82 FR 9061 - TRICARE; Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Fiscal Year 2017 Diagnosis Related Group (DRG) Updates and Notice of Termination of Future Federal Register Notices Regarding the DRG Update
DEPARTMENT OF DEFENSE
Office of the Secretary Federal Register Volume 82, Issue 21 (February 2, 2017)
Office of the Secretary
Federal Register Volume 82, Issue 21 (February 2, 2017)
| Page Range | 9061-9063 | |
| FR Document | 2017-02202 |
[Federal Register Volume 82, Number 21 (Thursday, February 2, 2017)] [Notices] [Pages 9061-9063] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-02202] ----------------------------------------------------------------------- DEPARTMENT OF DEFENSE Office of the Secretary TRICARE; Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Fiscal Year 2017 Diagnosis Related Group (DRG) Updates and Notice of Termination of Future Federal Register Notices Regarding the DRG Update AGENCY: Office of the Secretary, Department of Defense. ACTION: Notice of DRG revised rates and notice to terminate future Federal Register publication of the DRG Updates. ----------------------------------------------------------------------- SUMMARY: This notice describes the changes made to the TRICARE DRG- based payment system in order to conform to changes made to the Medicare Prospective Payment System (PPS). It also provides the updated fixed loss cost outlier threshold, cost-to-charge ratios, and the data necessary to update the Fiscal Year (FY) 2017 rates. This notice also announces there will be no future Federal Register notices published for the annual DRG updates, as all information included in this notice will now be published on the Defense Health Agency's official Web site found at http://www.health.mil. As a result, FY 2017 is the last year for publication of the DRG notice. DATES: The rates, weights, and Medicare PPS changes which affect the TRICARE DRG-based payment system contained in this notice are effective for discharges occurring on or after October 1, 2016. ADDRESSES: Defense Health Agency (DHA), TRICARE, Medical Benefits and Reimbursement Office, 16401 East Centretech Parkway, Aurora, CO 80011- 9066. FOR FURTHER INFORMATION CONTACT: Sharon L. Seelmeyer, Medical Benefits and Reimbursement Section, TRICARE, telephone (303) 676-3690. Questions regarding payment of specific claims under the TRICARE DRG-based payment system should be addressed to the appropriate contractor. SUPPLEMENTARY INFORMATION: The final rule published on September 1, 1987 (52 FR 32992) set forth the basic procedures used under the CHAMPUS DRG-based payment system. This was subsequently amended by final rules published August 31, 1988 (53 FR 33461); October 21, 1988 (53 FR 41331); December 16, 1988 (53 FR 50515); May 30, 1990 (55 FR 21863); October 22, 1990 (55 FR 42560); and September 10, 1998 (63 FR 48439). An explicit tenet of these final rules, and one based on the statute authorizing the use of DRGs by TRICARE, is that the TRICARE DRG-based payment system is modeled on the Medicare PPS, and that, whenever practicable, the TRICARE system will follow the same rules that apply to the Medicare PPS. The Centers for Medicare & Medicaid Services (CMS) publishes these changes annually in the Federal Register and discusses in detail the impact of the changes. In addition, this notice updates the rates and weights in accordance with our previous final rules. The actual changes we are making, along with a description of their relationship to the Medicare PPS, are detailed in this notice. While the initial intent of this notice was to provide notification of the revised DRG weights and rates affecting the DRG based payment system, its relevance has been subsequently overshadowed by the public's online accessibility to the TRICARE manuals and reimbursement rates on the official Web site of the Military Health System (MHS) and the DHA (http://www.health.mil). As a result, the public has ready online access to all information published in this notice (e.g., DRG weights and rates, to include adjusted standardized amounts, wage indexes and Indirect Medical Education (IDME) factors, and changes to rate variables, etc.) in either the TRICARE [[Page 9062]] Reimbursement Manual or on the official Web site of the MHS and the DHA (http://www.health.mil). Because of the readily available online access to updated DRG rates and the ongoing administrative burden of publishing annual notices to the Federal Register, the publication of the annual notice is terminated and no further notices will be published. Again, updates to the DRG weights and rates, and all information in this notice, will be maintained on the Agency's official Web site. FY 2017 will be the last year of publishing the annual notice to the Federal Register. I. Medicare PPS Changes Which Affected the TRICARE DRG-Based Payment System Following is a discussion of the changes CMS has made to the Medicare PPS that affect the TRICARE DRG-based payment system. A. DRG Classifications Under both the Medicare PPS and the TRICARE DRG-based payment system, cases are classified into the appropriate DRG by a Grouper program. The Grouper classifies each case into a DRG on the basis of the diagnosis and procedure codes and demographic information (that is; sex, age, and discharge status). The Grouper used for the TRICARE DRG- based payment system is the same as the current Medicare Grouper with two modifications. The TRICARE system has replaced Medicare DRG 435 with two age-based DRGs (900 and 901), and has implemented thirty-four (34) neonatal DRGs in place of Medicare DRGs 385 through 390. For admissions occurring on or after October 1, 2001, DRG 435 has been replaced by DRG 523. The TRICARE system has replaced DRG 523 with the two age-based DRGs (900 and 901). For admissions occurring on or after October 1, 1995, the CHAMPUS Grouper hierarchy logic was changed so the age split (age <29 days) and assignments to Major Diagnostic Category (MDC) 15 occur before assignment of the pre-MDC DRGs. This resulted in all neonate tracheostomies and organ transplants to be grouped to MDC 15 and not to DRGs 480-483 or 495. For admissions occurring on or after October 1, 1998, the CHAMPUS Grouper hierarchy logic was changed to move DRG 103 to the pre-MDC DRGs and to assign patients to pre-MDC DRGs 480, 103, and 495 before assignment to MDC 15 DRGs and the neonatal DRGs. For admissions occurring on or after October 1, 2001, DRGs 512 and 513 were added to the pre-MDC DRGs, between DRGs 480 and 103 in the TRICARE Grouper hierarchy logic. For admissions occurring on or after October 1, 2004, DRG 483 was deleted and replaced with DRGs 541 and 542, splitting the assignment of cases on the basis of the performance of a major operating room procedure. The description for DRG 480 was changed to ``Liver Transplant and/or Intestinal Transplant,'' and the description for DRG 103 was changed to ``Heart/Heart Lung Transplant or Implant of Heart Assist System.'' For FY 2007, CMS implemented classification changes, including surgical hierarchy changes. The TRICARE Grouper incorporated all changes made to the Medicare Grouper, with the exception of the pre-surgical hierarchy changes, which will remain the same as FY 2006. For FY 2008, Medicare implemented their Medicare-Severity DRG (MS-DRG) based payment system. TRICARE, however, continued with the Centers for Medicare & Medicaid Services DRG-based (CMS-DRG) payment system for FY 2008. For FY 2009, the TRICARE/CHAMPUS DRG-based payment system shall be modeled on the MS-DRG system, with the following modifications. The MS-DRG system consolidated the 43 pediatric CMS DRGs that were defined based on age less than or equal to 17 into the most clinically similar MS-DRGs. In their Inpatient Prospective Payment System final rule for MS-DRGs, Medicare stated for their population these pediatric CMS DRGs contained a very low volume of Medicare patients. At the same time, Medicare encouraged private insurers and other non-Medicare payers to make refinements to MS-DRGs to better suit the needs of the patients they serve. Consequently, TRICARE finds it appropriate to retain the pediatric CMS-DRGs for our population. TRICARE is also retaining the TRICARE-specific DRGs for neonates and substance use. For FY09, TRICARE will use the MS-DRG v26.0 pre-MDC hierarchy, with the exception that MDC 15 is applied after DRG 011- 012 and before MDC 24. For FY10, there are no additional or deleted DRGs. For FY 11, the added DRGs and deleted DRGs are the same as those included in CMS' final rule published on August 16, 2010 (75 FR 50041- 50677). That is, DRG 009 is deleted; DRGs 014 and 015 are being added. For FY 12, the added DRGs and deleted DRGs are the same as those included in CMS' final rule published on August 18, 2011 (76 FR 51476- 51846). That is, DRG 015 is deleted; DRGs 016 and 017 are being added. For FY 2013 there are no new, revised, or deleted DRGs. For FY 2014 there are no new, revised, or deleted DRGs. For FY 2015 the added, deleted, and revised DRGs are the same as those included in the CMS' final rule published on August 22, 2014 (79 FR 49880) with the exception of endovascular cardiac valve replacement for which CMS added DRGs 266/267 and TRICARE added DRGs 317/318 because the TRICARE Grouper already has DRGs 266/267 assigned to a pediatric procedure. For FY2016 the added, deleted, and revised DRGs are the same as those included in the CMS' final rule published on August 17, 2015 (80 FR 49326) with the exception of the cardiovascular procedure for which CMS added DRGs 268-272 and TRICARE added DRGs 275-279, because the TRICARE Grouper already has DRGs 268-272 assigned to a pediatric procedure. Effective October 1, 2015 (FY 2016), the ICD-10 coding system was implemented, replacing the ICD9 coding system. For FY17 the added, deleted, and revised DRGs are the same as those included in the CMS' final rule published on August 22, 2016 (81 FR 56761). That is, DRG 230 is deleted; DRGs 229, 884, and 208 have been renamed. B. Wage Index and Medicare Geographic Classification Review Board Guidelines TRICARE will continue to use the same wage index amounts used for the Medicare PPS. TRICARE will also duplicate all changes with regard to the wage index for specific hospitals that are redesignated by the Medicare Geographic Classification Review Board. In addition, TRICARE will continue to utilize the out-commuting wage index adjustment. C. Revision of the Labor-Related Share of the Wage Index TRICARE is adopting CMS' percentage of labor related share of the standardized amount. For wage index values greater than 1.0, the labor related portion of the Adjusted Standardized Amount (ASA) shall continue to equal 69.6 percent. For wage index values less than or equal to 1.0 the labor related portion of the ASA shall continue to equal 62 percent. D. Hospital Market Basket TRICARE will update the adjusted standardized amounts according to the final updated hospital market basket used for the Medicare PPS for all hospitals subject to the TRICARE DRG-based payment system according to [[Page 9063]] CMS' August 22, 2016 final rule. For FY17, the market basket is 2.7 percent. Note: Medicare's FY17 market basket index adjusts according to hospitals' compliance with quality data and electronic health record meaningful use submissions. These adjustments do not apply to the TRICARE Program. E. Outlier Payments Since TRICARE does not include capital payments in our DRG-based payments (TRICARE reimburses hospitals for their capital costs as reported annually to the contractor on a pass through basis), we will use the fixed loss cost outlier threshold calculated by CMS for paying cost outliers in the absence of capital prospective payments. For FY17, the TRICARE fixed loss cost outlier threshold is based on the sum of the applicable DRG-based payment rate plus any amounts payable for IDME plus a fixed dollar amount. Thus, for FY17, in order for a case to qualify for cost outlier payments, the costs must exceed the TRICARE DRG base payment rate (wage adjusted) for the DRG plus the IDME payment (if applicable) plus $21,710 (wage adjusted). The marginal cost factor for cost outliers continues to be 80 percent. F. National Operating Standard Cost as a Share of Total Costs The FY17 TRICARE National Operating Standard Cost as a Share of Total Costs (NOSCASTC) used in calculating the cost outlier threshold is 0.921. TRICARE uses the same methodology as CMS for calculating the NOSCASTC; however, the variables are different because TRICARE uses national cost to charge ratios while CMS uses hospital specific cost to charge ratios. G. IDME Adjustment Passage of the Medical Modernization Act of 2003 modified the formula multipliers to be used in the calculation of IDME adjustment factor. Since the IDME formula used by TRICARE does not include disproportionate share hospitals, the variables in the formula are different than Medicare's; however, the percentage reductions that will be applied to Medicare's formula will also be applied to the TRICARE IDME formula. The multiplier for the IDME adjustment factor for TRICARE for FY17 is 1.02. H. Cost to Charge Ratio TRICARE uses a national Medicare cost-to-charge ratio (CCR). For FY17, the Medicare CCR used for the TRICARE DRG-based payment system for acute care hospitals and neonates will be 0.2541. This is based on a weighted average of the hospital-specific Medicare CCRs (weighted by the number of Medicare discharges) after excluding hospitals not subject to the TRICARE DRG system (Sole Community Hospitals, Indian Health Service hospitals, and hospitals in Maryland). The Medicare CCR is used to calculate cost outlier payments, except for children's hospitals. The Medicare CCR has been increased by a factor of 1.0065 to include an additional allowance for bad debt. The 1.0065 factor reflects the provisions of the Middle Class Tax Relief and Job Creation Act of 2012. For children's hospital cost outliers, the CCR used is 0.2760. I. Pricing of Claims The final rule published on May 21, 2014 (79 FR 29085) set forth all final claims with discharge dates of October 1, 2014, or later and reimbursed under the TRICARE DRG-Based payment system, are to be priced using the rules, weights and rates in effect on as of the date of discharge. Prior to this, all final claims were priced using the rules, weights, and rates in effective as of the date of admission. J. Updated Rates and Weights The updated rates and weights are accessible through the Internet at http://www.health.mil/rates. The implementing regulations for the TRICARE/CHAMPUS DRG-based payment system are in 32 CFR part 199. Dated: January 30, 2017. Aaron Siegel, Alternate OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. 2017-02202 Filed 2-1-17; 8:45 am] BILLING CODE 5001-06-P
![Federal Register / Vol. 82, No. 21 / Thursday, February 2, 2017 / Notices 9061
originally created to facilitate the White from its inventory of record systems a result, FY 2017 is the last year for
House Presidential Appointee vetting subject to the Privacy Act of 1974 (5 publication of the DRG notice.
process by assisting potential nominees U.S.C. 552a), as amended. The proposed DATES: The rates, weights, and Medicare
as they completed the vetting deletion is not within the purview of PPS changes which affect the TRICARE
documents. subsection (r) of the Privacy Act of 1974 DRG-based payment system contained
Based on a recent review of DGC 20, (5 U.S.C. 552a), as amended, which in this notice are effective for discharges
DoD Presidential Appointee Vetting requires the submission of a new or occurring on or after October 1, 2016.
File, it was determined that this system altered system report. ADDRESSES: Defense Health Agency
of records is now appropriately covered Based on a recent review of DGC 20, (DHA), TRICARE, Medical Benefits and
under and is maintained in accordance DoD Presidential Appointee Vetting Reimbursement Office, 16401 East
with the government-wide Office of File, it has been determined that the Centretech Parkway, Aurora, CO 80011–
Government Ethics system of records records are covered under and is 9066.
notice OGE/GOVT–1, Executive Branch maintained in accordance with OGE/ FOR FURTHER INFORMATION CONTACT:
Personnel Public Financial Disclosure GOVT–1, Executive Branch Personnel Sharon L. Seelmeyer, Medical Benefits
Reports and Other Name-Retrieved Public Financial Disclosure Reports and and Reimbursement Section, TRICARE,
Ethics Program Records (December 9, Other Name-Retrieved Ethics Program telephone (303) 676–3690. Questions
2013, 78 FR 73863). Accordingly, DGC Records (December 9, 2013, 78 FR regarding payment of specific claims
20 is duplicative and can be deleted. 73863). Therefore, DGC 20, DoD under the TRICARE DRG-based
DATES: Comments will be accepted on or Presidential Appointee Vetting File can payment system should be addressed to
before March 6, 2017. This proposed be deleted. the appropriate contractor.
action will be effective the date Dated: January 30, 2017. SUPPLEMENTARY INFORMATION: The final
following the end of the comment
Aaron Siegel, rule published on September 1, 1987 (52
period unless comments are received
Alternate OSD Federal Register Liaison FR 32992) set forth the basic procedures
which result in a contrary
Officer, Department of Defense. used under the CHAMPUS DRG-based
determination.
payment system. This was subsequently
ADDRESSES: You may submit comments, SYSTEM NAME AND NUMBER:
amended by final rules published
identified by docket number and title, DoD Presidential Appointee Vetting August 31, 1988 (53 FR 33461); October
by any of the following methods: File, DGC 20. 21, 1988 (53 FR 41331); December 16,
* Federal Rulemaking Portal: http:// HISTORY: December 1, 2000, 65 FR 1988 (53 FR 50515); May 30, 1990 (55
www.regulations.gov. 75246. FR 21863); October 22, 1990 (55 FR
Follow the instructions for submitting [FR Doc. 2017–02224 Filed 2–1–17; 8:45 am] 42560); and September 10, 1998 (63 FR
comments. BILLING CODE 5001–06–P 48439).
* Mail: Department of Defense, Office An explicit tenet of these final rules,
of the Deputy Chief Management and one based on the statute authorizing
Officer, Directorate for Oversight and DEPARTMENT OF DEFENSE the use of DRGs by TRICARE, is that the
Compliance, 4800 Mark Center Drive, TRICARE DRG-based payment system is
Mailbox #24, Suite 08D09B, Alexandria, Office of the Secretary modeled on the Medicare PPS, and that,
VA 22350–1700. whenever practicable, the TRICARE
Instructions: All submissions received TRICARE; Civilian Health and Medical
system will follow the same rules that
must include the agency name and Program of the Uniformed Services
apply to the Medicare PPS. The Centers
docket number for this Federal Register (CHAMPUS); Fiscal Year 2017
for Medicare & Medicaid Services (CMS)
document. The general policy for Diagnosis Related Group (DRG)
publishes these changes annually in the
comments and other submissions from Updates and Notice of Termination of
Federal Register and discusses in detail
members of the public is to make these Future Federal Register Notices
the impact of the changes.
submissions available for public Regarding the DRG Update In addition, this notice updates the
viewing on the Internet at http:// rates and weights in accordance with
AGENCY: Office of the Secretary,
www.regulations.gov as they are our previous final rules. The actual
Department of Defense.
received without change, including any changes we are making, along with a
personal identifiers or contact ACTION: Notice of DRG revised rates and
notice to terminate future Federal description of their relationship to the
information. Medicare PPS, are detailed in this
Register publication of the DRG
FOR FURTHER INFORMATION CONTACT: Mrs. Updates. notice. While the initial intent of this
Luz D. Ortiz, Chief, Records, Privacy notice was to provide notification of the
and Declassification Division (RPDD), SUMMARY: This notice describes the revised DRG weights and rates affecting
1155 Defense Pentagon, Washington, DC changes made to the TRICARE DRG- the DRG based payment system, its
20301–1155, or by phone at (571) 372– based payment system in order to relevance has been subsequently
0478. conform to changes made to the overshadowed by the public’s online
SUPPLEMENTARY INFORMATION: The Office Medicare Prospective Payment System accessibility to the TRICARE manuals
of the Secretary systems of records (PPS). It also provides the updated fixed and reimbursement rates on the official
notices subject to the Privacy Act of loss cost outlier threshold, cost-to- Web site of the Military Health System
1974 (5 U.S.C. 552a), as amended, have charge ratios, and the data necessary to (MHS) and the DHA (http://
been published in the Federal Register update the Fiscal Year (FY) 2017 rates. www.health.mil). As a result, the public
mstockstill on DSK3G9T082PROD with NOTICES
and are available from the address in This notice also announces there will be has ready online access to all
FOR FURTHER INFORMATION CONTACT or at no future Federal Register notices information published in this notice
the Defense Privacy, Civil Liberties and published for the annual DRG updates, (e.g., DRG weights and rates, to include
Transparency Division Web site at as all information included in this adjusted standardized amounts, wage
http://dpcld.defense.gov/. notice will now be published on the indexes and Indirect Medical Education
The Office of the Secretary proposes Defense Health Agency’s official Web (IDME) factors, and changes to rate
to delete one system of records notice site found at http://www.health.mil. As variables, etc.) in either the TRICARE
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![Federal Register / Vol. 82, No. 21 / Thursday, February 2, 2017 / Notices 9063
CMS’ August 22, 2016 final rule. For care hospitals and neonates will be Comments Due: 5 p.m. ET 2/16/17.
FY17, the market basket is 2.7 percent. 0.2541. This is based on a weighted Docket Numbers: EC17–69–000.
Note: Medicare’s FY17 market basket average of the hospital-specific Applicants: American Electric Power
index adjusts according to hospitals’ Medicare CCRs (weighted by the Service Corporation, Indiana Michigan
compliance with quality data and number of Medicare discharges) after Power Company.
electronic health record meaningful use excluding hospitals not subject to the Description: Application for
submissions. These adjustments do not TRICARE DRG system (Sole Community Authorization under Section 203 of the
apply to the TRICARE Program. Hospitals, Indian Health Service FPA of American Electric Power Service
hospitals, and hospitals in Maryland). Corporation, et al.
E. Outlier Payments
The Medicare CCR is used to calculate Filed Date: 1/26/17.
Since TRICARE does not include cost outlier payments, except for Accession Number: 20170126–5208.
capital payments in our DRG-based children’s hospitals. The Medicare CCR Comments Due: 5 p.m. ET 2/16/17.
payments (TRICARE reimburses has been increased by a factor of 1.0065 Take notice that the Commission
hospitals for their capital costs as to include an additional allowance for received the following electric rate
reported annually to the contractor on a bad debt. The 1.0065 factor reflects the filings:
pass through basis), we will use the provisions of the Middle Class Tax
fixed loss cost outlier threshold Docket Numbers: ER12–1316–003;
Relief and Job Creation Act of 2012. For
calculated by CMS for paying cost ER11–2753–004; ER13–413–004; ER11–
children’s hospital cost outliers, the
outliers in the absence of capital 1933–006; ER12–1329–004; ER16–1888–
CCR used is 0.2760.
prospective payments. For FY17, the 003.
TRICARE fixed loss cost outlier I. Pricing of Claims Applicants: Silver State Solar Power
threshold is based on the sum of the The final rule published on May 21, North, LLC, Cedar Point Wind, LLC,
applicable DRG-based payment rate plus 2014 (79 FR 29085) set forth all final USG Oregon LLC, Green Mountain
any amounts payable for IDME plus a claims with discharge dates of October Power Corporation, Wildcat Wind Farm
fixed dollar amount. Thus, for FY17, in 1, 2014, or later and reimbursed under I, LLC, Tidal Energy Marketing Inc.
order for a case to qualify for cost outlier the TRICARE DRG-Based payment Description: Notice of Change in
payments, the costs must exceed the system, are to be priced using the rules, Status of Silver State Solar Power North,
TRICARE DRG base payment rate (wage weights and rates in effect on as of the LLC, et al.
adjusted) for the DRG plus the IDME date of discharge. Prior to this, all final Filed Date: 1/26/17.
payment (if applicable) plus $21,710 claims were priced using the rules, Accession Number: 20170126–5207.
(wage adjusted). The marginal cost weights, and rates in effective as of the Comments Due: 5 p.m. ET 2/16/17.
factor for cost outliers continues to be date of admission. Docket Numbers: ER15–535–003.
80 percent. Applicants: Nevada Power Company.
J. Updated Rates and Weights Description: Compliance filing: OATT
F. National Operating Standard Cost as The updated rates and weights are Order No. 676–H Compliance Filing
a Share of Total Costs accessible through the Internet at http:// 01.25.17 to be effective 2/1/2017.
The FY17 TRICARE National www.health.mil/rates. The Filed Date: 1/26/17.
Operating Standard Cost as a Share of implementing regulations for the Accession Number: 20170126–5095.
Total Costs (NOSCASTC) used in TRICARE/CHAMPUS DRG-based Comments Due: 5 p.m. ET 2/16/17.
calculating the cost outlier threshold is payment system are in 32 CFR part 199. Docket Numbers: ER17–626–001.
0.921. TRICARE uses the same Dated: January 30, 2017. Applicants: Long Beach Peakers LLC.
methodology as CMS for calculating the Aaron Siegel, Description: Tariff Amendment:
NOSCASTC; however, the variables are Amendment to Tariff Revision Filing to
Alternate OSD Federal Register Liaison
different because TRICARE uses Officer, Department of Defense. be effective 12/23/2016.
national cost to charge ratios while CMS Filed Date: 1/26/17.
[FR Doc. 2017–02202 Filed 2–1–17; 8:45 am]
uses hospital specific cost to charge Accession Number: 20170126–5115.
BILLING CODE 5001–06–P
ratios. Comments Due: 5 p.m. ET 2/16/17.
G. IDME Adjustment Docket Numbers: ER17–856–000.
Passage of the Medical Modernization DEPARTMENT OF ENERGY Applicants: PJM Interconnection,
Act of 2003 modified the formula L.L.C., Rockland Electric Company.
multipliers to be used in the calculation Federal Energy Regulatory Description: § 205(d) Rate Filing:
of IDME adjustment factor. Since the Commission RECO Request for Increase of Annual
IDME formula used by TRICARE does Transmission Revenue Requirement to
Combined Notice of Filings #1 be effective 4/3/2017.
not include disproportionate share
hospitals, the variables in the formula Take notice that the Commission Filed Date: 1/26/17.
are different than Medicare’s; however, received the following electric corporate Accession Number: 20170126–5152.
the percentage reductions that will be filings: Comments Due: 5 p.m. ET 2/16/17.
applied to Medicare’s formula will also Docket Numbers: EC17–68–000. Docket Numbers: ER17–857–000.
be applied to the TRICARE IDME Applicants: AIA Energy North Applicants: ISO New England Inc.,
formula. The multiplier for the IDME America LLC, Duquesne Light New England Power Pool Participants
Committee.
mstockstill on DSK3G9T082PROD with NOTICES
adjustment factor for TRICARE for FY17 Company, Duquesne Power, LLC.
is 1.02. Description: Application for Description: § 205(d) Rate Filing:
Authorization under Section 203 of the Revisions to Attach. K Related to Public
H. Cost to Charge Ratio Policy Trans. Study Process Timeline to
FPA and Request for Expedited Action,
TRICARE uses a national Medicare et al. of AIA Energy North America LLC, be effective 3/27/2017.
cost-to-charge ratio (CCR). For FY17, the et al. Filed Date: 1/26/17.
Medicare CCR used for the TRICARE Filed Date: 1/26/17. Accession Number: 20170126–5166.
DRG-based payment system for acute Accession Number: 20170126–5201. Comments Due: 5 p.m. ET 2/16/17.
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Document Created: 2017-02-02 00:55:18
Document Modified: 2017-02-02 00:55:18
| 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 of DRG revised rates and notice to terminate future Federal Register publication of the DRG Updates. | |
| Dates | The rates, weights, and Medicare PPS changes which affect the TRICARE DRG-based payment system contained in this notice are effective for discharges occurring on or after October 1, 2016. | |
| Contact | Sharon L. Seelmeyer, Medical Benefits and Reimbursement Section, TRICARE, telephone (303) 676-3690. Questions regarding payment of specific claims under the TRICARE DRG-based | |
| FR Citation | 82 FR 9061 |
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