TRICARE, Formerly Known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Fiscal Year 2011 Mental Health Rate Updates, 12074-12075 [2011-4866]
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Federal Register / Vol. 76, No. 43 / Friday, March 4, 2011 / Notices
are eligible to participate. Enrollees in
TRICARE Reserve Select and the
Transitional Assistance Management
Program may also use the program.
TRIAP provides assistance to
beneficiaries dealing with personal
problems that might adversely impact
their work performance, health, and
well-being. It includes assessment,
short-term counseling, and referrals to
more comprehensive levels of care if
needed. TRIAP is based on commercial
employee assistance models and
provides counseling in a virtual face-toface environment. There is a no
diagnosis made, there are no limits to
usage, and no notification about those
seeking counseling will be made to their
primary care managers or others, unless
required by the counselor’s licensure
(e.g., spouse abuse). Participant
confidentiality is protected, as no
medical record entry is made.
Calls per month to the TRIAP line
since the demonstration was extended
and an aggressive marketing campaign
launched have increased two fold,
however, the majority (89%) of the calls
are in the TRICARE West Region. In
order to re-engage education efforts in
the TRICARE North and South regions,
allow enough time for these efforts to
take effect and provide enough time to
gather adequate data on the feasibility of
utilizing audio and visual technologies
including Web-based services to our
active duty service members, their
families and other beneficiaries on a
permanent basis, an extension of the
demonstration is necessary.
b. Implementation
This demonstration extension will be
effective April 1, 2011.
jlentini on DSKJ8SOYB1PROD with NOTICES
c. Evaluation
As noted in the original Federal
Register Notice, 74 FR 3667 July 24,
2009, and the extension Federal
Register Notice, March 30, 2010, an
independent evaluation of the
demonstration will be conducted. It will
be performed retrospectively and using
administrative measures of behavioral
health care access to provide analyses
and comment on the effectiveness of the
demonstration in meeting its goal of
improving beneficiary access to
behavioral health care by incorporating
Web-based technology.
Dated: March 1, 2011.
Morgan F. Park,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2011–4867 Filed 3–3–11; 8:45 am]
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19:16 Mar 03, 2011
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DEPARTMENT OF DEFENSE
Office of the Secretary
TRICARE, Formerly Known as the
Civilian Health and Medical Program of
the Uniformed Services (CHAMPUS);
Fiscal Year 2011 Mental Health Rate
Updates
Department of Defense.
Notice of Updated Mental
Health Rates for Fiscal Year 2011.
AGENCY:
ACTION:
This notice provides the
updated regional per-diem rates for lowvolume 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 perdiem rates for both full-day and half-day
TRICARE Partial Hospitalization
Programs for Fiscal Year 2011.
DATES: Effective Date: The Fiscal Year
2011 rates contained in this notice are
effective for services on or after October
1, 2010.
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
(FR) 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 2011, the market basket
rate is 2.6 percent. This year, Medicare
applied two reductions to their market
basket amount: (1) a 0.25 percent
reduction due to provisions found in the
Patient Protection and Affordable Care
Act, and (2) a 2.9 percent reduction for
documentation and coding adjustments
found in Public Law 110–90. These two
SUMMARY:
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Sfmt 4703
reductions do not apply to TRICARE.
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 2011 updated by 2.6 percent.
Partial hospitalization rates for fullday and half-day programs will also be
updated by 2.6 percent for Fiscal Year
2011.
The cap amount for high-volume
hospitals and units will also be updated
by the 2.6 percent for Fiscal Year 2011.
The beneficiary cost share for low
volume hospitals and units will also be
updated by the 2.6 percent for Fiscal
Year 2011.
Per 32 Code of Federal Regulations
(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 2011. 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 perdiems 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 2.6
percent for Fiscal Year 2011.
REGIONAL SPECIFIC RATES FOR PSYCHIATRIC HOSPITALS AND UNITS
WITH LOW TRICARE VOLUME FOR
FISCAL YEAR 2011
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 ........................
Regional
rate
$764
736
Beneficiary cost-share: Beneficiary
cost-share (other than dependents of
E:\FR\FM\04MRN1.SGM
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636
600
757
810
690
689
814
519
12075
Federal Register / Vol. 76, No. 43 / Friday, March 4, 2011 / Notices
Active Duty members) for care paid on
the basis of a regional per-diem rate is
the lower of $202 per day or 25 percent
of the hospital billed charges effective
for services rendered on or after October
1, 2010. Cap Amount: Updated cap
amount for hospitals and units with
high TRICARE volume is $960 per day
for services on or after October 1, 2010.
The following reflect an update of 2.6
percent for Fiscal Year 2011 for the
partial hospitalization rates.
PARTIAL HOSPITALIZATION RATES FOR FULL-DAY AND HALF-DAY PROGRAMS
[Fiscal year 2011]
Full-day rate
(6 hours or
more)
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., D.C., 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 ......................................................................................................................................................................
The above rates are effective for
services rendered on or after October 1,
2010.
Dated: March 1, 2011.
Morgan F. Park,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
determined that this meeting concerns
matters listed in 5 U.S.C. 552B
(c)(1)(1982), and that accordingly this
meeting will be closed to the public.
FOR FURTHER INFORMATION CONTACT: Ms.
Ann Hansen, 703–571–9232.
Dated: February 25, 2011.
Morgan F. Park
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2011–4866 Filed 3–3–11; 8:45 am]
BILLING CODE 5001–06–P
[FR Doc. 2011–4864 Filed 3–3–11; 8:45 am]
DEPARTMENT OF DEFENSE
BILLING CODE 5001–06–P
Office of the Secretary
DEPARTMENT OF DEFENSE
Meeting of the Defense Policy Board
Defense Policy Board,
Department of Defense.
ACTION: Notice.
Office of the Secretary
The Defense Policy Board will
meet in closed session on March 15,
2011 from 0800 hrs until 1800 hrs and
on March 16, 2011 from 0800 hrs until
1030 hrs at the Pentagon.
The purpose of the meeting is to
provide the Secretary of Defense,
Deputy Secretary of Defense and Under
Secretary of Defense for Policy with
independent, informed advice on major
matters of defense policy. The Board
will hold classified discussions on
national security matters.
In accordance with Section 10(d) of
the Federal Advisory Committee Act,
Public Law 92–463, as amended [5
U.S.C. App II (1982)], it has been
AGENCY:
AGENCY:
jlentini on DSKJ8SOYB1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
19:16 Mar 03, 2011
Jkt 223001
Meeting of a Federal Advisory
Committee
ACTION:
Department of Defense.
Notice of meeting.
Under the provisions of the
Federal Advisory Committee Act of
1972 (5 U.S.C., Appendix, as amended),
the Government in the Sunshine Act of
1976 (5 U.S.C. 552b, as amended), and
41 CFR 102–3.150, the Department of
Defense announces that the following
Federal Advisory Committee meeting of
the Department of Defense Task Force
on the Care, Management, and
Transition of Recovering Wounded, Ill,
and Injured Members of the Armed
Forces (subsequently referred to as the
Task Force) will take place.
SUMMARY:
PO 00000
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Half-day
rate
(3–5 hours)
$306
$227
333
250
293
218
293
218
314
237
340
256
$340
256
343
337
218
259
252
165
Wednesday, March 30, 2011, and
Thursday, March 31, 2011 from 8 a.m.–
5 p.m.
ADDRESSES: Gaylord National Resort &
Convention Center, 201 Waterfront St.,
National Harbor, MD 20745.
FOR FURTHER CONTACT INFORMATION: Mail
Delivery service through Recovering
Warrior Task Force, Hoffman Building
II, 200 Stovall St., Alexandria, VA
22332–0021 ‘‘Mark as Time Sensitive for
March Meeting.’’
E-mails to rwtf@wso.whs.mil. Telephone
(703) 325–6640. Fax (703) 325–6710.
SUPPLEMENTARY INFORMATION:
Purpose of the Meeting: The purpose
of the meeting is for the Task Force
Members to convene and receive
briefings on the Marine Corps Wounded
Warrior Regiment, the Navy Safe Harbor
Program, and the National Guard’s
Transition Assistance Advisor Program.
Agenda: (Please refer to https://
dtf.defense.gov/rwtf/meetings.html for
the most up-to-date meeting
information.)
DATES:
8 a.m.–5 p.m. Wednesday 30 March
2011
8
Opening and review of recent Task
Force Installation Visits
10 Break
10:15 Measures of Effectiveness and
Systems of Performance and
Accountability and Marine Corps
Support to Caregivers in the Marine
Corps Wounded Warrior Regiment
E:\FR\FM\04MRN1.SGM
04MRN1
]]>Agencies
[Federal Register Volume 76, Number 43 (Friday, March 4, 2011)]
[Notices]
[Pages 12074-12075]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-4866]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
TRICARE, Formerly Known as the Civilian Health and Medical
Program of the Uniformed Services (CHAMPUS); Fiscal Year 2011 Mental
Health Rate Updates
AGENCY: Department of Defense.
ACTION: Notice of Updated Mental Health Rates for Fiscal Year 2011.
-----------------------------------------------------------------------
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-diem rates for both full-day and half-day TRICARE
Partial Hospitalization Programs for Fiscal Year 2011.
DATES: Effective Date: The Fiscal Year 2011 rates contained in this
notice are effective for services on or after October 1, 2010.
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 (FR) 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 2011, the market
basket rate is 2.6 percent. This year, Medicare applied two reductions
to their market basket amount: (1) a 0.25 percent reduction due to
provisions found in the Patient Protection and Affordable Care Act, and
(2) a 2.9 percent reduction for documentation and coding adjustments
found in Public Law 110-90. These two reductions do not apply to
TRICARE. 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 2011 updated by 2.6 percent.
Partial hospitalization rates for full-day and half-day programs
will also be updated by 2.6 percent for Fiscal Year 2011.
The cap amount for high-volume hospitals and units will also be
updated by the 2.6 percent for Fiscal Year 2011.
The beneficiary cost share for low volume hospitals and units will
also be updated by the 2.6 percent for Fiscal Year 2011.
Per 32 Code of Federal Regulations (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 2011. 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 2.6 percent for Fiscal Year
2011.
Regional Specific Rates for Psychiatric Hospitals and Units With Low
Tricare Volume for Fiscal Year 2011
------------------------------------------------------------------------
Regional
United States census region rate
------------------------------------------------------------------------
Northeast:
New England............................................ $764
Mid-Atlantic........................................... 736
Midwest:
East North Central..................................... 636
West North Central..................................... 600
South:
South Atlantic......................................... 757
East South Central..................................... 810
West South Central..................................... 690
West:
Mountain............................................... 689
Pacific................................................ 814
Puerto Rico............................................ 519
------------------------------------------------------------------------
Beneficiary cost-share: Beneficiary cost-share (other than
dependents of
[[Page 12075]]
Active Duty members) for care paid on the basis of a regional per-diem
rate is the lower of $202 per day or 25 percent of the hospital billed
charges effective for services rendered on or after October 1, 2010.
Cap Amount: Updated cap amount for hospitals and units with high
TRICARE volume is $960 per day for services on or after October 1,
2010.
The following reflect an update of 2.6 percent for Fiscal Year 2011
for the partial hospitalization rates.
Partial Hospitalization Rates for Full-Day and Half-Day Programs
[Fiscal year 2011]
------------------------------------------------------------------------
Full-day
rate (6 Half-day
United States census region hours or rate (3-5
more) hours)
------------------------------------------------------------------------
Northeast:
New England (Maine, N.H., Vt., Mass., $306 $227
R.I., Conn.).............................
Mid-Atlantic:
(N.Y., N.J., Penn.)....................... 333 250
Midwest:
East North Central (Ohio, Ind., Ill., 293 218
Mich., Wis.).............................
West North Central:
(Minn., Iowa, Mo., N.D., S.D., Neb., Kan.) 293 218
South:
South Atlantic (Del., Md., D.C., Va., 314 237
W.Va., N.C., S.C., Ga., Fla.)............
East South Central:
(Ky., Tenn., Ala., Miss.)................. 340 256
West South Central:
(Ark., La., Texas, Okla.)................. $340 256
West:
Mountain (Mon., Idaho, Wyo., Col., N.M., 343 259
Ariz., Utah, Nev.).......................
Pacific (Wash., Ore., Calif., Alaska, 337 252
Hawaii)..................................
Puerto Rico................................... 218 165
------------------------------------------------------------------------
The above rates are effective for services rendered on or after
October 1, 2010.
Dated: March 1, 2011.
Morgan F. Park,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2011-4866 Filed 3-3-11; 8:45 am]
BILLING CODE 5001-06-P
