Management and Budget Office November 2005 – Federal Register Recent Federal Regulation Documents

The Office of Management and Budget (OMB) is proposing policies and procedures for agencies to develop, issue, and use guidance documents. This Bulletin is intended to increase the quality and transparency of agency guidance practices and the guidance documents produced through them.

This document provides cost-based and interagency billing rates for medical care or services provided by the Department of Veterans Affairs (VA): (a) In error or on tentative eligibility; (b) In a medical emergency; (c) To pensioners of allied nations; (d) For research purposes in circumstances under which VA medical care appropriation is to be reimbursed by VA research appropriation; and (e) To beneficiaries of the Department of Defense or other Federal agencies, when the care or service provided is not covered by an applicable sharing agreement. The rates contained in this notice do not apply to sharing agreements between VA and Department of Defense unless otherwise stated. In addition, until such time as charges for outpatient dental care and prescription drugs are implemented under the provisions of 38 CFR 17.101, the applicable cost-based billing rates provided in this notice will be used for collection or recovery by VA for outpatient dental care and prescription drugs provided under circumstances covered by that section. This notice is issued jointly by the Office of Management and Budget and the Department of Veterans Affairs.