Termination of Provider Reimbursement Demonstration Project for the State of Alaska, 22770 [2012-9146]
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Federal Register / Vol. 77, No. 74 / Tuesday, April 17, 2012 / Notices
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wreier-aviles on DSK5TPTVN1PROD with NOTICES
SUPPLEMENTARY INFORMATION:
VerDate Mar<15>2010
14:27 Apr 16, 2012
Jkt 226001
[FR Doc. 2012–9165 Filed 4–16–12; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
Termination of Provider
Reimbursement Demonstration Project
for the State of Alaska
Department of Defense (DoD).
Notice of demonstration
termination.
AGENCY:
This notice provides a
termination of the demonstration project
in the State of Alaska for individual
provider payment rates. Under the
demonstration, payment rates for
physicians and other non-institutional
individual professional providers in the
State of Alaska have been set at a rate
higher than the Medicare rate. The goal
of the demonstration was to determine
at what rate payment would need to be
set in order to encourage higher
participation in the TRICARE program
by providers in Alaska.
DATES: The demonstration regarding
payment rates for physicians and other
non-institutional providers is
terminated effective May 17, 2012.
ADDRESSES: TRICARE Management
Activity (TMA), Medical Benefits and
Reimbursement Branch, 16401 East
Centretech Parkway, Aurora, CO 80011–
9066.
FOR FURTHER INFORMATION CONTACT:
Glenn J. Corn, TRICARE Management
Activity, Medical Benefits and
Reimbursement Branch, telephone (303)
676–3566.
SUPPLEMENTARY INFORMATION: On
November 20, 2006 (71 FR 67113), DoD
published a Notice of a TRICARE
demonstration project for the State of
Alaska, with an effective date of January
1, 2007. The demonstration set payment
rates for physicians and other noninstitutional individual professional
providers in the State of Alaska at a rate
higher than the Medicare rate in order
to determine if more individual
providers would participate in the
TRICARE program. The demonstration
was effective January 1, 2007 for a
period of three years, ending on
December 31, 2009. The demonstration
was extended twice. On December 18,
2009 (74 FR 67179), DoD published a
Notice of demonstration extension that
extended the demonstration through
December 31, 2010, and on July 8, 2010
SUMMARY:
PO 00000
Frm 00016
Fmt 4703
Sfmt 4703
(75 FR 39213), DoD published a Notice
of demonstration extension that
extended the demonstration through
December 31, 2012.
An analysis of the effectiveness of the
demonstration was conducted and it
showed an increase in provider
participation. This increased
participation opened access to local
specialty care that had previously been
severely impaired, and it decreased the
overall cost of health care by reducing
the travel costs incurred by the
Department for Prime beneficiaries who
had been forced to travel long distances
to receive care outside of Alaska. The
demonstration also showed that each
geographic area in Alaska had increased
participation using the same
‘‘multiplier’’ of the Medicare rate. Thus
in order to preserve the successes made
through the demonstration project in
improving provider access and to keep
the CHAMPUS Maximum Allowable
Charge rates in relative proportion with
the demonstration rates, the Department
has determined that it can use its
current authority under Title 10, United
States Code, section 1079(h)(5) to
provide a state-wide locality based
reimbursement waiver without
requesting additional statutory or
regulatory authority for the State of
Alaska. A state-wide locality based
waiver was approved by the Director of
TMA under current authority (Title 32,
Code of Federal Regulations, section
199.14(j)(1)(iv)(D)) on September 15,
2011, and thus the need for this
demonstration has ceased. This statewide locality based reimbursement
waiver allows the higher individual
provider payment rates associated with
the demonstration project.
Dated: March 30, 2012.
Patricia Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. 2012–9146 Filed 4–16–12; 8:45 am]
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Department of the Air Force
U.S. Air Force Scientific Advisory
Board; Notice of Meeting
Department of the Air Force,
U.S. Air Force Scientific Advisory
Board.
ACTION: Meeting notice.
AGENCY:
Due to difficulties, beyond the
control of the U.S. Air Force Scientific
Advisory Board or its Designated
Federal Officer, the Board was unable to
file a Federal Register notice for the
SUMMARY:
E:\FR\FM\17APN1.SGM
17APN1
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[Federal Register Volume 77, Number 74 (Tuesday, April 17, 2012)]
[Notices]
[Page 22770]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-9146]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
Termination of Provider Reimbursement Demonstration Project for
the State of Alaska
AGENCY: Department of Defense (DoD).
ACTION: Notice of demonstration termination.
-----------------------------------------------------------------------
SUMMARY: This notice provides a termination of the demonstration
project in the State of Alaska for individual provider payment rates.
Under the demonstration, payment rates for physicians and other non-
institutional individual professional providers in the State of Alaska
have been set at a rate higher than the Medicare rate. The goal of the
demonstration was to determine at what rate payment would need to be
set in order to encourage higher participation in the TRICARE program
by providers in Alaska.
DATES: The demonstration regarding payment rates for physicians and
other non-institutional providers is terminated effective May 17, 2012.
ADDRESSES: TRICARE Management Activity (TMA), Medical Benefits and
Reimbursement Branch, 16401 East Centretech Parkway, Aurora, CO 80011-
9066.
FOR FURTHER INFORMATION CONTACT: Glenn J. Corn, TRICARE Management
Activity, Medical Benefits and Reimbursement Branch, telephone (303)
676-3566.
SUPPLEMENTARY INFORMATION: On November 20, 2006 (71 FR 67113), DoD
published a Notice of a TRICARE demonstration project for the State of
Alaska, with an effective date of January 1, 2007. The demonstration
set payment rates for physicians and other non-institutional individual
professional providers in the State of Alaska at a rate higher than the
Medicare rate in order to determine if more individual providers would
participate in the TRICARE program. The demonstration was effective
January 1, 2007 for a period of three years, ending on December 31,
2009. The demonstration was extended twice. On December 18, 2009 (74 FR
67179), DoD published a Notice of demonstration extension that extended
the demonstration through December 31, 2010, and on July 8, 2010 (75 FR
39213), DoD published a Notice of demonstration extension that extended
the demonstration through December 31, 2012.
An analysis of the effectiveness of the demonstration was conducted
and it showed an increase in provider participation. This increased
participation opened access to local specialty care that had previously
been severely impaired, and it decreased the overall cost of health
care by reducing the travel costs incurred by the Department for Prime
beneficiaries who had been forced to travel long distances to receive
care outside of Alaska. The demonstration also showed that each
geographic area in Alaska had increased participation using the same
``multiplier'' of the Medicare rate. Thus in order to preserve the
successes made through the demonstration project in improving provider
access and to keep the CHAMPUS Maximum Allowable Charge rates in
relative proportion with the demonstration rates, the Department has
determined that it can use its current authority under Title 10, United
States Code, section 1079(h)(5) to provide a state-wide locality based
reimbursement waiver without requesting additional statutory or
regulatory authority for the State of Alaska. A state-wide locality
based waiver was approved by the Director of TMA under current
authority (Title 32, Code of Federal Regulations, section
199.14(j)(1)(iv)(D)) on September 15, 2011, and thus the need for this
demonstration has ceased. This state-wide locality based reimbursement
waiver allows the higher individual provider payment rates associated
with the demonstration project.
Dated: March 30, 2012.
Patricia Toppings,
OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2012-9146 Filed 4-16-12; 8:45 am]
BILLING CODE 5001-06-P