97-1180. Medical Care Interagency Reimbursement Rates for FY 1997

[Federal Register Volume 62, Number 12 (Friday, January 17, 1997)]
[Notices]
[Page 2718]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-1180]


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DEPARTMENT OF VETERANS AFFAIRS


Medical Care Interagency Reimbursement Rates for FY 1997

AGENCY: Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: In accordance with provisions of OMB Circular A-11, Section 
12.5(a), revised reimbursement rates have been established by the 
Department of Veterans Affairs for inpatient and outpatient medical 
care furnished to beneficiaries of other Federal agencies during FY 
1997. These rates will be charged for such medical care provided on and 
after December 1, 1996, at health care facilities under the direct 
jurisdiction of the Secretary of Veterans Affairs.

FOR FURTHER INFORMATION CONTACT: Mr. Walter J. Besecker, Director, 
Medical Care Cost Recovery Office (174), Department of Veterans 
Affairs, 810 Vermont Avenue, NW, Washington, DC 20420, (202)-273-5662.

SUPPLEMENTARY INFORMATION: The Interagency Reimbursement Rates, 
effective December 1, 1996, are as follows:


VA Hospital Care, rates per inpatient day:                              
  General Medicine.............................................      946
  Neurology....................................................      915
  Rehabilitation Medicine......................................      743
  Blind Rehabilitation.........................................      886
  Spinal Cord Injury...........................................      884
  Surgery......................................................     1761
  General Psychiatry...........................................      448
  Substance Abuse (Alcohol and Drug Treatment).................      297
  Intermediate Medicine........................................      385
VA Nursing Home Care, rate per day:                                     
  Nursing Home Care............................................      258
VA Outpatient Care, rates per visit or per prescription filled:         
  Outpatient Visit *...........................................      178
  Emergency Dental Outpatient Visit............................      107
  Prescription Filled..........................................      19 
                                                                        
 * Rate includes dialysis treatments and non-emergency dental visits.   

    Inpatient charges to other Federal agencies will be at the current 
Interagency per diem rate for the type of bed section or discrete 
treatment unit providing the care.
    Prescription filled charge in lieu of the outpatient visit rate 
will be charged when the patient receives no service other than the 
Pharmacy outpatient service. This charge applies whether the patient 
receives the prescription in person or by mail.
    When medical services for beneficiaries of other Federal agencies 
are obtained by the Department of Veterans Affairs from private 
sources, the charges to the other Federal agencies will be the actual 
amounts paid by the Department of Veterans Affairs for such services.

    Dated: January 8, 1997.
Jesse Brown,
Secretary of Veterans Affairs.
[FR Doc. 97-1180 Filed 1-16-97; 8:45 am]
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