TRICARE; Notice of TRICARE Plan Program Changes for Calendar Year 2022, 52448-52450 [2021-20309]
Download as PDF
<![CDATA[
52448
Federal Register / Vol. 86, No. 180 / Tuesday, September 21, 2021 / Notices
use of automated collection techniques
or other forms of information
technology. Comments submitted in
response to this notice will be
summarized and/or included in the
request for OMB approval. All
comments will become a matter of
public record.
Dated: September 15, 2021.
Anthony May,
Paperwork Reduction Act Officer, Bureau of
Consumer Financial Protection.
[FR Doc. 2021–20307 Filed 9–20–21; 8:45 am]
BILLING CODE 4810–AM–P
CORPORATION FOR NATIONAL AND
COMMUNITY SERVICE
Agency Information Collection
Activities; Submission to the Office of
Management and Budget for Review
and Approval; Comment Request;
Application Package for AmeriCorps
Seniors Applications Instructions,
Progress Reporting, Independent
Living and Respite Surveys; Proposed
Information Collection; Comment
Request
Corporation for National and
Community Service.
ACTION: Notice of information collection;
request for comment.
AGENCY:
The Corporation for National
and Community Service, operating as
AmeriCorps, has submitted a public
information collection request (ICR)
entitled Application Package for
AmeriCorps Seniors Applications
Instructions, Progress Reporting,
Independent Living and Respite Surveys
for review and approval in accordance
with the Paperwork Reduction Act.
DATES: Comments may be submitted,
identified by the title of the information
collection activity, by October 21, 2021.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function.
FOR FURTHER INFORMATION CONTACT:
Copies of this ICR, with applicable
supporting documentation, may be
obtained by calling AmeriCorps, Robin
Corindo, Deputy Director, AmeriCorps
Seniors, at (202) 489–5578 or by email
to RCorindo@cns.gov.
SUPPLEMENTARY INFORMATION: The OMB
is particularly interested in comments
which:
lotter on DSK11XQN23PROD with NOTICES1
SUMMARY:
VerDate Sep<11>2014
21:03 Sep 20, 2021
Jkt 253001
• Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of CNCS, including whether
the information will have practical
utility;
• Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions;
• Propose ways to enhance the
quality, utility, and clarity of the
information to be collected; and
• Propose ways to minimize the
burden of the collection of information
on those who are to respond, including
through the use of appropriate
automated, electronic, mechanical, or
other technological collection
techniques or other forms of information
technology.
Comments
A 60-day Notice requesting public
comment was published in the Federal
Register on June 17, 2021 at Vol. 86,
32249. This comment period ended
August 17, 2021. A total of thirty-three
comments were received. All comments
were reviewed and considered. We are
especially sensitive to comments
regarding the consequences caused due
to the Covid-19 pandemic. We will
continue to provide clarity on the use of
the Independent Living Survey and how
it can be best used as a resource to
demonstrate grant outcomes.
Title of Collection: Application
Package for AmeriCorps Seniors
Applications Instructions, Progress
Reporting, Independent Living and
Respite Surveys.
OMB Control Number: 3045–0035.
Type of Review: Renewal.
Respondents/Affected Public:
Businesses and Organizations OR State,
Local or Tribal Governments.
Total Estimated Number of Annual
Responses: 1,250.
Total Estimated Number of Annual
Burden Hours: 17,820.
Abstract: The AmeriCorps Seniors
Grant Application is for use by
prospective and existing sponsors of
AmeriCorps Senior projects under the
AmeriCorps Seniors RSVP (RSVP),
AmeriCorps Seniors FGP (FGP),
AmeriCorps Seniors (SCP), and
AmeriCorps Seniors Senior
Demonstration Program (SDP). The
Project Progress Report, Project Progress
Report Lite and Project Report
Supplement will be used to report
progress toward accomplishing work
plan goals and objectives, reporting
volunteer and service outputs, reporting
actual outcomes related to selfnominated performance measures,
PO 00000
Frm 00011
Fmt 4703
Sfmt 4703
meeting challenges encountered,
describing significant activities, and
requesting technical assistance. The
Application Instructions and PPR, PPRLite, and PRS forms in this package
conform to AmeriCorps’ web-based
electronic grants management system,
eGrants. The SCP Independent Living
Survey and SCP Respite Survey are
instruments that collect information
from a sample of Senior Companion
clients and caregivers. The purpose of
the surveys is to assess the feasibility of
conducting a longitudinal, quasiexperimental evaluation of the impact of
independent living and respite services
on clients’ social ties and perceived
social support. The results of the
surveys may also be used to inform the
feasibility of using a similar instrument
to measure client and caregiver
outcomes for an evaluation of RSVP.
AmeriCorps seeks to renew the current
information collection. The revisions
are intended to (1) provide additional
clarity on existing guidance (Grant
Application Instructions, Program
Progress Report, and Respite and
Independent Living survey) and seek
additional information on populations
served by AmeriCorps Seniors
volunteers (Progress Report
Supplement). The information
collection will otherwise be used in the
same manner as the existing
application. AmeriCorps also seeks to
continue using the current application
until the revised application is
approved by OMB. The current
application is due to expire on 12/31/
2021.
Dated: September 10, 2021.
Robin Corindo,
Deputy Director, AmeriCorps Seniors.
[FR Doc. 2021–20387 Filed 9–20–21; 8:45 am]
BILLING CODE 6050–28–P
DEPARTMENT OF DEFENSE
Office of the Secretary
TRICARE; Notice of TRICARE Plan
Program Changes for Calendar Year
2022
Office of the Secretary of
Defense, Department of Defense (DoD).
ACTION: TRICARE Plan Program Changes
for Calendar Year 2022.
AGENCY:
This notice provides
information regarding TRICARE Plan
program changes for calendar year 2022.
DATES: TRICARE health plan
information in this notice is valid for
services during calendar year 2022
(January 1, 2022–December 31, 2022).
SUMMARY:
E:\FR\FM\21SEN1.SGM
21SEN1
Federal Register / Vol. 86, No. 180 / Tuesday, September 21, 2021 / Notices
Defense Health Agency,
TRICARE Health Plan, 7700 Arlington
Boulevard, Suite 5101, Falls Church,
Virginia 22042–5101.
FOR FURTHER INFORMATION CONTACT: Ms.
Elan P. Green, Defense Health Agency,
TRICARE Health Plan, email:
elan.p.green.civ@mail.mil, phone: (303)
676–3907.
SUPPLEMENTARY INFORMATION: An
interim final rule published in the
Federal Register (FR) on September 29,
2017 (82 FR 45438–45461) established
the requirement for the Director,
Defense Health Agency, to provide a
public notice to TRICARE program
beneficiaries with a summary of changes
to the TRICARE program each calendar
year in connection with the open season
enrollment period.
The following changes or
improvements to the TRICARE program
benefits apply for calendar year 2022:
ADDRESSES:
Announcement of Open Season
Open Season is an annual period
when you can enroll in or make changes
to your coverage for the next year.
TRICARE and Federal Employee Dental
and Vision Insurance Program (FEDVIP)
Open Season for Calendar Year (CY)
2021 occurs November 8–December 13,
2021.
TRICARE Open Season: During
TRICARE Open Season you can enroll
in or change your TRICARE Prime or
TRICARE Select plan.
FEDVIP Open Season: FEDVIP Open
Season is to enroll in or make changes
to your dental and vision plans. Dental
plans are offered by ten different
carriers to eligible retirees and their
family members and vision plans are
offered by four different carriers to
beneficiaries who have TRICARE
coverage, including TRICARE for Life.
Any changes you make will take effect
on January 1, 2022. If you remain
eligible and do not make any changes
during Open Season, then you will stay
in the same plan for 2022. Improving
what’s covered:
lotter on DSK11XQN23PROD with NOTICES1
Coronavirus Disease 2022 (COVID–19)
Response
In regards to COVID–19 vaccination,
although there is no separate copayment
or cost-share for clinical preventive
services, there may be a copayment,
cost-share, or point of service (POS)
charge if the vaccine is administered as
part of a primary or specialty care visit
for a reason other than preventive care
or for other services received during the
office visit.
Due to the widespread need for
COVID–19 vaccines and the possibility
that one day these vaccines may not be
VerDate Sep<11>2014
21:03 Sep 20, 2021
Jkt 253001
free-of-charge, on February 23, 2021, a
notice was published in the Federal
Register (86 FR 10942) advising
TRICARE Prime enrollees, not including
Active Duty Service Members (ADSMs),
of a temporary waiver to the referral
requirement so they may receive
COVID–19 vaccines, a clinical
preventive service, from any TRICARE
Basic (medical) program authorized
non-network provider without incurring
POS charges where applicable. The
effective date of the waiver was
December 13, 2020. This waiver will
expire when the President of the United
States (US) declares the national
emergency is terminated.
The following three temporary
changes for care and treatment continue
to be effective as of May 12, 2020, for
care and treatment within the US and
effective March 10, 2020, for the
TRICARE Overseas Program: Temporary
audio-only telephonic office visits;
temporary waiver of cost-shares, co-pays
and deductibles for all covered innetwork telehealth services (for Prime
and Select beneficiaries); and temporary
interstate and international licensing.
These changes will expire when the
President of the US declares the
national emergency is terminated,
unless terminated, extended, or
otherwise modified in a final rule
published to the Federal Register.
Overseas termination date may vary
from the US date and will be
determined by the Assistant Secretary of
Defense for Health Affairs.
The following temporary changes
were made and continue to be effective
as of September 3, 2020, for care and
treatment in the US and effective March
10, 2020, for the TRICARE Overseas
Program: Temporary coverage of the
treatment use of investigational drugs
under expanded access for the treatment
of COVID–19 and temporary coverage of
temporary hospitals. This change will
expire when the President of the US
declares the national emergency is
terminated, unless terminated,
extended, or otherwise modified in a
final rule published to the Federal
Register.
Effective October 30, 2020, TRICARE
temporarily covers National Institute for
Allergy and Infectious Disease (NIAID)
sponsored clinical trials when for the
treatment or prevention of COVID–19.
This change will expire when the
President of the US declares the
national emergency has terminated,
unless terminated, extended, or
otherwise modified in a final rule
published to the Federal Register. A
TRICARE beneficiary who is already
enrolled in a NIAID-sponsored clinical
trial prior to the end of the President’s
PO 00000
Frm 00012
Fmt 4703
Sfmt 4703
52449
national emergency for COVID–19 will
continue to have their care cost-shared
through the end of the clinical trial.
Effective January 1, 2021, Transitional
Assistant Management Program benefits
are extended to National Guard
members who have served more than
thirty continuous days in support of the
COVID–19 mission.
Screenings
Effective March 9, 2021, the United
States Preventive Services Task Force
(USPSTF) updated its annual screening
recommendation for lung cancer
performed through low-dose computer
tomography so it is now covered for
adults beginning at age fifty to eighty
who have a 20 pack-per year smoking
history and currently smoke or have
quit within the past fifteen years instead
of beginning at age fifty-five and only
for those with a 30 pack per year
smoking history.
Effective May 18, 2021, the USPSTF
updated its annual screening
recommendation for colorectal cancer
for adults at average risk so they may
now begin screening at age forty-five
instead of beginning at age fifty.
Demonstrations, Programs & Pilots
Buckley Prime Service Area (PSA)
Pilot. Health Net Federal Services
launched a new value-based care pilot
beginning January 1, 2021. Beneficiaries
who live in the Buckley PSA and are
enrolled in TRICARE Prime with a
civilian primary care manager are
automatically part of the pilot. The
Buckley PSA Pilot is expected to run
through December 31, 2022.
Childbirth and Breastfeeding Support
Demonstration. Congress required the
Department of Defense (DoD) to conduct
a demonstration project beginning no
later than January 1, 2022, to cover the
services of doulas and lactation
consultants/counselors not otherwise
authorized under TRICARE. This
demonstration project will run for five
years, through December 31, 2026.
Planned Changes
Urgent Care Referrals: There is no
limit to the number of urgent care visits
that a Prime beneficiary (except for most
Active Duty members) may receive
without a referral. You can receive
urgent care from any TRICARE
authorized urgent care center (UCC) or
network provider. If the enrollee seeks
care from a non-network provider
(except a TRICARE-authorized UCC),
the usual POS deductible and costshares shall apply. The Department has
no current plans to change this policy
but in order to evaluate its ongoing
E:\FR\FM\21SEN1.SGM
21SEN1
52450
Federal Register / Vol. 86, No. 180 / Tuesday, September 21, 2021 / Notices
appropriateness, it remains a year-byyear determination.
Prime Service Area Changes: There is
no change to locations where TRICARE
Prime will be offered. TRICARE Prime
locations are a year-to-year
determination and will be announced
prior to the annual Open Season
enrollment period.
Enrollment Fee Payment by
Allotment: TRICARE retirees and their
family members must pay enrollment
fees by allotment, where feasible.
Payment by allotment is not required if
a beneficiary does not receive retired
pay (e.g., unremarried former spouses,
survivors) or the retired pay does not
cover the monthly enrollment fee
amount.
Effective December 17, 2020, Doctors
of Podiatric Medicine or Podiatrists may
prescribe physical therapy (PT) and
occupational therapy (OT).
Effective February 24, 2021, ablative
fractional laser treatment for
symptomatic scars resulting from burns
and other trauma is covered for up to
five-years.
Added coverage of remote physiologic
monitoring for chronic and acute
conditions, including but not limited to
weight, blood pressure, pulse oximetry,
and respiratory flow monitoring.
For more information, visit
tricare.mil/changes or call your regional
TRICARE contractor.
Appendix A
Certain beneficiary out-of-pocket costs
(enrollment fees, premiums, catastrophic
caps, deductibles, and copayments) are
annually adjusted based on federal law and
regulations, most notably by the annual
retiree cost of living adjustment, or Cost of
Living Adjustment (COLA). Currently, there
is a difference in copayments between those
who joined the military before January 1,
2018, (Group A), and those who joined after
that date (Group B). The retiree COLA will
not be announced until mid-October 2021.
As of June 2021, the projected COLA increase
is 5.1 percent. Beneficiary out-of-pocket
expenses impacted by the 2022 COLA will be
posted to the tricare.mil/changes web page
before the start of TRICARE Open Season,
November 8, 2021 to December 13, 2021.
Pharmacy Out-of-Pocket Expenses for CY
2022
TRICARE Pharmacy out-of-pocket
expenses are listed in the table below that
take effect on January 1, 2022.
TABLE 1—PHARMACY COPAYMENTS FOR CALENDAR YEAR 2022
Year
Copayment
amount for a
30-day supply
of a retail
generic is:
Copayment
amount for a
30-day supply
of a retail
formulary is:
Copayment
amount for a
90-day supply
of a mail order
generic is:
Copayment
amount for a
90-day supply
of a mail order
formulary is:
Copayment
amount for a
90-day supply
of a mail order
non-formulary is:
2022 .............................................
$14
$38
$12
$34
$68
Dated: September 13, 2021.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
‘‘Department of Education’’ under
‘‘Currently Under Review,’’ then check
‘‘Only Show ICR for Public Comment’’
checkbox. Comments may also be sent
to ICDocketmgr@ed.gov.
[FR Doc. 2021–20309 Filed 9–20–21; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF EDUCATION
For
specific questions related to collection
activities, please contact Carrie Clarady,
202–245–6347.
[Docket No.: ED–2021–SCC–0136]
SUPPLEMENTARY INFORMATION:
FOR FURTHER INFORMATION CONTACT:
Agency Information Collection
Activities; Submission to the Office of
Management and Budget for Review
and Approval; Comment Request;
National Assessment of Educational
Progress (NAEP) 2022 Materials
Update #2
Institute of Educational Science
(IES), Department of Education (ED).
ACTION: Notice.
AGENCY:
In accordance with the
Paperwork Reduction Act of 1995, ED is
proposing a revision of a currently
approved collection.
DATES: Interested persons are invited to
submit comments on or before October
21, 2021.
ADDRESSES: Written comments and
recommendations for proposed
information collection requests should
be sent within 30 days of publication of
this notice to www.reginfo.gov/public/
do/PRAMain. Find this information
collection request by selecting
lotter on DSK11XQN23PROD with NOTICES1
SUMMARY:
VerDate Sep<11>2014
21:03 Sep 20, 2021
Jkt 253001
The
Department of Education (ED), in
accordance with the Paperwork
Reduction Act of 1995 (PRA) (44 U.S.C.
3506(c)(2)(A)), provides the general
public and Federal agencies with an
opportunity to comment on proposed,
revised, and continuing collections of
information. This helps the Department
assess the impact of its information
collection requirements and minimize
the public’s reporting burden. It also
helps the public understand the
Department’s information collection
requirements and provide the requested
data in the desired format. ED is
soliciting comments on the proposed
information collection request (ICR) that
is described below. The Department of
Education is especially interested in
public comment addressing the
following issues: (1) Is this collection
necessary to the proper functions of the
Department; (2) will this information be
processed and used in a timely manner;
(3) is the estimate of burden accurate;
(4) how might the Department enhance
PO 00000
Frm 00013
Fmt 4703
Sfmt 4703
the quality, utility, and clarity of the
information to be collected; and (5) how
might the Department minimize the
burden of this collection on the
respondents, including through the use
of information technology. Please note
that written comments received in
response to this notice will be
considered public records.
Title of Collection: National
Assessment of Educational Progress
(NAEP) 2022 Materials Update #2.
OMB Control Number: 1850–0928.
Type of Review: A revision of a
currently approved collection.
Respondents/Affected Public:
Individuals and Households.
Total Estimated Number of Annual
Responses: 690,917.
Total Estimated Number of Annual
Burden Hours: 422,683.
Abstract: The National Assessment of
Educational Progress (NAEP),
conducted by the National Center for
Education Statistics (NCES), is a
federally authorized survey of student
achievement at grades 4, 8, and 12 in
various subject areas, such as
mathematics, reading, writing, science,
U.S. history, civics, geography,
economics, technology and engineering
literacy (TEL), and the arts. The
National Assessment of Educational
Progress Authorization Act (Pub. L.
107–279 Title III, section 303) requires
the assessment to collect data on
specified student groups and
E:\FR\FM\21SEN1.SGM
21SEN1
]]>Agencies
[Federal Register Volume 86, Number 180 (Tuesday, September 21, 2021)]
[Notices]
[Pages 52448-52450]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-20309]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
TRICARE; Notice of TRICARE Plan Program Changes for Calendar Year
2022
AGENCY: Office of the Secretary of Defense, Department of Defense
(DoD).
ACTION: TRICARE Plan Program Changes for Calendar Year 2022.
-----------------------------------------------------------------------
SUMMARY: This notice provides information regarding TRICARE Plan
program changes for calendar year 2022.
DATES: TRICARE health plan information in this notice is valid for
services during calendar year 2022 (January 1, 2022-December 31, 2022).
[[Page 52449]]
ADDRESSES: Defense Health Agency, TRICARE Health Plan, 7700 Arlington
Boulevard, Suite 5101, Falls Church, Virginia 22042-5101.
FOR FURTHER INFORMATION CONTACT: Ms. Elan P. Green, Defense Health
Agency, TRICARE Health Plan, email: elan.p.green.civ[email protected], phone:
(303) 676-3907.
SUPPLEMENTARY INFORMATION: An interim final rule published in the
Federal Register (FR) on September 29, 2017 (82 FR 45438-45461)
established the requirement for the Director, Defense Health Agency, to
provide a public notice to TRICARE program beneficiaries with a summary
of changes to the TRICARE program each calendar year in connection with
the open season enrollment period.
The following changes or improvements to the TRICARE program
benefits apply for calendar year 2022:
Announcement of Open Season
Open Season is an annual period when you can enroll in or make
changes to your coverage for the next year. TRICARE and Federal
Employee Dental and Vision Insurance Program (FEDVIP) Open Season for
Calendar Year (CY) 2021 occurs November 8-December 13, 2021.
TRICARE Open Season: During TRICARE Open Season you can enroll in
or change your TRICARE Prime or TRICARE Select plan.
FEDVIP Open Season: FEDVIP Open Season is to enroll in or make
changes to your dental and vision plans. Dental plans are offered by
ten different carriers to eligible retirees and their family members
and vision plans are offered by four different carriers to
beneficiaries who have TRICARE coverage, including TRICARE for Life.
Any changes you make will take effect on January 1, 2022. If you
remain eligible and do not make any changes during Open Season, then
you will stay in the same plan for 2022. Improving what's covered:
Coronavirus Disease 2022 (COVID-19) Response
In regards to COVID-19 vaccination, although there is no separate
copayment or cost-share for clinical preventive services, there may be
a copayment, cost-share, or point of service (POS) charge if the
vaccine is administered as part of a primary or specialty care visit
for a reason other than preventive care or for other services received
during the office visit.
Due to the widespread need for COVID-19 vaccines and the
possibility that one day these vaccines may not be free-of-charge, on
February 23, 2021, a notice was published in the Federal Register (86
FR 10942) advising TRICARE Prime enrollees, not including Active Duty
Service Members (ADSMs), of a temporary waiver to the referral
requirement so they may receive COVID-19 vaccines, a clinical
preventive service, from any TRICARE Basic (medical) program authorized
non-network provider without incurring POS charges where applicable.
The effective date of the waiver was December 13, 2020. This waiver
will expire when the President of the United States (US) declares the
national emergency is terminated.
The following three temporary changes for care and treatment
continue to be effective as of May 12, 2020, for care and treatment
within the US and effective March 10, 2020, for the TRICARE Overseas
Program: Temporary audio-only telephonic office visits; temporary
waiver of cost-shares, co-pays and deductibles for all covered in-
network telehealth services (for Prime and Select beneficiaries); and
temporary interstate and international licensing. These changes will
expire when the President of the US declares the national emergency is
terminated, unless terminated, extended, or otherwise modified in a
final rule published to the Federal Register. Overseas termination date
may vary from the US date and will be determined by the Assistant
Secretary of Defense for Health Affairs.
The following temporary changes were made and continue to be
effective as of September 3, 2020, for care and treatment in the US and
effective March 10, 2020, for the TRICARE Overseas Program: Temporary
coverage of the treatment use of investigational drugs under expanded
access for the treatment of COVID-19 and temporary coverage of
temporary hospitals. This change will expire when the President of the
US declares the national emergency is terminated, unless terminated,
extended, or otherwise modified in a final rule published to the
Federal Register.
Effective October 30, 2020, TRICARE temporarily covers National
Institute for Allergy and Infectious Disease (NIAID) sponsored clinical
trials when for the treatment or prevention of COVID-19. This change
will expire when the President of the US declares the national
emergency has terminated, unless terminated, extended, or otherwise
modified in a final rule published to the Federal Register. A TRICARE
beneficiary who is already enrolled in a NIAID-sponsored clinical trial
prior to the end of the President's national emergency for COVID-19
will continue to have their care cost-shared through the end of the
clinical trial.
Effective January 1, 2021, Transitional Assistant Management
Program benefits are extended to National Guard members who have served
more than thirty continuous days in support of the COVID-19 mission.
Screenings
Effective March 9, 2021, the United States Preventive Services Task
Force (USPSTF) updated its annual screening recommendation for lung
cancer performed through low-dose computer tomography so it is now
covered for adults beginning at age fifty to eighty who have a 20 pack-
per year smoking history and currently smoke or have quit within the
past fifteen years instead of beginning at age fifty-five and only for
those with a 30 pack per year smoking history.
Effective May 18, 2021, the USPSTF updated its annual screening
recommendation for colorectal cancer for adults at average risk so they
may now begin screening at age forty-five instead of beginning at age
fifty.
Demonstrations, Programs & Pilots
Buckley Prime Service Area (PSA) Pilot. Health Net Federal Services
launched a new value-based care pilot beginning January 1, 2021.
Beneficiaries who live in the Buckley PSA and are enrolled in TRICARE
Prime with a civilian primary care manager are automatically part of
the pilot. The Buckley PSA Pilot is expected to run through December
31, 2022.
Childbirth and Breastfeeding Support Demonstration. Congress
required the Department of Defense (DoD) to conduct a demonstration
project beginning no later than January 1, 2022, to cover the services
of doulas and lactation consultants/counselors not otherwise authorized
under TRICARE. This demonstration project will run for five years,
through December 31, 2026.
Planned Changes
Urgent Care Referrals: There is no limit to the number of urgent
care visits that a Prime beneficiary (except for most Active Duty
members) may receive without a referral. You can receive urgent care
from any TRICARE authorized urgent care center (UCC) or network
provider. If the enrollee seeks care from a non-network provider
(except a TRICARE-authorized UCC), the usual POS deductible and cost-
shares shall apply. The Department has no current plans to change this
policy but in order to evaluate its ongoing
[[Page 52450]]
appropriateness, it remains a year-by-year determination.
Prime Service Area Changes: There is no change to locations where
TRICARE Prime will be offered. TRICARE Prime locations are a year-to-
year determination and will be announced prior to the annual Open
Season enrollment period.
Enrollment Fee Payment by Allotment: TRICARE retirees and their
family members must pay enrollment fees by allotment, where feasible.
Payment by allotment is not required if a beneficiary does not receive
retired pay (e.g., unremarried former spouses, survivors) or the
retired pay does not cover the monthly enrollment fee amount.
Effective December 17, 2020, Doctors of Podiatric Medicine or
Podiatrists may prescribe physical therapy (PT) and occupational
therapy (OT).
Effective February 24, 2021, ablative fractional laser treatment
for symptomatic scars resulting from burns and other trauma is covered
for up to five-years.
Added coverage of remote physiologic monitoring for chronic and
acute conditions, including but not limited to weight, blood pressure,
pulse oximetry, and respiratory flow monitoring.
For more information, visit tricare.mil/changes or call your
regional TRICARE contractor.
Appendix A
Certain beneficiary out-of-pocket costs (enrollment fees,
premiums, catastrophic caps, deductibles, and copayments) are
annually adjusted based on federal law and regulations, most notably
by the annual retiree cost of living adjustment, or Cost of Living
Adjustment (COLA). Currently, there is a difference in copayments
between those who joined the military before January 1, 2018, (Group
A), and those who joined after that date (Group B). The retiree COLA
will not be announced until mid-October 2021. As of June 2021, the
projected COLA increase is 5.1 percent. Beneficiary out-of-pocket
expenses impacted by the 2022 COLA will be posted to the
tricare.mil/changes web page before the start of TRICARE Open
Season, November 8, 2021 to December 13, 2021.
Pharmacy Out-of-Pocket Expenses for CY 2022
TRICARE Pharmacy out-of-pocket expenses are listed in the table
below that take effect on January 1, 2022.
Table 1--Pharmacy Copayments for Calendar Year 2022
--------------------------------------------------------------------------------------------------------------------------------------------------------
Copayment amount Copayment amount Copayment amount Copayment amount Copayment amount
for a 30-day supply for a 30-day supply for a 90-day supply for a 90-day supply for a 90-day supply
Year of a retail generic of a retail of a mail order of a mail order of a mail order non-
is: formulary is: generic is: formulary is: formulary is:
--------------------------------------------------------------------------------------------------------------------------------------------------------
2022........................................... $14 $38 $12 $34 $68
--------------------------------------------------------------------------------------------------------------------------------------------------------
Dated: September 13, 2021.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2021-20309 Filed 9-20-21; 8:45 am]
BILLING CODE 5001-06-P
