March 31, 2008

Reimbursement Rates for Calendar Year 2008

SUMMARY: Notice is given that the Director of Indian Health Service (IHS), under the authority of sections 321(a) and 322(b) of the Public Health Service Act (42 U.S.C. 248 and 249(b)), Public Law 83-568 (42 U.S.C. 2001 (a)), and the Indian Health Care Improvement Act (25 U.S.C. 1601 et seq.), has approved the following rates for inpatient and outpatient medical care provided by IHS facilities for Calendar Year 2008 for Medicare and Medicaid beneficiaries and beneficiaries of other Federal programs. The Medicare Part A inpatient rates are excluded from the table below as they are paid based on the prospective payment system. Since the inpatient rates set forth below do not include all physician services and practitioner services, additional payment may be available to the extent that those services meet applicable requirements. Public Law 106-554, section 432, dated December 21, 2000, authorized IHS facilities to file Medicare Part B claims with the carrier for payment for physician and certain other practitioner services provided on or after July 1, 2001.
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[Federal Register: March 31, 2008 (Volume 73, Number 62)]
[Notices]
[Page 16870]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr31mr08-75]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

RIN 0917-ZA22


Reimbursement Rates for Calendar Year 2008

AGENCY: Indian Health Service, HHS.

ACTION: Notice.

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SUMMARY: Notice is given that the Director of Indian Health Service
(IHS), under the authority of sections 321(a) and 322(b) of the Public
Health Service Act (42 U.S.C. 248 and 249(b)), Public Law 83-568 (42
U.S.C. 2001 (a)), and the Indian Health Care Improvement Act (25 U.S.C.
1601 et seq.), has approved the following rates for inpatient and
outpatient medical care provided by IHS facilities for Calendar Year
2008 for Medicare and Medicaid beneficiaries and beneficiaries of other
Federal programs. The Medicare Part A inpatient rates are excluded from
the table below as they are paid based on the prospective payment
system. Since the inpatient rates set forth below do not include all
physician services and practitioner services, additional payment may be
available to the extent that those services meet applicable
requirements. Public Law 106-554, section 432, dated December 21, 2000,
authorized IHS facilities to file Medicare Part B claims with the
carrier for payment for physician and certain other practitioner
services provided on or after July 1, 2001.

    Inpatient Hospital per Diem Rate (Excludes Physician/Practitioner
                                Services)
                          [Calendar Year 2008]
------------------------------------------------------------------------

------------------------------------------------------------------------
Lower 48 States..............................................     $1,811
Alaska.......................................................      2,255
------------------------------------------------------------------------
             Outpatient per Visit Rate (Excluding Medicare)
------------------------------------------------------------------------
Lower 48 States..............................................       $253
Alaska.......................................................        423
------------------------------------------------------------------------
                  Outpatient per Visit Rate (Medicare)
------------------------------------------------------------------------
Lower 48 States..............................................       $215
Alaska.......................................................        365
------------------------------------------------------------------------
            Medicare Part B Inpatient Ancillary per Diem Rate
------------------------------------------------------------------------
Lower 48 States..............................................       $373
Alaska.......................................................        650
------------------------------------------------------------------------
                   Outpatient Surgery Rate (Medicare)
------------------------------------------------------------------------
Established Medicare rates for freestanding Ambulatory Surgery Centers
------------------------------------------------------------------------

Effective Date for Calendar Year 2008 Rates

    Consistent with previous annual rate revisions, the Calendar Year
2008 rates will be effective for services provided on/or after January
1, 2008 to the extent consistent with payment authorities including the
applicable Medicaid State plan.

    Dated: November 29, 2007.
Robert G. McSwain,
Acting Director, Indian Health Service.

    Editorial Note: This document was received at the Office of the
Federal Register on March 25, 2008.
 [FR Doc. E8-6431 Filed 3-28-08; 8:45 am]

BILLING CODE 4165-16-P