Arms Sales Notification, 50418-50420 [2019-20823]
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50418
Federal Register / Vol. 84, No. 186 / Wednesday, September 25, 2019 / Notices
TABLE 3—TRICARE HOME HEALTH CLAIMS BY SEVERITY AND AGE GROUP, FY 2017
Percent of category by age group
Category based on clinical and functional
severity
N
<19
19–44
45–64
65+
Most Severe .............................................
Moderately Severe ...................................
Less Severe .............................................
Least Severe ............................................
3,317
9,288
5,339
1,518
17
48
27
8
9
64
9
18
1
43
30
13
15
48
28
6
20
47
27
5
Total ..................................................
19,462
100
100
100
100
100
The HHVBP model applies to all
Medicare-certified HHAs in each of the
nine selected states, which covered
approximately 25 percent of total
TRICARE claims in fiscal year (FY)
2017. However, those HHAs for which
Medicare-certification is not available
due to the specialized beneficiary
categories they serve (e.g., those HHAs
specializing solely in the treatment of
TRICARE beneficiaries that are under
the age of 18 or receiving maternity
care) are exempt from the HHVBP
adjustment methodology. These
specialized HHAs must qualify for
corporate services provider status under
the Program and are paid for covered
professional services under the CMAC
reimbursement system, and would not
participate in the TRICARE HHVBP.
C. Implementation
The new demonstration is effective
January 1, 2020 and will continue until
the end of Medicare’s HHVBP model on
December 31, 2022, unless terminated
earlier by the Director, DHA, or
Administrator, Centers for Medicare and
Medicaid Services.
D. Evaluation
This demonstration project will assist
the Department in evaluating the
feasibility of incorporating the HHVBP
model in the TRICARE program. Regular
status reports and a full analysis of
demonstration outcomes will be
conducted consistent with the
requirements in the TRICARE
Operations Manual, Chapter 29, Section
1.
TRICARE’s hypothesis is that
payments that are linked to quality
outcomes will:
(1) Be administratively feasible,
meaning that the demonstration will be
successfully implemented and
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Percent
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administered within a reasonable
margin of the DHA’s estimate of this
demonstration;
(2) Improve the quality of care
delivered over time; and
(3) Be cost-neutral or result in modest
long-term cost savings.
Success shall be defined as:
(1) Implementation and ongoing
maintenance costs do not exceed 2
percent of the annual TRICARE total
spend on home health care in the
HHVBP demonstration states, and a
high percentage of TRICARE HHAs
provide their TPS scores.
(2) Measurable and statistically
significant improvements in the quality
of care received by TRICARE
beneficiaries occurs, year-over-year,
with averages from 2014–2018 serving
as the baseline data period.
(3) The average acuity-adjusted home
health cost per TRICARE beneficiary or
episode in the HHVBP states increases
at a slower rate or at the same rate
compared to the same measure in the
non-HHVBP states.
Following the end of each 12 months
in the demonstration, DHA will measure
and report the preceding data to the
Director, DHA, along with a
recommendation of whether to continue
or discontinue the demonstration.
In the 12 months following
termination of the demonstration, DHA
shall make a report available to the
public on the DHA website which
details the findings of this
demonstration, and potential next steps,
if the demonstration is found to be
successful in achieving the anticipated
results. Continuation of the
demonstration, or a transition into the
Basic program reimbursement
methodologies will be issued via
appropriate Federal Register Notice or
rulemaking action, and will be based on
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a demonstration that the pilot met the
benchmarks set for success that are
established in this Notice and
Implementing Instructions.
Dated: September 20, 2019.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2019–20815 Filed 9–24–19; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Transmittal No. 19–0H]
Arms Sales Notification
Defense Security Cooperation
Agency, Department of Defense.
AGENCY:
ACTION:
Arms sales notice.
The Department of Defense is
publishing the unclassified text of an
arms sales notification.
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
Karma Job at karma.d.job.civ@mail.mil
or (703) 697–8976.
This
36(b)(5)(C) arms sales notification is
published to fulfill the requirements of
section 155 of Public Law 104–164
dated July 21, 1996. The following is a
copy of a letter to the Speaker of the
House of Representatives, Transmittal
19–0H with attached Policy
Justification.
SUPPLEMENTARY INFORMATION:
Dated: September 20, 2019.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
BILLING CODE 5001–06–P
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Transmittal No. 19-0H
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REPORT OF ENHANCEMENT OR
UPGRADE OF SENSITIVITY OF
TECHNOLOGY OR CAPABILITY (SEC.
36(B)(5)(C), AECA)
(i) Purchaser: Taipei Economic and
Cultural Representative Office (TECRO)
(ii) Sec. 36(b)(1), AECA Transmittal
No.: 16-01
Date: December 16, 2015
Military Department: Army
(iii) Description: On December 16,
2015, Congress was notified by
Congressional certification transmittal
number 16-01, of the possible sale under
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Section 36(b)(1) of the Arms Export
Control Act of seven hundred sixty-nine
(769) TOW 2B Aero Radio Frequency
(RF) Missiles (BGM-71F-Series). This
proposed sale also includes fourteen
(14) Radio Frequency (RF) TOW 2B
Aero (BGM-71F-Series) Fly-to-Buy
Missiles for lot acceptance testing, fortysix (46) Improved Target Acquisition
System (ITAS) Launchers, four (4)
Improved Target Acquisition System
(ITAS) launcher spares, Missile Support
Equipment, Government-Furnished
Equipment, Technical Manuals/
Publications, Spare Parts, Tool and Test
Equipment, Trainers, Training, U.S.
Government Technical Support/
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50419
Integrated Logistical Support,
Contractor Technical Support, and other
associated equipment and services. The
estimated total cost was $268 million.
Major Defense Equipment (MDE)
constituted $237 million of this total.
This transmittal notifies the inclusion
of the following MDE items: 1) an
additional one thousand two hundred
forty (1,240) TOW 2B Aero, Radio
Frequency (RF) missiles (BGM-71FSeries); 2) an additional fourteen (14)
TOW 2B Aero, Radio Frequency (RF)
missiles (BGM-71F-Series) Fly-to-Buy
missiles; 3) an additional fifty-eight (58)
Improved Target Acquisition System
(ITAS); and 4) one hundred (100)
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Federal Register / Vol. 84, No. 186 / Wednesday, September 25, 2019 / Notices
50420
Federal Register / Vol. 84, No. 186 / Wednesday, September 25, 2019 / Notices
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M1167A1B1 HMMWVs. Also included
are missile support equipment,
government-furnished equipment,
technical manuals/publications, spare
parts, tool and test equipment, training,
U.S. Government technical support/
logistical support, contractor technical
support, and other related elements of
logistics and program support. These
inclusions will increase the MDE value
by $241.2 million resulting in a new
MDE cost of $478.2 million. The new
total case value will be $567.2 million.
(iv) Significance: This notification
will allow the recipient to improve its
security and defensive capability.
(v) Justification: This proposed sale
serves U.S. national, economic, and
security interests by supporting the
recipient’s continuing efforts to
modernize its armed forces and enhance
its defensive capability. The proposed
sale will help improve the security of
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18:25 Sep 24, 2019
Jkt 247001
the recipient and assist in maintaining
political stability, military balance, and
economic progress in the region.
(vi) Sensitivity of Technology: The
statement contained in the original
AECA 36(b)(1) transmittal applies to the
MDE items reported here.
(vii) Date Report Delivered to
Congress: July 8, 2019
[FR Doc. 2019–20823 Filed 9–24–19; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF DEFENSE
Office of the Secretary
[Transmittal No. 19–39]
Arms Sales Notification
Defense Security Cooperation
Agency, Department of Defense.
AGENCY:
PO 00000
Frm 00050
Fmt 4703
Sfmt 4703
ACTION:
Arms sales notice.
The Department of Defense is
publishing the unclassified text of an
arms sales notification.
FOR FURTHER INFORMATION CONTACT:
Karma Job at karma.d.job.civ@mail.mil
or (703) 697–8976.
SUPPLEMENTARY INFORMATION: This
36(b)(1) arms sales notification is
published to fulfill the requirements of
section 155 of Public Law 104–164
dated July 21, 1996. The following is a
copy of a letter to the Speaker of the
House of Representatives, Transmittal
19–39 with attached Policy Justification
and Sensitivity of Technology.
SUMMARY:
Dated: September 20, 2019.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
BILLING CODE 5001–06–P
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]]>Agencies
[Federal Register Volume 84, Number 186 (Wednesday, September 25, 2019)]
[Notices]
[Pages 50418-50420]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-20823]
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
[Transmittal No. 19-0H]
Arms Sales Notification
AGENCY: Defense Security Cooperation Agency, Department of Defense.
ACTION: Arms sales notice.
-----------------------------------------------------------------------
SUMMARY: The Department of Defense is publishing the unclassified text
of an arms sales notification.
FOR FURTHER INFORMATION CONTACT: Karma Job at [email protected]
or (703) 697-8976.
SUPPLEMENTARY INFORMATION: This 36(b)(5)(C) arms sales notification is
published to fulfill the requirements of section 155 of Public Law 104-
164 dated July 21, 1996. The following is a copy of a letter to the
Speaker of the House of Representatives, Transmittal 19-0H with
attached Policy Justification.
Dated: September 20, 2019.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
BILLING CODE 5001-06-P
[[Page 50419]]
[GRAPHIC] [TIFF OMITTED] TN25SE19.006
BILLING CODE 5001-06-C
Transmittal No. 19-0H
REPORT OF ENHANCEMENT OR UPGRADE OF SENSITIVITY OF TECHNOLOGY OR
CAPABILITY (SEC. 36(B)(5)(C), AECA)
(i) Purchaser: Taipei Economic and Cultural Representative Office
(TECRO)
(ii) Sec. 36(b)(1), AECA Transmittal No.: 16-01
Date: December 16, 2015
Military Department: Army
(iii) Description: On December 16, 2015, Congress was notified by
Congressional certification transmittal number 16-01, of the possible
sale under Section 36(b)(1) of the Arms Export Control Act of seven
hundred sixty-nine (769) TOW 2B Aero Radio Frequency (RF) Missiles
(BGM-71F-Series). This proposed sale also includes fourteen (14) Radio
Frequency (RF) TOW 2B Aero (BGM-71F-Series) Fly-to-Buy Missiles for lot
acceptance testing, forty-six (46) Improved Target Acquisition System
(ITAS) Launchers, four (4) Improved Target Acquisition System (ITAS)
launcher spares, Missile Support Equipment, Government-Furnished
Equipment, Technical Manuals/Publications, Spare Parts, Tool and Test
Equipment, Trainers, Training, U.S. Government Technical Support/
Integrated Logistical Support, Contractor Technical Support, and other
associated equipment and services. The estimated total cost was $268
million. Major Defense Equipment (MDE) constituted $237 million of this
total.
This transmittal notifies the inclusion of the following MDE items:
1) an additional one thousand two hundred forty (1,240) TOW 2B Aero,
Radio Frequency (RF) missiles (BGM-71F-Series); 2) an additional
fourteen (14) TOW 2B Aero, Radio Frequency (RF) missiles (BGM-71F-
Series) Fly-to-Buy missiles; 3) an additional fifty-eight (58) Improved
Target Acquisition System (ITAS); and 4) one hundred (100)
[[Page 50420]]
M1167A1B1 HMMWVs. Also included are missile support equipment,
government-furnished equipment, technical manuals/publications, spare
parts, tool and test equipment, training, U.S. Government technical
support/logistical support, contractor technical support, and other
related elements of logistics and program support. These inclusions
will increase the MDE value by $241.2 million resulting in a new MDE
cost of $478.2 million. The new total case value will be $567.2
million.
(iv) Significance: This notification will allow the recipient to
improve its security and defensive capability.
(v) Justification: This proposed sale serves U.S. national,
economic, and security interests by supporting the recipient's
continuing efforts to modernize its armed forces and enhance its
defensive capability. The proposed sale will help improve the security
of the recipient and assist in maintaining political stability,
military balance, and economic progress in the region.
(vi) Sensitivity of Technology: The statement contained in the
original AECA 36(b)(1) transmittal applies to the MDE items reported
here.
(vii) Date Report Delivered to Congress: July 8, 2019
[FR Doc. 2019-20823 Filed 9-24-19; 8:45 am]
BILLING CODE 5001-06-P
