Cost-Based and Inter-Agency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs, 41093-41094 [2017-18219]
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41093
Federal Register / Vol. 82, No. 166 / Tuesday, August 29, 2017 / Notices
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WWW.VAMOSACUBA.COM), Ellen L.
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Spain [CUBA].
Additionally, on August 22, 2017,
OFAC updated the SDN List for the
person listed below, whose property
and interests in property continue to be
blocked pursuant to the Kingpin Act.
The individual’s listing was updated
from:
1. BRICENO SUAREZ, Jorge (a.k.a.
BRICENO SUAREZ, Jorge Enrique; a.k.a.
SUAREZ ROJAS, Victor Julio; a.k.a. ‘‘MONO
JOJOY’’; a.k.a. ‘‘OSCAR RIANO’’; a.k.a.
‘‘SUAREZ, Luis’’); DOB Jan 1953; alt. DOB 01
Feb 1949; alt. DOB 02 Jan 1951; alt. DOB 05
Feb 1953; POB Santa Marta, Magdalena,
Colombia; alt. POB Cabrera, Cundinamarca,
Colombia; Cedula No. 12536519 (Colombia);
alt. Cedula No. 19208210 (Colombia); alt.
Cedula No. 17708695 (Colombia) (individual)
[SDNTK].
-toSUAREZ ROJAS, Victor Julio (a.k.a.
‘‘MONO JOJOY’’; a.k.a. ‘‘OSCAR RIANO’’;
a.k.a. ‘‘SUAREZ, Luis’’); DOB 01 Feb 1949;
alt. DOB 02 Jan 1951; alt. DOB 05 Feb 1953;
POB Cabrera, Cundinamarca, Colombia;
Cedula No. 19208210 (Colombia); alt. Cedula
No. 17708695 (Colombia) (individual)
[SDNTK].
Dated: August 22, 2017.
Gregory T. Gatjanis,
Associate Director, Office of Global Targeting,
Office of Foreign Assets Control.
[FR Doc. 2017–18289 Filed 8–28–17; 8:45 am]
BILLING CODE 4810–AL–P
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:
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.
The rates set forth herein are
effective August 29, 2017 and until
further notice.
FOR FURTHER INFORMATION CONTACT:
Romona Greene, Office of Community
Care (10D1C1), 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
DATES:
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 in accordance with 38 CFR 17.102
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 medical
care appropriation shall be reimbursed
from the 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, 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 July 7, 2016, at 81 FR
44409.
sradovich on DSK3GMQ082PROD 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 ..............................................................................................................................................
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Inter-agency
rates
$3,805
455
992
2,358
$3,645
........................
........................
........................
3,806
3,644
41094
Federal Register / Vol. 82, No. 166 / Tuesday, August 29, 2017 / Notices
Cost-based
rates
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 ..............................................................................................................................................
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 Emergency Dental Care) .......................................................................
Outpatient Physical Medicine & Rehabilitation Service Visit ...........................................................................
Outpatient Poly-trauma/Traumatic Brain Injury ................................................................................................
Inter-agency
rates
557
1005
2,244
........................
........................
........................
2,489
283
760
1,446
2,372
........................
........................
........................
1,726
139
857
730
1,646
........................
........................
........................
2,285
283
575
1,427
2,182
........................
........................
........................
6,388
704
1,937
3,747
6,119
........................
........................
........................
1,849
175
291
1,383
1,761
........................
........................
........................
1,814
173
420
1,221
1,727
........................
........................
........................
705
44
74
587
671
........................
........................
........................
2,123
104
311
1,708
2,025
........................
........................
........................
3,070
349
938
1,783
2,927
........................
........................
........................
1,209
38
164
1007
1,154
........................
........................
........................
347
212
546
333
201
522
Note: Outpatient Prescriptions will be billed at Drug Cost plus Administrative Fee.
sradovich on DSK3GMQ082PROD with NOTICES
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 August 21,
2017, for publication.
Dated: August 22, 2017.
Jeffrey Martin,
Office Program Manager, Office of Regulation
Policy & Management, Office of the Secretary,
Department of Veterans Affairs.
[FR Doc. 2017–18219 Filed 8–28–17; 8:45 am]
BILLING CODE 8320–01–P
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]]>Agencies
[Federal Register Volume 82, Number 166 (Tuesday, August 29, 2017)]
[Notices]
[Pages 41093-41094]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-18219]
=======================================================================
-----------------------------------------------------------------------
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.
-----------------------------------------------------------------------
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 August 29, 2017 and
until further notice.
FOR FURTHER INFORMATION CONTACT: Romona Greene, Office of Community
Care (10D1C1), 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 in accordance with 38 CFR 17.102 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 medical
care appropriation shall be reimbursed from the 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, 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
July 7, 2016, at 81 FR 44409.
------------------------------------------------------------------------
Cost-based Inter-agency
rates rates
------------------------------------------------------------------------
A. Hospital Care per inpatient day:
General Medicine:
All Inclusive Rate.................. $3,805 $3,645
Physician........................... 455 ..............
Ancillary........................... 992 ..............
Nursing Room and Board.............. 2,358 ..............
Neurology:
All Inclusive Rate.................. 3,806 3,644
[[Page 41094]]
Physician........................... 557 ..............
Ancillary........................... 1005 ..............
Nursing Room and Board.............. 2,244 ..............
Rehabilitation Medicine:
All Inclusive Rate.................. 2,489 2,372
Physician........................... 283 ..............
Ancillary........................... 760 ..............
Nursing Room and Board.............. 1,446 ..............
Blind Rehabilitation:
All Inclusive Rate.................. 1,726 1,646
Physician........................... 139 ..............
Ancillary........................... 857 ..............
Nursing Room and Board.............. 730 ..............
Spinal Cord Injury:
All Inclusive Rate.................. 2,285 2,182
Physician........................... 283 ..............
Ancillary........................... 575 ..............
Nursing Room and Board.............. 1,427 ..............
Surgery:
All Inclusive Rate.................. 6,388 6,119
Physician........................... 704 ..............
Ancillary........................... 1,937 ..............
Nursing Room and Board.............. 3,747 ..............
General Psychiatry:
All Inclusive Rate.................. 1,849 1,761
Physician........................... 175 ..............
Ancillary........................... 291 ..............
Nursing Room and Board.............. 1,383 ..............
Substance Abuse (Alcohol and Drug
Treatment):
All Inclusive Rate.................. 1,814 1,727
Physician........................... 173 ..............
Ancillary........................... 420 ..............
Nursing Room and Board.............. 1,221 ..............
Psychosocial Residential Rehabilitation
Program:
All Inclusive Rate.................. 705 671
Physician........................... 44 ..............
Ancillary........................... 74 ..............
Nursing Room and Board.............. 587 ..............
Intermediate Medicine:
All Inclusive Rate.................. 2,123 2,025
Physician........................... 104 ..............
Ancillary........................... 311 ..............
Nursing Room and Board.............. 1,708 ..............
Poly-trauma Inpatient:
All Inclusive Rate.................. 3,070 2,927
Physician........................... 349 ..............
Ancillary........................... 938 ..............
Nursing Room and Board.............. 1,783 ..............
B. Nursing Home Care, Per Day:
All Inclusive Rate.................. 1,209 1,154
Physician........................... 38 ..............
Ancillary........................... 164 ..............
Nursing Room and Board.............. 1007 ..............
C. Outpatient Medical Treatments:
Outpatient Visit (to include 347 333
Ineligible Emergency Dental Care)..
Outpatient Physical Medicine & 212 201
Rehabilitation Service Visit.......
Outpatient Poly-trauma/Traumatic 546 522
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 August 21, 2017, for publication.
Dated: August 22, 2017.
Jeffrey Martin,
Office Program Manager, Office of Regulation Policy & Management,
Office of the Secretary, Department of Veterans Affairs.
[FR Doc. 2017-18219 Filed 8-28-17; 8:45 am]
BILLING CODE 8320-01-P
