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]
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Federal Register / Vol. 75, No. 10 / Friday, January 15, 2010 / Notices
PURPOSE(S):
2515
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Agency/Central Security Service,
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Meade, MD 20755–6000.
Written inquiries should contain the
individual’s full name, Social Security
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preserved are retained for the period of
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BILLING CODE 5001–06–P
POLICIES AND PRACTICES FOR STORING,
RETRIEVING, ACCESSING, RETAINING, AND
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is contained in this system should
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Written inquiries should contain the
individual’s full name, Social Security
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forth at the beginning of the NSA/CSS’
compilation of systems of records
notices apply to this system.
RETRIEVABILITY:
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jlentini on DSKJ8SOYB1PROD with NOTICES
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VerDate Nov<24>2008
17:34 Jan 14, 2010
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RECORD ACCESS PROCEDURES:
Individuals seeking access to
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in this system should address written
inquiries to the National Security
PO 00000
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RECORD SOURCE CATEGORIES:
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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-
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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 ..................................................................................................................................................
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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:
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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
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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 https://
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: https://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
