Reasonable Charges for Medical Care or Services; v3.27 and National Average Administrative Prescription Drug Charge; Calendar Year 2020 Update, 69831-69832 [2019-27325]
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Federal Register / Vol. 84, No. 244 / Thursday, December 19, 2019 / Notices
DEPARTMENT OF THE TREASURY
United States Mint
Notification of Citizens Coinage
Advisory Committee; Public Meeting
Notification of Citizens Coinage
Advisory Committee January 21, 2020,
public meeting.
ACTION:
The United States Mint
announces the Citizens Coinage
Advisory Committee (CCAC) public
meeting scheduled for January 21, 2020.
Date: January 21, 2020.
Time: 12:00 p.m. to 2:00 p.m.
Location: 2nd Floor Conference Room
A&B, United States Mint, 801 9th Street
NW, Washington, DC 20220.
Subject: Review and discussion of
candidate designs for gold coins and
silver and bronze medals
commemorating the 75th anniversary of
the end of World War II.
Interested members of the public may
either attend the meeting in person or
dial in to listen to the meeting at (866)
564–9287/Access Code: 62956028.
Interested persons should call the
CCAC HOTLINE at (202) 354–7502 for
the latest update on meeting time and
room location.
Any member of the public interested
in submitting matters for the CCAC’s
consideration is invited to submit them
by email to info@ccac.gov.
The CCAC advises the Secretary of the
Treasury on any theme or design
proposals relating to circulating coinage,
bullion coinage, Congressional Gold
Medals, and national and other medals;
advises the Secretary of the Treasury
with regard to the events, persons, or
places to be commemorated by the
issuance of commemorative coins in
each of the five calendar years
succeeding the year in which a
commemorative coin designation is
made; and makes recommendations
with respect to the mintage level for any
commemorative coin recommended.
Members of the public interested in
attending the meeting in person will be
admitted into the meeting room on a
first-come, first-serve basis as space is
limited. Conference Room A&B can
accommodate up to 50 members of the
public at any one time. In addition, all
persons entering a United States Mint
facility must adhere to building security
protocol. This means they must consent
to the search of their persons and
objects in their possession while on
government grounds and when they
enter and leave the facility, and are
prohibited from bringing into the
facility weapons of any type, illegal
drugs, drug paraphernalia, or
contraband.
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SUMMARY:
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The United States Mint Police Officer
conducting the screening will evaluate
whether an item may enter into or exit
from a facility based upon Federal law,
Treasury policy, United States Mint
policy, and local operating procedure;
and all prohibited and unauthorized
items will be subject to confiscation and
disposal.
FOR FURTHER INFORMATION CONTACT:
Jennifer Warren, United States Mint
Liaison to the CCAC; 801 9th Street NW;
Washington, DC 20220; or call 202–354–
7200.
Authority: 31 U.S.C. 5135(b)(8)(C).
Dated: December 13, 2019.
David J. Ryder,
Director, United States Mint.
[FR Doc. 2019–27401 Filed 12–18–19; 8:45 am]
BILLING CODE P
DEPARTMENT OF VETERANS
AFFAIRS
Reasonable Charges for Medical Care
or Services; v3.27 and National
Average Administrative Prescription
Drug Charge; Calendar Year 2020
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.
SUMMARY:
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
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69831
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
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 VA’s Community Care
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, 2020.
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 Calendar Year
(CY) 2020 HCPCS Level II and Current
Procedural Terminology 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
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69832
Federal Register / Vol. 84, No. 244 / Thursday, December 19, 2019 / Notices
this notice, the actual charge amounts at
individual VA medical facilities based
on the methodologies in § 17.101 will be
posted on VA’s Community Care
website at https://www.va.gov/
communitycare/revenue_ops/payer_
rates.asp under the heading
‘‘Reasonable Charges Data Tables’’ and
identified as ‘‘v3.27 Data Tables
(Outpatient and Professional).’’
The list of data sources used for
calculating the actual charge amounts
listed above also will be posted on VA’s
Community Care website under the
heading ‘‘Reasonable Charges Data
Sources’’ and identified as ‘‘Reasonable
Charges v3.27 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 84 FR 51727
published on September 30, 2019.
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
VA’s Community Care website under
the heading ‘‘VA Medical Facility
Locations’’ and identified as ‘‘v3.27
(Jan20).’’
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 CY 2020 is
$18.38. This change will be posted on
VA’s Community Care website at
https://www.va.gov/
COMMUNITYCARE/revenue_ops/
admin_costs.asp under the heading ‘‘CY
2020 Average Administrative Cost for
Prescriptions.’’
Consistent with § 17.101, the national
average administrative cost, the updated
data, and supplementary tables
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19:13 Dec 18, 2019
Jkt 250001
containing the changes described in this
notice will be posted online, as
indicated in this notice. This notice will
be posted on VA’s Community Care
website at https://www.va.gov/
communitycare/revenue_ops/payer_
rates.asp under the heading
‘‘Reasonable Charges Rules, Notices,
and Federal Register’’ and identified as
‘‘v3.27 Federal Register Notice 01/01/20
(Outpatient and Professional), and
National Average 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 FR 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. Pamela Powers,
Chief of Staff, Department of Veterans
Affairs, approved this document on
December 12, 2019, for publication.
Jeffrey M. Martin,
Assistant Director, Office of Regulation Policy
& Management, Office of the Secretary,
Department of Veterans Affairs.
[FR Doc. 2019–27325 Filed 12–18–19; 8:45 am]
BILLING CODE 8320–01–P
DEPARTMENT OF VETERANS
AFFAIRS
Veterans and Community Oversight
and Engagement Board, Notice of
Meeting
The Department of Veterans Affairs
(VA) gives notice under the Federal
Advisory Committee Act the Veterans
and Community Oversight and
Engagement Board will meet on January
15–16, 2020 at 11301 Wilshire
Boulevard, Building 500, Room 1281,
Los Angeles, CA. The meeting sessions
will begin and end as follows:
Date
Time
January 15, 2020 ...
8:00 a.m. to 5:00 p.m.—Pacific Standard Time (PST).
8:00 a.m. to 5:00 p.m.—PST.
January 16, 2020 ...
The meeting sessions are open to the
public.
The Board was established by the
West Los Angeles Leasing Act of 2016
on September 29, 2016. The purpose of
the Board is to provide advice and make
recommendations to the Secretary of
Veterans Affairs on: Identifying the
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Fmt 4703
Sfmt 9990
goals of the community and Veteran
partnership; improving services and
outcomes for Veterans, members of the
Armed Forces, and the families of such
Veterans and members; and on the
implementation of the Draft Master Plan
approved by the Secretary on January
28, 2016, and on the creation and
implementation of any successor master
plans.
On Wednesday, January 15, 2020, the
agenda will include briefings from
senior VA officials, to include
comprehensive status update from the
West Los Angeles Collective, on
infrastructure assessment, housing
metrics, reporting requirements, and
topics related to the Overall Community
Plan. The Board will receive an
informative briefing from Operation Fire
for Effect representatives on a proposed
Framework of the Principles of the
Veterans Master Plan. A public
comment session will occur from 3:30
p.m. to 4:30 p.m. followed by a wrap up
of Public Comment session.
On Thursday, January 16, 2020, the
Board will receive additional briefings
from the VA Boston Healthcare System
on Moral Injury. A comprehensive
review and analysis briefing on the
Homeless Gap Analysis in Los Angeles
will be provided by both the
Community Engagement and
Reintegration Services team form VA
Greater Los Angeles Healthcare System
(VALAHS) and the Los Angeles
Homeless Services Authority (LAHSA).
The Board’s subcommittees on Outreach
and Community Engagement with
Services and Outcomes, and Master
Plan with Services and Outcomes will
meet to finalize reports on activities
since the last meeting, followed by an
out brief to the full Board and update on
draft recommendations considered for
forwarding to the SECVA. Individuals
wishing to make public comments
should contact Chihung Szeto at (562)
708–9959 or at Chihung.Szeto@va.gov
and are requested to submit a 1–2-page
summary of their comments for
inclusion in the official meeting record.
In the interest of time, each speaker will
be held to 5-minute time limit.
Any member of the public seeking
additional information should contact
Mr. Eugene W. Skinner Jr. at (202) 631–
7645 or at Eugene.Skinner@va.gov.
Dated: December 16, 2019.
Jelessa M. Burney,
Federal Advisory Committee Management
Officer.
[FR Doc. 2019–27388 Filed 12–18–19; 8:45 am]
BILLING CODE P
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]]>Agencies
[Federal Register Volume 84, Number 244 (Thursday, December 19, 2019)]
[Notices]
[Pages 69831-69832]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-27325]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
Reasonable Charges for Medical Care or Services; v3.27 and
National Average Administrative Prescription Drug Charge; Calendar Year
2020 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 (Sec. ) 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 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 VA's Community Care 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, 2020.
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 Calendar Year (CY) 2020 HCPCS Level
II and Current Procedural Terminology 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
[[Page 69832]]
this notice, the actual charge amounts at individual VA medical
facilities based on the methodologies in Sec. 17.101 will be posted on
VA's Community Care website at https://www.va.gov/communitycare/revenue_ops/payer_rates.asp under the heading ``Reasonable Charges Data
Tables'' and identified as ``v3.27 Data Tables (Outpatient and
Professional).''
The list of data sources used for calculating the actual charge
amounts listed above also will be posted on VA's Community Care website
under the heading ``Reasonable Charges Data Sources'' and identified as
``Reasonable Charges v3.27 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 84 FR
51727 published on September 30, 2019.
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 VA's Community Care website under the
heading ``VA Medical Facility Locations'' and identified as ``v3.27
(Jan20).''
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 CY 2020 is $18.38. This
change will be posted on VA's Community Care website at https://www.va.gov/COMMUNITYCARE/revenue_ops/admin_costs.asp under the heading
``CY 2020 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 VA's Community Care website at
https://www.va.gov/communitycare/revenue_ops/payer_rates.asp under the
heading ``Reasonable Charges Rules, Notices, and Federal Register'' and
identified as ``v3.27 Federal Register Notice 01/01/20 (Outpatient and
Professional), and National Average 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 FR 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. Pamela Powers,
Chief of Staff, Department of Veterans Affairs, approved this document
on December 12, 2019, for publication.
Jeffrey M. Martin,
Assistant Director, Office of Regulation Policy & Management, Office of
the Secretary, Department of Veterans Affairs.
[FR Doc. 2019-27325 Filed 12-18-19; 8:45 am]
BILLING CODE 8320-01-P
