Reasonable Charges for Inpatient MS-DRGs and SNF Medical Services; v3.22, Fiscal Year 2018 Update, 44701-44702 [2017-20423]

Download as PDF asabaliauskas on DSKBBXCHB2PROD with NOTICES Federal Register / Vol. 82, No. 184 / Monday, September 25, 2017 / Notices U.S.C. 1904(b)(3), being directed by, or acting for or on behalf of, the RUELAS TORRES DRUG TRAFFICKING ORGANIZATION. 4. MONDACA AVILA, Sigi Alfredo (Latin: ´ MONDACA AVILA, Sigi Alfredo), Mexico; DOB 09 Jan 1985; POB Sinaloa, Sinaloa, Mexico; nationality Mexico; citizen Mexico; Gender Male; C.U.R.P. MOAS850109HSLNVG09 (Mexico); RFC MOAS850109DN7 (Mexico) (individual) [SDNTK] (Linked To: RUELAS TORRES DRUG TRAFFICKING ORGANIZATION). Designated pursuant to section 805(b)(2) of the Kingpin Act, 21 U.S.C. 1904(b)(2), for materially assisting in, or providing services in support of, the international narcotics trafficking activities of the RUELAS TORRES DRUG TRAFFICKING ORGANIZATION. Also designated pursuant to section 805(b)(3) of the Kingpin Act, 21 U.S.C. 1904(b)(3), being directed by, or acting for or on behalf of, the RUELAS TORRES DRUG TRAFFICKING ORGANIZATION. 5. RIVERA SANDOVAL, Hector Librado ´ (Latin: RIVERA SANDOVAL, Hector Librado), La Playita, Sinaloa, Sinaloa, Mexico; DOB 03 Jun 1982; POB Sinaloa, Sinaloa, Mexico; nationality Mexico; Gender Male; C.U.R.P. RISH820603HSLVNC07 (Mexico); RFC RISH820603V75 (Mexico) (individual) [SDNTK] (Linked To: RUELAS TORRES DRUG TRAFFICKING ORGANIZATION). Designated pursuant to section 805(b)(2) of the Kingpin Act, 21 U.S.C. 1904(b)(2), for materially assisting in, or providing financial support for or to, or providing services in support of, the international narcotics trafficking activities of the RUELAS TORRES DRUG TRAFFICKING ORGANIZATION. Also designated pursuant to section 805(b)(3) of the Kingpin Act, 21 U.S.C. 1904(b)(3), being directed by, or acting for or on behalf of, the RUELAS TORRES DRUG TRAFFICKING ORGANIZATION. 6. RUELAS AVILA, Jesus Angel (Latin: ´ ´ ´ RUELAS AVILA, Jesus Angel), C 14 S/N, Loc Genaro Estrada, Sinaloa, Sinaloa 81960, Mexico; DOB 01 Nov 1988; POB Sinaloa, Sinaloa, Mexico; citizen Mexico; Gender Male; C.U.R.P. RUAJ881101HSLLVS01 (Mexico); RFC RUAJ881101824 (Mexico); I.F.E. RLAVJS88110125H400 (Mexico) (individual) [SDNTK] (Linked To: RUELAS TORRES DRUG TRAFFICKING ORGANIZATION). Designated pursuant to section 805(b)(2) of the Kingpin Act, 21 U.S.C. 1904(b)(2), for materially assisting in, or providing services in support of, the international narcotics trafficking activities of the RUELAS TORRES DRUG TRAFFICKING ORGANIZATION. Also designated pursuant to section 805(b)(3) of the Kingpin Act, 21 U.S.C. 1904(b)(3), being directed by, or acting for or on behalf of, the RUELAS TORRES DRUG TRAFFICKING ORGANIZATION. 7. RUELAS AVILA, Jose Luis (Latin: ´ ´ RUELAS AVILA, Jose Luis), C 14 S/N, Loc Genaro Estrada, Sinaloa, Sinaloa 81960, Mexico; DOB 11 Mar 1981; POB Sinaloa, Sinaloa, Mexico; nationality Mexico; Gender Male; R.F.C. RUAL810311933 (Mexico); C.U.R.P. RUAL810311HSLLVS02 (Mexico); I.F.E. RLAVLS81031125H800 (Mexico) (individual) [SDNTK] (Linked To: RUELAS TORRES DRUG TRAFFICKING ORGANIZATION). Designated pursuant to VerDate Sep<11>2014 19:45 Sep 22, 2017 Jkt 241001 section 805(b)(2) of the Kingpin Act, 21 U.S.C. 1904(b)(2), for materially assisting in, or providing services in support of, the international narcotics trafficking activities of the RUELAS TORRES DRUG TRAFFICKING ORGANIZATION. Also designated pursuant to section 805(b)(3) of the Kingpin Act, 21 U.S.C. 1904(b)(3), being directed by, or acting for or on behalf of, the RUELAS TORRES DRUG TRAFFICKING ORGANIZATION. 8. RUELAS AVILA, Joel Efren (Latin: ´ RUELAS AVILA, Joel Efren), Calle 10 Sin Numero, Localidad Genaro Estrada, Sinaloa, Mexico; DOB 20 Sep 1978; POB Guasave, Sinaloa, Mexico; nationality Mexico; Gender Male; R.F.C. RUAJ780920C10 (Mexico); C.U.R.P. RUAJ780920HSLLVL02 (Mexico) (individual) [SDNTK] (Linked To: RUELAS TORRES DRUG TRAFFICKING ORGANIZATION). Designated pursuant to section 805(b)(2) of the Kingpin Act, 21 U.S.C. 1904(b)(2), for materially assisting in, or providing financial support for or to, or providing goods or services in support of, the international narcotics trafficking activities of the RUELAS TORRES DRUG TRAFFICKING ORGANIZATION and Jose Luis RUELAS TORRES. Also designated pursuant to section 805(b)(3) of the Kingpin Act, 21 U.S.C. 1904(b)(3), being directed by, or acting for or on behalf of, the RUELAS TORRES DRUG TRAFFICKING ORGANIZATION and Jose Luis RUELAS TORRES. 9. RUELAS AVILA, Leobardo (Latin: ´ RUELAS AVILA, Leobardo), Mexico; DOB 12 Mar 1976; POB Guasave, Sinaloa, Mexico; nationality Mexico; Gender Male; R.F.C. RUAL7603123I0 (Mexico); C.U.R.P. RUAL760312HSLLVB06 (Mexico) (individual) [SDNTK] (Linked To: RUELAS TORRES DRUG TRAFFICKING ORGANIZATION). Designated pursuant to section 805(b)(2) of the Kingpin Act, 21 U.S.C. 1904(b)(2), for materially assisting in, or providing services in support of, the international narcotics trafficking activities of the RUELAS TORRES DRUG TRAFFICKING ORGANIZATION. Also designated pursuant to section 805(b)(3) of the Kingpin Act, 21 U.S.C. 1904(b)(3), being directed by, or acting for or on behalf of, the RUELAS TORRES DRUG TRAFFICKING ORGANIZATION. 10. RUELAS TORRES, Jose Luis (Latin: ´ RUELAS TORRES, Jose Luis), P 112, Genaro Estrada, Sinaloa, Mexico; DOB 10 Sep 1953; POB Choix, Sinaloa, Mexico; nationality Mexico; Gender Male; R.F.C. RUTL5309103B6 (Mexico); C.U.R.P. RUTL530910HSLLRS07 (Mexico) (individual) [SDNTK] (Linked To: RUELAS TORRES DRUG TRAFFICKING ORGANIZATION). Identified pursuant to section 805(b)(1) of the Kingpin Act, 21 U.S.C. 1904(b)(1) as a significant foreign narcotics trafficker. 11. RUELAS TORRES, Gilberto, Mexico; DOB 05 May 1966; POB Guasave, Sinaloa, Mexico; nationality Mexico; Gender Male; R.F.C. RUTG660505CH4 (Mexico); C.U.R.P. RUTG660505HSLLRL02 (Mexico) (individual) [SDNTK] (Linked To: RUELAS TORRES DRUG TRAFFICKING ORGANIZATION). Designated pursuant to section 805(b)(2) of the Kingpin Act, 21 U.S.C. 1904(b)(2), for materially assisting in, or providing services in support of, the PO 00000 Frm 00147 Fmt 4703 Sfmt 4703 44701 international narcotics trafficking activities of the RUELAS TORRES DRUG TRAFFICKING ORGANIZATION. Also designated pursuant to section 805(b)(3) of the Kingpin Act, 21 U.S.C. 1904(b)(3), being directed by, or acting for or on behalf of, the RUELAS TORRES DRUG TRAFFICKING ORGANIZATION. Entity 1. RUELAS TORRES DRUG TRAFFICKING ORGANIZATION, Sinaloa, Mexico [SDNTK]. Identified pursuant to section 805(b)(1) of the Kingpin Act, 21 U.S.C. 1904(b)(1) as a significant foreign narcotics trafficker. Dated: May 24, 2017. Andrea M. Gacki, Acting Director, Office of Foreign Assets Control. [FR Doc. 2017–20432 Filed 9–22–17; 8:45 am] BILLING CODE 4810–AL–P DEPARTMENT OF VETERANS AFFAIRS Reasonable Charges for Inpatient MS– DRGs and SNF Medical Services; v3.22, Fiscal Year 2018 Update Department of Veterans Affairs. Notice. AGENCY: ACTION: This document updates the acute inpatient and the skilled nursing facility (SNF)/sub-acute inpatient facility charges. The updated charges are based on the 2018 Medicare severity diagnosis related groups (MS–DRG). FOR FURTHER INFORMATION CONTACT: Romona Greene, Office of Community Care, Revenue Operations, Payer Relations and Services, Rates and Charges (10D1C1), Veterans Health Administration (VHA), Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 382– 2521. (This is not a toll free number.) SUPPLEMENTARY INFORMATION: Section 17.101 of Title 38 of the Code of Federal Regulations (CFR) sets forth the Department of Veterans Affairs (VA) medical regulations concerning ‘‘Reasonable Charges’’ for medical care or services provided or furnished by VA to a veteran: For a nonservice-connected disability for which the veteran is entitled to care (or the payment of expenses of care) under a health plan contract; for a nonservice-connected disability incurred incident to the veteran’s employment and covered under a worker’s compensation law or plan that provides reimbursement or indemnification for such care and services; or, for a nonservice-connected disability incurred as a result of a motor vehicle accident in a State that requires automobile accident reparations insurance. The methodologies for SUMMARY: E:\FR\FM\25SEN1.SGM 25SEN1 44702 Federal Register / Vol. 82, No. 184 / Monday, September 25, 2017 / Notices asabaliauskas on DSKBBXCHB2PROD with NOTICES establishing billed amounts for several types of charges are found in 38 CFR 17.101; however, this notice will only address the acute inpatient and the SNF/sub-acute inpatient facility charges. Based on the methodologies set forth in 38 CFR 17.101(b), this notice updates the acute inpatient facility charges that were based on the 2017 MS–DRGs. Acute inpatient facility charges by MS– DRGs are posted on the Veterans Health Administration (VHA) Office of Community Care’s Web site, at www.va.gov/communitycare/revenue_ ops/payer_rates.asp, under the ‘‘Reasonable Charges Data Tables’’ section, Inpatient Data Table, as Table A (v3.19). This Table A corresponds to the Table A referenced in 81 FR 62977, September 13, 2016. Table A referenced in this notice is v3.22, which provides updated charges based on the 2018 MS– DRGs, will replace Table A (v3.19) posted on the VHA Office of Community Care’s Web site. Also, this document updates the SNF/ sub-acute inpatient facility all-inclusive per diem charge using the methodologies set forth in 38 CFR 17.101(c) and this charge is adjusted by a geographic area factor that is based on the location where the care is provided. For the geographic area factors, see Table N, Acute Inpatient, and Table O, SNF, on the VHA Office of Community Care’s Web site under the v3.21 link in the ‘‘Reasonable Charges Data Tables’’ section. Tables N and O are not being VerDate Sep<11>2014 19:45 Sep 22, 2017 Jkt 241001 updated by this notice. The SNF/subacute inpatient facility per diem charge is posted on the VHA Office of Community Care’s Web site under the ‘‘Reasonable Charges Data Tables’’ section, Table B (v3.19). This Table B corresponds to the Table B referenced in 81 FR 62977, September 13, 2016. Table B referenced in this notice is v3.22, which provides an update to the allinclusive nationwide SNF/sub-acute inpatient facility per diem charge and will replace Table B posted on the VHA Office of Community Care’s Web site. The charges in this notice for acute inpatient and SNF/sub-acute inpatient facility services are effective October 1, 2017. This notice is retaining the table designations used for acute inpatient facility charges by MS–DRGs, which is posted on the VHA Office of Community Care’s Web site under ‘‘Reasonable Charges Data Tables.’’ This notice is also retaining the table designation used for SNF/sub-acute inpatient facility charges, which is also posted on the VHA Office of Community Care’s Web site. Accordingly, the tables identified as being updated by this notice correspond to the applicable tables referenced in 81 FR 62977, September 13, 2016. The list of data sources presented in Supplementary Table 1 (v3.22) reflects the updated data sources used to establish the updated charges described in this notice, and will be posted on the VHA Office of Community Care’s Web PO 00000 Frm 00148 Fmt 4703 Sfmt 9990 site under the ‘‘Reasonable Charges Data Sources’’ section. The list of VA medical facility locations is also updated. In Supplementary Table 3, posted on the VHA Office of Community Care’s Web site under the VA Medical Facility Locations section, VA set forth the list of VA medical facility locations, which includes the first three digits of their zip codes and provider-based/non-providerbased designations. Consistent with VA’s regulations, the updated data tables and supplementary tables containing the changes described in this notice will be posted on the VHA Office of Community Care’s Web site, under the ‘‘Payer Rates and Charges’’ information section. 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 September 19, 2017, for publication. Dated: September 19, 2017. Jeffrey Martin, Office Program Manager, Office of Regulation Policy & Management, Office of the Secretary, Department of Veterans Affairs. [FR Doc. 2017–20423 Filed 9–22–17; 8:45 am] BILLING CODE 8320–01–P E:\FR\FM\25SEN1.SGM 25SEN1

Agencies

DEPARTMENT OF VETERANS AFFAIRS

[Federal Register Volume 82, Number 184 (Monday, September 25, 2017)]
[Notices]
[Pages 44701-44702]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-20423]


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DEPARTMENT OF VETERANS AFFAIRS


Reasonable Charges for Inpatient MS-DRGs and SNF Medical 
Services; v3.22, Fiscal Year 2018 Update

AGENCY: Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: This document updates the acute inpatient and the skilled 
nursing facility (SNF)/sub-acute inpatient facility charges. The 
updated charges are based on the 2018 Medicare severity diagnosis 
related groups (MS-DRG).

FOR FURTHER INFORMATION CONTACT: Romona Greene, Office of Community 
Care, Revenue Operations, Payer Relations and Services, Rates and 
Charges (10D1C1), Veterans Health Administration (VHA), Department of 
Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 
382-2521. (This is not a toll free number.)

SUPPLEMENTARY INFORMATION: Section 17.101 of Title 38 of the Code of 
Federal Regulations (CFR) sets forth the Department of Veterans Affairs 
(VA) medical regulations concerning ``Reasonable Charges'' for medical 
care or services provided or furnished by VA to a veteran: For a 
nonservice-connected disability for which the veteran is entitled to 
care (or the payment of expenses of care) under a health plan contract; 
for a nonservice-connected disability incurred incident to the 
veteran's employment and covered under a worker's compensation law or 
plan that provides reimbursement or indemnification for such care and 
services; or, for a nonservice-connected disability incurred as a 
result of a motor vehicle accident in a State that requires automobile 
accident reparations insurance. The methodologies for

[[Page 44702]]

establishing billed amounts for several types of charges are found in 
38 CFR 17.101; however, this notice will only address the acute 
inpatient and the SNF/sub-acute inpatient facility charges.
    Based on the methodologies set forth in 38 CFR 17.101(b), this 
notice updates the acute inpatient facility charges that were based on 
the 2017 MS-DRGs. Acute inpatient facility charges by MS-DRGs are 
posted on the Veterans Health Administration (VHA) Office of Community 
Care's Web site, at www.va.gov/communitycare/revenue_ops/payer_rates.asp, under the ``Reasonable Charges Data Tables'' section, 
Inpatient Data Table, as Table A (v3.19). This Table A corresponds to 
the Table A referenced in 81 FR 62977, September 13, 2016. Table A 
referenced in this notice is v3.22, which provides updated charges 
based on the 2018 MS-DRGs, will replace Table A (v3.19) posted on the 
VHA Office of Community Care's Web site.
    Also, this document updates the SNF/sub-acute inpatient facility 
all-inclusive per diem charge using the methodologies set forth in 38 
CFR 17.101(c) and this charge is adjusted by a geographic area factor 
that is based on the location where the care is provided. For the 
geographic area factors, see Table N, Acute Inpatient, and Table O, 
SNF, on the VHA Office of Community Care's Web site under the v3.21 
link in the ``Reasonable Charges Data Tables'' section. Tables N and O 
are not being updated by this notice. The SNF/sub-acute inpatient 
facility per diem charge is posted on the VHA Office of Community 
Care's Web site under the ``Reasonable Charges Data Tables'' section, 
Table B (v3.19). This Table B corresponds to the Table B referenced in 
81 FR 62977, September 13, 2016. Table B referenced in this notice is 
v3.22, which provides an update to the all-inclusive nationwide SNF/
sub-acute inpatient facility per diem charge and will replace Table B 
posted on the VHA Office of Community Care's Web site.
    The charges in this notice for acute inpatient and SNF/sub-acute 
inpatient facility services are effective October 1, 2017.
    This notice is retaining the table designations used for acute 
inpatient facility charges by MS-DRGs, which is posted on the VHA 
Office of Community Care's Web site under ``Reasonable Charges Data 
Tables.'' This notice is also retaining the table designation used for 
SNF/sub-acute inpatient facility charges, which is also posted on the 
VHA Office of Community Care's Web site. Accordingly, the tables 
identified as being updated by this notice correspond to the applicable 
tables referenced in 81 FR 62977, September 13, 2016.
    The list of data sources presented in Supplementary Table 1 (v3.22) 
reflects the updated data sources used to establish the updated charges 
described in this notice, and will be posted on the VHA Office of 
Community Care's Web site under the ``Reasonable Charges Data Sources'' 
section.
    The list of VA medical facility locations is also updated. In 
Supplementary Table 3, posted on the VHA Office of Community Care's Web 
site under the VA Medical Facility Locations section, VA set forth the 
list of VA medical facility locations, which includes the first three 
digits of their zip codes and provider-based/non-provider-based 
designations.
    Consistent with VA's regulations, the updated data tables and 
supplementary tables containing the changes described in this notice 
will be posted on the VHA Office of Community Care's Web site, under 
the ``Payer Rates and Charges'' information section.

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 September 19, 2017, for publication.

    Dated: September 19, 2017.
Jeffrey Martin,
Office Program Manager, Office of Regulation Policy & Management, 
Office of the Secretary, Department of Veterans Affairs.
[FR Doc. 2017-20423 Filed 9-22-17; 8:45 am]
 BILLING CODE 8320-01-P

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