Office of the Secretary, 74121-74122 [2013-29438]

Download as PDF Federal Register / Vol. 78, No. 237 / Tuesday, December 10, 2013 / Notices maindgalligan on DSK5TPTVN1PROD with NOTICES planned meeting. Written statements should be submitted to the Panel’s Designated Federal Officer (DFO). The DFO’s contact information can be obtained from the General Services Administration’s Federal Advisory Committee Act Database at http:// facasms.fido.gov/. Written statements that do not pertain to the scheduled meeting of the Panel may be submitted at any time. However, if individual comments pertain to a specific topic being discussed at a planned meeting, then these statements must be submitted no later than 5 business days prior to the meeting in question. The DFO will review all submitted written statements and provide copies to all the committee members. Public Comments: In addition to written statements, the Panel will set aside 1 hour for individuals or interested groups to address the Panel. To ensure consideration of their comments, individuals and interested groups should submit written statements as outlined in this notice; but if they still want to address the Panel, then they will be afforded the opportunity to register to address the Panel. The Panel’s DFO will have a ‘‘Sign-Up Roster’’ available at the Panel meeting for registration on a first-come, first-serve basis. Those wishing to address the Panel will be given no more than 5 minutes to present their comments, and at the end of the 1 hour time period, no further public comments will be accepted. Anyone who signs-up to address the Panel, but is unable to do so due to the time limitation, may submit their comments in writing; however, they must understand that their written comments may not be reviewed prior to the Panel’s deliberation. To ensure timeliness of comments for the official record, the Panel encourages that individuals and interested groups consider submitting written statements instead of addressing the Panel. Dated: December 5, 2013. Aaron Siegel, Alternate OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. 2013–29445 Filed 12–9–13; 8:45 am] BILLING CODE 5001–06–P VerDate Mar<15>2010 19:49 Dec 09, 2013 Jkt 232001 DEPARTMENT OF DEFENSE Office of the Secretary TRICARE, Formerly Known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Fiscal Year 2014 Mental Health Rate Updates Department of Defense. Notice of Updated Mental Health Rates for FY 2014. 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 FY 2014. DATES: Effective Date: The FY 2014 rates contained in this notice are effective for services on or after October 1, 2013. ADDRESSES: TRICARE Management Activity (TMA), Medical Benefits and Reimbursement Branch, 16401 East Centretech Parkway, Aurora, CO 80011– 9066. FOR FURTHER INFORMATION CONTACT: Elan Green, Medical Benefits and Reimbursement Branch, TMA, telephone (303) 676–3907. 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 35400) 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 FY. 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 FY 2014, the market basket rate is 2.5 percent. This year, Medicare applied two reductions to its market basket amount: (1) A 0.5 percent reduction for economy-wide productivity required by section 3401(a) of the Patient Protection and Affordable Care Act (PPACA) which amended section 1886(b)(3)(B) of the Social Security Act, and (2) a 0.3 SUMMARY: PO 00000 Frm 00021 Fmt 4703 Sfmt 4703 74121 percent point adjustment as required by section 1886(b)(3)(B)(xii) of the Act as added and amended by sections 3401 and 10319(a) of the PPACA. These two reductions do not apply to TRICARE. Hospitals and units with hospitalspecific rates (hospitals and units with high TRICARE volume) and regionalspecific rates for psychiatric hospitals and units with low TRICARE volume will have their TRICARE rates for FY 2014 updated by 2.5 percent. Partial hospitalization rates for fullday programs also will be updated by 2.5 percent for FY 2014. Partial hospitalization rates for programs of less than 6 hours (with a minimum of three hours) will be paid a per diem rate of 75 percent of the rate for a full-day program. The cap amount for high-volume hospitals and units also will be updated by the 2.5 percent for FY 2014. The beneficiary cost share for lowvolume hospitals and units also will be updated by the 2.5 percent for FY 2014. Per 32 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 69.6 percent for FY 2014. 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 62.0 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 2.5 percent for FY 2014. REGIONAL—SPECIFIC RATES FOR PSYCHIATRIC HOSPITALS AND UNITS WITH LOW TRICARE VOLUME FOR FY 2014 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: E:\FR\FM\10DEN1.SGM 10DEN1 Regional rate $827 797 689 650 820 877 747 74122 Federal Register / Vol. 78, No. 237 / Tuesday, December 10, 2013 / Notices Beneficiary cost-share: Beneficiary REGIONAL—SPECIFIC RATES FOR PSYCHIATRIC HOSPITALS AND UNITS cost-share (other than dependents of WITH LOW TRICARE VOLUME FOR Active Duty members) for care paid on the basis of a regional per-diem rate is FY 2014—Continued the lower of $218 per day or 25 percent of the hospital billed charges effective for services rendered on or after October 1, 2013. Cap Amount: Updated cap 746 amount for hospitals and units with 882 high TRICARE volume is $1,040 per day 563 for services on or after October 1, 2013. Regional rate United States census region Mountain ............................ Pacific ................................ Puerto Rico ........................ The following reflects an update of 2.5 percent for FY 2014 for the full day partial hospitalization rates. Partial hospitalization rates for programs of less than 6 hours (with a minimum of three hours) will be paid a per diem rate of 75 percent of the rate for a full-day program. PARTIAL HOSPITALIZATION RATES FOR FULL-DAY AND HALF-DAY PROGRAMS [FY 2014] 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., DC, 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, 2013. Dated: December 5, 2013. Aaron Siegel, Alternate OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. 2013–29438 Filed 12–9–13; 8:45 am] BILLING CODE 5001–06–P DEPARTMENT OF DEFENSE Department of the Air Force [Docket ID: USAF–2013–0038] Privacy Act of 1974; System of Records AGENCY: Department of the Air Force, DoD. Notice to alter a System of Records. maindgalligan on DSK5TPTVN1PROD with NOTICES ACTION: The Department of the Air Force proposes to alter a system of records notice, F024 AF IL C, entitled ‘‘Motor Vehicle Operators’ Records’’, in its existing inventory of records systems subject to the Privacy Act of 1974, as amended. This system will be used to SUMMARY: VerDate Mar<15>2010 18:48 Dec 09, 2013 Jkt 232001 create and maintain records of motor vehicle operators and licenses. In addition, records are created and maintained on Air Force personnel required to drive government owned or leased vehicles that exceed 10,000 pounds gross vehicle weight and are used for emergency response and/or are equipped with four-wheel-drive. The data is used to create a printed vehicle operator identification card. DATES: This proposed action will be effective on January 10, 2014 unless comments are received which result in a contrary determination. Comments will be accepted on or before January 9, 2014. ADDRESSES: You may submit comments, identified by docket number and title, by any of the following methods: • Federal Rulemaking Portal: http:// www.regulations.gov. Follow the instructions for submitting comments. • Mail: Federal Docket Management System Office, 4800 Mark Center Drive East Tower, 2nd Floor, Suite 02G09, Alexandria, VA 22350–3100. Instructions: All submissions received must include the agency name and docket number for this Federal Register document. The general policy for PO 00000 Frm 00022 Fmt 4703 Sfmt 4703 Half-day rate (3–5 hours) $331 $248 361 271 318 239 318 239 339 254 368 276 368 276 371 365 237 278 274 178 comments and other submissions from members of the public is to make these submissions available for public viewing on the Internet at http:// www.regulations.gov as they are received without change, including any personal identifiers or contact information. FOR FURTHER INFORMATION CONTACT: Mr. Charles J. Shedrick, Department of the Air Force, Air Force Privacy Office, Office of Warfighting Integration and Chief Information Officer, ATTN: SAF/ CIO A6, 1800 Air Force Pentagon, Washington, DC 20330–1800, or by phone at (571) 256–2515. SUPPLEMENTARY INFORMATION: The Department of the Air Force’s notices for systems of records subject to the Privacy Act of 1974 (5 U.S.C. 552a(r)), as amended, have been published in the Federal Register and are available from the address in FOR FURTHER INFORMATION CONTACT or from the Defense Privacy and Civil Liberties Office Web site at http://dpclo.defense.gov/privacy/ SORNs/component/airforce/index.html. The proposed systems reports, as required by 5 U.S.C. 552a(r) of the Privacy Act of 1974, as amended, were submitted on September 23, 2013 to the E:\FR\FM\10DEN1.SGM 10DEN1

Agencies

[Federal Register Volume 78, Number 237 (Tuesday, December 10, 2013)]
[Notices]
[Pages 74121-74122]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-29438]


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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 2014 Mental Health 
Rate Updates

AGENCY: Department of Defense.

ACTION: Notice of Updated Mental Health Rates for FY 2014.

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

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 FY 2014.

DATES: Effective Date: The FY 2014 rates contained in this notice are 
effective for services on or after October 1, 2013.

ADDRESSES: TRICARE Management Activity (TMA), Medical Benefits and 
Reimbursement Branch, 16401 East Centretech Parkway, Aurora, CO 80011-
9066.

FOR FURTHER INFORMATION CONTACT: Elan Green, Medical Benefits and 
Reimbursement Branch, TMA, telephone (303) 676-3907.

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 35400) 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 FY. 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 FY 2014, the market basket 
rate is 2.5 percent. This year, Medicare applied two reductions to its 
market basket amount: (1) A 0.5 percent reduction for economy-wide 
productivity required by section 3401(a) of the Patient Protection and 
Affordable Care Act (PPACA) which amended section 1886(b)(3)(B) of the 
Social Security Act, and (2) a 0.3 percent point adjustment as required 
by section 1886(b)(3)(B)(xii) of the Act as added and amended by 
sections 3401 and 10319(a) of the PPACA. 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 FY 2014 updated by 2.5 percent.
    Partial hospitalization rates for full-day programs also will be 
updated by 2.5 percent for FY 2014. Partial hospitalization rates for 
programs of less than 6 hours (with a minimum of three hours) will be 
paid a per diem rate of 75 percent of the rate for a full-day program.
    The cap amount for high-volume hospitals and units also will be 
updated by the 2.5 percent for FY 2014.
    The beneficiary cost share for low-volume hospitals and units also 
will be updated by the 2.5 percent for FY 2014.
    Per 32 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 69.6 percent for FY 2014. 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 62.0 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 2.5 percent for FY 2014.

  Regional--Specific Rates for Psychiatric Hospitals and Units With Low
                       TRICARE Volume for FY 2014
------------------------------------------------------------------------
                                                               Regional
                United States census region                      rate
------------------------------------------------------------------------
Northeast:
    New England............................................         $827
    Mid-Atlantic...........................................          797
Midwest:
    East North Central.....................................          689
    West North Central.....................................          650
South:
    South Atlantic.........................................          820
    East South Central.....................................          877
    West South Central.....................................          747

[[Page 74122]]

 
West:
    Mountain...............................................          746
    Pacific................................................          882
    Puerto Rico............................................          563
------------------------------------------------------------------------

    Beneficiary cost-share: Beneficiary cost-share (other than 
dependents of Active Duty members) for care paid on the basis of a 
regional per-diem rate is the lower of $218 per day or 25 percent of 
the hospital billed charges effective for services rendered on or after 
October 1, 2013. Cap Amount: Updated cap amount for hospitals and units 
with high TRICARE volume is $1,040 per day for services on or after 
October 1, 2013.
    The following reflects an update of 2.5 percent for FY 2014 for the 
full day partial hospitalization rates. Partial hospitalization rates 
for programs of less than 6 hours (with a minimum of three hours) will 
be paid a per diem rate of 75 percent of the rate for a full-day 
program.

                        Partial Hospitalization Rates for Full-Day and Half-Day Programs
                                                    [FY 2014]
----------------------------------------------------------------------------------------------------------------
                                                                              Full-day rate (6  Half-day rate (3-
                         United States census region                           hours or more)       5 hours)
----------------------------------------------------------------------------------------------------------------
Northeast:
    New England (Maine, N.H., Vt., Mass., R.I., Conn.)......................              $331              $248
Mid-Atlantic:
    (N.Y., N.J., Penn.).....................................................               361               271
Midwest:
    East North Central (Ohio, Ind., Ill., Mich., Wis.)......................               318               239
West North Central:
    (Minn., Iowa, Mo., N.D., S.D., Neb., Kan.)..............................               318               239
South:
    South Atlantic (Del., Md., DC, Va., W.Va., N.C., S.C., Ga., Fla.).......               339               254
East South Central:
    (Ky., Tenn., Ala., Miss.)...............................................               368               276
West South Central:
    (Ark., La., Texas, Okla.)...............................................               368               276
West:
    Mountain (Mon., Idaho, Wyo., Col., N.M., Ariz., Utah, Nev.).............               371               278
    Pacific (Wash., Ore., Calif., Alaska, Hawaii)...........................               365               274
Puerto Rico.................................................................               237               178
----------------------------------------------------------------------------------------------------------------

    The above rates are effective for services rendered on or after 
October 1, 2013.

    Dated: December 5, 2013.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2013-29438 Filed 12-9-13; 8:45 am]
BILLING CODE 5001-06-P