Reasonable Charges for Medical Care or Services; v3.25, 2019 Calendar Year Update and National Average Administrative Prescription Drug Charge Update, 62959-62960 [2018-26459]

Download as PDF Federal Register / Vol. 83, No. 234 / Thursday, December 6, 2018 / Notices Approved: November 27, 2018. Laurie Brimmer, Senior Tax Analyst. [FR Doc. 2018–26469 Filed 12–4–18; 8:45 am] BILLING CODE 4830–01–P DEPARTMENT OF THE TREASURY Office of the Assistant Secretary for International Affairs; Survey of U.S. Ownership of Foreign Securities as of December 31, 2018 Departmental Offices, Department of the Treasury. ACTION: Notice of reporting requirements. AGENCY: By this Notice, the Department of the Treasury is informing the public that it is conducting a mandatory survey of ownership of foreign securities by U.S. residents as of December 31, 2018. This Notice constitutes legal notification to all United States persons (defined below) who meet the reporting requirements set forth in this Notice that they must respond to, and comply with, this survey. The reporting form SHCA (2018) and instructions may be printed from the internet at: http://www.treasury.gov/ resource-center/data-chart-center/tic/ Pages/forms-sh.aspx#shc. Definition: Pursuant to 22 U.S.C. 3102, a United States person is any individual, branch, partnership, associated group, association, estate, trust, corporation, or other organization (whether or not organized under the laws of any State), and any government (including a foreign government, the United States Government, a State or local government, and any agency, corporation, financial institution, or other entity or instrumentality thereof, including a government-sponsored agency), who resides in the United States or is subject to the jurisdiction of the United States. Who Must Report: The reporting panel is based upon the data submitted for the 2016 Benchmark survey and the June 2018 TIC report ‘‘Aggregate Holdings of Long-Term Securities by U.S. and Foreign Residents’’ (TIC SLT). Entities required to report will be contacted individually by the Federal Reserve Bank of New York. Entities not contacted by the Federal Reserve Bank of New York have no reporting responsibilities. What To Report: This report will collect information on holdings by U.S. residents of foreign securities, including equities, long-term debt securities, and short-term debt securities (including selected money market instruments). khammond on DSK30JT082PROD with NOTICES SUMMARY: VerDate Sep<11>2014 20:35 Dec 04, 2018 Jkt 247001 How To Report: Copies of the survey forms and instructions, which contain complete information on reporting procedures and definitions, may be obtained at the website address given above in the Summary. Completed reports can be submitted electronically or mailed to the Federal Reserve Bank of New York, Data and Statistics Function, 6th Floor, 33 Liberty Street, New York, NY 10045–0001. Inquiries can be made to the survey staff of the Federal Reserve Bank of New York at (212) 720–6300 or email: SHC.help@ ny.frb.org. Inquiries can also be made to Dwight Wolkow at (202) 622–1276, email: comments2TIC@do.treas.gov. When To Report: Data must be submitted to the Federal Reserve Bank of New York, acting as fiscal agent for the Department of the Treasury, by March 1, 2019. Paperwork Reduction Act Notice: This data collection has been approved by the Office of Management and Budget (OMB) in accordance with the Paperwork Reduction Act and assigned control number 1505–0146. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid control number assigned by OMB. The estimated average annual burden associated with this collection of information is 49 hours per respondent for end-investors and custodians that file Schedule 3 reports covering their securities entrusted to U.S. resident custodians, 146 hours per respondent for large endinvestors filing Schedule 2 reports, and 546 hours per respondent for large custodians of securities filing Schedule 2 reports. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to the Department of the Treasury, Attention: Administrator, International Portfolio Investment Data Reporting Systems, Room 5422, Washington, DC 20220 and to OMB, Attention: Desk Officer for the Department of the Treasury, Office of Information and Regulatory Affairs, Washington, DC 20503. Dwight Wolkow, Administrator, International Portfolio Investment Data Reporting Systems. [FR Doc. 2018–26491 Filed 12–4–18; 8:45 am] BILLING CODE 4810–25–P PO 00000 Frm 00127 Fmt 4703 Sfmt 4703 62959 DEPARTMENT OF VETERANS AFFAIRS Reasonable Charges for Medical Care or Services; v3.25, 2019 Calendar Year Update and National Average Administrative Prescription Drug Charge Update Department of Veterans Affairs. Notice. AGENCY: ACTION: This Department of Veterans Affairs (VA) notice updates the data for calculating the ‘‘Reasonable Charges’’ collected or recovered by VA for medical care or services. This notice also updates the ‘‘National Average Administrative Prescription Costs’’ for purposes of calculating VA’s charges for prescription drugs that were not administered during treatment, but provided or furnished by VA to a veteran. 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(a)(1) of 38 Code of Federal Regulations (CFR) sets forth the ‘‘Reasonable Charges’’ for medical care or services provided or furnished by VA to a veteran: ‘‘For a nonserviceconnected disability for which the veteran is entitled to care (or the payment of expenses for care) under a health plan contract; For a nonserviceconnected 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.’’ Section 17.101 provides the methodologies for establishing billed amounts for several types of charges; however, this notice will only address partial hospitalization facility charges; outpatient facility charges; physician and other professional charges, including professional charges for anesthesia services and dental services; pathology and laboratory charges; observation care facility charges; ambulance and other emergency transportation charges; and charges for durable medical equipment, drugs, injectables, and other medical services, items, and supplies identified by SUMMARY: E:\FR\FM\06DEN1.SGM 06DEN1 khammond on DSK30JT082PROD with NOTICES 62960 Federal Register / Vol. 83, No. 234 / Thursday, December 6, 2018 / Notices Healthcare Common Procedure Coding System (HCPCS) Level II codes. Section 17.101(a)(2) provides that the actual charge amounts at individual VA medical facilities based on these methodologies and the data sources used for calculating those actual charge amounts will either be published as a notice in the Federal Register or will be posted on the internet site of the Veterans Health Administration Office of Community Care’s website at https:// www.va.gov/communitycare/revenue_ ops/payer_rates.asp. Certain charges are hereby updated as stated in this notice and will be effective on January 1, 2019. In cases where VA has not established charges for medical care or services provided or furnished at VA expense (by either VA or non-VA providers) under other provisions or regulations, the method for determining VA’s charges is set forth at 38 CFR 17.101(a)(8). Based on the methodologies set forth in § 17.101, this notice provides an update to charges for 2019 HCPCS Level II and Current Procedural Terminology (CPT) codes. Charges are also being updated based on more recent versions of data sources for the following charge types: Partial hospitalization facility charges; outpatient facility charges; physician and other professional charges, including professional charges for anesthesia services and dental services; pathology and laboratory charges; observation care facility charges; ambulance and other emergency transportation charges; and charges for durable medical equipment, drugs, injectables, and other medical services, items, and supplies identified by HCPCS Level II codes. As of the date of this notice, the actual charge amounts at individual VA medical facilities based on the methodologies in § 17.101 will be posted on the VHA Office of Community Care’s website at https:// www.va.gov/communitycare/revenue_ ops/payer_rates.asp under the heading ‘‘Reasonable Charges Data Tables’’ and identified as ‘‘v3.25 Data Tables (Outpatient and Professional).’’ The list of data sources used for calculating the actual charge amounts listed above also will be posted on the VHA Office of Community Care’s website under the heading ‘‘Reasonable Charges Data Sources’’ and identified as ‘‘Reasonable Charges v3.25 Data Sources (Outpatient and Professional) (PDF).’’ Acute inpatient facility charges and skilled nursing facility/sub-acute inpatient facility charges remain the same as set forth in the notice published in the Federal Register on September 19, 2018 (83 FR 47412). VerDate Sep<11>2014 20:35 Dec 04, 2018 Jkt 247001 We are also updating the list of VA medical facility locations. The list of VA medical facility locations, including the first three digits of their zip codes as well as provider-based/non-providerbased designations, will be posted on the VHA Office of Community Care’s website under the heading ‘‘VA Medical Facility Locations’’ and identified as ‘‘v3.25 (Jan19).’’ As indicated in 38 CFR 17.101(m), when VA provides or furnishes prescription drugs not administered during treatment, ‘‘charges billed separately for such prescription drugs will consist of the amount that equals the total of the actual cost to VA for the drugs and the national average of VA administrative costs associated with dispensing the drugs for each prescription.’’ Section 17.101(m) includes the methodology for calculating the national average administrative cost for prescription drug charges not administered during treatment. VA determines the amount of the national average administrative cost annually for the prior fiscal year (October through September) and then applies the charge at the start of the next calendar year. The national average administrative drug cost for calendar year 2019 is $17.66. This change will be posted on the VHA Office of Community Care’s website at https:// www.va.gov/COMMUNITYCARE/ revenue_ops/admin_costs.asp under the heading ‘‘CY 2019 Average Administrative Cost for Prescriptions.’’ Consistent with § 17.101, the national average administrative cost, the updated data, and supplementary tables containing the changes described in this notice will be posted online, as indicated in this notice. This notice will be posted on the VHA Office of Community Care’s website at https:// www.va.gov/communitycare/revenue_ ops/payer_rates.asp under the heading ‘‘Reasonable Charges Rules, Notices, & Federal Register’’ and identified as ‘‘v3.25 Federal Register Notice 01/01/19 (Outpatient and Professional), and National Administrative Cost (PDF).’’ The national average administrative cost, updated data, and supplementary tables containing the changes described will be effective until changed by a subsequent Federal Register notice. Signing Authority The Secretary of Veterans Affairs 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. Robert L. Wilkie, PO 00000 Frm 00128 Fmt 4703 Sfmt 4703 Secretary, Department of Veterans Affairs, approved this document on November 29, 2018, for publication. Dated: November 29, 2018. Jeffrey M. Martin, Assistant Director, Office of Regulation Policy & Management, Office of the Secretary, Department of Veterans Affairs. [FR Doc. 2018–26459 Filed 12–4–18; 8:45 am] BILLING CODE 8320–01–P DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900–NEW] Agency Information Collection Activity Under OMB Review: VA Educational Assistance Program Feedback Veterans Benefits Administration, Department of Veterans Affairs. ACTION: Notice. AGENCY: In compliance with the Paperwork Reduction Act (PRA) of 1995, this notice announces that the Veterans Benefits Administration (VBA), Department of Veterans Affairs, will submit the collection of information abstracted below to the Office of Management and Budget (OMB) for review and comment. The PRA submission describes the nature of the information collection and its expected cost and burden; it includes the actual data collection instrument. DATES: Comments must be submitted on or before January 4, 2019. ADDRESSES: Submit written comments on the collection of information through www.Regulations.gov, or to Office of Information and Regulatory Affairs, Office of Management and Budget, Attn: VA Desk Officer; 725 17th St. NW, Washington, DC 20503 or sent through electronic mail to oira_submission@ omb.eop.gov. Please refer to ‘‘OMB Control No. 2900–NEW’’ in any correspondence. SUMMARY: FOR FURTHER INFORMATION CONTACT: Danny S. Green, Acting Department Clearance Officer—OI&T (005R1B), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, (202) 421–1354 or email Danny.Green2@va.gov. Please refer to ‘‘OMB Control No. 2900–NEW’’ in any correspondence. SUPPLEMENTARY INFORMATION: Authority: Public Law 114–315 Section 414; 44 U.S.C. 3501–3521. Title: VA Educational Assistance Program Feedback. OMB Control Number: 2900–NEW. Type of Review: New collection. E:\FR\FM\06DEN1.SGM 06DEN1

Agencies

[Federal Register Volume 83, Number 234 (Thursday, December 6, 2018)]
[Notices]
[Pages 62959-62960]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-26459]


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DEPARTMENT OF VETERANS AFFAIRS


Reasonable Charges for Medical Care or Services; v3.25, 2019 
Calendar Year Update and National Average Administrative Prescription 
Drug Charge Update

AGENCY: Department of Veterans Affairs.

ACTION: Notice.

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

SUMMARY: This Department of Veterans Affairs (VA) notice updates the 
data for calculating the ``Reasonable Charges'' collected or recovered 
by VA for medical care or services. This notice also updates the 
``National Average Administrative Prescription Costs'' for purposes of 
calculating VA's charges for prescription drugs that were not 
administered during treatment, but provided or furnished by VA to a 
veteran.

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(a)(1) of 38 Code of Federal 
Regulations (CFR) sets forth the ``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 for 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.'' Section 17.101 provides the 
methodologies for establishing billed amounts for several types of 
charges; however, this notice will only address partial hospitalization 
facility charges; outpatient facility charges; physician and other 
professional charges, including professional charges for anesthesia 
services and dental services; pathology and laboratory charges; 
observation care facility charges; ambulance and other emergency 
transportation charges; and charges for durable medical equipment, 
drugs, injectables, and other medical services, items, and supplies 
identified by

[[Page 62960]]

Healthcare Common Procedure Coding System (HCPCS) Level II codes.
    Section 17.101(a)(2) provides that the actual charge amounts at 
individual VA medical facilities based on these methodologies and the 
data sources used for calculating those actual charge amounts will 
either be published as a notice in the Federal Register or will be 
posted on the internet site of the Veterans Health Administration 
Office of Community Care's website at https://www.va.gov/communitycare/revenue_ops/payer_rates.asp.
    Certain charges are hereby updated as stated in this notice and 
will be effective on January 1, 2019.
    In cases where VA has not established charges for medical care or 
services provided or furnished at VA expense (by either VA or non-VA 
providers) under other provisions or regulations, the method for 
determining VA's charges is set forth at 38 CFR 17.101(a)(8).
    Based on the methodologies set forth in Sec.  17.101, this notice 
provides an update to charges for 2019 HCPCS Level II and Current 
Procedural Terminology (CPT) codes. Charges are also being updated 
based on more recent versions of data sources for the following charge 
types: Partial hospitalization facility charges; outpatient facility 
charges; physician and other professional charges, including 
professional charges for anesthesia services and dental services; 
pathology and laboratory charges; observation care facility charges; 
ambulance and other emergency transportation charges; and charges for 
durable medical equipment, drugs, injectables, and other medical 
services, items, and supplies identified by HCPCS Level II codes. As of 
the date of this notice, the actual charge amounts at individual VA 
medical facilities based on the methodologies in Sec.  17.101 will be 
posted on the VHA Office of Community Care's website at https://www.va.gov/communitycare/revenue_ops/payer_rates.asp under the heading 
``Reasonable Charges Data Tables'' and identified as ``v3.25 Data 
Tables (Outpatient and Professional).''
    The list of data sources used for calculating the actual charge 
amounts listed above also will be posted on the VHA Office of Community 
Care's website under the heading ``Reasonable Charges Data Sources'' 
and identified as ``Reasonable Charges v3.25 Data Sources (Outpatient 
and Professional) (PDF).''
    Acute inpatient facility charges and skilled nursing facility/sub-
acute inpatient facility charges remain the same as set forth in the 
notice published in the Federal Register on September 19, 2018 (83 FR 
47412).
    We are also updating the list of VA medical facility locations. The 
list of VA medical facility locations, including the first three digits 
of their zip codes as well as provider-based/non-provider-based 
designations, will be posted on the VHA Office of Community Care's 
website under the heading ``VA Medical Facility Locations'' and 
identified as ``v3.25 (Jan19).''
    As indicated in 38 CFR 17.101(m), when VA provides or furnishes 
prescription drugs not administered during treatment, ``charges billed 
separately for such prescription drugs will consist of the amount that 
equals the total of the actual cost to VA for the drugs and the 
national average of VA administrative costs associated with dispensing 
the drugs for each prescription.'' Section 17.101(m) includes the 
methodology for calculating the national average administrative cost 
for prescription drug charges not administered during treatment.
    VA determines the amount of the national average administrative 
cost annually for the prior fiscal year (October through September) and 
then applies the charge at the start of the next calendar year. The 
national average administrative drug cost for calendar year 2019 is 
$17.66. This change will be posted on the VHA Office of Community 
Care's website at https://www.va.gov/COMMUNITYCARE/revenue_ops/admin_costs.asp under the heading ``CY 2019 Average Administrative Cost 
for Prescriptions.''
    Consistent with Sec.  17.101, the national average administrative 
cost, the updated data, and supplementary tables containing the changes 
described in this notice will be posted online, as indicated in this 
notice. This notice will be posted on the VHA Office of Community 
Care's website at https://www.va.gov/communitycare/revenue_ops/payer_rates.asp under the heading ``Reasonable Charges Rules, Notices, 
& Federal Register'' and identified as ``v3.25 Federal Register Notice 
01/01/19 (Outpatient and Professional), and National Administrative 
Cost (PDF).'' The national average administrative cost, updated data, 
and supplementary tables containing the changes described will be 
effective until changed by a subsequent Federal Register notice.

Signing Authority

    The Secretary of Veterans Affairs 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. Robert L. 
Wilkie, Secretary, Department of Veterans Affairs, approved this 
document on November 29, 2018, for publication.

    Dated: November 29, 2018.
Jeffrey M. Martin,
Assistant Director, Office of Regulation Policy & Management, Office of 
the Secretary, Department of Veterans Affairs.
[FR Doc. 2018-26459 Filed 12-4-18; 8:45 am]
 BILLING CODE 8320-01-P