Great Lakes Hydro America, LLC; Notice of Application Accepted for Filing and Soliciting Comments, Motions To Intervene, and Protests, 38043-38044 [2012-15521]
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Federal Register / Vol. 77, No. 123 / Tuesday, June 26, 2012 / Notices
implement TOPS as of January 1, 2010.
The PPACA also expanded the hold
harmless provision to all SCHs.
TTOPs will be made to qualifying
hospitals that have OPPS costs that are
greater than their TRICARE allowed
amounts using a method similar to
Medicare. TRICARE will pay an amount
equal to 85 percent of the difference
between the estimated OPPS costs and
the OPPS payment.
The process for determining the
TTOPs will be outlined in a future
revision to the TRICARE
Reimbursement Manual. The TRICARE
Reimbursement Manual is available at
https://manuals.tricare.osd.mil/.
Dated: June 20, 2012.
Patricia Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. 2012–15504 Filed 6–25–12; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
TRICARE; Revised Guideline for
Determining the Outpatient
Prospective Payment System (OPPS)
General Temporary Military
Contingency Payment Adjustment
(TMCPA) Amount
Department of Defense (DoD).
Notice of revised guideline for
determining TRICARE’s OPPS General
TMCPA amount.
AGENCY:
ACTION:
This notice advises interested
parties of a guideline concerning the
methodology to calculate TRICARE’s
OPPS General TMCPA amount for
qualifying hospitals.
DATES: The guideline for calculating
TRICARE’s OPPS General TMCPA
amount is effective for OPPS year 4
(May 1, 2012–April 30, 2013) and
subsequent years.
ADDRESSES: TRICARE Management
Activity (TMA), Medical Benefits and
Reimbursement Branch, 16401 East
Centretech Parkway, Aurora, CO 80011–
9066.
FOR FURTHER INFORMATION CONTACT: Ms.
Martha M. Maxey, TMA, Medical
Benefits and Reimbursement Branch,
telephone (303) 676–3627.
SUPPLEMENTARY INFORMATION:
TRICARE’s OPPS Final Rule that was
published in the Federal Register on
December 10, 2008, states that TMCPAs
are intended to provide additional
payments above the Medicare payment
level for hospitals that are ‘‘deemed
essential for military readiness and
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deployment in time of contingency
operations.’’
The final rule stated that the
procedures to be followed when
submitting a TMCPA request would be
outlined in the TRICARE
Reimbursement Manual (TRM). For the
first three OPPS years, (May 1, 2009–
April 30, 2012), TMA implemented the
criteria for General TMCPA payments
and reviewed applications for General
TMCPA payments. The TRM states that
for qualifying hospitals, the General
TMCPA adjustment cannot exceed 95
percent of the amount that would have
been paid prior to implementation of
OPPS.
We experienced two major problems
with the approach:
1. The use of the current approach
allows the payments to exceed the
average payment-to-cost ratios (PCRs)
paid by other payers. When DoD
adopted the Medicare OPPS, the intent
was to align our payment structure more
closely with Medicare and assist those
facilities that are ‘‘deemed essential for
military readiness and deployment in
time of contingency operations’’ by
giving them a reasonable adjustment. As
discussed below, paying hospitals up to
95 percent of the pre-OPPS amounts for
hospital outpatient department services
could be equivalent to reimbursing them
at very high (PCRs), resulting in DoD
paying higher rates than most
purchasers of care at these facilities.
2. There is also a lack of fairness in
the current method of determining
General TMCPA payments for the
various facilities because it is tied to the
level of pre-OPPS allowed amounts. For
the most part, pre-OPPS payments were
made on the basis of the charges billed
by the facility. DoD policy at that time
was to pay these ‘‘billed charge
amounts.’’ Thus, using 95 percent of
pre-OPPS allowed amounts could allow
hospitals that had higher billed charges
to receive higher levels of General
TMCPA payments than those that had
billed at lower ‘‘billed charge amounts’’
for the same services. This could be true
even if a lower charging facility saw the
same or greater number of DoD active
duty and family members or if the
facilities’ percentage of revenue
received from DoD were the same. This
result is inequitable to the various
facilities and inconsistent with the
intent of the General TMCPA.
In an attempt to resolve these
inequities, the Department looked at the
rates paid by other private payers. A
report published by the American
Hospital Association (AHA) in
December 2010 indicates that the
aggregate PCRs for private payers are in
the range of 1.15 to 1.35. A ratio of 1.0
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38043
means a hospital meets their costs and
a ratio of greater than 1.0 means
payments exceeds costs. Using an
adjustment guideline to allow the
Department to apply General TMCPA
payments so that the total of payments
to a qualifying hospital falls within
these private pay norms was chosen as
a method to more equitably meet DoD’s
objectives in making these payment
adjustments. As a result, TRICARE is
revising its guidelines for determining
the level of payment for a General
TMCPA from a maximum 95 percent of
the pre-OPPS amount to a maximum
PCR of 1.3 for OPPS year 4 (May 1,
2012–April 30, 2013) and subsequent
years. The ratio 1.30 was selected
because this is the average level of
aggregate PCRs that AHA reports that
hospitals have received from private
payers during the 2003–2009 period.
The use of a PCR as a guideline to
determine the limit on the level of
payment for General TMCPA payments
is simple, transparent, and will provide
fair and equitable payments to the
qualifying hospitals and is supported by
data indicating it is a reasonable
approach.
The procedures that are to be
followed when submitting a TMCPA
request will be outlined in the TRM.
Dated: June 20, 2012.
Patricia Toppings,
OSD Federal Register Liaison Officer,
Department of Defense.
[FR Doc. 2012–15505 Filed 6–25–12; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF ENERGY
Federal Energy Regulatory
Commission
[Project No. 2458–198]
Great Lakes Hydro America, LLC;
Notice of Application Accepted for
Filing and Soliciting Comments,
Motions To Intervene, and Protests
Take notice that the following
hydroelectric application has been filed
with the Commission and is available
for public inspection.
a. Application Type: Amendment of
License Article 408.
b. Project No.: 2458–198.
c. Date Filed: April 13, 2012.
d. Applicant: Great Lakes Hydro
America, LLC.
e. Name of Project: Penobscot Mills.
f. Location: North Twin development,
West Branch Penobscot River, Maine.
g. Filed Pursuant to: Federal Power
Act, 16 U.S.C. 791a–825r.
h. Applicant Contact: Kevin Bernier,
Manager, Licensing and Compliance,
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38044
Federal Register / Vol. 77, No. 123 / Tuesday, June 26, 2012 / Notices
Great Lakes Hydro America, LLC, 1024
Central Street, Millinocket, ME 04462,
(207) 723–4341, Ext. 118.
i. FERC Contact: John K. Novak, (202)
502–6076, john.novak@ferc.gov.
j. Deadline for filing comments,
motions to intervene, and protests, is
July 23, 2012.
All documents may be filed
electronically via the Internet. See, 18
CFR 385.2001(a)(1)(iii) and the
instructions on the Commission’s Web
site at https://www.ferc.gov/docs-filing/
efiling.asp. If unable to be filed
electronically, documents may be paperfiled. To paper-file, an original and
seven copies should be mailed to:
Secretary, Federal Energy Regulatory
Commission, 888 First Street NE.,
Washington, DC 20426. Commenters
can submit brief comments up to 6,000
characters, without prior registration,
using the eComment system at https://
www.ferc.gov/docs-filing/
ecomment.asp. You must include your
name and contact information at the end
of your comments.
Please include the project number (P–
2458–198) on any comments, motions,
or recommendations filed.
k. Description of Request: Great Lakes
Hydro America, LLC requests
Commission approval of amendment of
Article 408 to eliminate the water level
management requirements in the North
Twin impoundment for lake trout
spawning/incubation. The propagation
of wild lake trout has not been
successful after several years of
controlling the reservoir levels in
compliance with Article 408. Removal
of reservoir level requirements for lake
trout would provide more flexibility in
providing power and non-power
benefits at the development including
the maintenance of higher flows to
benefit the tailwater fishery. Great Lakes
Hydro America, LLC proposes to request
a modification to its Water Quality
Certificate from the Maine Department
of Environment Protection.
l. Locations of the Application: A
copy of the application is available for
inspection and reproduction at the
Commission’s Public Reference Room,
located at 888 First Street NE., Room
2A, Washington, DC 20426, or by calling
(202) 502–8371. This filing may also be
viewed on the Commission’s Web site at
https://www.ferc.gov/docs-filing/
efiling.asp. Enter the docket number
excluding the last three digits in the
docket number field to access the
document. You may also register online
at https://www.ferc.gov/docs-filing/
esubscription.asp to be notified via
email of new filings and issuances
related to this or other pending projects.
For assistance, call 1–866–208–3676 or
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15:33 Jun 25, 2012
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email FERCOnlineSupport@ferc.gov, for
TTY, call (202) 502–8659. A copy is also
available for inspection and
reproduction at the address in item (h)
above.
m. Individuals desiring to be included
on the Commission’s mailing list should
so indicate by writing to the Secretary
of the Commission.
n. Comments, Protests, or Motions to
Intervene: Anyone may submit
comments, a protest, or a motion to
intervene in accordance with the
requirements of Rules of Practice and
Procedure, 18 CFR 385.210, .211, .214.
In determining the appropriate action to
take, the Commission will consider all
protests or other comments filed, but
only those who file a motion to
intervene in accordance with the
Commission’s Rules may become a
party to the proceeding. Any comments,
protests, or motions to intervene must
be received on or before the specified
comment date for the particular
application.
o. Filing and Service of Responsive
Documents: All filings must (1) bear in
all capital letters the title
‘‘COMMENTS’’, ‘‘PROTEST’’, or
‘‘MOTION TO INTERVENE’’ as
applicable; (2) set forth in the heading
the name of the applicant and the
project number of the application to
which the filing responds; (3) furnish
the name, address, and telephone
number of the person protesting or
intervening; and (4) otherwise comply
with the requirements of 18 CFR
385.2001 through 385.2005. All
comments, motions to intervene, or
protests must set forth their evidentiary
basis and otherwise comply with the
requirements of 18 CFR 4.34(b). All
comments, motions to intervene, or
protests should relate to project works
which are the subject of the amendment.
Agencies may obtain copies of the
application directly from the applicant.
A copy of any protest or motion to
intervene must be served upon each
representative of the applicant specified
in the particular application. If an
intervener files comments or documents
with the Commission relating to the
merits of an issue that may affect the
responsibilities of a particular resource
agency, they must also serve a copy of
the document on that resource agency.
A copy of all other filings in reference
to this application must be accompanied
by proof of service on all persons listed
in the service list prepared by the
Commission in this proceeding, in
accordance with 18 CFR 4.34(b) and
385.2010.
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Dated: June 20, 2012.
Kimberly D. Bose,
Secretary.
[FR Doc. 2012–15521 Filed 6–25–12; 8:45 am]
BILLING CODE 6717–01–P
DEPARTMENT OF ENERGY
Federal Energy Regulatory
Commission
Combined Notice of Filings #1
Take notice that the Commission
received the following exempt
wholesale generator filings:
Docket Numbers: EG12–78–000.
Applicants: NaturEner Rim Rock
Wind Energy, LLC.
Description: Notice of Self
Certification of Exempt Wholesale
Generator Status of NaturEner Rim Rock
Wind Energy, LLC.
Filed Date: 6/18/12.
Accession Number: 20120618–5059.
Comments Due: 5 p.m. ET 7/9/12.
Docket Numbers: EG12–79–000.
Applicants: NaturEner Glacier Wind
Energy 1, LLC.
Description: Notice of SelfCertification of Exempt Wholesale
Generator Status of NaturEner Glacier
Wind Energy 1, LLC.
Filed Date: 6/18/12.
Accession Number: 20120618–5073.
Comments Due: 5 p.m. ET 7/9/12.
Take notice that the Commission
received the following electric rate
filings:
Docket Numbers: ER12–2041–001.
Applicants: ISO New England Inc.,
New England Power Pool Participants
Committee.
Description: Errata to Defined Term
Revisions to be effective 8/14/2012.
Filed Date: 6/18/12.
Accession Number: 20120618–5024.
Comments Due: 5 p.m. ET 7/9/12.
Docket Numbers: ER12–2057–000.
Applicants: NaturEner Glacier Wind
Energy 1, LLC.
Description: Filing of Temporary Use
Agreement and Request for Waivers and
Expedited Action to be effective
6/19/2012.
Filed Date: 6/18/12.
Accession Number: 20120618–5045.
Comments Due: 5 p.m. ET 7/9/12.
Docket Numbers: ER12–2058–000.
Applicants: Southwestern Electric
Power Company.
Description: NTEC Sabine DPA to be
effective 6/1/2012.
Filed Date: 6/18/12.
Accession Number: 20120618–5061.
Comments Due: 5 p.m. ET 7/9/12.
Docket Numbers: ER12–2059–000.
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]]>Agencies
[Federal Register Volume 77, Number 123 (Tuesday, June 26, 2012)]
[Notices]
[Pages 38043-38044]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-15521]
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DEPARTMENT OF ENERGY
Federal Energy Regulatory Commission
[Project No. 2458-198]
Great Lakes Hydro America, LLC; Notice of Application Accepted
for Filing and Soliciting Comments, Motions To Intervene, and Protests
Take notice that the following hydroelectric application has been
filed with the Commission and is available for public inspection.
a. Application Type: Amendment of License Article 408.
b. Project No.: 2458-198.
c. Date Filed: April 13, 2012.
d. Applicant: Great Lakes Hydro America, LLC.
e. Name of Project: Penobscot Mills.
f. Location: North Twin development, West Branch Penobscot River,
Maine.
g. Filed Pursuant to: Federal Power Act, 16 U.S.C. 791a-825r.
h. Applicant Contact: Kevin Bernier, Manager, Licensing and
Compliance,
[[Page 38044]]
Great Lakes Hydro America, LLC, 1024 Central Street, Millinocket, ME
04462, (207) 723-4341, Ext. 118.
i. FERC Contact: John K. Novak, (202) 502-6076,
john.novak@ferc.gov.
j. Deadline for filing comments, motions to intervene, and
protests, is July 23, 2012.
All documents may be filed electronically via the Internet. See, 18
CFR 385.2001(a)(1)(iii) and the instructions on the Commission's Web
site at https://www.ferc.gov/docs-filing/efiling.asp. If unable to be
filed electronically, documents may be paper-filed. To paper-file, an
original and seven copies should be mailed to: Secretary, Federal
Energy Regulatory Commission, 888 First Street NE., Washington, DC
20426. Commenters can submit brief comments up to 6,000 characters,
without prior registration, using the eComment system at https://www.ferc.gov/docs-filing/ecomment.asp. You must include your name and
contact information at the end of your comments.
Please include the project number (P-2458-198) on any comments,
motions, or recommendations filed.
k. Description of Request: Great Lakes Hydro America, LLC requests
Commission approval of amendment of Article 408 to eliminate the water
level management requirements in the North Twin impoundment for lake
trout spawning/incubation. The propagation of wild lake trout has not
been successful after several years of controlling the reservoir levels
in compliance with Article 408. Removal of reservoir level requirements
for lake trout would provide more flexibility in providing power and
non-power benefits at the development including the maintenance of
higher flows to benefit the tailwater fishery. Great Lakes Hydro
America, LLC proposes to request a modification to its Water Quality
Certificate from the Maine Department of Environment Protection.
l. Locations of the Application: A copy of the application is
available for inspection and reproduction at the Commission's Public
Reference Room, located at 888 First Street NE., Room 2A, Washington,
DC 20426, or by calling (202) 502-8371. This filing may also be viewed
on the Commission's Web site at https://www.ferc.gov/docs-filing/efiling.asp. Enter the docket number excluding the last three digits in
the docket number field to access the document. You may also register
online at https://www.ferc.gov/docs-filing/esubscription.asp to be
notified via email of new filings and issuances related to this or
other pending projects. For assistance, call 1-866-208-3676 or email
FERCOnlineSupport@ferc.gov, for TTY, call (202) 502-8659. A copy is
also available for inspection and reproduction at the address in item
(h) above.
m. Individuals desiring to be included on the Commission's mailing
list should so indicate by writing to the Secretary of the Commission.
n. Comments, Protests, or Motions to Intervene: Anyone may submit
comments, a protest, or a motion to intervene in accordance with the
requirements of Rules of Practice and Procedure, 18 CFR 385.210, .211,
.214. In determining the appropriate action to take, the Commission
will consider all protests or other comments filed, but only those who
file a motion to intervene in accordance with the Commission's Rules
may become a party to the proceeding. Any comments, protests, or
motions to intervene must be received on or before the specified
comment date for the particular application.
o. Filing and Service of Responsive Documents: All filings must (1)
bear in all capital letters the title ``COMMENTS'', ``PROTEST'', or
``MOTION TO INTERVENE'' as applicable; (2) set forth in the heading the
name of the applicant and the project number of the application to
which the filing responds; (3) furnish the name, address, and telephone
number of the person protesting or intervening; and (4) otherwise
comply with the requirements of 18 CFR 385.2001 through 385.2005. All
comments, motions to intervene, or protests must set forth their
evidentiary basis and otherwise comply with the requirements of 18 CFR
4.34(b). All comments, motions to intervene, or protests should relate
to project works which are the subject of the amendment. Agencies may
obtain copies of the application directly from the applicant. A copy of
any protest or motion to intervene must be served upon each
representative of the applicant specified in the particular
application. If an intervener files comments or documents with the
Commission relating to the merits of an issue that may affect the
responsibilities of a particular resource agency, they must also serve
a copy of the document on that resource agency. A copy of all other
filings in reference to this application must be accompanied by proof
of service on all persons listed in the service list prepared by the
Commission in this proceeding, in accordance with 18 CFR 4.34(b) and
385.2010.
Dated: June 20, 2012.
Kimberly D. Bose,
Secretary.
[FR Doc. 2012-15521 Filed 6-25-12; 8:45 am]
BILLING CODE 6717-01-P
