Office of the Secretary, 74121-74122 [2013-29438]
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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 https://
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:
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Fmt 4703
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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: https://
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
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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 https://
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
https://dpclo.defense.gov/privacy/
SORNs/component/airforce/.
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]
-----------------------------------------------------------------------
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
