Cost-Based and Inter-Agency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs, 40749-40751 [2011-17263]

Download as PDF Federal Register / Vol. 76, No. 132 / Monday, July 11, 2011 / Notices and either e-mailed to pubcommentees.enrd@usdoj.gov or mailed to P.O. Box 7611, NW., Washington, DC 20044– 7611, and should refer to United States and State of Texas v. Halliburton Energy Services, Inc., et al., D.J. Ref. 90–11–3– 07730/1. The Consent Decree may be examined at U.S. EPA Region 6, 1445 Ross Avenue, Suite 1200, Dallas, Texas, 75202. During the public comment period, the Consent Decree, may also be examined on the following Department of Justice Web site, http:// www.usdoj.gov/enrd/ Consent_Decrees.html. A copy of the Consent Decree may also be obtained by mail from the Consent Decree Library, P.O. Box 7611, U.S. Department of Justice, Washington, DC 20044–7611 or by faxing or e-mailing a request to Tonia Fleetwood (tonia.fleetwood@usdoj.gov), fax no. (202) 514–0097, phone confirmation number (202) 514–1547. In requesting a copy from the Consent Decree Library, please enclose a check in the amount of $6.75 (25 cents per page reproduction cost) payable to the U.S. Treasury or, if by e-mail or fax, forward a check in that amount to the Consent Decree Library at the stated address. Maureen Katz, Assistant Section Chief, Environmental Enforcement Section, Environment and Natural Resources Division. [FR Doc. 2011–17286 Filed 7–8–11; 8:45 am] BILLING CODE 4410–15–P DEPARTMENT OF JUSTICE Bureau of Alcohol, Tobacco, Firearms and Explosives [OMB Number 1140–0030] Agency Information Collection Activities: Records and Supporting Data: Importation, Receipt, Storage, and Disposition by Explosives Importers, Manufacturers, Dealers, and Users erowe on DSK5CLS3C1PROD with NOTICES ACTION: 60-Day notice. The Department of Justice (DOJ), Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF), will be submitting the following information collection request to the Office of Management and Budget (OMB) for review and approval in accordance with the Paperwork Reduction Act of 1995. This notice requests comments from the public and affected agencies concerning the proposed information collection. Comments are encouraged and will be accepted for ‘‘sixty days’’ until September 9, 2011. This process is VerDate Mar<15>2010 15:30 Jul 08, 2011 Jkt 223001 conducted in accordance with 5 CFR 1320.10. If you have comments especially on the estimated public burden or associated response time, suggestions, or need a copy of the proposed information collection instrument with instructions or additional information, please contact William Miller, William.Miller@atf.gov, Chief, Explosives Industry Programs Branch, 99 New York Ave., NE., Washington, DC 20226. Written comments and suggestions from the public and affected agencies concerning the proposed collection of information are encouraged. Your comments should address one or more of the following four points: —Evaluate whether the proposed collection of information is necessary for the proper performance of the functions of the agency, including whether the information will have practical utility; —Evaluate the accuracy of the agencies estimate of the burden of the proposed collection of information, including the validity of the methodology and assumptions used; —Enhance the quality, utility, and clarity of the information to be collected; and —Minimize the burden of the collection of information on those who are to respond, including through the use of appropriate automated, electronic, mechanical, or other technological collection techniques or other forms of information technology, e.g., permitting electronic submission of responses. Summary of Information Collection (1) Type of Information Collection: Extension of a currently approved collection. (2) Title of the Form/Collection: Records and Supporting Data: Importation, Receipt, Storage, and Disposition By Explosives Importers, Manufacturers, Dealers, and Users Licensed Under Title 18 U.S.C. Chapter 40 Explosives. (3) Agency form number, if any, and the applicable component of the Department of Justice sponsoring the collection: Form Number: None. Bureau of Alcohol, Tobacco, Firearms and Explosives. (4) Affected public who will be asked or required to respond, as well as a brief abstract: Primary: Business or other forprofit. Other: None. Need for Collection The records show daily activities in the importation, manufacture, receipt, storage, and disposition of all explosive PO 00000 Frm 00073 Fmt 4703 Sfmt 4703 40749 materials covered under 18 U.S.C. Chapter 40 Explosives. The records are used to show where and to whom explosive materials are sent, thereby ensuring that any diversions will be readily apparent and if lost or stolen, ATF will be immediately notified. (5) An estimate of the total number of respondents and the amount of time estimated for an average respondent to respond: It is estimated that 50,519 respondents will take 1 hour to maintain records. (6) An estimate of the total public burden (in hours) associated with the collection: There are an estimated 637,570 annual total burden hours associated with this collection. If additional information is required contact: Jerri Murray, Department Clearance Officer, Policy and Planning Staff, Justice Management Division, Department of Justice, Two Constitution Square, Room 2E–508, 145 N Street, NE., Washington, DC 20530. Jerri Murray, Department Clearance Officer, PRA, U.S. Department of Justice. [FR Doc. 2011–17285 Filed 7–8–11; 8:45 am] BILLING CODE 4810–FY–P OFFICE OF MANAGEMENT AND BUDGET DEPARTMENT OF VETERANS AFFAIRS Cost-Based and Inter-Agency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs Office of Management and Budget, Executive Office of the President and the Department of Veterans Affairs. ACTION: Notice. AGENCY: This document updates the Cost-Based and Inter-Agency billing rates for medical care or services provided by the Department of Veterans Affairs (VA) that apply in certain circumstances. This notice is issued jointly by the Office of Management and Budget and the Department of Veterans Affairs. DATES: Effective Date: The rates set forth herein are effective July 11, 2011 and until further notice. FOR FURTHER INFORMATION CONTACT: Romona Greene, Chief Business Office (168), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 461–1595. (This is not a toll free number.) SUMMARY: E:\FR\FM\11JYN1.SGM 11JYN1 40750 Federal Register / Vol. 76, No. 132 / Monday, July 11, 2011 / Notices VA’s methodology for computing Cost-Based and Inter-Agency billing rates for medical care or services provided by VA is set forth in 38 CFR 17.102(h). These rates apply to medical care or services provided: (a) In error or based on tentative eligibility; (b) In a medical emergency; (c) To pensioners of allied nations; (d) For research purposes in circumstances under which VA medical care appropriation is to be reimbursed by VA research appropriation; and (e) To beneficiaries of the Department of Defense (DoD) or other Federal agencies, when the care or service provided is not covered by an applicable sharing agreement. The rates contained in this notice do not apply to sharing agreements between VA and DoD unless otherwise stated. SUPPLEMENTARY INFORMATION: Two sets of rates are obtained via application of this methodology: CostBased rates, for use for purposes (a) through (d), above, and Inter-Agency rates, for use for purpose (e), above. The calculations for the Cost-Based and Inter-Agency rates are the same except that Inter-Agency rates are not broken down into three components (Physician; Ancillary; and Nursing, Room, and Board), and they do not include standard fringe benefit costs covering government employee retirement, disability costs, and return on fixed assets. When VA pays for medical care or service from a non-VA source under circumstances in which the Cost-Based or Inter-Agency Rates would apply if the care or service had been provided by VA, the charge for such care or service will be the actual amount paid by VA for that care or service. Inpatient charges will be at the per diem rates shown for the type of bed section or discrete treatment unit providing the care. The third party pharmacy rate will remain the same as set forth in the notice published in the Federal Register on November 3, 2005 (70 FR 66866) until VA’s final rule RIN 2900–AN15 for the ‘‘Charges Billed to Third Parties for Prescription Drugs Furnished by VA to a Veteran for a Nonservice-Connected Disability’’ is effective on March 18, 2011. VA’s current third party pharmacy rate utilizes the cost-based methodology set forth in 38 CFR 17.102, which was only to be used until such time as charges for prescription drugs were implemented under the provisions of 38 CFR 17.101. Effective March 18, 2011, VA will use the new methodology set forth in 38 CFR 17.101(m). Current rates obtained via the above methodology are as follows: erowe on DSK5CLS3C1PROD with NOTICES Cost-based rates A. Hospital Care per inpatient day General Medicine: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Neurology: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Rehabilitation Medicine: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Blind Rehabilitation: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Spinal Cord Injury: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Surgery: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. General Psychiatry All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Substance Abuse (Alcohol and Drug Treatment) All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Psychosocial Residential Rehabilitation Program All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. VerDate Mar<15>2010 15:30 Jul 08, 2011 Jkt 223001 PO 00000 Frm 00074 Fmt 4703 Sfmt 4703 E:\FR\FM\11JYN1.SGM 11JYN1 Inter-agency rates $2,384 285 621 1,478 $2,232 ........................ ........................ ........................ 3,899 571 1,029 2,299 3,648 ........................ ........................ ........................ 2,122 241 648 1,233 1,992 ........................ ........................ ........................ 1,240 100 616 524 1,161 ........................ ........................ ........................ 1,756 218 442 1,096 1,644 ........................ ........................ ........................ 4,533 500 1,375 2,658 4,248 ........................ ........................ ........................ 801 76 126 599 749 ........................ ........................ ........................ 1,154 110 267 777 1,081 ........................ ........................ ........................ 577 36 61 480 540 ........................ ........................ ........................ 40751 Federal Register / Vol. 76, No. 132 / Monday, July 11, 2011 / Notices Cost-based rates Intermediate Medicine All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Polytrauma Inpatient All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. B. Nursing Home Care, Per Day All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. C. Outpatient Medical and Emergency Dental Treatment Outpatient Visit (Other than Emergency Dental) ............................................................................................. Emergency Dental Outpatient Visit .................................................................................................................. PM&RS Outpatient Visit ................................................................................................................................... Outpatient PolyTrauma/Traumatic Brain Injury ................................................................................................ Beginning on the effective date indicated herein, these rates supersede those established by VA and by the Director of Office of Management and Budget on November 3, 2005 (70 FR 66866). Approved: August 9, 2010. John R. Gingrich, Chief of Staff, Department of Veterans Affairs. Approved: June 29, 2011. Jacob J. Lew, Director, Office of Management and Budget. [FR Doc. 2011–17263 Filed 7–8–11; 8:45 am] BILLING CODE 3110–01–P NATIONAL AERONAUTICS AND SPACE ADMINISTRATION [Notice (11–062)] National Environmental Policy Act; Wallops Flight Facility; Site-Wide National Aeronautics and Space Administration. ACTION: Notice of intent to prepare a Site-wide Programmatic Environmental Impact Statement (PEIS) and to conduct scoping for expanding operations at Wallops Flight Facility (WFF), in Virginia. AGENCY: Pursuant to the National Environmental Policy Act, as amended, (NEPA) (42 U.S.C. 4321 et. seq.), the Council on Environmental Quality Regulations for Implementing the Procedural Provisions of NEPA (40 CFR Parts 1500–1508), and NASA’s NEPA policy and procedures (14 CFR Part 1216, subpart 1216.3), NASA intends to prepare a PEIS for the expansion of operations at WFF. The Federal Aviation Administration (FAA), Office erowe on DSK5CLS3C1PROD with NOTICES SUMMARY: VerDate Mar<15>2010 15:30 Jul 08, 2011 Jkt 223001 of Commercial Space Transportation (AST) and Air Traffic Organization (ATO) Office; the National Oceanic and Atmospheric Administration (NOAA), National Environmental Satellite, Data, and Information Service (NESDIS); the Department of the Navy, Naval Sea Systems Command (NAVSEA) and Naval Air Systems Command (NAVAIR); the Department of the Army, Corps of Engineers (USACE); the U.S. Coast Guard (USCG); and the U.S. Fish and Wildlife Service (USFWS) have accepted requests to participate as Cooperating Agencies as they either have permanent facilities or missions at WFF or possess regulatory authority or specialized expertise pertaining to the Proposed Action. The purpose of this notice is to apprise interested agencies, organizations, and individuals of NASA’s intent to prepare the PEIS and to request input regarding the definition of reasonable alternatives and significant environmental issues to be evaluated in the PEIS. NASA will hold a public scoping meeting in cooperation with FAA–AST, FAA–ATO, NOAA–NESDIS, NAVSEA, NAVAIR, USACE, USCG, and USFWS, as part of the NEPA process associated with the development of the PEIS. The scoping meeting location and date identified at this time are provided under SUPPLEMENTARY INFORMATION below. DATES: Interested parties are invited to submit comments on environmental issues and concerns, preferably in writing, on or before August 15, 2011, to assure full consideration during the scoping process. ADDRESSES: Comments submitted by mail should be addressed to Shari PO 00000 Frm 00075 Fmt 4703 Sfmt 4703 Inter-agency rates 1,920 94 282 1,544 1,796 ........................ ........................ ........................ 3,391 385 1,036 1,970 3,197 ........................ ........................ ........................ 993 31 134 828 929 ........................ ........................ ........................ 231 487 430 573 214 416 401 535 Silbert, Manager, Site-wide PEIS, NASA Goddard Space Flight Center’s Wallops Flight Facility, Wallops Island, Virginia 23337. Comments may be submitted via e-mail to Shari.A.Silbert@nasa.gov. FOR FURTHER INFORMATION CONTACT: Shari Silbert, Manager, Site-wide PEIS, NASA Wallops Flight Facility, Wallops Island, Virginia 23337; telephone (757) 824–2327; e-mail: Shari.A.Silbert@nasa.gov. Additional information about NASA’s WFF may be found on the Internet at http:// www.nasa.gov/centers/wallops/home/ index.html. Information regarding the NEPA process for this proposal and supporting documents (as available) are located at http://sites.wff.nasa.gov/ code250/site-wide_eis.html. SUPPLEMENTARY INFORMATION: Background WFF is a NASA Goddard Space Flight Center field installation located in Accomack County on the Eastern Shore of Virginia. The facility consists of three distinct landmasses—the Main Base, Wallops Mainland, and Wallops Island—totaling nearly 2,630 hectares (6,500 acres). It is the oldest active launch range in the continental United States and the only range completely under NASA management. For over 65 years, WFF has flown thousands of research vehicles in the quest for information on the characteristics of airplanes, rockets, and spacecraft, and to increase the knowledge of the Earth’s upper atmosphere and the near space environment. The flight programs and projects currently supported by WFF include sounding rockets, scientific balloons, manned and unmanned experimental aircraft, space shuttle and orbital tracking, next-generation launch E:\FR\FM\11JYN1.SGM 11JYN1

Agencies

[Federal Register Volume 76, Number 132 (Monday, July 11, 2011)]
[Notices]
[Pages 40749-40751]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-17263]


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OFFICE OF MANAGEMENT AND BUDGET

DEPARTMENT OF VETERANS AFFAIRS


Cost-Based and Inter-Agency Billing Rates for Medical Care or 
Services Provided by the Department of Veterans Affairs

AGENCY: Office of Management and Budget, Executive Office of the 
President and the Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: This document updates the Cost-Based and Inter-Agency billing 
rates for medical care or services provided by the Department of 
Veterans Affairs (VA) that apply in certain circumstances. This notice 
is issued jointly by the Office of Management and Budget and the 
Department of Veterans Affairs.

DATES: Effective Date: The rates set forth herein are effective July 
11, 2011 and until further notice.

FOR FURTHER INFORMATION CONTACT: Romona Greene, Chief Business Office 
(168), Veterans Health Administration, Department of Veterans Affairs, 
810 Vermont Avenue, NW., Washington, DC 20420, (202) 461-1595. (This is 
not a toll free number.)

[[Page 40750]]


SUPPLEMENTARY INFORMATION: VA's methodology for computing Cost-Based 
and Inter-Agency billing rates for medical care or services provided by 
VA is set forth in 38 CFR 17.102(h). These rates apply to medical care 
or services provided:
    (a) In error or based on tentative eligibility;
    (b) In a medical emergency;
    (c) To pensioners of allied nations;
    (d) For research purposes in circumstances under which VA medical 
care appropriation is to be reimbursed by VA research appropriation; 
and
    (e) To beneficiaries of the Department of Defense (DoD) or other 
Federal agencies, when the care or service provided is not covered by 
an applicable sharing agreement. The rates contained in this notice do 
not apply to sharing agreements between VA and DoD unless otherwise 
stated.
    Two sets of rates are obtained via application of this methodology: 
Cost-Based rates, for use for purposes (a) through (d), above, and 
Inter-Agency rates, for use for purpose (e), above. The calculations 
for the Cost-Based and Inter-Agency rates are the same except that 
Inter-Agency rates are not broken down into three components 
(Physician; Ancillary; and Nursing, Room, and Board), and they do not 
include standard fringe benefit costs covering government employee 
retirement, disability costs, and return on fixed assets.
    When VA pays for medical care or service from a non-VA source under 
circumstances in which the Cost-Based or Inter-Agency Rates would apply 
if the care or service had been provided by VA, the charge for such 
care or service will be the actual amount paid by VA for that care or 
service.
    Inpatient charges will be at the per diem rates shown for the type 
of bed section or discrete treatment unit providing the care.
    The third party pharmacy rate will remain the same as set forth in 
the notice published in the Federal Register on November 3, 2005 (70 FR 
66866) until VA's final rule RIN 2900-AN15 for the ``Charges Billed to 
Third Parties for Prescription Drugs Furnished by VA to a Veteran for a 
Nonservice-Connected Disability'' is effective on March 18, 2011. VA's 
current third party pharmacy rate utilizes the cost-based methodology 
set forth in 38 CFR 17.102, which was only to be used until such time 
as charges for prescription drugs were implemented under the provisions 
of 38 CFR 17.101. Effective March 18, 2011, VA will use the new 
methodology set forth in 38 CFR 17.101(m).
    Current rates obtained via the above methodology are as follows:

------------------------------------------------------------------------
                                            Cost-based     Inter-agency
                                               rates           rates
------------------------------------------------------------------------
A. Hospital Care per inpatient day
General Medicine:
    All Inclusive Rate..................          $2,384          $2,232
    Physician...........................             285  ..............
    Ancillary...........................             621  ..............
    Nursing Room and Board..............           1,478  ..............
Neurology:
    All Inclusive Rate..................           3,899           3,648
    Physician...........................             571  ..............
    Ancillary...........................           1,029  ..............
    Nursing Room and Board..............           2,299  ..............
Rehabilitation Medicine:
    All Inclusive Rate..................           2,122           1,992
    Physician...........................             241  ..............
    Ancillary...........................             648  ..............
    Nursing Room and Board..............           1,233  ..............
Blind Rehabilitation:
    All Inclusive Rate..................           1,240           1,161
    Physician...........................             100  ..............
    Ancillary...........................             616  ..............
    Nursing Room and Board..............             524  ..............
Spinal Cord Injury:
    All Inclusive Rate..................           1,756           1,644
    Physician...........................             218  ..............
    Ancillary...........................             442  ..............
    Nursing Room and Board..............           1,096  ..............
Surgery:
    All Inclusive Rate..................           4,533           4,248
    Physician...........................             500  ..............
    Ancillary...........................           1,375  ..............
    Nursing Room and Board..............           2,658  ..............
General Psychiatry
    All Inclusive Rate..................             801             749
    Physician...........................              76  ..............
    Ancillary...........................             126  ..............
    Nursing Room and Board..............             599  ..............
Substance Abuse (Alcohol and Drug
 Treatment)
    All Inclusive Rate..................           1,154           1,081
    Physician...........................             110  ..............
    Ancillary...........................             267  ..............
    Nursing Room and Board..............             777  ..............
Psychosocial Residential Rehabilitation
 Program
    All Inclusive Rate..................             577             540
    Physician...........................              36  ..............
    Ancillary...........................              61  ..............
    Nursing Room and Board..............             480  ..............

[[Page 40751]]

 
Intermediate Medicine
    All Inclusive Rate..................           1,920           1,796
    Physician...........................              94  ..............
    Ancillary...........................             282  ..............
    Nursing Room and Board..............           1,544  ..............
Polytrauma Inpatient
    All Inclusive Rate..................           3,391           3,197
    Physician...........................             385  ..............
    Ancillary...........................           1,036  ..............
    Nursing Room and Board..............           1,970  ..............
B. Nursing Home Care, Per Day
    All Inclusive Rate..................             993             929
    Physician...........................              31  ..............
    Ancillary...........................             134  ..............
    Nursing Room and Board..............             828  ..............
C. Outpatient Medical and Emergency
 Dental Treatment
    Outpatient Visit (Other than                     231             214
     Emergency Dental)..................
    Emergency Dental Outpatient Visit...             487             416
    PM&RS Outpatient Visit..............             430             401
    Outpatient PolyTrauma/Traumatic                  573             535
     Brain Injury.......................
------------------------------------------------------------------------

    Beginning on the effective date indicated herein, these rates 
supersede those established by VA and by the Director of Office of 
Management and Budget on November 3, 2005 (70 FR 66866).

    Approved: August 9, 2010.
John R. Gingrich,
Chief of Staff, Department of Veterans Affairs.
    Approved: June 29, 2011.
Jacob J. Lew,
Director, Office of Management and Budget.
[FR Doc. 2011-17263 Filed 7-8-11; 8:45 am]
BILLING CODE 3110-01-P