TRICARE: Transitional Assistance Management Program (TAMP), 50882-50883 [2010-20393]
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Federal Register / Vol. 75, No. 159 / Wednesday, August 18, 2010 / Rules and Regulations
PART 199—[AMENDED]
■
1. The authority citation for Part 199
continues to read as follows:
Office of the Secretary
Authority: 5 U.S.C. 301; 10 U.S.C. Chapter
55.
32 CFR Part 199
2. Section 199.4 is amended by
revising paragraph (c)(3)(x)(A) to read as
follows:
RIN 0720–AB34
■
§ 199.4
Basic program benefits.
*
*
*
*
*
(c) * * *
(3) * * *
(x) * * *
(A) The services are prescribed and
monitored by a physician, certified
physician assistant or certified nurse
practitioner.
*
*
*
*
*
■ 3. Section 199.6 is amended by
revising paragraph (c)(3)(iii)(K) to read
as follows:
§ 199.6
TRICARE-authorized providers.
*
*
*
*
*
(c) * * *
(3) * * *
(iii) * * *
(K) Other individual paramedical
providers. (1) The services of the
following individual professional
providers of care to be considered for
benefits on a fee-for-service basis may
be provided only if the beneficiary is
referred by a physician for the treatment
of a medically diagnosed condition and
a physician must also provide
continuing and ongoing oversight and
supervision of the program or episode of
treatment provided by these individual
paramedical providers.
(i) Licensed registered nurses.
(ii) Audiologists.
(2) The services of the following
individual professional providers of
care to be considered for benefits on a
fee-for-service basis may be provided
only if the beneficiary is referred by a
physician, a certified physician assistant
or certified nurse practitioner and a
physician, a certified physician
assistant, or certified nurse practitioner
must also provide continuing and
ongoing oversight and supervision of
the program or episode of treatment
provided by these individual
paramedical providers.
(i) Licensed registered physical
therapist and occupational therapist.
(ii) Licensed registered speech
therapists (speech pathologists).
*
*
*
*
*
erowe on DSK5CLS3C1PROD with RULES
member of the Selected Reserve of the
Ready Reserve of a reserve component.’’
This provision is effective October 14,
2008.
This final rule establishes these two
new eligibility categories under TAMP.
DEPARTMENT OF DEFENSE
Dated: August 10, 2010.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. 2010–20390 Filed 8–17–10; 8:45 am]
BILLING CODE 5001–06–P
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[Docket ID: DOD–2009–HA–0096]
TRICARE: Transitional Assistance
Management Program (TAMP)
Office of the Secretary,
Department of Defense.
ACTION: Final rule.
AGENCY:
The Department of Defense is
publishing this final rule to implement
section 4 of the Hubbard Actand section
734 of the Duncan Hunter National
Defense Authorization Act for Fiscal
Year 2009. These Acts provide two new
categories of beneficiaries for the
Transitional Assistance Management
Program (TAMP). Specifically, a
member who receives a sole
survivorship discharge and a member
who is separated from Active Duty who
agrees to become a member of the
Selected Reserve of the Ready Reserve
of a reserve component are eligible for
TAMP.
DATES: Effective Date: This rule is
effective September 17, 2010.
FOR FURTHER INFORMATION CONTACT: Mr.
Glenn J. Corn, TRICARE Management
Activity, Medical Benefits and
Reimbursement Branch, telephone (303)
676–3566. Questions regarding payment
of specific claims should be addressed
to the appropriate TRICARE contractor.
SUPPLEMENTARY INFORMATION:
SUMMARY:
I. Background
In the Federal Register of November
27, 2009, (74 FR 62269), the Office of
the Secretary of Defense published for
public comment a proposed rule
establishing two new eligibility
categories under TAMP. The TAMP
benefit provides continued TRICARE
coverage for a period of 180 days. For
those who qualify, the 180 day time
frame begins upon the Active Duty
member’s separation.
II. Explanation of Provisions
Public Law 110–317 amended section
1145(a)(2) of title 10, U.S.C. by adding
‘‘a member who receives a sole
survivorship discharge (as defined in
section 1174(i) of this title)’’ as an
additional category of TAMP eligible.
The provision is effective August 29,
2008.
Public Law 110–471 amended section
1145(a)(2) of title 10, U.S.C. by adding
‘‘A member who is separated from
Active Duty who agrees to become a
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Fmt 4700
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III. Public Comments
We provided a 60-day public
comment period following publication
of the Proposed Rule in the Federal
Register (74 FR 62269) on November 27,
2009. No comments were received.
IV. Regulatory Procedures
Executive Order 12866, ‘‘Regulatory
Planning and Review’’
Section 801 of Title 5, United States
Code (U.S.C.), and Executive Order
(E.O.) 12866 require certain regulatory
assessments and procedures for any
major rule or significant regulatory
action, defined as one that would result
in an annual effect of $100 million or
more on the national economy or which
would have other substantial impacts. It
has been certified that this rule is not an
economically significant rule; however,
it is a regulatory action which has been
reviewed by the Office of Management
and Budget as required under the
provisions of E.O. 12866.
Section 202, Public Law 104–4,
‘‘Unfunded Mandates Reform Act’’
It has been certified that this rule does
not contain a Federal mandate that may
result in the expenditure by State, local
and Tribal governments, in aggregate, or
by the private sector, of $100 million or
more in any one year.
Public Law 96–354, ‘‘Regulatory
Flexibility Act’’ (5 U.S.C. 601)
The Regulatory Flexibility Act (RFA)
requires each Federal agency prepare,
and make available for public comment,
a regulatory flexibility analysis when
the agency issues a regulation which
would have a significant impact on a
substantial number of small entities.
This rule will not significantly affect a
substantial number of small entities for
purposes of the RFA.
Public Law 96–511, ‘‘Paperwork
Reduction Act’’ (44 U.S.C. Chapter 35)
This rule will not impose significant
additional information collection
requirements on the public under the
Paperwork Reduction Act of 1995 (44
U.S.C. 3501–3511). Existing information
collection requirements of the TRICARE
and Medicare programs will be utilized.
Executive Order 13132, ‘‘Federalism’’
This rule has been examined for its
impact under E.O. 13132 and does not
contain policies that have federalism
E:\FR\FM\18AUR1.SGM
18AUR1
Federal Register / Vol. 75, No. 159 / Wednesday, August 18, 2010 / Rules and Regulations
implications that would have
substantial direct effects on the States,
on the relationship between the national
government and the States, or on the
distribution of power and
responsibilities among the various
levels of government; therefore,
consultation with State and local
officials is not required.
List of Subjects in 32 CFR Part 199
Claims, Dental health, Health care,
Health insurance, Individuals with
disabilities, Military personnel.
■ Accordingly, 32 CFR part 199 is
amended as follows:
PART 199—[AMENDED]
1. The authority citation for part 199
continues to read as follows:
■
Authority: 5 U.S.C. 301; 10 U.S.C. Chapter
55.
2. Section 199.3 is amended by adding
paragraphs (e)(1)(v) and (e)(1)(vi) to read
as follows:
■
§ 199.3
Eligibility.
*
*
*
*
*
(e) * * *
(1) * * *
(v) A member who receives a sole
survivorship discharge (as defined in
section 1174(i) of this title).
(vi) A member who is separated from
Active Duty who agrees to become a
member of the Selected Reserve of the
Ready Reserve of a reserve component.
*
*
*
*
*
Dated: August 10, 2010.
Patricia L. Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. 2010–20393 Filed 8–17–10; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
32 CFR Part 199
[Docket ID: DoD–2008–HA–0123]
RIN 0720–AB29
TRICARE; TRICARE Delivery of Health
Care in Alaska
Office of the Secretary,
Department of Defense.
ACTION: Final rule.
erowe on DSK5CLS3C1PROD with RULES
AGENCY:
TRICARE has recognized the
unique circumstances existing in Alaska
which make the provision of medical
care to TRICARE beneficiaries through
the TRICARE program operated in the
other 49 states unrealistic. Recognizing
SUMMARY:
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50883
these unique conditions and
circumstances, the Department of
Defense has conducted a demonstration
project in the state of Alaska since
implementation of the TRICARE
program under which certain exceptions
have been made for administration of
the program in Alaska. This rule
incorporates the waiver of the
requirement for financial underwriting
by a TRICARE contractor as a
permanent change to the administration
of the TRICARE program in Alaska. This
rule proposes no change to the
TRICARE benefit or to those who are
eligible for it. However, the rule does
eliminate the financial underwriting of
health care costs in the state of Alaska
by a TRICARE contractor.
DATES: Effective Date: September 17,
2010.
FOR FURTHER INFORMATION CONTACT: LTC
Stephen Oates, TRICARE Policy and
Operations Directorate, TRICARE
Management Activity, 5111 Leesburg
Pike, Suite 810, Falls Church, VA
22041, telephone (703) 681–0039.
SUPPLEMENTARY INFORMATION:
designate civilian primary care
managers (PCMs) would improve the
access to care for eligible beneficiaries.
Policies are currently being reviewed to
assess the feasibility of incorporating
such practices without adversely
affecting the local community.
Comment: Certified Nurse Midwives
and state-licensed direct-entry
midwives are underutilized alternatives
to physician-led care for pregnant
women. Also, TRICARE’s authorized
providers should be expanded to
include state-licensed midwives.
Response: We understand the limited
choices available to beneficiaries in the
state of Alaska; however, the ultimate
decision remains with the beneficiary
on provider selection. In order for a
Certified Nurse Midwife to become a
TRICARE-authorized provider, he/she
must be licensed, when required, by a
local licensing agency and certified by
the American College of Nurse
Midwives.
I. Introduction and Background
In recognition of the unique
geographical and environmental
characteristics of the state of Alaska, the
Department of Defense has conducted a
demonstration project which tested the
viability of implementing the TRICARE
program differently in Alaska (see
Federal Register, Vol. 69, No. 96/
Tuesday, May 18, 2004/Notices). To
date that demonstration has supported
the impracticability and lack of cost
effectiveness to impose on a TRICARE
contractor the financial underwriting of
the delivery of health care resulting
from costs associated with the TRICARE
program over which the contractor has
no control. The demonstration is
authorized until March 31, 2011. This
rule will make permanent the waiver of
the financial underwriting requirement
by the TRICARE contractor in the
delivery of health care in Alaska.
Section 801 of title 5, United States
Code (U.S.C.) and Executive Order
(E.O.) 12866 require certain regulatory
assessments and procedures for any
major rule or significant regulatory
action, defined as one that would result
in an annual effect of $100 million or
more on the national economy or which
would have other substantial impacts. It
has been certified that this rule is not an
economically significant rule, however,
it is a regulatory action which has been
reviewed by the Office of Management
and Budget as required under the
provisions of E.O. 12866.
II. Public Comments
The proposed rule was published in
the Federal Register (74 FR 62270–
62271) on November 27, 2009, for a 60day comment period. Two comments
were submitted and are responded to
below.
Comment: Alaska TRICARE managers
need authorization, as do other states, to
designate civilian primary care
managers (PCMs) for care unavailable or
too distant for the members who are in
TRICARE Prime.
Response: We agree that allowing
TRICARE managers the ability to
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II. Regulatory Procedures
Executive Order 12866, ‘‘Regulatory
Planning and Review’’
Section 202, Public Law, 104–4,
‘‘Unfunded Mandates Reform Act’’
It has been certified that this rule does
not contain a Federal mandate that may
result in the expenditure by State, local
and tribal governments, in aggregate, or
by the private sector, of $100 million or
more in any one year.
Public Law 96–354, ‘‘Regulatory
Flexibility Act’’ (5 U.S.C. 601)
The Regulatory Flexibility Act (RFA)
requires each Federal agency prepare
and make available for public comment,
a regulatory flexibility analysis when
the agency issues a regulation which
would have a significant impact on a
substantial number of small entities.
This rule is not an economically
significant regulatory action and will
not have a significant impact on a
substantial number of small entities for
purposes of the RFA. Thus, this
E:\FR\FM\18AUR1.SGM
18AUR1
]]>Agencies
[Federal Register Volume 75, Number 159 (Wednesday, August 18, 2010)]
[Rules and Regulations]
[Pages 50882-50883]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-20393]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
32 CFR Part 199
[Docket ID: DOD-2009-HA-0096]
RIN 0720-AB34
TRICARE: Transitional Assistance Management Program (TAMP)
AGENCY: Office of the Secretary, Department of Defense.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: The Department of Defense is publishing this final rule to
implement section 4 of the Hubbard Actand section 734 of the Duncan
Hunter National Defense Authorization Act for Fiscal Year 2009. These
Acts provide two new categories of beneficiaries for the Transitional
Assistance Management Program (TAMP). Specifically, a member who
receives a sole survivorship discharge and a member who is separated
from Active Duty who agrees to become a member of the Selected Reserve
of the Ready Reserve of a reserve component are eligible for TAMP.
DATES: Effective Date: This rule is effective September 17, 2010.
FOR FURTHER INFORMATION CONTACT: Mr. Glenn J. Corn, TRICARE Management
Activity, Medical Benefits and Reimbursement Branch, telephone (303)
676-3566. Questions regarding payment of specific claims should be
addressed to the appropriate TRICARE contractor.
SUPPLEMENTARY INFORMATION:
I. Background
In the Federal Register of November 27, 2009, (74 FR 62269), the
Office of the Secretary of Defense published for public comment a
proposed rule establishing two new eligibility categories under TAMP.
The TAMP benefit provides continued TRICARE coverage for a period of
180 days. For those who qualify, the 180 day time frame begins upon the
Active Duty member's separation.
II. Explanation of Provisions
Public Law 110-317 amended section 1145(a)(2) of title 10, U.S.C.
by adding ``a member who receives a sole survivorship discharge (as
defined in section 1174(i) of this title)'' as an additional category
of TAMP eligible. The provision is effective August 29, 2008.
Public Law 110-471 amended section 1145(a)(2) of title 10, U.S.C.
by adding ``A member who is separated from Active Duty who agrees to
become a member of the Selected Reserve of the Ready Reserve of a
reserve component.'' This provision is effective October 14, 2008.
This final rule establishes these two new eligibility categories
under TAMP.
III. Public Comments
We provided a 60-day public comment period following publication of
the Proposed Rule in the Federal Register (74 FR 62269) on November 27,
2009. No comments were received.
IV. Regulatory Procedures
Executive Order 12866, ``Regulatory Planning and Review''
Section 801 of Title 5, United States Code (U.S.C.), and Executive
Order (E.O.) 12866 require certain regulatory assessments and
procedures for any major rule or significant regulatory action, defined
as one that would result in an annual effect of $100 million or more on
the national economy or which would have other substantial impacts. It
has been certified that this rule is not an economically significant
rule; however, it is a regulatory action which has been reviewed by the
Office of Management and Budget as required under the provisions of
E.O. 12866.
Section 202, Public Law 104-4, ``Unfunded Mandates Reform Act''
It has been certified that this rule does not contain a Federal
mandate that may result in the expenditure by State, local and Tribal
governments, in aggregate, or by the private sector, of $100 million or
more in any one year.
Public Law 96-354, ``Regulatory Flexibility Act'' (5 U.S.C. 601)
The Regulatory Flexibility Act (RFA) requires each Federal agency
prepare, and make available for public comment, a regulatory
flexibility analysis when the agency issues a regulation which would
have a significant impact on a substantial number of small entities.
This rule will not significantly affect a substantial number of small
entities for purposes of the RFA.
Public Law 96-511, ``Paperwork Reduction Act'' (44 U.S.C. Chapter 35)
This rule will not impose significant additional information
collection requirements on the public under the Paperwork Reduction Act
of 1995 (44 U.S.C. 3501-3511). Existing information collection
requirements of the TRICARE and Medicare programs will be utilized.
Executive Order 13132, ``Federalism''
This rule has been examined for its impact under E.O. 13132 and
does not contain policies that have federalism
[[Page 50883]]
implications that would have substantial direct effects on the States,
on the relationship between the national government and the States, or
on the distribution of power and responsibilities among the various
levels of government; therefore, consultation with State and local
officials is not required.
List of Subjects in 32 CFR Part 199
Claims, Dental health, Health care, Health insurance, Individuals
with disabilities, Military personnel.
0
Accordingly, 32 CFR part 199 is amended as follows:
PART 199--[AMENDED]
0
1. The authority citation for part 199 continues to read as follows:
Authority: 5 U.S.C. 301; 10 U.S.C. Chapter 55.
0
2. Section 199.3 is amended by adding paragraphs (e)(1)(v) and
(e)(1)(vi) to read as follows:
Sec. 199.3 Eligibility.
* * * * *
(e) * * *
(1) * * *
(v) A member who receives a sole survivorship discharge (as defined
in section 1174(i) of this title).
(vi) A member who is separated from Active Duty who agrees to
become a member of the Selected Reserve of the Ready Reserve of a
reserve component.
* * * * *
Dated: August 10, 2010.
Patricia L. Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2010-20393 Filed 8-17-10; 8:45 am]
BILLING CODE 5001-06-P
