81_FR_68189 81 FR 67998 - Notice of Two-Year Extension of TRICARE Co-Pay Waiver at Captain James A. Lovell Federal Health Care Center Demonstration Project

81 FR 67998 - Notice of Two-Year Extension of TRICARE Co-Pay Waiver at Captain James A. Lovell Federal Health Care Center Demonstration Project

DEPARTMENT OF DEFENSE
Office of the Secretary

Federal Register Volume 81, Issue 191 (October 3, 2016)

Page Range67998-67999
FR Document2016-23819

This notice is to advise interested parties of a two-year extension of a demonstration project entitled ``TRICARE Co-Pay Waiver at Captain James A. Lovell Federal Health Care Center (FHCC) Demonstration Project.'' The original waiver notice was published on September 27, 2010 (75 FR 59237-59238).

Federal Register, Volume 81 Issue 191 (Monday, October 3, 2016) 
[Federal Register Volume 81, Number 191 (Monday, October 3, 2016)]
[Notices]
[Pages 67998-67999]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-23819]


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DEPARTMENT OF DEFENSE

Office of the Secretary


Notice of Two-Year Extension of TRICARE Co-Pay Waiver at Captain 
James A. Lovell Federal Health Care Center Demonstration Project

AGENCY: Office of the Secretary, Department of Defense.

ACTION: Notice of two-year extension of TRICARE Co-Pay Waiver at 
Captain James A. Lovell Federal Health Care Center Demonstration 
Project.

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SUMMARY: This notice is to advise interested parties of a two-year 
extension of a demonstration project entitled ``TRICARE Co-Pay Waiver 
at

[[Page 67999]]

Captain James A. Lovell Federal Health Care Center (FHCC) Demonstration 
Project.'' The original waiver notice was published on September 27, 
2010 (75 FR 59237-59238).

DATES: Effective Date: This two-year extension will be effective from 
October 1, 2016 to September 30, 2018.

FOR FURTHER INFORMATION CONTACT: Mr. Michael Bouchard, Director, DoD/VA 
Program Coordination Office, Defense Health Agency, Telephone 703-275-
6300.

SUPPLEMENTARY INFORMATION:

A. Background

    For additional information on the TRICARE co-pay waiver 
demonstration at the Captain James A. Lovell Federal Health Care Center 
(FHCC) demonstration project, please see 75 FR 59237-59238. Under this 
demonstration, there would be no deductibles, cost shares, or co-pays 
for eligible beneficiaries seeking care at the FHCC, under the 
authority of 10 U.S.C. 1092(a)(1)(B). The original demonstration notice 
explained that the co-pay waiver demonstration would be used to 
determine if increased utilization at FHCC actually occurred as a 
result of eliminated co-payments, which would in turn influence 
decisions regarding financial integration at future Department of 
Defense (DoD)/Department of Veterans Affairs (VA) models of this 
nature. A report on the demonstration project concluded that 
utilization increased at FHCC during the time of the co-pay waiver 
demonstration project. Admission and encounter utilization data from 
2010 to 2014 shows that DoD utilization of FHCC increased by 10,295. 
This demonstration is integral to the success of the integration effort 
at FHCC; without it, FHCC would see a marked reduction in DoD 
beneficiaries.

B. Description of Extension of Demonstration Project

    Under this demonstration, DoD has waived TRICARE co-payments for 
DoD beneficiaries seen at the FHCC. The National Defense Authorization 
Act (NDAA) for fiscal year (FY) 2010 Section 1701 requires a report to 
Congress evaluating the exercise of authorities in that title at FHCC. 
That report was delivered on July 26, 2016, and recommends continuation 
of the FHCC demonstration project. If Congress agrees, it is likely 
Congress will clarify that access to care under section 1705 should 
apply to the entire joint facility and not be limited to the DoD assets 
within the facility. If so, that will negate the requirement for 
further extensions to the TRICARE co-pay waiver demonstration project 
beyond FY17.
    In order to allow seamless continuation of services to DoD 
beneficiaries at FHCC, the TRICARE co-pay waiver is extended through 
September 30, 2018. This waiver applies to all inpatient, outpatient, 
and ancillary services, and all outpatient prescription drugs provided 
at FHCC. This waiver is consistent with current policies and procedures 
followed at all military treatment facilities. According to an 
Independent Government Cost Estimate (IGCE), the estimated two-year 
impact for the co-pay waiver in FY2017 and FY2018 is $246,499.

C. Evaluation

    An independent evaluation was performed and determined that without 
this waiver, DoD beneficiary utilization of the FHCC in North Chicago 
would have significantly decreased. Since DoD and VA have recommended 
to Congress to continue the demonstration project, a permanent solution 
regarding DoD beneficiary co-pays is expected to be in place for FY18 
and will ensure that DoD beneficiaries are not levied cost shares, as 
FHCC represents the former Naval Hospital Great Lakes.

    Dated: September 28, 2016.
Aaron Siegel,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 2016-23819 Filed 9-30-16; 8:45 am]
 BILLING CODE 5001-06-P

67998 Federal Register / Vol. 81, No. 191 / Monday, October 3, 2016 / Notices I. Meeting Convenes configuration or measured geometries of wishing to provide input to the Air II. Approval of Minutes manufactured components. This would University Board of Visitors’ should III. Directors Report include almost all fields related to submit a written statement in IV. Program Updates engineering including mechanical, accordance with 41 CFR 102–3.140(c) V. Public Comment biomedical, aeronautical, and aerospace and section 10(a)(3) of the Federal Accommodations: Anyone who needs engineering disciplines. These fields Advisory Committee Act and the an interpreter or other accommodations base their design processes on procedures described in this paragraph. should notify the Corporation’s contact computational meshes, whether they be Written statements can be submitted to person by 5:00 p.m. Friday, October 7, finite element structural and heat the Designated Federal Officer at the 2016. transfer models or computational fluid address detailed below at any time. Contact Person for More Information: dynamics predictions. The computer Statements being submitted in response Matthew Payne, NCCC, Corporation for graphs industry also relies heavily on to the agenda mentioned in this notice National and Community Service, 3rd updating tessellated surfaces to new must be received by the Designated Floor, Room 3241D, 250 E St. SW., locations and would also benefit from Federal Officer at the address listed Washington, DC 20525. Phone 202–606– use of this software. below at least ten calendar days prior to 6907. Fax 202–606–3465. TTY: 800– the meeting which is the subject of this 833–3722. Email address: mpayne@ Henry Williams, notice. Written statements received after cns.gov. Acting Air Force Federal Register Liaison this date may not be provided to or Officer. considered by the Air University Board Dated: September 28, 2016. [FR Doc. 2016–23776 Filed 9–30–16; 8:45 am] of Visitors until its next meeting. The Jeremy Joseph, BILLING CODE 5001–10–P Designated Federal Officer will review General Counsel. all timely submissions with the Air [FR Doc. 2016–23962 Filed 9–29–16; 4:15 pm] University Board of Visitors’ Board BILLING CODE 6050–28–P DEPARTMENT OF DEFENSE Chairperson and ensure they are provided to members of the Board Department of the Air Force before the meeting that is the subject of DEPARTMENT OF DEFENSE Air University Board of Visitors this notice. Additionally, public Meeting attendance at the AU/BOV meeting shall Department of the Air Force be accommodated on a first-come, first- AGENCY: Air University, Department of served basis up to the reasonable and Notice of Availability of Software and the Air Force, Department of Defense. safe capacity of the meeting room. Any Documentation for Licensing ACTION: Notice of meeting of the Air member of the public wishing to attend AGENCY: Air Force Research Laboratory, University Board of Visitors. this meeting should contact the Department of the Air Force. Designated Federal Officer listed below SUMMARY: Under the provisions of the at least ten calendar days prior to the ACTION: Availability of MESHMORPH Federal Advisory Committee Act of software and documentation for meeting for information on base entry 1972 (5 U.S.C., Appendix, as amended), procedures. licensing. the Government in the Sunshine Act of 1976 (5 U.S.C. 552b, as amended), and FOR FURTHER INFORMATION CONTACT: Ms. SUMMARY: Pursuant to the provisions of Lisa Arnold, Designated Federal Officer, Section 801 of Public Law 113–66 (2014 41 CFR 102–3.150, the Department of Defense announces that the Air Air University Headquarters, 55 LeMay National Defense Authorization Act); Plaza South, Maxwell Air Force Base, the Department of the Air Force University Board of Visitors’ fall meeting will take place on Monday, Alabama 36112–6335, telephone (334) announces the availability of 953–2989. MESHMORPH software and related November 14th, 2016, from documentation for Automated approximately 8:00 a.m. to Henry Williams, Computational Mesh Metamorphosis, approximately 5:00 p.m. and Tuesday, Acting Air Force Federal Register Officer. which automatically updates an existing November 15th, 2016, from [FR Doc. 2016–23777 Filed 9–30–16; 8:45 am] source mesh of three dimensional points approximately 7:30 a.m. to BILLING CODE 5001–10–P and connectivities to a target mesh approximately 3:00 p.m. The meeting generated from a three dimensional will be held at the Headquarters Air coordinate measurement system or University, in the Commander’s DEPARTMENT OF DEFENSE computer aided design system. Conference Room, Building 800, on Maxwell Air Force Base, Alabama. The Office of the Secretary ADDRESSES: Licensing interests should purpose of this meeting is to provide be sent to: Air Force Research independent advice and Notice of Two-Year Extension of Laboratory, Aerospace Systems recommendations on matters pertaining TRICARE Co-Pay Waiver at Captain Directorate, AFRL/RQOB, 2130 8th to the educational, doctrinal, and James A. Lovell Federal Health Care Street, Wright-Patterson AFB, OH research policies and activities of Air Center Demonstration Project 45433; Facsimile: (937) 255–6788. University. Specific to this agenda AGENCY: Office of the Secretary, FOR FURTHER INFORMATION CONTACT: Air includes topics relating to AU’s policy Department of Defense. Force Research Laboratory, Aerospace and organizational structure, ACTION: Notice of two-year extension of Systems Directorate, AFRL/RQOB, 2130 sradovich on DSK3GMQ082PROD with NOTICES transformation updates, and a faculty TRICARE Co-Pay Waiver at Captain 8th Street, Wright-Patterson AFB, OH senate out-brief and BOV ethics and 45433; Facsimile: (937) 255–6788. James A. Lovell Federal Health Care membership review. Center Demonstration Project. SUPPLEMENTARY INFORMATION: Pursuant to 5 U.S.C. 552b, as MESHMORPH Software is applicable to amended, and 41 CFR 102–3.155 all SUMMARY: This notice is to advise any field where a computational mesh sessions of the Air University Board of interested parties of a two-year needs to be modified to match new Visitors’ meetings’ will be open to the extension of a demonstration project target geometries, such as a new design public. Any member of the public entitled ‘‘TRICARE Co-Pay Waiver at VerDate Sep<11>2014 19:23 Sep 30, 2016 Jkt 241001 PO 00000 Frm 00043 Fmt 4703 Sfmt 4703 E:\FR\FM\03OCN1.SGM 03OCN1

Federal Register / Vol. 81, No. 191 / Monday, October 3, 2016 / Notices 67999 Captain James A. Lovell Federal Health extensions to the TRICARE co-pay obtained at http:// Care Center (FHCC) Demonstration waiver demonstration project beyond www.facadatabase.gov/. The Committee Project.’’ The original waiver notice was FY17. provides the Secretary of Defense and published on September 27, 2010 (75 FR In order to allow seamless the Deputy Secretary of Defense 59237–59238). continuation of services to DoD independent advice and DATES: Effective Date: This two-year beneficiaries at FHCC, the TRICARE co- recommendations on the DoD program extension will be effective from October pay waiver is extended through to commemorate the 50th Anniversary 1, 2016 to September 30, 2018. September 30, 2018. This waiver applies of the Vietnam War. The Committee FOR FURTHER INFORMATION CONTACT: Mr. to all inpatient, outpatient, and ancillary shall be composed of no more than 20 Michael Bouchard, Director, DoD/VA services, and all outpatient prescription members who represent Vietnam Program Coordination Office, Defense drugs provided at FHCC. This waiver is Veterans, their families, and the Health Agency, Telephone 703–275– consistent with current policies and American public. Members who are not 6300. procedures followed at all military full-time or permanent part-time Federal treatment facilities. According to an officers or employees are appointed as SUPPLEMENTARY INFORMATION: Independent Government Cost Estimate experts or consultants pursuant to 5 A. Background (IGCE), the estimated two-year impact U.S.C. 3109 to serve as special for the co-pay waiver in FY2017 and government employee members. For additional information on the FY2018 is $246,499. Members who are full-time or TRICARE co-pay waiver demonstration at the Captain James A. Lovell Federal C. Evaluation permanent part-time Federal officers or Health Care Center (FHCC) employees are appointed pursuant to 41 An independent evaluation was demonstration project, please see 75 FR CFR 102–3.130(a) to serve as regular performed and determined that without 59237–59238. Under this government employee members. Each this waiver, DoD beneficiary utilization demonstration, there would be no member is appointed to provide advice of the FHCC in North Chicago would deductibles, cost shares, or co-pays for on behalf of the Government on the have significantly decreased. Since DoD eligible beneficiaries seeking care at the basis of their best judgment without and VA have recommended to Congress FHCC, under the authority of 10 U.S.C. representing any particular point of to continue the demonstration project, a 1092(a)(1)(B). The original view and in a manner that is free from permanent solution regarding DoD demonstration notice explained that the conflict of interest. Except for beneficiary co-pays is expected to be in co-pay waiver demonstration would be reimbursement of official Committee- place for FY18 and will ensure that DoD used to determine if increased related travel and per diem, members beneficiaries are not levied cost shares, utilization at FHCC actually occurred as serve without compensation. The DoD, as FHCC represents the former Naval a result of eliminated co-payments, as necessary and consistent with the Hospital Great Lakes. which would in turn influence Committee’s mission and DoD policies decisions regarding financial integration Dated: September 28, 2016. and procedures, may establish at future Department of Defense (DoD)/ Aaron Siegel, subcommittees, task forces, or working Department of Veterans Affairs (VA) Alternate OSD Federal Register Liaison groups to support the Committee, and models of this nature. A report on the Officer, Department of Defense. all subcommittees must operate under demonstration project concluded that [FR Doc. 2016–23819 Filed 9–30–16; 8:45 am] the provisions of FACA and the utilization increased at FHCC during the BILLING CODE 5001–06–P Government in the Sunshine Act. time of the co-pay waiver demonstration Subcommittees will not work project. Admission and encounter independently of the Committee and utilization data from 2010 to 2014 DEPARTMENT OF DEFENSE must report all recommendations and shows that DoD utilization of FHCC advice solely to the Committee for full Office of the Secretary deliberation and discussion. increased by 10,295. This demonstration is integral to the success of the Subcommittees, task forces, or working Charter Renewal of Department of integration effort at FHCC; without it, groups have no authority to make Defense Federal Advisory Committees FHCC would see a marked reduction in decisions and recommendations, DoD beneficiaries. AGENCY:Department of Defense. verbally or in writing, on behalf of the Renewal of Federal Advisory ACTION: Committee. No subcommittee or any of B. Description of Extension of Committee. its members can update or report, Demonstration Project verbally or in writing, directly to the Under this demonstration, DoD has SUMMARY: The Department of Defense DoD or any Federal officers or waived TRICARE co-payments for DoD (DoD) is publishing this notice to employees. The Committee’s DFO, beneficiaries seen at the FHCC. The announce that it is renewing the charter pursuant to DoD policy, must be a full- National Defense Authorization Act for the Vietnam War Commemoration time or permanent part-time DoD (NDAA) for fiscal year (FY) 2010 Advisory Committee (‘‘the Committee’’). employee, and must be in attendance for Section 1701 requires a report to FOR FURTHER INFORMATION CONTACT: Jim the duration of each and every Congress evaluating the exercise of Freeman, Advisory Committee Committee/subcommittee meeting. The authorities in that title at FHCC. That Management Officer for the Department public or interested organizations may report was delivered on July 26, 2016, of Defense, 703–692–5952. submit written statements to the and recommends continuation of the SUPPLEMENTARY INFORMATION: This Committee membership about the sradovich on DSK3GMQ082PROD with NOTICES FHCC demonstration project. If committee’s charter is being renewed in Committee’s mission and functions. Congress agrees, it is likely Congress accordance with the Federal Advisory Such statements may be submitted at will clarify that access to care under Committee Act (FACA) of 1972 (5 any time or in response to the stated section 1705 should apply to the entire U.S.C., Appendix, as amended) and 41 agenda of planned Committee meetings. joint facility and not be limited to the CFR 102–3.50(d). The charter and All written statements must be DoD assets within the facility. If so, that contact information for the Committee’s submitted to the Committee’s DFO who will negate the requirement for further Designated Federal Officer (DFO) can be will ensure the written statements are VerDate Sep<11>2014 17:56 Sep 30, 2016 Jkt 241001 PO 00000 Frm 00044 Fmt 4703 Sfmt 4703 E:\FR\FM\03OCN1.SGM 03OCN1


Document Created: 2018-02-13 14:11:43
Document Modified: 2018-02-13 14:11:43
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of two-year extension of TRICARE Co-Pay Waiver at Captain James A. Lovell Federal Health Care Center Demonstration Project.
DatesEffective Date: This two-year extension will be effective from October 1, 2016 to September 30, 2018.
ContactMr. Michael Bouchard, Director, DoD/VA Program Coordination Office, Defense Health Agency, Telephone 703-275- 6300.
FR Citation81 FR 67998 
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