TRICARE, Formerly Known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Fiscal Year 2010 Mental Health Rate Updates, 2515-2517 [2010-598]

Download as PDF Federal Register / Vol. 75, No. 10 / Friday, January 15, 2010 / Notices PURPOSE(S): 2515 containers. Access to electronic means is limited and controlled by computer password protection. Access to information is limited to those individuals authorized and responsible for personnel management or supervision. Agency/Central Security Service, Freedom of Information Act/Privacy Act Office, 9800 Savage Road, Ft. George G. Meade, MD 20755–6000. Written inquiries should contain the individual’s full name, Social Security Number (SSN) and mailing address. RETENTION AND DISPOSAL: CONTESTING RECORD PROCEDURES: Primary System—Those forms, notices, reports and memoranda considered to be of permanent value or required by law or regulation to be preserved are retained for the period of employment or assignment and then forwarded to the gaining organization or retained indefinitely. If the action is separation or retirement, these items are forwarded to the Office of Personnel Management or retired to the Federal Records Center at St. Louis as appropriate. Those items considered to be relevant for a temporary period only are retained for that period and either transferred with the employee or assignee or destroyed when they are no longer relevant or at time of separation or retirement. Computerized portion is purged and updated as appropriate. Records relating to adverse actions, grievances, excluding EEO complaints and performance-based actions, except SF–50s, will be retained for four years. Personnel summary, training, testing and past activity segments retained permanently. All other portions deleted at end of tenure. Decentralized System—Files are transferred to gaining organization or destroyed upon separation as appropriate. Computer listings of personnel assigned to an organization are destroyed upon receipt of updated listings. The NSA/CSS rules for contesting contents and appealing initial determinations are published at 32 CFR part 322 or may be obtained by written request addressed to the National Security Agency/Central Security Service, Freedom of Information Act/ Privacy Act Office, 9800 Savage Road, Ft. George G. Meade, MD 20755–6000. SYSTEM MANAGER(S) AND ADDRESS: BILLING CODE 5001–06–P POLICIES AND PRACTICES FOR STORING, RETRIEVING, ACCESSING, RETAINING, AND DISPOSING OF RECORDS IN THE SYSTEM: The Associate Director, Human Resources, National Security Agency/ Central Security Service, Ft. George G. Meade, MD 20755–6000. DEPARTMENT OF DEFENSE STORAGE: NOTIFICATION PROCEDURE: Paper records in files folders and electronic storage media. Individuals seeking to determine whether information about themselves is contained in this system should address written inquiries to the National Security Agency/Central Security Service, Freedom of Information Act/ Privacy Act Office, 9800 Savage Road, Ft. George G. Meade, MD 20755–6000. Written inquiries should contain the individual’s full name, Social Security Number (SSN) and mailing address. To support the personnel management program; personnel training and career development; personnel planning; staffing and counseling; administration and personnel supervision; workforce study and analysis; manpower requirements studies; emergency loan program and training curricula planning and research. ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES OF USERS AND THE PURPOSES OF SUCH USES: In addition to those disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act of 1974, these records or information contained therein may specifically be disclosed outside the DoD as a routine use pursuant to 5 U.S.C. 552a(b)(3) as follows: To gaining employers or to financial institutions when individual has applied for credit; to contractor employees to make determinations as noted in the purpose above; to hearing examiners; the judicial branch or to other gaining government organization as required and appropriate; biographical information may be provided to the White House as required in support of the Senior Cryptologic Executive Service awards program. To the Office of the Director of National Intelligence (ODNI) for Intelligence Community aggregate workforce planning, assessment, and reporting purposes. Records provided to the ODNI for this routine use will not include any individual’s name or Social Security Number (SSN). The DoD ‘Blanket Routine Uses’ set forth at the beginning of the NSA/CSS’ compilation of systems of records notices apply to this system. RETRIEVABILITY: By name, Social Security Number (SSN) or Employee Identification Number. jlentini on DSKJ8SOYB1PROD with NOTICES SAFEGUARDS: Buildings are secured by a series of guarded pedestrian gates and checkpoints. Access to facilities is limited to security-cleared personnel and escorted visitors only. Within the facilities themselves, access to paper and computer printouts are controlled by limited-access facilities and lockable VerDate Nov<24>2008 17:34 Jan 14, 2010 Jkt 220001 RECORD ACCESS PROCEDURES: Individuals seeking access to information about themselves contained in this system should address written inquiries to the National Security PO 00000 Frm 00041 Fmt 4703 Sfmt 4703 RECORD SOURCE CATEGORIES: Forms used to collect and process individual for employment, access or assignment, forms and memoranda used to request personnel actions, training awards, professionalization, transfers, promotion, organization and supervisor reports and requests, educational institutions, references, Office of Personnel Management and other governmental entities as appropriate, and other sources as appropriate and required. EXEMPTIONS CLAIMED FOR THE SYSTEM: Portions of this file may be exempt pursuant to 5 U.S.C. 552a(k)(1), (k)(4), (k)(5), and (k)(6), as applicable. An exemption rule for this record system has been promulgated according to the requirements of 5 U.S.C. 553(b)(1), (2), and (3), (c) and (e) and published in 32 CFR part 322. For additional information contact the system manager. [FR Doc. 2010–669 Filed 1–14–10; 8:45 am] Office of the Secretary TRICARE, Formerly Known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Fiscal Year 2010 Mental Health Rate Updates Office of the Secretary, DoD. Notice of Updated Mental Health Rates for Fiscal Year 2010. AGENCY: ACTION: SUMMARY: This notice provides the updated regional per diem rates for low volume mental health providers; the update factor for hospital-specific perdiems; the updated cap per diem for high-volume providers; the beneficiary per-diem cost-share amount for lowvolume providers; and the updated per- E:\FR\FM\15JAN1.SGM 15JAN1 2516 Federal Register / Vol. 75, No. 10 / Friday, January 15, 2010 / Notices diem rates for both full-day and half-day TRICARE Partial Hospitalization Programs for Fiscal Year 2010. DATES: Effective Date: The Fiscal Year 2010 rates contained in this notice are effective for services on or after October 1, 2009. ADDRESSES: TRICARE Management Activity (TMA), Medical Benefits and Reimbursement Branch, 16401 East Centretech Parkway, Aurora, CO 80011– 9066. FOR FURTHER INFORMATION CONTACT: Ann N. Fazzini, Medical Benefits and Reimbursement Branch, TMA, 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, each per-diem shall be updated by the Medicare update factor for hospitals and units exempt from the Medicare Prospective Payment System (i.e., this is the same update factor used for the inpatient prospective payment system). For Fiscal Year 2010, Medicare has recommended a rate of increase of 2.1 percent. TRICARE will adopt this update factor for Fiscal Year 2010 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 Fiscal Year 2010 updated by 2.1 percent. Partial hospitalization rates for fullday and half-day programs will also be updated by 2.1 percent for Fiscal Year 2010. The cap amount for high-volume hospitals and units will also be updated by 2.1 percent for Fiscal Year 2010. The Standard non-active duty family member cost share for low volume hospitals and units will also be updated by 2.1 percent for Fiscal Year 2010. Per 32 CFR 199.14, the same area wage indexes used for the CHAMPUS Diagnosis-Related Group (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 68.8 percent for Fiscal Year 2010. 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, 32 CFR 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 2.1 percent for Fiscal Year 2010. REGIONAL SPECIFIC RATES FOR PSYCHIATRIC HOSPITALS AND UNITS WITH LOW TRICARE VOLUME FOR FISCAL YEAR 2010 Regional rate United States census region 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 ........................... $745 718 620 585 738 790 673 672 794 506 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 $197 per day or 25 percent of the hospital billed charges effective for services rendered on or after October 1, 2009. Cap Amount: Updated cap amount for hospitals and units with high TRICARE volume is $936 per day for services on or after October 1, 2009. The following reflect an update of 2.1 percent for Fiscal Year 2010 for the partial hospitalization rates. PARTIAL HOSPITALIZATION RATES FOR FULL-DAY AND HALF-DAY PROGRAMS [Fiscal year 2010] Full-day rate (6 hours or more) jlentini on DSKJ8SOYB1PROD 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., DC, Va., W.Va., N.C., S.C., Ga., Fla.) ....................................................... East South Central: (Ky., Tenn., Ala., 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 Nov<24>2008 17:34 Jan 14, 2010 Jkt 220001 PO 00000 Frm 00042 Fmt 4703 Sfmt 4703 E:\FR\FM\15JAN1.SGM Half-day rate (3–5 hours) $299 325 244 286 213 286 213 307 231 332 250 332 250 335 329 213 15JAN1 $222 253 246 161 Federal Register / Vol. 75, No. 10 / Friday, January 15, 2010 / Notices The above rates are effective for services rendered on or after October 1, 2009. Dated: December 18, 2009. Patricia Toppings, OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. 2010–598 Filed 1–14–10; 8:45 am] BILLING CODE 5001–06–P DEPARTMENT OF DEFENSE Department of the Army; Army Corps of Engineers Notice of Intent To Prepare a Joint Environmental Impact Statement and Environmental Impact Report for the Lower San Joaquin River Feasibility Study AGENCY: Department of the Army, U.S. Army Corps of Engineers; DOD. ACTION: Notice of intent. The action being taken is the preparation of a joint environmental impact statement/environmental impact report (EIS/EIR) for the Lower San Joaquin River Feasibility Study (LSJRFS). The EIS/EIR will be prepared in accordance with the National Environmental Policy Act (NEPA) and the California Environmental Quality Act (CEQA). The U.S. Army Corps of Engineers (USACE) will serve as lead agency for compliance with NEPA, and the San Joaquin Area Flood Control Agency (SJAFCA) will serve as lead agency for compliance with CEQA. The LSJRFS will evaluate alternatives, including a locally preferred plan, for providing flood damage reduction and ecosystem restoration along the lower (northern) portion of the San Joaquin River system in the Central Valley of California. The approximate area of the proposed action and analysis is identified in Figure 1. DATES: Written comments regarding the scope of the environmental analysis should be received at (see ADDRESSES) by February 15, 2010. ADDRESSES: Written comments concerning this study and requests to be included on the LSJRFS mailing list should be submitted to Mr. Doug Edwards, U.S. Army Corps of Engineers, Sacramento District, Attn: Planning Division (CESPK–PD–R), 1325 J Street, Sacramento, CA 95814. FOR FURTHER INFORMATION CONTACT: Mr. Doug Edwards via telephone at (916) 557–7062, e-mail at Douglas.M.Edwards@usace.army.mil, or regular mail at (see ADDRESSES). SUPPLEMENTARY INFORMATION: jlentini on DSKJ8SOYB1PROD with NOTICES SUMMARY: VerDate Nov<24>2008 17:34 Jan 14, 2010 Jkt 220001 1. Proposed Action. USACE is preparing an EIS/EIR to analyze the environmental impacts associated with a range of alternatives for providing flood damage reduction and ecosystem restoration along the lower (northern) portion of the San Joaquin River system (Figure 1). 2. Alternatives. The EIS/EIR will address an array of alternatives for providing flood risk management alternatives that are intended to reduce flood risk within the project area. Alternatives analyzed during the investigation may include, but are not limited to, a combination of one or more of the following flood damage reduction measures: adding, modifying, and/or reregulating storage on major tributaries; new transitory storage within flood plains, increasing conveyance by raising levees; widening channels and floodway areas; dredging; and constructing or modifying weirs and bypasses; and various floodplain management measures. Ecosystem restoration measures may include, but are not limited to, restoring riparian, wetland, and floodplain habitats, and/or constructing setback levees for habitat restoration. 3. Scoping Process. a. A public scoping meeting will be held to present an overview of the LSJRFS and the EIS/EIR process, and to afford all interested parties with an opportunity to provide comments regarding the scope of analysis and potential alternatives. The public scoping meeting will be held at the University of Pacific, Regent’s Dining Room, 3601 Pacific Avenue, Stockton, CA on January 27, 2010, from 6–8 p.m. b. Potentially significant issues to be analyzed in depth in the EIS/EIR include project specific and cumulative effects on hydraulics, wetlands and other waters of the U.S., vegetation and wildlife resources, special-status species, esthetics, cultural resources, recreation, land use, fisheries, water quality, air quality, and transportation. c. USACE is consulting with the State Historic Preservation Officer to comply with the National Historic Preservation Act and with the U.S. Fish and Wildlife Service and National Marine Fisheries Service to comply with the Endangered Species Act. USACE is also coordinating with the U.S. Fish and Wildlife Service to comply with the Fish and Wildlife Coordination Act. d. A 45-day public review period will be provided for all interested parties individuals and agencies to review and comment on the draft EIS/EIR. All interested parties are encouraged to respond to this notice and provide a PO 00000 Frm 00043 Fmt 4703 Sfmt 4703 2517 current address if they wish to be notified of the draft EIS/EIR circulation. 4. Availability. The draft EIS/EIR is currently scheduled to be available for public review and comment in 2014. Dated: December 29, 2009. Thomas Chapman, COL, EN Commanding. [FR Doc. 2010–686 Filed 1–14–10; 8:45 am] BILLING CODE 3720–58–P DEPARTMENT OF DEFENSE Department of the Army; Corps of Engineers Notice of Solicitation for Estuary Habitat Restoration Program AGENCY: Department of the Army, U.S. Army Corps of Engineers, DoD. ACTION: Notice of solicitation for project applications. SUMMARY: Congress has appropriated limited funds to the U.S. Army Corps of Engineers (Corps) and the National Oceanic and Atmospheric Administration (NOAA) for implementation of the Estuary Habitat Restoration Program as authorized in Section 104 of the Estuary Restoration Act of 2000, Title I of the Estuaries and Clean Waters Act of 2000 (Pub. L. 106– 457) (accessible at http:// www.usace.army.mil/CECW/ERA/ Pages/home.aspx). On behalf of the Estuary Habitat Restoration Council (Council) the Corps is soliciting proposals for estuary habitat restoration projects. The Council requests that all proposals address the potential effects of sea level change and other impacts related to climate change on the viability of the proposed restoration. This may take the form of considering climate change in the planning, design, siting, and construction of the project, or in testing new restoration technologies that may help to alleviate effects of climate change. This document describes project criteria and evaluation criteria the Council will use to determine which projects to recommend. Recommended projects must provide ecosystem benefits, have scientific merit, be technically feasible, and be cost-effective. Proposals selected for Estuary Habitat Restoration Program funding may be implemented in accordance with a cost-share agreement with the Corps; or a cooperative agreement with the Corps or NOAA, subject to availability of funds. In addition to this solicitation and the application form, a Supplemental Guide for Prospective Applicants is available at: http://www.usace.army.mil/CECW/ E:\FR\FM\15JAN1.SGM 15JAN1

Agencies

[Federal Register Volume 75, Number 10 (Friday, January 15, 2010)]
[Notices]
[Pages 2515-2517]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-598]


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

DEPARTMENT OF DEFENSE

Office of the Secretary


TRICARE, Formerly Known as the Civilian Health and Medical 
Program of the Uniformed Services (CHAMPUS); Fiscal Year 2010 Mental 
Health Rate Updates

AGENCY: Office of the Secretary, DoD.

ACTION: Notice of Updated Mental Health Rates for Fiscal Year 2010.

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

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-

[[Page 2516]]

diem rates for both full-day and half-day TRICARE Partial 
Hospitalization Programs for Fiscal Year 2010.

DATES: Effective Date: The Fiscal Year 2010 rates contained in this 
notice are effective for services on or after October 1, 2009.

ADDRESSES: TRICARE Management Activity (TMA), Medical Benefits and 
Reimbursement Branch, 16401 East Centretech Parkway, Aurora, CO 80011-
9066.

FOR FURTHER INFORMATION CONTACT: Ann N. Fazzini, Medical Benefits and 
Reimbursement Branch, TMA, 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, each per-diem shall be updated by the Medicare update 
factor for hospitals and units exempt from the Medicare Prospective 
Payment System (i.e., this is the same update factor used for the 
inpatient prospective payment system). For Fiscal Year 2010, Medicare 
has recommended a rate of increase of 2.1 percent. TRICARE will adopt 
this update factor for Fiscal Year 2010 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 Fiscal Year 2010 updated by 2.1 percent.
    Partial hospitalization rates for full-day and half-day programs 
will also be updated by 2.1 percent for Fiscal Year 2010.
    The cap amount for high-volume hospitals and units will also be 
updated by 2.1 percent for Fiscal Year 2010.
    The Standard non-active duty family member cost share for low 
volume hospitals and units will also be updated by 2.1 percent for 
Fiscal Year 2010.
    Per 32 CFR 199.14, the same area wage indexes used for the CHAMPUS 
Diagnosis-Related Group (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 68.8 percent for Fiscal Year 2010. 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, 32 CFR 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 2.1 percent for Fiscal Year 
2010.

  Regional Specific Rates for Psychiatric Hospitals and Units With Low
                   TRICARE Volume for Fiscal Year 2010
------------------------------------------------------------------------
                                                               Regional
                United States census region                      rate
------------------------------------------------------------------------
Northeast:
  New England..............................................         $745
  Mid-Atlantic.............................................          718
Midwest:
  East North Central.......................................          620
  West North Central.......................................          585
South:
  South Atlantic...........................................          738
  East South Central.......................................          790
  West South Central.......................................          673
West:
  Mountain.................................................          672
  Pacific..................................................          794
  Puerto Rico..............................................          506
------------------------------------------------------------------------

    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 $197 per day or 25 percent of 
the hospital billed charges effective for services rendered on or after 
October 1, 2009. Cap Amount: Updated cap amount for hospitals and units 
with high TRICARE volume is $936 per day for services on or after 
October 1, 2009.
    The following reflect an update of 2.1 percent for Fiscal Year 2010 
for the partial hospitalization rates.

    Partial Hospitalization Rates for Full-Day and Half-Day Programs
                           [Fiscal year 2010]
------------------------------------------------------------------------
                                    Full-day rate  (6  Half-day rate  (3-
    United States census region       hours or more)        5 hours)
------------------------------------------------------------------------
Northeast:
    New England (Maine, N.H., Vt.,               $299               $222
     Mass., R.I., Conn.)..........
Mid-Atlantic:
    (N.Y., N.J., Penn.)...........                325                244
Midwest:
    East North Central (Ohio,                     286                213
     Ind., Ill., Mich., Wis.).....
West North Central:
    (Minn., Iowa, Mo., N.D., S.D.,                286                213
     Neb., Kan.)..................
South:
    South Atlantic (Del., Md., DC,                307                231
     Va., W.Va., N.C., S.C., Ga.,
     Fla.)........................
East South Central:
    (Ky., Tenn., Ala., Miss.).....                332                250
West South Central:
    (Ark., La., Texas, Okla.).....                332                250
West:
    Mountain (Mon., Idaho, Wyo.,                  335                253
     Col., N.M., Ariz., Utah,
     Nev.)........................
    Pacific (Wash., Ore., Calif.,                 329                246
     Alaska, Hawaii)..............
Puerto Rico.......................                213                161
------------------------------------------------------------------------


[[Page 2517]]

    The above rates are effective for services rendered on or after 
October 1, 2009.

    Dated: December 18, 2009.
Patricia Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2010-598 Filed 1-14-10; 8:45 am]
BILLING CODE 5001-06-P