Establishment of Class E Airspace; Tuba City, AZ, 48303 [2013-18869]
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Federal Register / Vol. 78, No. 153 / Thursday, August 8, 2013 / Rules and Regulations
DEPARTMENT OF TRANSPORTATION
Federal Aviation Administration
14 CFR Parts 71
Issued in Seattle, Washington, on July 29,
2013.
Christopher Ramirez,
Manager, Operations Support Group, Western
Service Center.
[FR Doc. 2013–18869 Filed 8–7–13; 8:45 am]
[Docket FAA No. FAA–2013–0147; Airspace
Docket No. 13–AWP–1]
BILLING CODE 4910–13–P
Establishment of Class E Airspace;
Tuba City, AZ
DEPARTMENT OF DEFENSE
Office of the Secretary
Federal Aviation
Administration (FAA), DOT.
AGENCY:
ACTION:
32 CFR Part 199
Final rule; correction.
[DOD–2010–HA–0072]
This action corrects a final
rule published in the Federal Register
May 29, 2013 that establishes Class E en
route airspace at the Tuba City VHF
Omni-Directional Radio Range Tactical
Air Navigational Aid (VORTAC), Tuba
City, AZ. In that rule, an error was made
in the legal description for Tuba City,
identifying the region as ANM instead
of AWP.
SUMMARY:
Effective Date: 0901 UTC, August
22, 2013. The Director of the Federal
Register approves this incorporation by
reference action under 1 CFR Part 51,
subject to the annual revision of FAA
Order 7400.9 and publication of
conforming amendments.
DATES:
FOR FURTHER INFORMATION CONTACT:
Eldon Taylor, Federal Aviation
Administration, Operations Support
Group, Western Service Center, 1601
Lind Avenue SW., Renton, WA 98057;
telephone (425) 203–4537.
SUPPLEMENTARY INFORMATION:
History
The FAA published a final rule in the
Federal Register establishing Class E en
route airspace at the Tuba City
VORTAC, Tuba City, AZ (78 FR 32086,
May 29, 2013). In the regulatory text, the
region identifier ANM was incorrect,
and is now corrected to AWP.
mstockstill on DSK4VPTVN1PROD with RULES
Correction to Final Rule
Accordingly, pursuant to the
authority delegated to me, the legal
description as published in the Federal
Register on May 29, 2013 (78 FR 32086),
Airspace Docket No. 13–AWP–1, FR
Doc. 2013–12623, is corrected as
follows:
§ 71.1
[Amended]
On page 32087, column 1, line 4,
remove ANM AZ E6 Tuba City, AZ
[NEW], and insert AWP AZ E6 Tuba
City, AZ [Corrected].
■
VerDate Mar<15>2010
16:04 Aug 07, 2013
Jkt 229001
RIN 0720–AB41
TRICARE; Reimbursement of Sole
Community Hospitals and Adjustment
to Reimbursement of Critical Access
Hospitals
Office of the Secretary,
Department of Defense (DoD).
ACTION: Final rule.
AGENCY:
This Final Rule implements
for Sole Community Hospitals (SCHs)
the statutory provision at title 10,
United States Code (U.S.C.), section
1079(j)(2) that TRICARE payment
methods for institutional care be
determined, to the extent practicable, in
accordance with the same
reimbursement rules as those that apply
to payments to providers of services of
the same type under Medicare. This
Final Rule implements a reimbursement
methodology similar to that applicable
to Medicare beneficiaries for inpatient
services provided by SCHs. It will be
phased in over a several-year period.
This Final Rule also provides for special
reimbursement for labor/delivery and
nursery services in SCHs and creates a
possible General Temporary Military
Contingency Payment Adjustment
(GTMCPA) for inpatient services in
SCHs and for Critical Access Hospitals
(CAHs).
DATES: This rule is effective October 7,
2013.
Applicability Date: The regulations
setting forth the revised reimbursement
system shall be applicable for all
admissions to Sole Community
Hospitals and Critical Access Hospitals
commencing on or after the first day of
the month which is at least 120 days
from the date of publication of this rule
in the Federal Register.
FOR FURTHER INFORMATION CONTACT: Ann
Fazzini, TRICARE Management Activity
(TMA), Medical Benefits and
Reimbursement Branch, telephone (303)
676–3803.
SUPPLEMENTARY INFORMATION:
SUMMARY:
PO 00000
Frm 00021
Fmt 4700
Sfmt 4700
48303
I. Executive Summary
A. Purpose of the Final Rule
The purpose of this Final Rule is to
implement for SCHs the statutory
requirement that TRICARE inpatient
care ‘‘payments shall be determined to
the extent practicable in accordance
with the same reimbursement rules as
apply to payments to providers of
services of the same type under
Medicare.’’ Medicare pays SCHs the
greater of the amount under the general
inpatient prospective payment system
method based on diagnosis-related
groups (DRGs) or an amount based on
the hospital’s reported costs. TRICARE
pays for most hospital care under a
DRG-based prospective payment system
similar to Medicare’s, but exempted
SCHs from this system, instead paying
them billed charges. Paying billed
charges is fiscally imprudent and
inconsistent with TRICARE’s governing
statute. Paying SCHs under a method
similar to Medicare’s is prudent,
practicable, and harmonious with the
statute. The Final Rule will transition
over a several year period from the
current billed charge method to the new
method. The transition will be gradual
to reduce the impact on the SCHs.
Network SCHs will have payment
reductions limited to 10 percent per
year. Non-network SCHs will have
reductions limited to 15 percent per
year.
The legal authority for this Final Rule
is 10 U.S.C. 1079(j)(2).
B. Summary of the Major Provisions of
the Final Rule
1. Ultimate Payment Method for SCHs
Following the transition period,
TRICARE will reimburse SCHs for
inpatient care the higher of the DRGbased amount applicable to most
hospitals or an amount approximating
the SCH’s costs. The cost-based amount
will be determined by applying the
SCH’s most recent Medicare cost-tocharge ratio (CCR) to the SCH’s charges.
Individual claims will be paid under
this cost-based method, followed by a
year-end review to determine whether
in the aggregate the DRG-based method
would have paid more. If so, TRICARE
will pay the SCH the aggregate
difference.
2. Transition Period
To protect SCHs from sudden
significant reductions, the Final Rule
will gradually transition from the base
year of paying 100 percent of allowable
charges (which is either the billed
charge or, in the case of network
hospitals, a voluntary discounted
E:\FR\FM\08AUR1.SGM
08AUR1
Agencies
[Federal Register Volume 78, Number 153 (Thursday, August 8, 2013)]
[Rules and Regulations]
[Page 48303]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-18869]
[[Page 48303]]
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DEPARTMENT OF TRANSPORTATION
Federal Aviation Administration
14 CFR Parts 71
[Docket FAA No. FAA-2013-0147; Airspace Docket No. 13-AWP-1]
Establishment of Class E Airspace; Tuba City, AZ
AGENCY: Federal Aviation Administration (FAA), DOT.
ACTION: Final rule; correction.
-----------------------------------------------------------------------
SUMMARY: This action corrects a final rule published in the Federal
Register May 29, 2013 that establishes Class E en route airspace at the
Tuba City VHF Omni-Directional Radio Range Tactical Air Navigational
Aid (VORTAC), Tuba City, AZ. In that rule, an error was made in the
legal description for Tuba City, identifying the region as ANM instead
of AWP.
DATES: Effective Date: 0901 UTC, August 22, 2013. The Director of the
Federal Register approves this incorporation by reference action under
1 CFR Part 51, subject to the annual revision of FAA Order 7400.9 and
publication of conforming amendments.
FOR FURTHER INFORMATION CONTACT: Eldon Taylor, Federal Aviation
Administration, Operations Support Group, Western Service Center, 1601
Lind Avenue SW., Renton, WA 98057; telephone (425) 203-4537.
SUPPLEMENTARY INFORMATION:
History
The FAA published a final rule in the Federal Register establishing
Class E en route airspace at the Tuba City VORTAC, Tuba City, AZ (78 FR
32086, May 29, 2013). In the regulatory text, the region identifier ANM
was incorrect, and is now corrected to AWP.
Correction to Final Rule
Accordingly, pursuant to the authority delegated to me, the legal
description as published in the Federal Register on May 29, 2013 (78 FR
32086), Airspace Docket No. 13-AWP-1, FR Doc. 2013-12623, is corrected
as follows:
Sec. 71.1 [Amended]
0
On page 32087, column 1, line 4, remove ANM AZ E6 Tuba City, AZ [NEW],
and insert AWP AZ E6 Tuba City, AZ [Corrected].
Issued in Seattle, Washington, on July 29, 2013.
Christopher Ramirez,
Manager, Operations Support Group, Western Service Center.
[FR Doc. 2013-18869 Filed 8-7-13; 8:45 am]
BILLING CODE 4910-13-P