Cost-Based and Inter-Agency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs for Fiscal Year 2023, 56152-56153 [2022-19739]
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56152
Federal Register / Vol. 87, No. 176 / Tuesday, September 13, 2022 / Notices
(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: 38 U.S.C. 1522.
Title: Request for Details of Expenses,
VA Form 21P–8049.
OMB Control Number: 2900–0138.
Type of Review: Revision of a
currently approved collection.
Abstract: VA Form 21P–8049 is
primarily used to gather the necessary
information to determine eligibility for
VA Pension. Without VA Form 21P–
8049, VA will not be able to properly
evaluate the totality of a claimant’s
circumstances when considering an
application for benefits. VA will also be
unable to evaluate the totality of
claimant’s circumstances when VA
receives evidence of a significant
increase in the corpus of a claimant’s
estate. The collection is conducted on a
one-time basis and cannot be conducted
less frequently. The respondent burden
has decreased due to the number of
receivables over the past year with non
substantive and substantive changes.
These changes include updated
instructions, reformatting to include
optical character recognition boxes, and
renumbering section headers and
questions.
Affected Public: Individuals and
households.
Estimated Annual Burden: 218 hours.
Estimated Average Burden per
Respondent: 15 minutes.
Frequency of Response: One time.
Estimated Number of Respondents:
871 per year.
By direction of the Secretary.
Maribel Aponte,
VA PRA Clearance Officer, Office of
Enterprise and Integration/Data Governance
Analytics, Department of Veterans Affairs.
[FR Doc. 2022–19731 Filed 9–12–22; 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 Fiscal Year 2023
Department of Veterans Affairs.
ACTION: Notice.
AGENCY:
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, 2022.
FOR FURTHER INFORMATION CONTACT: Ms.
Debra Vatthauer, Office of Finance,
Revenue Operations, Payer Relations
and Services, Rates and Charges
(104RO1), 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).
SUMMARY:
VA’s
methodology for computing Cost-Based
and Inter-Agency rates for medical care
or services provided by VA is set forth
in 38 CFR 17.102(h). Two sets of rates
are obtained by applying this
methodology, Cost-Based and InterAgency.
SUPPLEMENTARY INFORMATION:
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 § 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, 2022, 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 4, 2021, at 86 FR 42015.
jspears on DSK121TN23PROD 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 .....................................................................................................................................................
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Inter-agency
rates
$5,724
685
1,492
3,547
$5,630
........................
........................
........................
4,969
727
1,312
2,930
4,885
........................
........................
........................
4,254
483
1,300
2,471
4,179
........................
........................
........................
4,249
342
2,111
4,171
........................
........................
56153
Federal Register / Vol. 87, No. 176 / Tuesday, September 13, 2022 / Notices
Cost-based
rates
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 .......................................................................................................................................
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
1,796
........................
4,396
545
1,106
2,745
4,318
........................
........................
........................
9,923
1,094
3,010
5,819
9,761
........................
........................
........................
3,575
337
563
2,675
3,510
........................
........................
........................
3,631
346
840
2,445
3,565
........................
........................
........................
521
33
55
433
512
........................
........................
........................
3,906
192
573
3,141
3,841
........................
........................
........................
4,765
541
1,456
2,768
4,673
........................
........................
........................
2,314
72
313
1,929
2,273
........................
........................
........................
453
366
673
446
359
663
Note: Outpatient Prescriptions will be billed at Drug Cost plus Administrative Fee.
Signing Authority
Denis McDonough, Secretary of
Veterans Affairs, approved this
document on September 7, 2022, 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. 2022–19739 Filed 9–12–22; 8:45 am]
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]]>Agencies
[Federal Register Volume 87, Number 176 (Tuesday, September 13, 2022)]
[Notices]
[Pages 56152-56153]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-19739]
-----------------------------------------------------------------------
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
2023
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, 2022.
FOR FURTHER INFORMATION CONTACT: Ms. Debra Vatthauer, Office of
Finance, Revenue Operations, Payer Relations and Services, Rates and
Charges (104RO1), 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 38 CFR 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 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, 2022, 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 4, 2021,
at 86 FR 42015.
------------------------------------------------------------------------
Cost-based Inter-agency
rates rates
------------------------------------------------------------------------
A. Hospital Care per inpatient day:
General Medicine:
All Inclusive Rate.............. $5,724 $5,630
Physician....................... 685 ..............
Ancillary....................... 1,492 ..............
Nursing Room and Board.......... 3,547 ..............
Neurology:
All Inclusive Rate.............. 4,969 4,885
Physician....................... 727 ..............
Ancillary....................... 1,312 ..............
Nursing Room and Board.......... 2,930 ..............
Rehabilitation Medicine:
All Inclusive Rate.............. 4,254 4,179
Physician....................... 483 ..............
Ancillary....................... 1,300 ..............
Nursing Room and Board.......... 2,471 ..............
Blind Rehabilitation:
All Inclusive Rate.............. 4,249 4,171
Physician....................... 342 ..............
Ancillary....................... 2,111 ..............
[[Page 56153]]
Nursing Room and Board.......... 1,796 ..............
Spinal Cord Injury:
All Inclusive Rate.............. 4,396 4,318
Physician....................... 545 ..............
Ancillary....................... 1,106 ..............
Nursing Room and Board.......... 2,745 ..............
Surgery:
All Inclusive Rate.............. 9,923 9,761
Physician....................... 1,094 ..............
Ancillary....................... 3,010 ..............
Nursing Room and Board.......... 5,819 ..............
General Psychiatry:
All Inclusive Rate.............. 3,575 3,510
Physician....................... 337 ..............
Ancillary....................... 563 ..............
Nursing Room and Board.......... 2,675 ..............
Substance Abuse (Alcohol and Drug
Treatment):
All Inclusive Rate.............. 3,631 3,565
Physician....................... 346 ..............
Ancillary....................... 840 ..............
Nursing Room and Board.......... 2,445 ..............
Psychosocial Residential
Rehabilitation Program:
All Inclusive Rate.............. 521 512
Physician....................... 33 ..............
Ancillary....................... 55 ..............
Nursing Room and Board.......... 433 ..............
Intermediate Medicine:
All Inclusive Rate.............. 3,906 3,841
Physician....................... 192 ..............
Ancillary....................... 573 ..............
Nursing Room and Board.......... 3,141 ..............
Poly-trauma Inpatient:
All Inclusive Rate.............. 4,765 4,673
Physician....................... 541 ..............
Ancillary....................... 1,456 ..............
Nursing Room and Board.......... 2,768 ..............
B. Nursing Home Care, Per Day:
All Inclusive Rate.............. 2,314 2,273
Physician....................... 72 ..............
Ancillary....................... 313 ..............
Nursing Room and Board.......... 1,929 ..............
C. Outpatient Medical Treatments:
Outpatient Visit (to include 453 446
Ineligible Emergency Dental
Care)..........................
Outpatient Physical Medicine & 366 359
Rehabilitation Service Visit...
Outpatient Poly-trauma/Traumatic 673 663
Brain Injury...................
------------------------------------------------------------------------
Note: Outpatient Prescriptions will be billed at Drug Cost plus
Administrative Fee.
Signing Authority
Denis McDonough, Secretary of Veterans Affairs, approved this
document on September 7, 2022, 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. 2022-19739 Filed 9-12-22; 8:45 am]
BILLING CODE 8320-01-P
