Special Local Regulations Northern California and Lake Tahoe Area Annual Marine Events; Blessing of the Fleet, San Francisco, CA, 19856 [2023-06831]
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19856
Federal Register / Vol. 88, No. 64 / Tuesday, April 4, 2023 / Rules and Regulations
(ii) Have 10,000 or more of its
TRICARE visits paid under the OPPS for
ADSMs and ADDs annually; and
(iii) Be deemed as essential for
TRICARE operations.
(4) For cancer and children’s
hospitals. There are no temporary
transitional payment adjustments in
place. Reimbursement will be on the
basis of OPPS, however, payments shall
be adjusted so that these providers
receive 100 percent of their costs.
Adjustments shall be made on an
annual basis, and within 180 days of the
end of the OPPS year (OPPS Year is
defined as April 1 through March 30)
DHA will calculate the hospital’s costs,
utilizing the hospital-specific outpatient
cost-to-charge ratio (CCR). The costs
shall be calculated by multiplying the
hospital’s billed charges for OPPS
services by the CCR. If the hospital’s
costs, as calculated by DHA, exceeded
the payment that had been made under
OPPS, the hospital shall receive an
annual payment adjustment so that the
hospital receives 100% of their costs.
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(d) Payment of institutional facility
costs for ambulatory surgery. In general,
TRICARE pays for institutional facility
costs for ambulatory surgery on the
basis of prospectively determined
amounts, as provided in this paragraph,
with the exception of ambulatory
surgery procedures performed in
hospital outpatient departments or
CAHs, which are to be reimbursed in
accordance with the provisions of
paragraph (a)(6)(ii) or (iii) of this
section. Surgical services provided in
Ambulatory Surgery Centers (ASCs) as
defined in § 199.2(b) will be paid in
accordance with the provisions outlined
in section 1833(t) of the Social Security
Act and its implementing Medicare
regulation (42 CFR part 416). TRICARE
will recognize, to the extent practicable,
in accordance with 10 U.S.C. 1079(i)(2),
Medicare’s ASC reimbursement
methodology to include specific coding
requirements, prospectively determined
rates, discounts for multiple surgical
procedures, the scope of ASC services,
covered surgical procedures, and the
basis of payment as described in 42 CFR
part 416 with the exception that
TRICARE will implement no
transitional payments. Payments to
ASCs for covered procedures and
services will be based on the lesser of
the billed charge or the ASC payment
rate. Payment for ambulatory surgery
procedures is limited to those
procedures that are reimbursed by
Medicare in ASCs, with the exception of
dental procedures that are covered by
the TRICARE program, as described in
VerDate Sep<11>2014
17:05 Apr 03, 2023
Jkt 259001
§ 199.4. In the absence of a Medicare
ASC fee schedule rate, the payment for
a covered dental procedure in ASCs will
be based on the same rate under
TRICARE’s OPPS.
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Dated: March 23, 2023.
Aaron T. Siegel,
Alternate OSD Federal Register Liaison
Officer, Department of Defense.
[FR Doc. 2023–06452 Filed 4–3–23; 8:45 am]
BILLING CODE 5001–06–P
DEPARTMENT OF HOMELAND
SECURITY
Coast Guard
33 CFR Part 100
[Docket No. USCG–2023–0225]
Special Local Regulations Northern
California and Lake Tahoe Area Annual
Marine Events; Blessing of the Fleet,
San Francisco, CA
Coast Guard, DHS.
Notification of enforcement of
regulation.
AGENCY:
ACTION:
The Coast Guard will enforce
the special local regulations for the
annual Blessing of the Fleet Boat Parade
on April 30, 2023, to provide for the
safety of life on navigable waterways in
the San Francisco Bay during this event.
Our regulation for marine events in
Northern California identifies the
regulated area for this event in San
Francisco, CA. During the enforcement
period, unauthorized persons or vessels
are prohibited from entering into,
transiting through, or loitering or
anchoring in the regulated area, unless
authorized by the designated Patrol
Commander (PATCOM) or other
Federal, State, or local law enforcement
agencies on scene to assist the Coast
Guard in enforcing the regulated area.
DATES: The regulations in 33 CFR
100.1103 will be enforced for the
location listed in Table 1 to § 100.1103,
Item number 1 from 10 a.m. to noon on
April 30, 2023.
FOR FURTHER INFORMATION CONTACT: If
you have questions about this
notification of enforcement, call, or
email MST1 Shannon Curtaz-Milian,
Sector San Francisco Waterways
Management, U.S. Coast Guard;
telephone (415) 399–7440, email
SFWaterways@uscg.mil.
SUPPLEMENTARY INFORMATION: The Coast
Guard will enforce the special local
regulations in 33 CFR 100.1103, Table 1
to § 100.1103, Item number 1 for the
SUMMARY:
PO 00000
Frm 00056
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Sfmt 9990
Blessing of the Fleet regulated area from
10 a.m. to noon on April 30, 2023. This
action is being taken to provide for the
safety of life on navigable waterways
during this event. Our regulation for
marine events within Northern
California, § 100.1103, specifies the
location of the regulated area for the
Blessing of the Fleet Boat Parade which
encompasses portions of the San
Francisco Bay. During the enforcement
period, the regulated area will be in
effect in the navigable waters, from
surface to bottom, defined by a line
drawn from Bluff Point on the
southeastern side of the Tiburon
Peninsula to Point Campbell on the
northern edge of Angel Island, and a
line drawn from Peninsula Point to the
southern edge of the Tiburon Peninsula
to Point Stuart on the western edge of
Angel Island.
During the enforcement period, under
the provisions of 33 CFR 100.1103(b), if
you are the operator of a vessel in the
regulated area you must comply with
directions from the Patrol Commander
(PATCOM) or any other Official Patrol,
defined as a Federal, State, or local law
enforcement agency on scene to assist
the Coast Guard in enforcing the
regulated area. During the enforcement
period, if you are the operator of a
vessel that participates in the marine
event within the regulated area, you
must follow the parade route
established by the marine event
sponsor, and comply with directions
from the Patrol Commander or other
Official Patrol. The PATCOM or Official
Patrol may, upon request, allow the
transit of commercial vessels through
regulated areas when it is safe to do so.
In addition to this notification of
enforcement in the Federal Register, the
Coast Guard plans to provide
notification of this enforcement period
via Local Notice to Mariners. If the
Captain of the Port determines that the
regulated area need not be enforced for
the full duration stated in this notice, a
Broadcast Notice to Mariners or other
marine broadcast may be used to grant
general permission to enter the
regulated area.
Dated: March 22, 2023.
Taylor Q. Lam,
Captain, U.S. Coast Guard, Captain of the
Port, San Francisco.
[FR Doc. 2023–06831 Filed 4–3–23; 8:45 am]
BILLING CODE 9110–04–P
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]]>Agencies
[Federal Register Volume 88, Number 64 (Tuesday, April 4, 2023)]
[Rules and Regulations]
[Page 19856]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-06831]
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DEPARTMENT OF HOMELAND SECURITY
Coast Guard
33 CFR Part 100
[Docket No. USCG-2023-0225]
Special Local Regulations Northern California and Lake Tahoe Area
Annual Marine Events; Blessing of the Fleet, San Francisco, CA
AGENCY: Coast Guard, DHS.
ACTION: Notification of enforcement of regulation.
-----------------------------------------------------------------------
SUMMARY: The Coast Guard will enforce the special local regulations for
the annual Blessing of the Fleet Boat Parade on April 30, 2023, to
provide for the safety of life on navigable waterways in the San
Francisco Bay during this event. Our regulation for marine events in
Northern California identifies the regulated area for this event in San
Francisco, CA. During the enforcement period, unauthorized persons or
vessels are prohibited from entering into, transiting through, or
loitering or anchoring in the regulated area, unless authorized by the
designated Patrol Commander (PATCOM) or other Federal, State, or local
law enforcement agencies on scene to assist the Coast Guard in
enforcing the regulated area.
DATES: The regulations in 33 CFR 100.1103 will be enforced for the
location listed in Table 1 to Sec. 100.1103, Item number 1 from 10
a.m. to noon on April 30, 2023.
FOR FURTHER INFORMATION CONTACT: If you have questions about this
notification of enforcement, call, or email MST1 Shannon Curtaz-Milian,
Sector San Francisco Waterways Management, U.S. Coast Guard; telephone
(415) 399-7440, email [email protected].
SUPPLEMENTARY INFORMATION: The Coast Guard will enforce the special
local regulations in 33 CFR 100.1103, Table 1 to Sec. 100.1103, Item
number 1 for the Blessing of the Fleet regulated area from 10 a.m. to
noon on April 30, 2023. This action is being taken to provide for the
safety of life on navigable waterways during this event. Our regulation
for marine events within Northern California, Sec. 100.1103, specifies
the location of the regulated area for the Blessing of the Fleet Boat
Parade which encompasses portions of the San Francisco Bay. During the
enforcement period, the regulated area will be in effect in the
navigable waters, from surface to bottom, defined by a line drawn from
Bluff Point on the southeastern side of the Tiburon Peninsula to Point
Campbell on the northern edge of Angel Island, and a line drawn from
Peninsula Point to the southern edge of the Tiburon Peninsula to Point
Stuart on the western edge of Angel Island.
During the enforcement period, under the provisions of 33 CFR
100.1103(b), if you are the operator of a vessel in the regulated area
you must comply with directions from the Patrol Commander (PATCOM) or
any other Official Patrol, defined as a Federal, State, or local law
enforcement agency on scene to assist the Coast Guard in enforcing the
regulated area. During the enforcement period, if you are the operator
of a vessel that participates in the marine event within the regulated
area, you must follow the parade route established by the marine event
sponsor, and comply with directions from the Patrol Commander or other
Official Patrol. The PATCOM or Official Patrol may, upon request, allow
the transit of commercial vessels through regulated areas when it is
safe to do so.
In addition to this notification of enforcement in the Federal
Register, the Coast Guard plans to provide notification of this
enforcement period via Local Notice to Mariners. If the Captain of the
Port determines that the regulated area need not be enforced for the
full duration stated in this notice, a Broadcast Notice to Mariners or
other marine broadcast may be used to grant general permission to enter
the regulated area.
Dated: March 22, 2023.
Taylor Q. Lam,
Captain, U.S. Coast Guard, Captain of the Port, San Francisco.
[FR Doc. 2023-06831 Filed 4-3-23; 8:45 am]
BILLING CODE 9110-04-P
