the Army; Corps of
Engineers
The Release of the Final Environmental
Impact Statement (FEIS) for the
Proposed Construction of the Western
Wake Regional Wastewater
Management Facilities, Which Includes
Regional Wastewater Pumping,
Conveyance, Treatment, and
Discharge Facilities To Serve the
Towns of Apex, Cary, Holly Springs
and Morrisville, as Well as the Wake
County Portion of Research Triangle
Park (RTP South) in North Carolina
AGENCY: Department of the Army, U.S.
Army Corps of Engineers, DoD.
ACTION: Notice.
DEPARTMENT OF DEFENSE
VerDate Nov<24>2008
SUPPLEMENTARY INFORMATION:
SUMMARY: The U.S. Army Corps of
Engineers (COE), Wilmington District,
Regulatory Division has been reviewing
the request for Department of the Army
authorization, pursuant to Section 404
of the Clean Water Act from the Town
of Cary, acting as the lead applicant for
the Western Wake Regional Wastewater
Management Facilities Project Partners
(Western Wake Partners), to construct
Regional Wastewater Management
Facility. The proposed project consists
of regional wastewater pumping,
conveyance, treatment, and discharge
facilities to serve the Towns of Apex,
Cary, Holly Springs and Morrisville, as
well as the Wake County portion of
Research Triangle Park (RTP South),
NC.
The project is being proposed by the
Western Wake Partners to provide
wastewater service for planned growth
and development in the project service
area and to comply with two regulatory
mandates. One regulatory mandate has
been issued by the North Carolina
Environmental Management
Commission (EMC), and the second
regulatory mandate has been issued by
the North Carolina Department of
Environment and Natural Resources (NC
DENR).
DATES: Written comments on the Final
EIS will be received until January 19,
2010.
Copies of comments and
questions regarding the Final EIS may
be addressed to: U.S. Army Corps of
Engineers, Wilmington District,
ADDRESSES:
PO 00000
Frm 00018
Fmt 4703
Sfmt 4703
Regulatory Division. ATTN: File
Number 2005–20159, 69 Darlington
Avenue, Wilmington, NC 28403. Copies
of the Final EIS can be reviewed on the
Wilmington District Regulatory
homepage at, https://
www.saw.usace.army.mil/wetlands/
projects/ww-wtp, or contact Ms. Gwen
Robinson, at (910) 251–4494, to receive
written or CD copies of the Final EIS.
FOR FURTHER INFORMATION CONTACT:
Questions about the proposed action
and Final EIS can be directed to Mr.
Henry Wicker, Project Manager,
Regulatory Division, telephone: (910)
251–4930.
SUPPLEMENTARY INFORMATION:
1. Project Description. The proposed
project consists of regional wastewater
pumping, conveyance, treatment, and
discharge facilities to serve the Towns
of Apex, Cary, Holly Springs and
Morrisville, as well as RTP South. The
purpose of the project is to provide
wastewater service for planned growth
and development in the project service
area and to comply with two regulatory
mandates. One regulatory mandate has
been issued by the North Carolina
Environmental Management
Commission (EMC), and the second
regulatory mandate has been issued by
the North Carolina Department of
Environment and Natural Resources (NC
DENR). Regulatory Mandate No. 1—
Interbasin Transfer: The Towns of Apex,
Cary, and Morrisville, as well as RTP
South, obtain their drinking water from
Jordan Lake in the Cape Fear River
Basin and discharge treated effluent to
locations in the Neuse River Basin.
Obtaining water from one basin and
discharging it to another river basin is
referred to as an interbasin transfer
(IBT), which requires a permit from the
EMC. In July 2001, the EMC granted the
Towns of Apex, Cary, and Morrisville,
as well as Wake County (on behalf of
RTP South), an IBT certificate to
withdraw water from the Cape Fear
River Basin and transfer the water to the
Neuse River Basin. However, as a
condition of approval, the IBT
certificate issued by the EMC requires
the local governments to return
reclaimed water to the Cape Fear River
Basin after 2010. As a result, the local
governments have initiated activities to
plan, permit, design, and construct
wastewater transmission, treatment, and
disposal facilities in order to comply
with the terms and conditions of the IBT
certificate issued by the EMC. The
facilities that are described and
evaluated in the environmental impact
statement (FEIS) are needed to comply
with the IBT certificate terms and
conditions.
E:\FR\FM\18DEN1.SGM
18DEN1
]]>Agencies
[Federal Register Volume 74, Number 242 (Friday, December 18, 2009)]
[Notices]
[Pages 67179-67180]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-30090]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
Extension of Provider Reimbursement Demonstration Project for the
State of Alaska
AGENCY: Department of Defense (DoD).
ACTION: Notice of demonstration extension.
-----------------------------------------------------------------------
SUMMARY: This notice provides an extension of the demonstration project
in the State of Alaska for individual provider payment rates. Under the
demonstration, payment rates for physicians and other non-institutional
individual professional providers in the State of Alaska have been set
at a rate higher than the Medicare rate. Further, the enhanced portion
of the State of Alaska demonstration that provides for reimbursement of
101 percent of reasonable costs for inpatient and outpatient facilities
of Critical Access Hospitals (CAHs) is terminated because it is no
longer necessary based on publication of the TRICARE Reimbursement of
CAHs final rule (74 FR 44752) on August 31, 2009.
DATES: The portion of the demonstration regarding payment rates for
physicians and other non-institutional providers is extended through
December 31, 2010. The CAH portion of the demonstration shall end on
November 30, 2009.
ADDRESSES: TRICARE Management Activity (TMA), Medical Benefits and
Reimbursement Branch, 16401 East Centretech Parkway, Aurora, CO 80011-
9066.
FOR FURTHER INFORMATION CONTACT: Glenn J. Corn, TRICARE Management
Activity, Medical Benefits and Reimbursement Branch, telephone (303)
676-3566.
SUPPLEMENTARY INFORMATION: On November 20, 2006, DoD published a Notice
of a TRICARE demonstration project for the State of Alaska, with an
effective date of January 1, 2007 (71 FR 67113), to set payment rates
for physicians and other non-institutional individual professional
providers in the State of Alaska at a rate higher than the Medicare
rate. The demonstration was effective January 1, 2007, for a period of
three years, ending on December 31, 2009. Since that time, DoD has
determined that increasing provider payment rates (factor rate
increase) in Alaska, across all services, has shown mixed results on
provider participation, beneficiary access to care, cost of health care
services, military readiness, and morale and welfare. The Agency feels
an extension of the demonstration is needed to provide more time to
fully evaluate and implement a comprehensive framework for managing
TRICARE in the State of Alaska. In the meantime, the Agency is looking
toward developing a more comprehensive, updated management and
reimbursement strategy that will provide a foundation for developing
and implementing a comprehensive long-term plan through collaboration
with Federal Service Partners for mutually accepted Federal rates. The
demonstration continues to be conducted under statutory authority
provided in 10 United States Code 1092.
Subsequent to the publication of the initial notice creating the
increased rates
[[Page 67180]]
for individual providers, DoD published a second notice on July 20,
2007, expanding the TRICARE demonstration project for the State of
Alaska to reimburse CAHs 101 percent of reasonable costs for inpatient
and outpatient care with an effective date of July 1, 2007 (72 FR
41501), using a method similar to Medicare's payment for these
hospitals. The CAH portion of the State of Alaska demonstration is no
longer necessary because the DoD is implementing such a reimbursement
system on a nationwide basis. Consequently, the CAH portion of the
demonstration is terminated. The TRICARE CAH final rule was published
on August 31, 2009 (74 FR 44752).
Dated: December 15, 2009.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. E9-30090 Filed 12-17-09; 8:45 am]
BILLING CODE 5001-06-P
