Cost-Based and Inter-Agency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs, 44409-44411 [2016-15956]

Download as PDF srobinson on DSK5SPTVN1PROD with NOTICES Federal Register / Vol. 81, No. 130 / Thursday, July 7, 2016 / Notices participation in this Study by any interested GPS/GNSS device manufacturers or other parties whose products incorporate GPS/GNSS devices. Privacy Act: Anyone can search the electronic form of comments received into any of our dockets by the name of the individual submitting the comment (or signing the comment, if submitted on behalf of an association, business, labor union, etc.). You may review a Privacy Act system of records notice regarding our public dockets in the January 17, 2008 issue of the Federal Register (73 FR 3316). Discussion at the DOT public meetings highlighted the importance of conducting GPS/GNSS receiver acquisition testing which had always been planned as part of the DOT GPS Adjacent Band Compatibility Assessment, but was not feasible due to time constraints during the radiated test conducted at WSMR in April. The goal of the additional lab testing to be conducted at Zeta Associates in Fairfax, Virginia and MITRE Corporation in Bedford, Massachusetts, is: (1) Receiver characterization for comparison with results obtained in April at the anechoic chamber at the U.S. Army Research Laboratory; (2) Evaluation of Out Of Band Emission (OOBE) interference at prescribed and proposed levels with Long Term Evolution (LTE) uplink and downlink signals; (3) GPS/GNSS signal acquisition characterization. The same instrumentation will be used for these conducted tests at the Zeta Associates laboratory as for the radiated test at the U.S. Army Research Laboratory at WSMR, utilizing the same GNSS playback system and interference generation equipment with modifications to support OOBE and acquisition test requirements; (4) Antenna characterizations. The acquisition test will be conducted using 10 MHz LTE signals at four frequencies: • Base station frequencies of 1525 MHz and 1550 MHz • Hand-set frequencies of 1620 MHz and 1645 MHz Information referenced in this Notice and further background can be viewed at: https://www.gps.gov/spectrum/ABC/. Issued in Washington, DC, on June 29, 2016. Gregory D. Winfree, Assistant Secretary for Research and Technology. [FR Doc. 2016–16136 Filed 7–6–16; 8:45 am] BILLING CODE 4910–9X–P VerDate Sep<11>2014 17:23 Jul 06, 2016 Jkt 238001 DEPARTMENT OF THE TREASURY Fiscal Service Surety Companies Acceptable on Federal Bonds—Non-Renewal: Greenwich Insurance Company Bureau of the Fiscal Service, Fiscal Service, Department of the Treasury. ACTION: Notice. AGENCY: This is Supplement No. 11 to the Treasury Department Circular 570, 2015 Revision, published July 1, 2015, at 80 FR 37735. FOR FURTHER INFORMATION CONTACT: Surety Bond Section at (202) 874–6850. SUPPLEMENTARY INFORMATION: Notice is hereby given that the Certificate of Authority issued by the Treasury to the above-named company under 31 U.S.C. 9305 to qualify as an acceptable surety on Federal bonds will not be renewed, effective June 30, 2016. Federal bondapproving officials should annotate their reference copies of the Treasury Department Circular 570 (‘‘Circular’’), 2015 Revision, to reflect this change. With respect to any bonds currently in force with the company, bondapproving officers may let such bonds run to expiration and need not secure new bonds. However, no new bonds should be accepted from the company, and bonds that are continuous in nature should not be renewed. The Circular may be viewed and downloaded through the Internet at www.fiscal.treasury.gov/fsreports/ref/ suretyBnd/c570.htm. Questions concerning this notice may be directed to the U.S. Department of the Treasury, Bureau of the Fiscal Service, Financial Accounting and Services Division, Surety Bond Section, 3700 East-West Highway, Room 6D22, Hyattsville, MD 20782. SUMMARY: Dated: June 30, 2016. Melvin Saunders, Acting Manager, Financial Accounting and Services Branch. [FR Doc. 2016–15999 Filed 7–6–16; 8:45 am] BILLING CODE 4810–35–P 44409 Illnesses will meet on August 8–9, 2016, in the auditorium of Building 7 at the San Francisco VA Medical Center, 4150 Clement Street, San Francisco, CA, from 9:00 a.m. until 4:15 p.m. (Pacific) on August 8 and from 8:30 a.m. to 1:00 p.m. on August 9. All sessions will be open to the public, and for interested parties who cannot attend in person, there is a toll-free telephone number (800) 767–1750; access code 56978#. The purpose of the Committee is to provide advice and make recommendations to the Secretary of Veterans Affairs on proposed research studies, research plans, and research strategies relating to the health consequences of military service in the Southwest Asia theater of operations during the Gulf War in 1990–1991. The Committee will review VA program activities related to Gulf War Veterans’ illnesses, and updates on relevant scientific research published since the last Committee meeting. Presentations will include updates on the VA Gulf War Research Program, along with presentations describing new areas of research that can be applied to the health problems of Gulf War Veterans. Also, there will be a discussion of Committee business and activities. The meeting will include time reserved for public comments each afternoon. A sign-up sheet for 5-minute comments will be available at the meeting. Individuals who wish to address the Committee may submit a 1– 2 page summary of their comments for inclusion in the official meeting record. Members of the public may also submit written statements for the Committee’s review to Dr. Victor Kalasinsky via email at Victor.Kalasinsky@va.gov. Any member of the public seeking additional information should contact Dr. Kalasinsky, Designated Federal Officer, at (202) 443–5600. Dated: July 1, 2016. Jelessa Burney, Federal Advisory Committee Management Officer. [FR Doc. 2016–16115 Filed 7–6–16; 8:45 am] BILLING CODE P DEPARTMENT OF VETERANS AFFAIRS Research Advisory Committee on Gulf War Veterans’ Illnesses; Notice of Meeting The Department of Veterans Affairs (VA) gives notice under the Federal Advisory Committee Act, 5 U.S.C., App. 2, that the Research Advisory Committee on Gulf War Veterans’ PO 00000 Frm 00152 Fmt 4703 Sfmt 4703 DEPARTMENT OF VETERANS AFFAIRS Cost-Based and Inter-Agency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs Department of Veterans Affairs. Notice. AGENCY: ACTION: E:\FR\FM\07JYN1.SGM 07JYN1 44410 Federal Register / Vol. 81, No. 130 / Thursday, July 7, 2016 / Notices This document updates the Cost-Based and Inter-Agency billing rates for medical care or services provided by the Department of Veterans Affairs (VA) that apply in certain circumstances. DATES: The rates set forth herein are effective July 7, 2016 and until further notice. FOR FURTHER INFORMATION CONTACT: Romona Greene, Chief Business Office (10NB), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 382–2521. (This is not a toll free number.) SUPPLEMENTARY INFORMATION: VA’s methodology for computing Cost-Based and Inter-Agency billing rates for medical care or services provided by VA is set forth in 38 CFR 17.102(h). Two sets of rates are obtained by applying this methodology, Cost-Based rates and Inter-Agency rates. Cost-Based rates apply to medical care and services that are provided by VA: SUMMARY: (a) In error or based on tentative eligibility; (b) In a medical emergency; (c) To pensioners of allied nations; and (d) For research purposes in circumstances under which the VA Medical Services appropriation is to be reimbursed by the VA Research appropriation. Inter-Agency rates apply to medical care and services that are provided by VA to beneficiaries of the Department of Defense (DoD) or other Federal agencies, when the care or services provided is not covered by an applicable sharing agreement. The Inter-Agency rates contained in this notice do not apply to sharing agreements between VA and DoD, unless otherwise stated. The calculations for the Cost-Based and Inter-Agency rates are the same with two exceptions. Inter-Agency rates are all-inclusive, and are not broken down into three components (Physician; Ancillary; and Nursing, Room and Board), and Inter-Agency rates do not include standard fringe benefit costs that cover government employee retirement, disability costs, and return on fixed assets. When VA pays for medical care or services from a non-VA source under circumstances in which the Cost-Based or Inter-Agency Rates would apply if the care or services had been provided by VA, the charge for such care or services will be the actual amount paid by VA for the care or services. Inpatient charges will be at the per diem rates shown for the type of bed section or discrete treatment unit providing the care. The following table depicts the CostBased and Inter-Agency Rates that are effective upon publication of this notice and will remain in effect until the next Federal Register notice is published. These rates supersede those established by the Federal Register notice published on November 4, 2014, at 79 FR 65479. srobinson on DSK5SPTVN1PROD with NOTICES Cost-based rates A. Hospital Care per inpatient day: General Medicine: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Neurology: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Rehabilitation Medicine: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Blind Rehabilitation: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Spinal Cord Injury: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Surgery: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. General Psychiatry: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Substance Abuse (Alcohol and Drug Treatment): All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Psychosocial Residential Rehabilitation Program: All Inclusive Rate .............................................................................................................................................. VerDate Sep<11>2014 17:23 Jul 06, 2016 Jkt 238001 PO 00000 Frm 00153 Fmt 4703 Sfmt 4703 E:\FR\FM\07JYN1.SGM 07JYN1 Inter-agency rates $3,720 445 969 2,306 $3,553 ........................ ........................ ........................ 3,564 522 941 2,101 3,401 ........................ ........................ ........................ 2,477 281 757 1,439 2,354 ........................ ........................ ........................ 1,741 140 865 736 1,653 ........................ ........................ ........................ 2,631 326 662 1,643 2,502 ........................ ........................ ........................ 5,910 651 1,793 3,466 5,642 ........................ ........................ ........................ 1,771 167 279 1,325 1,679 ........................ ........................ ........................ 1,861 178 431 1,252 1,765 ........................ ........................ ........................ 695 662 44411 Federal Register / Vol. 81, No. 130 / Thursday, July 7, 2016 / Notices Cost-based rates Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Intermediate Medicine: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. Poly-trauma Inpatient: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. B. Nursing Home Care, Per Day: All Inclusive Rate .............................................................................................................................................. Physician .......................................................................................................................................................... Ancillary ............................................................................................................................................................ Nursing Room and Board ................................................................................................................................. C. Outpatient Medical Treatments: Outpatient Visit (to include Ineligible Dental Care) .......................................................................................... Outpatient Physical Medicine & Rehabilitation Service Visit ........................................................................... Outpatient Poly-trauma/Traumatic Brain Injury ................................................................................................ Inter-agency rates 44 73 578 ........................ ........................ ........................ 2,233 110 328 1,795 2,126 ........................ ........................ ........................ 3,227 367 986 1,874 3,057 ........................ ........................ ........................ 1,197 37 162 998 1,138 ........................ ........................ ........................ 335 212 537 319 199 510 Note: Outpatient Prescriptions will be billed at Drug Cost plus Administrative Fee. Signing Authority The Secretary of Veterans Affairs, or designee, approved this document and authorized the undersigned to sign and submit the document to the Office of the Federal Register for publication electronically as an official document of the Department of Veterans Affairs. Gina S. Farrisee, Deputy Chief of Staff, Department of Veterans Affairs, approved this document on June 30, 2016, for publication. Dated: June 30, 2016. Jeffrey Martin, Office Program Manager, Office of Regulation Policy & Management, Office of the Secretary, Department of Veterans Affairs. [FR Doc. 2016–15956 Filed 7–6–16; 8:45 am] srobinson on DSK5SPTVN1PROD with NOTICES BILLING CODE 8320–01–P VerDate Sep<11>2014 17:23 Jul 06, 2016 Jkt 238001 PO 00000 Frm 00154 Fmt 4703 Sfmt 9990 E:\FR\FM\07JYN1.SGM 07JYN1

Agencies

[Federal Register Volume 81, Number 130 (Thursday, July 7, 2016)]
[Notices]
[Pages 44409-44411]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-15956]


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DEPARTMENT OF VETERANS AFFAIRS


Cost-Based and Inter-Agency Billing Rates for Medical Care or 
Services Provided by the Department of Veterans Affairs

AGENCY: Department of Veterans Affairs.

ACTION: Notice.

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

[[Page 44410]]

SUMMARY: This document updates the Cost-Based and Inter-Agency billing 
rates for medical care or services provided by the Department of 
Veterans Affairs (VA) that apply in certain circumstances.

DATES: The rates set forth herein are effective July 7, 2016 and until 
further notice.

FOR FURTHER INFORMATION CONTACT: Romona Greene, Chief Business Office 
(10NB), Veterans Health Administration, Department of Veterans Affairs, 
810 Vermont Avenue NW., Washington, DC 20420, (202) 382-2521. (This is 
not a toll free number.)

SUPPLEMENTARY INFORMATION: VA's methodology for computing Cost-Based 
and Inter-Agency billing rates for medical care or services provided by 
VA is set forth in 38 CFR 17.102(h). Two sets of rates are obtained by 
applying this methodology, Cost-Based rates and Inter-Agency rates. 
Cost-Based rates apply to medical care and services that are provided 
by VA:
    (a) In error or based on tentative eligibility;
    (b) In a medical emergency;
    (c) To pensioners of allied nations; and
    (d) For research purposes in circumstances under which the VA 
Medical Services appropriation is to be reimbursed by the VA Research 
appropriation.
    Inter-Agency rates apply to medical care and services that are 
provided by VA to beneficiaries of the Department of Defense (DoD) or 
other Federal agencies, when the care or services provided is not 
covered by an applicable sharing agreement. The Inter-Agency rates 
contained in this notice do not apply to sharing agreements between VA 
and DoD, unless otherwise stated. The calculations for the Cost-Based 
and Inter-Agency rates are the same with two exceptions. Inter-Agency 
rates are all-inclusive, and are not broken down into three components 
(Physician; Ancillary; and Nursing, Room and Board), and Inter-Agency 
rates do not include standard fringe benefit costs that cover 
government employee retirement, disability costs, and return on fixed 
assets. When VA pays for medical care or services from a non-VA source 
under circumstances in which the Cost-Based or Inter-Agency Rates would 
apply if the care or services had been provided by VA, the charge for 
such care or services will be the actual amount paid by VA for the care 
or services. Inpatient charges will be at the per diem rates shown for 
the type of bed section or discrete treatment unit providing the care.
    The following table depicts the Cost-Based and Inter-Agency Rates 
that are effective upon publication of this notice and will remain in 
effect until the next Federal Register notice is published. These rates 
supersede those established by the Federal Register notice published on 
November 4, 2014, at 79 FR 65479.

------------------------------------------------------------------------
                                            Cost-based     Inter-agency
                                               rates           rates
------------------------------------------------------------------------
A. Hospital Care per inpatient day:
General Medicine:
    All Inclusive Rate..................          $3,720          $3,553
    Physician...........................             445  ..............
    Ancillary...........................             969  ..............
    Nursing Room and Board..............           2,306  ..............
Neurology:
    All Inclusive Rate..................           3,564           3,401
    Physician...........................             522  ..............
    Ancillary...........................             941  ..............
    Nursing Room and Board..............           2,101  ..............
Rehabilitation Medicine:
    All Inclusive Rate..................           2,477           2,354
    Physician...........................             281  ..............
    Ancillary...........................             757  ..............
    Nursing Room and Board..............           1,439  ..............
Blind Rehabilitation:
    All Inclusive Rate..................           1,741           1,653
    Physician...........................             140  ..............
    Ancillary...........................             865  ..............
    Nursing Room and Board..............             736  ..............
Spinal Cord Injury:
    All Inclusive Rate..................           2,631           2,502
    Physician...........................             326  ..............
    Ancillary...........................             662  ..............
    Nursing Room and Board..............           1,643  ..............
Surgery:
    All Inclusive Rate..................           5,910           5,642
    Physician...........................             651  ..............
    Ancillary...........................           1,793  ..............
    Nursing Room and Board..............           3,466  ..............
General Psychiatry:
    All Inclusive Rate..................           1,771           1,679
    Physician...........................             167  ..............
    Ancillary...........................             279  ..............
    Nursing Room and Board..............           1,325  ..............
Substance Abuse (Alcohol and Drug
 Treatment):
    All Inclusive Rate..................           1,861           1,765
    Physician...........................             178  ..............
    Ancillary...........................             431  ..............
    Nursing Room and Board..............           1,252  ..............
Psychosocial Residential Rehabilitation
 Program:
    All Inclusive Rate..................             695             662

[[Page 44411]]

 
    Physician...........................              44  ..............
    Ancillary...........................              73  ..............
    Nursing Room and Board..............             578  ..............
Intermediate Medicine:
    All Inclusive Rate..................           2,233           2,126
    Physician...........................             110  ..............
    Ancillary...........................             328  ..............
    Nursing Room and Board..............           1,795  ..............
Poly-trauma Inpatient:
    All Inclusive Rate..................           3,227           3,057
    Physician...........................             367  ..............
    Ancillary...........................             986  ..............
    Nursing Room and Board..............           1,874  ..............
B. Nursing Home Care, Per Day:
    All Inclusive Rate..................           1,197           1,138
    Physician...........................              37  ..............
    Ancillary...........................             162  ..............
    Nursing Room and Board..............             998  ..............
C. Outpatient Medical Treatments:
    Outpatient Visit (to include                     335             319
     Ineligible Dental Care)............
    Outpatient Physical Medicine &                   212             199
     Rehabilitation Service Visit.......
    Outpatient Poly-trauma/Traumatic                 537             510
     Brain Injury.......................
------------------------------------------------------------------------
Note: Outpatient Prescriptions will be billed at Drug Cost plus
  Administrative Fee.

Signing Authority

    The Secretary of Veterans Affairs, or designee, approved this 
document and authorized the undersigned to sign and submit the document 
to the Office of the Federal Register for publication electronically as 
an official document of the Department of Veterans Affairs. Gina S. 
Farrisee, Deputy Chief of Staff, Department of Veterans Affairs, 
approved this document on June 30, 2016, for publication.

    Dated: June 30, 2016.
Jeffrey Martin,
Office Program Manager, Office of Regulation Policy & Management, 
Office of the Secretary, Department of Veterans Affairs.
[FR Doc. 2016-15956 Filed 7-6-16; 8:45 am]
BILLING CODE 8320-01-P
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