82 FR 41093 - Cost-Based and Inter-Agency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs
DEPARTMENT OF VETERANS AFFAIRS Federal Register Volume 82, Issue 166 (August 29, 2017)
Federal Register Volume 82, Issue 166 (August 29, 2017)
| Page Range | 41093-41094 | |
| FR Document | 2017-18219 |
[Federal Register Volume 82, Number 166 (Tuesday, August 29, 2017)] [Notices] [Pages 41093-41094] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-18219] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF VETERANS AFFAIRS Cost-Based and Inter-Agency Billing Rates for Medical Care or Services Provided by the Department of Veterans Affairs 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 Department of Veterans Affairs (VA) that apply in certain circumstances. DATES: The rates set forth herein are effective August 29, 2017 and until further notice. FOR FURTHER INFORMATION CONTACT: Romona Greene, Office of Community Care (10D1C1), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 382-2521 (this is not a toll free number). SUPPLEMENTARY INFORMATION: VA's methodology for computing Cost-Based and Inter-Agency billing 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 rates and Inter-Agency rates. Cost-Based rates apply in accordance with 38 CFR 17.102 to medical care and services that are provided by VA: (a) In error or based on tentative eligibility; (b) In a medical emergency; (c) To pensioners of allied nations; and (d) 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 to beneficiaries of the Department of Defense (DoD) or other Federal agencies, when the care or services provided is not covered by an applicable sharing agreement, unless otherwise stated. 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 (Physician; Ancillary; and Nursing, Room and Board), and Inter-Agency rates do not include standard fringe benefit costs that cover government employee retirement, disability costs, and return on fixed assets. When VA pays for medical care or services from a non-VA source under circumstances in which the Cost- Based or Inter-Agency Rates would apply if the care or services had been provided by VA, the charge for such care or services will be the actual amount paid by VA for the care or services. Inpatient charges will be at the per diem rates shown for the type of bed section or discrete treatment unit providing the care. The following table depicts the Cost-Based and Inter-Agency Rates that are effective upon publication of this notice and will remain in effect until the next Federal Register notice is published. These rates supersede those established by the Federal Register notice published on July 7, 2016, at 81 FR 44409. ------------------------------------------------------------------------ Cost-based Inter-agency rates rates ------------------------------------------------------------------------ A. Hospital Care per inpatient day: General Medicine: All Inclusive Rate.................. $3,805 $3,645 Physician........................... 455 .............. Ancillary........................... 992 .............. Nursing Room and Board.............. 2,358 .............. Neurology: All Inclusive Rate.................. 3,806 3,644 [[Page 41094]] Physician........................... 557 .............. Ancillary........................... 1005 .............. Nursing Room and Board.............. 2,244 .............. Rehabilitation Medicine: All Inclusive Rate.................. 2,489 2,372 Physician........................... 283 .............. Ancillary........................... 760 .............. Nursing Room and Board.............. 1,446 .............. Blind Rehabilitation: All Inclusive Rate.................. 1,726 1,646 Physician........................... 139 .............. Ancillary........................... 857 .............. Nursing Room and Board.............. 730 .............. Spinal Cord Injury: All Inclusive Rate.................. 2,285 2,182 Physician........................... 283 .............. Ancillary........................... 575 .............. Nursing Room and Board.............. 1,427 .............. Surgery: All Inclusive Rate.................. 6,388 6,119 Physician........................... 704 .............. Ancillary........................... 1,937 .............. Nursing Room and Board.............. 3,747 .............. General Psychiatry: All Inclusive Rate.................. 1,849 1,761 Physician........................... 175 .............. Ancillary........................... 291 .............. Nursing Room and Board.............. 1,383 .............. Substance Abuse (Alcohol and Drug Treatment): All Inclusive Rate.................. 1,814 1,727 Physician........................... 173 .............. Ancillary........................... 420 .............. Nursing Room and Board.............. 1,221 .............. Psychosocial Residential Rehabilitation Program: All Inclusive Rate.................. 705 671 Physician........................... 44 .............. Ancillary........................... 74 .............. Nursing Room and Board.............. 587 .............. Intermediate Medicine: All Inclusive Rate.................. 2,123 2,025 Physician........................... 104 .............. Ancillary........................... 311 .............. Nursing Room and Board.............. 1,708 .............. Poly-trauma Inpatient: All Inclusive Rate.................. 3,070 2,927 Physician........................... 349 .............. Ancillary........................... 938 .............. Nursing Room and Board.............. 1,783 .............. B. Nursing Home Care, Per Day: All Inclusive Rate.................. 1,209 1,154 Physician........................... 38 .............. Ancillary........................... 164 .............. Nursing Room and Board.............. 1007 .............. C. Outpatient Medical Treatments: Outpatient Visit (to include 347 333 Ineligible Emergency Dental Care).. Outpatient Physical Medicine & 212 201 Rehabilitation Service Visit....... Outpatient Poly-trauma/Traumatic 546 522 Brain Injury....................... ------------------------------------------------------------------------ Note: Outpatient Prescriptions will be billed at Drug Cost plus Administrative Fee. Signing Authority The Secretary of Veterans Affairs, or designee, approved this document 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. Gina S. Farrisee, Deputy Chief of Staff, Department of Veterans Affairs, approved this document on August 21, 2017, for publication. Dated: August 22, 2017. Jeffrey Martin, Office Program Manager, Office of Regulation Policy & Management, Office of the Secretary, Department of Veterans Affairs. [FR Doc. 2017-18219 Filed 8-28-17; 8:45 am] BILLING CODE 8320-01-P
![Federal Register / Vol. 82, No. 166 / Tuesday, August 29, 2017 / Notices 41093
WWW.CUBA-ELGUEA.COM; a.k.a. 1. BRICENO SUAREZ, Jorge (a.k.a. medical care or services provided by VA
WWW.CUBAFIRST.COM; a.k.a. BRICENO SUAREZ, Jorge Enrique; a.k.a. is set forth in 38 CFR 17.102(h). Two
WWW.CUBAFUN.COM; a.k.a. WWW.CUBA- SUAREZ ROJAS, Victor Julio; a.k.a. ‘‘MONO sets of rates are obtained by applying
GIRON.COM; a.k.a. WWW.CUBA- JOJOY’’; a.k.a. ‘‘OSCAR RIANO’’; a.k.a.
GRANMA.COM; a.k.a. WWW.CUBA- ‘‘SUAREZ, Luis’’); DOB Jan 1953; alt. DOB 01
this methodology, Cost-Based rates and
GUAMA.COM; a.k.a. WWW.CUBA- Feb 1949; alt. DOB 02 Jan 1951; alt. DOB 05 Inter-Agency rates. Cost-Based rates
GUARDALAVACA.COM; a.k.a. WWW.CUBA- Feb 1953; POB Santa Marta, Magdalena, apply in accordance with 38 CFR 17.102
HAVANACITY.COM; a.k.a. WWW.CUBA- Colombia; alt. POB Cabrera, Cundinamarca, to medical care and services that are
HEMINGWAY.COM; a.k.a. WWW.CUBA- Colombia; Cedula No. 12536519 (Colombia); provided by VA:
HOLGUIN.COM; a.k.a. WWW.CUBA- alt. Cedula No. 19208210 (Colombia); alt.
ISLADELAJUVENTUD.COM; a.k.a. Cedula No. 17708695 (Colombia) (individual)
(a) In error or based on tentative
WWW.CUBA-JARDINESDELEREY.COM; [SDNTK]. eligibility;
a.k.a. WWW.CUBA-LAHABANA.COM; a.k.a. -to- (b) In a medical emergency;
WWW.CUBA-LASTUNAS.COM; a.k.a. SUAREZ ROJAS, Victor Julio (a.k.a.
WWW.CUBA-MATANZAS.COM; a.k.a. ‘‘MONO JOJOY’’; a.k.a. ‘‘OSCAR RIANO’’; (c) To pensioners of allied nations;
WWW.CUBANBASEBALLTRAVEL.COM; a.k.a. ‘‘SUAREZ, Luis’’); DOB 01 Feb 1949; and
a.k.a. WWW.CUBANCULTURE.COM; a.k.a. alt. DOB 02 Jan 1951; alt. DOB 05 Feb 1953;
WWW.CUBA-OLDHAVANA.COM; a.k.a.
(d) For research purposes in
POB Cabrera, Cundinamarca, Colombia; circumstances under which the medical
WWW.CUBAONE.COM; a.k.a. WWW.CUBA- Cedula No. 19208210 (Colombia); alt. Cedula
PINARDELRIO.COM; a.k.a. WWW.CUBA- care appropriation shall be reimbursed
No. 17708695 (Colombia) (individual)
SANCTISPIRITUS.COM; a.k.a. WWW.CUBA- [SDNTK]. from the research appropriation.
SANTALUCIA.COM; a.k.a. WWW.CUBA-
SANTIAGODECUBA.COM; a.k.a. Dated: August 22, 2017. Inter-Agency rates apply to medical
WWW.CUBA-SHOPPING.COM; a.k.a. care and services that are provided by
Gregory T. Gatjanis,
WWW.CUBA-SOROA.COM; a.k.a. VA to beneficiaries of the Department of
Associate Director, Office of Global Targeting,
WWW.CUBASPORTS.COM; a.k.a. Office of Foreign Assets Control.
Defense (DoD) or other Federal agencies,
WWW.CUBA-TOPESDECOLLANTES.COM; when the care or services provided is
a.k.a. [FR Doc. 2017–18289 Filed 8–28–17; 8:45 am]
not covered by an applicable sharing
WWW.CUBATRAVELDIRECTORY.COM; BILLING CODE 4810–AL–P
agreement, unless otherwise stated. The
a.k.a. WWW.CUBA-TRINIDAD.COM; a.k.a.
WWW.CUBA-VARADEROBEACH.COM; a.k.a. calculations for the Cost-Based and
WWW.CUBA-VILLACLARA.COM; a.k.a. Inter-Agency rates are the same with
DEPARTMENT OF VETERANS two exceptions. Inter-Agency rates are
WWW.CUBAVIP.COM; a.k.a. WWW.CUBA-
WEATHER.COM; a.k.a. AFFAIRS all-inclusive, and are not broken down
WWW.GOCUBA.COM; a.k.a. into three components (Physician;
WWW.GOCUBA.CU; a.k.a. Cost-Based and Inter-Agency Billing
Rates for Medical Care or Services Ancillary; and Nursing, Room and
WWW.GOCUBAPLUS.COM; a.k.a. Board), and Inter-Agency rates do not
WWW.IPIXCUBA.COM; a.k.a. Provided by the Department of
WWW.NO.GOCUBAPLUS.COM; a.k.a. Veterans Affairs include standard fringe benefit costs
WWW.REALESTATECUBA.COM; a.k.a. that cover government employee
WWW.TOURANDMARKETING.COM; a.k.a. AGENCY: Department of Veterans Affairs. retirement, disability costs, and return
WWW.VAMOSACUBA.COM), Ellen L. ACTION: Notice. on fixed assets. When VA pays for
Skelton Building, 4th Floor, Fishers Estate, medical care or services from a non-VA
P.O. Box 3820, Road Town, Tortola, Virgin SUMMARY: This document updates the source under circumstances in which
Islands, British; P.O. Box 24258, London, Cost-Based and Inter-Agency billing the Cost-Based or Inter-Agency Rates
England SE9 1WS, United Kingdom; Hotel rates for medical care or services
Acuario, Suite 3511, Marina Hemingway, would apply if the care or services had
provided by the Department of Veterans been provided by VA, the charge for
Santa Fe, Playa, Havana, Cuba; Hotel
Acuario, Suite 3541, Marina Hemingway, Affairs (VA) that apply in certain such care or services will be the actual
Santa Fe, Playa, Havana, Cuba; Hotel circumstances. amount paid by VA for the care or
Acuario, Suite 3542, Marina Hemingway, DATES: The rates set forth herein are services. Inpatient charges will be at the
Santa Fe, Playa, Havana, Cuba; Hotel Viejo y effective August 29, 2017 and until per diem rates shown for the type of bed
el Mar, Suite 6005, Marina Hemingway,
Playa, Havana, Cuba; Calle 12 y Mar, further notice. section or discrete treatment unit
Varadero Matanzas, Cuba; Calle Ramon Pino, FOR FURTHER INFORMATION CONTACT: providing the care.
No. 4, 38650, Los Cristianos, Arona, Tenerife, Romona Greene, Office of Community The following table depicts the Cost-
Spain [CUBA]. Care (10D1C1), Veterans Health Based and Inter-Agency Rates that are
Additionally, on August 22, 2017, Administration, Department of Veterans effective upon publication of this notice
OFAC updated the SDN List for the Affairs, 810 Vermont Avenue NW., and will remain in effect until the next
person listed below, whose property Washington, DC 20420, (202) 382–2521 Federal Register notice is published.
and interests in property continue to be (this is not a toll free number). These rates supersede those established
blocked pursuant to the Kingpin Act. SUPPLEMENTARY INFORMATION: VA’s by the Federal Register notice
The individual’s listing was updated methodology for computing Cost-Based published on July 7, 2016, at 81 FR
from: and Inter-Agency billing rates for 44409.
Cost-based Inter-agency
rates rates
sradovich on DSK3GMQ082PROD with NOTICES
A. Hospital Care per inpatient day:
General Medicine:
All Inclusive Rate .............................................................................................................................................. $3,805 $3,645
Physician .......................................................................................................................................................... 455 ........................
Ancillary ............................................................................................................................................................ 992 ........................
Nursing Room and Board ................................................................................................................................. 2,358 ........................
Neurology:
All Inclusive Rate .............................................................................................................................................. 3,806 3,644
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![41094 Federal Register / Vol. 82, No. 166 / Tuesday, August 29, 2017 / Notices
Cost-based Inter-agency
rates rates
Physician .......................................................................................................................................................... 557 ........................
Ancillary ............................................................................................................................................................ 1005 ........................
Nursing Room and Board ................................................................................................................................. 2,244 ........................
Rehabilitation Medicine:
All Inclusive Rate .............................................................................................................................................. 2,489 2,372
Physician .......................................................................................................................................................... 283 ........................
Ancillary ............................................................................................................................................................ 760 ........................
Nursing Room and Board ................................................................................................................................. 1,446 ........................
Blind Rehabilitation:
All Inclusive Rate .............................................................................................................................................. 1,726 1,646
Physician .......................................................................................................................................................... 139 ........................
Ancillary ............................................................................................................................................................ 857 ........................
Nursing Room and Board ................................................................................................................................. 730 ........................
Spinal Cord Injury:
All Inclusive Rate .............................................................................................................................................. 2,285 2,182
Physician .......................................................................................................................................................... 283 ........................
Ancillary ............................................................................................................................................................ 575 ........................
Nursing Room and Board ................................................................................................................................. 1,427 ........................
Surgery:
All Inclusive Rate .............................................................................................................................................. 6,388 6,119
Physician .......................................................................................................................................................... 704 ........................
Ancillary ............................................................................................................................................................ 1,937 ........................
Nursing Room and Board ................................................................................................................................. 3,747 ........................
General Psychiatry:
All Inclusive Rate .............................................................................................................................................. 1,849 1,761
Physician .......................................................................................................................................................... 175 ........................
Ancillary ............................................................................................................................................................ 291 ........................
Nursing Room and Board ................................................................................................................................. 1,383 ........................
Substance Abuse (Alcohol and Drug Treatment):
All Inclusive Rate .............................................................................................................................................. 1,814 1,727
Physician .......................................................................................................................................................... 173 ........................
Ancillary ............................................................................................................................................................ 420 ........................
Nursing Room and Board ................................................................................................................................. 1,221 ........................
Psychosocial Residential Rehabilitation Program:
All Inclusive Rate .............................................................................................................................................. 705 671
Physician .......................................................................................................................................................... 44 ........................
Ancillary ............................................................................................................................................................ 74 ........................
Nursing Room and Board ................................................................................................................................. 587 ........................
Intermediate Medicine:
All Inclusive Rate .............................................................................................................................................. 2,123 2,025
Physician .......................................................................................................................................................... 104 ........................
Ancillary ............................................................................................................................................................ 311 ........................
Nursing Room and Board ................................................................................................................................. 1,708 ........................
Poly-trauma Inpatient:
All Inclusive Rate .............................................................................................................................................. 3,070 2,927
Physician .......................................................................................................................................................... 349 ........................
Ancillary ............................................................................................................................................................ 938 ........................
Nursing Room and Board ................................................................................................................................. 1,783 ........................
B. Nursing Home Care, Per Day:
All Inclusive Rate .............................................................................................................................................. 1,209 1,154
Physician .......................................................................................................................................................... 38 ........................
Ancillary ............................................................................................................................................................ 164 ........................
Nursing Room and Board ................................................................................................................................. 1007 ........................
C. Outpatient Medical Treatments:
Outpatient Visit (to include Ineligible Emergency Dental Care) ....................................................................... 347 333
Outpatient Physical Medicine & Rehabilitation Service Visit ........................................................................... 212 201
Outpatient Poly-trauma/Traumatic Brain Injury ................................................................................................ 546 522
Note: Outpatient Prescriptions will be billed at Drug Cost plus Administrative Fee.
Signing Authority electronically as an official document of Dated: August 22, 2017.
The Secretary of Veterans Affairs, or the Department of Veterans Affairs. Gina Jeffrey Martin,
designee, approved this document and S. Farrisee, Deputy Chief of Staff, Office Program Manager, Office of Regulation
sradovich on DSK3GMQ082PROD with NOTICES
authorized the undersigned to sign and Department of Veterans Affairs, Policy & Management, Office of the Secretary,
approved this document on August 21, Department of Veterans Affairs.
submit the document to the Office of the
2017, for publication. [FR Doc. 2017–18219 Filed 8–28–17; 8:45 am]
Federal Register for publication
BILLING CODE 8320–01–P
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Document Created: 2017-08-29 01:58:24
Document Modified: 2017-08-29 01:58:24
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | The rates set forth herein are effective August 29, 2017 and until further notice. | |
| Contact | Romona Greene, Office of Community Care (10D1C1), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Avenue NW., Washington, DC 20420, (202) 382-2521 (this is not a toll free number). | |
| FR Citation | 82 FR 41093 |
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