Cost-Based and Inter-Agency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs for FY 2020, 51728-51729 [2019-21330]
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51728
Federal Register / Vol. 84, No. 189 / Monday, September 30, 2019 / Notices
Dated: September 26, 2019.
Jeffrey M. Martin,
Assistant Director, Office of Regulation Policy
& Management, Office of the Secretary,
Department of Veterans Affairs.
[FR Doc. 2019–21329 Filed 9–27–19; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
Cost-Based and Inter-Agency Billing
Rates for Medical Care or Services
Provided by the Department of
Veterans Affairs for FY 2020
The Department of Veterans
Affairs.
ACTION: Notice.
ADDRESSES:
This document updates the
Cost-Based and Inter-Agency billing
rates for medical care or services
provided by the Department of Veterans
Affairs (VA) furnished in certain
circumstances.
DATES: The rates set forth herein are
effective October 1, 2019.
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
SUMMARY:
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 rates for medical care
or services provided by VA is set forth
in 38 Code of Federal Regulations
17.102(h). Two sets of rates are obtained
by applying this methodology, CostBased and Inter-Agency.
Cost-Based rates apply to medical care
and services that are provided by VA
under § 17.102(a), (b), (d) and (g),
respectively, in the following
circumstances:
• In error or based on tentative
eligibility,
• In a medical emergency,
• To pensioners of allied nations, and
• 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 under § 17.102(c) and (f),
respectively, in the following
circumstances when the care or services
provided are not covered by any
applicable sharing agreement in
accordance with § 17.102(e):
• To beneficiaries of the Department
of Defense or other Federal agencies;
and
• To military retirees with chronic
disability.
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 (i.e.,
Physician; Ancillary; and Nursing,
Room and Board), and 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 October 1, 2019 and will
remain in effect until the next fiscal year
Federal Register update. These rates
supersede those established by the
Federal Register notice published on
August 28, 2018, at 83 FR 43958.
khammond on DSKJM1Z7X2PROD 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 ...................................................................................................................................................
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E:\FR\FM\30SEN1.SGM
30SEN1
Inter-agency
rates
$4,301
515
1,121
2,665
$4,156
........................
........................
........................
4,232
620
1,117
2,495
4,086
........................
........................
........................
2,910
331
889
1,690
2,803
........................
........................
........................
1,995
161
991
843
1,920
........................
........................
........................
2,636
327
663
1,646
2,540
........................
........................
........................
7,526
829
2,283
4,414
7,272
........................
........................
........................
2,174
205
2,091
........................
51729
Federal Register / Vol. 84, No. 189 / Monday, September 30, 2019 / Notices
Cost-based
rates
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
342
1,627
........................
........................
2,232
213
516
1,503
2,147
........................
........................
........................
826
52
87
687
797
........................
........................
........................
3,301
162
484
2,655
3,182
........................
........................
........................
3,223
366
985
1,872
3,097
........................
........................
........................
1,361
42
184
1135
1,311
........................
........................
........................
389
238
671
376
228
649
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.
Robert L. Wilkie, Secretary, Department
of Veterans Affairs, approved this
document on September 26, 2019, for
publication.
Dated: September 26, 2019.
Jeffrey M. Martin,
Assistant Director, Office of Regulation Policy
& Management, Office of the Secretary,
Department of Veterans Affairs.
[FR Doc. 2019–21330 Filed 9–27–19; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
khammond on DSKJM1Z7X2PROD with NOTICES
[OMB Control No. 2900–0144]
Agency Information Collection
Activity: HUDVA Addendum to Uniform
Residential Loan Application
Veterans Benefits
Administration; Department of Veterans
Affairs.
ACTION: Notice.
AGENCY:
VerDate Sep<11>2014
19:16 Sep 27, 2019
Veterans Benefits
Administration, Department of Veterans
Affairs (VA), is announcing an
opportunity for public comment on the
proposed collection of certain
information by the agency. Under the
Paperwork Reduction Act (PRA) of
1995, Federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension of a currently approved
collection, and allow 60 days for public
comment in response to the notice.
DATES: Written comments and
recommendations on the proposed
collection of information should be
received on or before November 29,
2019.
ADDRESSES: Submit written comments
on the collection of information through
Federal Docket Management System
(FDMS) at www.Regulations.gov or to
Nancy J. Kessinger, Veterans Benefits
Administration (20M33), Department of
Veterans Affairs, 810 Vermont Avenue
NW, Washington, DC 20420 or email to
nancy.kessinger@va.gov. Please refer to
‘‘OMB Control No. 2900–0144’’ in any
correspondence. During the comment
period, comments may be viewed online
through FDMS.
FOR FURTHER INFORMATION CONTACT:
Danny Green at (202) 421–1354.
SUMMARY:
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Frm 00222
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Under the
PRA of 1995, Federal agencies must
obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. This request for comment is
being made pursuant to Section
3506(c)(2)(A) of the PRA.
With respect to the following
collection of information, VBA, invites
comments on: (1) Whether the proposed
collection of information is necessary
for the proper performance of VBA’s
functions, including whether the
information will have practical utility;
(2) the accuracy of VBA’s estimate of the
burden of the proposed collection of
information; (3) ways to enhance the
quality, utility, and clarity of the
information to be collected; and (4)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
the use of other forms of information
technology.
Authority: Public Law 104–13; 44
U.S.C. 3501–21.
Title: HUDVA Addendum to Uniform
Residential Loan Application, VA form
26–1802a.
OMB Control Number: 2900–0144.
Type of Review: Extension of a
currently approved collection.
SUPPLEMENTARY INFORMATION:
E:\FR\FM\30SEN1.SGM
30SEN1
]]>Agencies
[Federal Register Volume 84, Number 189 (Monday, September 30, 2019)]
[Notices]
[Pages 51728-51729]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-21330]
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
Cost-Based and Inter-Agency Billing Rates for Medical Care or
Services Provided by the Department of Veterans Affairs for FY 2020
ADDRESSES: The 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) furnished in certain circumstances.
DATES: The rates set forth herein are effective October 1, 2019.
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: VA's methodology for computing Cost-Based
and Inter-Agency rates for medical care or services provided by VA is
set forth in 38 Code of Federal Regulations 17.102(h). Two sets of
rates are obtained by applying this methodology, Cost-Based and Inter-
Agency.
Cost-Based rates apply to medical care and services that are
provided by VA under Sec. 17.102(a), (b), (d) and (g), respectively,
in the following circumstances:
In error or based on tentative eligibility,
In a medical emergency,
To pensioners of allied nations, and
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 under Sec. 17.102(c) and (f), respectively, in the
following circumstances when the care or services provided are not
covered by any applicable sharing agreement in accordance with Sec.
17.102(e):
To beneficiaries of the Department of Defense or other
Federal agencies; and
To military retirees with chronic disability.
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 (i.e., Physician; Ancillary; and
Nursing, Room and Board), and 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 October 1, 2019 and will remain in effect until the
next fiscal year Federal Register update. These rates supersede those
established by the Federal Register notice published on August 28,
2018, at 83 FR 43958.
------------------------------------------------------------------------
Cost-based Inter-agency
rates rates
------------------------------------------------------------------------
A. Hospital Care per inpatient day:
General Medicine:
All Inclusive Rate.............. $4,301 $4,156
Physician....................... 515 ..............
Ancillary....................... 1,121 ..............
Nursing Room and Board.......... 2,665 ..............
Neurology:
All Inclusive Rate.............. 4,232 4,086
Physician....................... 620 ..............
Ancillary....................... 1,117 ..............
Nursing Room and Board.......... 2,495 ..............
Rehabilitation Medicine:
All Inclusive Rate.............. 2,910 2,803
Physician....................... 331 ..............
Ancillary....................... 889 ..............
Nursing Room and Board.......... 1,690 ..............
Blind Rehabilitation:
All Inclusive Rate.............. 1,995 1,920
Physician....................... 161 ..............
Ancillary....................... 991 ..............
Nursing Room and Board.......... 843 ..............
Spinal Cord Injury:
All Inclusive Rate.............. 2,636 2,540
Physician....................... 327 ..............
Ancillary....................... 663 ..............
Nursing Room and Board.......... 1,646 ..............
Surgery:
All Inclusive Rate.............. 7,526 7,272
Physician....................... 829 ..............
Ancillary....................... 2,283 ..............
Nursing Room and Board.......... 4,414 ..............
General Psychiatry:
All Inclusive Rate.............. 2,174 2,091
Physician....................... 205 ..............
[[Page 51729]]
Ancillary....................... 342 ..............
Nursing Room and Board.......... 1,627 ..............
Substance Abuse (Alcohol and Drug
Treatment):
All Inclusive Rate.............. 2,232 2,147
Physician....................... 213 ..............
Ancillary....................... 516 ..............
Nursing Room and Board.......... 1,503 ..............
Psychosocial Residential
Rehabilitation Program:
All Inclusive Rate.............. 826 797
Physician....................... 52 ..............
Ancillary....................... 87 ..............
Nursing Room and Board.......... 687 ..............
Intermediate Medicine:
All Inclusive Rate.............. 3,301 3,182
Physician....................... 162 ..............
Ancillary....................... 484 ..............
Nursing Room and Board.......... 2,655 ..............
Poly-trauma Inpatient:
All Inclusive Rate.............. 3,223 3,097
Physician....................... 366 ..............
Ancillary....................... 985 ..............
Nursing Room and Board.......... 1,872 ..............
B. Nursing Home Care, Per Day:
All Inclusive Rate.................. 1,361 1,311
Physician....................... 42 ..............
Ancillary....................... 184 ..............
Nursing Room and Board.......... 1135 ..............
C. Outpatient Medical Treatments:
Outpatient Visit (to include 389 376
Ineligible Emergency Dental Care)..
Outpatient Physical Medicine & 238 228
Rehabilitation Service Visit.......
Outpatient Poly-trauma/Traumatic 671 649
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. Robert L.
Wilkie, Secretary, Department of Veterans Affairs, approved this
document on September 26, 2019, for publication.
Dated: September 26, 2019.
Jeffrey M. Martin,
Assistant Director, Office of Regulation Policy & Management, Office of
the Secretary, Department of Veterans Affairs.
[FR Doc. 2019-21330 Filed 9-27-19; 8:45 am]
BILLING CODE 8320-01-P
