Cost-Based and Inter-Agency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs for Fiscal Year 2022, 42015-42016 [2021-16627]
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42015
Federal Register / Vol. 86, No. 147 / Wednesday, August 4, 2021 / Notices
IRS and other TAP related topics. Public
input is welcomed.
Dated: July 30, 2021.
Kevin Brown,
Acting Director, Taxpayer Advocacy Panel.
[FR Doc. 2021–16640 Filed 8–3–21; 8:45 am]
BILLING CODE 4830–01–P
VA’s
methodology for computing Cost-Based
and Inter-Agency rates for medical care
or services provided by VA is set forth
in section 17.102(h) of title 38 Code of
Federal Regulations (CFR). Two sets of
rates are obtained by applying this
methodology, Cost-Based and InterAgency.
Cost-Based rates apply to medical care
and services that are provided by VA
under 38 CFR 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
SUPPLEMENTARY INFORMATION:
DEPARTMENT OF VETERANS
AFFAIRS
Cost-Based and Inter-Agency Billing
Rates for Medical Care or Services
Provided by the Department of
Veterans Affairs for Fiscal Year 2022
Department of Veterans Affairs.
Notice.
AGENCY:
ACTION:
Relations and Services, Rates and
Charges (13RO1), Veterans Health
Administration, Department of Veterans
Affairs, 128 Bingham Road, Suite 1000,
Asheville, NC 28806; telephone: 608–
821–7346 (this is not a toll-free
number).
This document updates the
Cost-Based and Inter-Agency billing
rates for medical care or services
provided by the U.S. Department of
Veterans Affairs (VA) furnished in
certain circumstances.
DATES: The rates set forth herein are
effective October 1, 2021.
FOR FURTHER INFORMATION CONTACT: Ms.
Debra Vatthauer, Office of Community
Care, Revenue Operations, Payer
SUMMARY:
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.
The following table depicts the CostBased and Inter-Agency rates that are
effective October 1, 2021 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
July 28, 2020, at 85 FR 45471.
lotter on DSK11XQN23PROD with NOTICES1
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 ...................................................................................................................................................
Ancillary .....................................................................................................................................................
Nursing Room and Board .........................................................................................................................
Substance Abuse (Alcohol and Drug Treatment):
All Inclusive Rate .......................................................................................................................................
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Inter-agency
rates
$5,466
654
1,424
3,388
$5,318
........................
........................
........................
5,127
751
1,354
3,022
4,981
........................
........................
........................
3,963
450
1,211
2,302
3,846
........................
........................
........................
2,933
236
1,457
1,240
2,843
........................
........................
........................
3,548
440
893
2,215
3,443
........................
........................
........................
9,756
1,075
2,959
5,722
9,490
........................
........................
........................
2,875
271
453
2,151
2,788
........................
........................
........................
2,744
2,663
42016
Federal Register / Vol. 86, No. 147 / Wednesday, August 4, 2021 / Notices
Cost-based
rates
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 ................................................................................................
Signing Authority
Denis McDonough, Secretary of
Veterans Affairs, approved this
document on July 30, 2021, and
authorized the undersigned to sign and
submit the document to the Office of the
Federal Register for publication
Inter-agency
rates
262
635
1,847
........................
........................
........................
358
23
38
297
348
........................
........................
........................
3,269
161
480
2,628
3,179
........................
........................
........................
3,936
447
1,202
2,287
3,805
........................
........................
........................
1,750
54
237
1,459
1,698
........................
........................
........................
506
347
678
493
336
660
electronically as an official document of
the Department of Veterans Affairs.
Luvenia Potts,
Regulation Development Coordinator Office
of Regulation Policy & Management, Office
of the Secretary, Department of Veterans
Affairs.
[FR Doc. 2021–16627 Filed 8–3–21; 8:45 am]
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BILLING CODE 8320–01–P
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]]>Agencies
[Federal Register Volume 86, Number 147 (Wednesday, August 4, 2021)]
[Notices]
[Pages 42015-42016]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-16627]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
Cost-Based and Inter-Agency Billing Rates for Medical Care or
Services Provided by the Department of Veterans Affairs for Fiscal Year
2022
AGENCY: 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 U.S. Department of
Veterans Affairs (VA) furnished in certain circumstances.
DATES: The rates set forth herein are effective October 1, 2021.
FOR FURTHER INFORMATION CONTACT: Ms. Debra Vatthauer, Office of
Community Care, Revenue Operations, Payer Relations and Services, Rates
and Charges (13RO1), Veterans Health Administration, Department of
Veterans Affairs, 128 Bingham Road, Suite 1000, Asheville, NC 28806;
telephone: 608-821-7346 (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 section 17.102(h) of title 38 Code of Federal Regulations
(CFR). 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 38 CFR 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.
The following table depicts the Cost-Based and Inter-Agency rates
that are effective October 1, 2021 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 July 28, 2020,
at 85 FR 45471.
------------------------------------------------------------------------
Cost-based Inter-agency
rates rates
------------------------------------------------------------------------
A. Hospital Care per inpatient day
General Medicine:
All Inclusive Rate.............. $5,466 $5,318
Physician....................... 654 ..............
Ancillary....................... 1,424 ..............
Nursing Room and Board.......... 3,388 ..............
Neurology:
All Inclusive Rate.............. 5,127 4,981
Physician....................... 751 ..............
Ancillary....................... 1,354 ..............
Nursing Room and Board.......... 3,022 ..............
Rehabilitation Medicine:
All Inclusive Rate.............. 3,963 3,846
Physician....................... 450 ..............
Ancillary....................... 1,211 ..............
Nursing Room and Board.......... 2,302 ..............
Blind Rehabilitation:
All Inclusive Rate.............. 2,933 2,843
Physician....................... 236 ..............
Ancillary....................... 1,457 ..............
Nursing Room and Board.......... 1,240 ..............
Spinal Cord Injury:
All Inclusive Rate.............. 3,548 3,443
Physician....................... 440 ..............
Ancillary....................... 893 ..............
Nursing Room and Board.......... 2,215 ..............
Surgery:
All Inclusive Rate.............. 9,756 9,490
Physician....................... 1,075 ..............
Ancillary....................... 2,959 ..............
Nursing Room and Board.......... 5,722 ..............
General Psychiatry:
All Inclusive Rate.............. 2,875 2,788
Physician....................... 271 ..............
Ancillary....................... 453 ..............
Nursing Room and Board.......... 2,151 ..............
Substance Abuse (Alcohol and Drug
Treatment):
All Inclusive Rate.............. 2,744 2,663
[[Page 42016]]
Physician....................... 262 ..............
Ancillary....................... 635 ..............
Nursing Room and Board.......... 1,847 ..............
Psychosocial Residential
Rehabilitation Program:
All Inclusive Rate.............. 358 348
Physician....................... 23 ..............
Ancillary....................... 38 ..............
Nursing Room and Board.......... 297 ..............
Intermediate Medicine:
All Inclusive Rate.............. 3,269 3,179
Physician....................... 161 ..............
Ancillary....................... 480 ..............
Nursing Room and Board.......... 2,628 ..............
Poly-trauma Inpatient:
All Inclusive Rate.............. 3,936 3,805
Physician....................... 447 ..............
Ancillary....................... 1,202 ..............
Nursing Room and Board.......... 2,287 ..............
B. Nursing Home Care, Per Day
All Inclusive Rate 1,750 1,698
Physician........................... 54 ..............
Ancillary........................... 237 ..............
Nursing Room and Board.............. 1,459 ..............
C. Outpatient Medical Treatments
Outpatient Visit (to include 506 493
Ineligible Emergency Dental Care)..
Outpatient Physical Medicine & 347 336
Rehabilitation Service Visit.......
Outpatient Poly-trauma/Traumatic 678 660
Brain Injury.......................
------------------------------------------------------------------------
Signing Authority
Denis McDonough, Secretary of Veterans Affairs, approved this
document on July 30, 2021, 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.
Luvenia Potts,
Regulation Development Coordinator Office of Regulation Policy &
Management, Office of the Secretary, Department of Veterans Affairs.
[FR Doc. 2021-16627 Filed 8-3-21; 8:45 am]
BILLING CODE 8320-01-P
