[Federal Register Volume 62, Number 13 (Tuesday, January 21, 1997)]
[Notices]
[Page 3011]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-1346]
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DEPARTMENT OF DEFENSE
Office of the Secretary
Civilian Health and Medical Program of the Uniformed Services
(CHAMPUS); Specialized Treatment Services (STS) Program
AGENCY: Office of the Secretary, DoD.
ACTION: Notice.
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SUMMARY: This notice is to advise interested parties that Keesler
Medical Center, Keesler Air Force Base, Biloxi, MS, has been designated
as a Specialized Treatment Service (STS) Facility for Neonatal
Intensive Care for TRICARE Region 4. This designation covers the
following Diagnosis Related Group (DRGs):
370 Cesarian section with comorbidity/complications
372 Vaginal delivery with complicating diagnoses
383 Other antepartum diagnoses with medical complications
604 Neonate, birth weight 750-999g, discharged alive
607 Neonate, birth weight 1000-1499g, without significant operating
room procedures, discharged alive
611 Neonate, birth weight 1500-1999g, without significant operating
room procedures, with multiple major problems
612 Neonate, birth weight 1500-1999g, without significant operating
room procedures, with major problem
613 Neonate, birth weight 1500-1999g, without significant operating
room procedures, with minimal problems
617 Neonate, birth weight 2000-2499g, without significant operating
room procedures, with multiple major problems
618 Neonate, birth weight 2000-2499g, without significant operating
room procedures, with major problem
622 Neonate, birth weight over 2499g, with significant operating room
procedures, with multiple major problems
626 Neonate, birth weight over 2499g, without significant operating
room procedures, with multiple major problems
636 Neonatal diagnosis, age over 28 days
Travel and lodging for the patient and, if stated to be medically
necessary by a referring physician, for one nonmedical attendant, will
be reimbursed by Keesler Medical Center in accordance with the
provisions of the Joint Federal Travel Regulation. All DoD
beneficiaries who reside in the STS Catchment Area for TRICARE Region 4
must be evaluated by Keesler Medical Center before receiving CHAMPUS
cost sharing for procedures that fall under the above Diagnosis Related
Groups. Evaluation in person is preferred, and travel and lodging
expenses for the evaluation will be reimbursed as stated above. It is
possible to conduct the evaluation telephonically if the patient is
unable to travel to Keesler Medical Center. If the procedure cannot be
performed at Keesler Medical Center, the facility will provide a
medical necessity review in order to support issuance of a
Nonavailability Statement.
The Region 4 Regional STS Catchment Area is defined by zip code in
the Defense Medical Information System STS Facilities Catchment Area
Directory. The Catchment Area includes zip codes within TRICARE Region
4 that fall within a 200 mile radius of Keesler Medical Center.
EFFECTIVE DATE: March 1, 1997.
FOR FURTHER INFORMATION CONTACT:
Lieutenant Colonel Ellen Lewis, TRICARE Region 4, (601) 377-9627; or
Captain Margaret Orcutt, OSD (Health Affairs), at (703) 695-6800.
SUPPLEMENTARY INFORMATION: In FR DOC 93-27050, appearing in the Federal
Register on November 5, 1993 (Vol. 58, FR 58995-58964), the final rule
on the STS Program was published. Included in the final rule was a
provision that a notice of all military and civilian STS facilities be
published in the Federal Register annually.
Dated: January 15, 1997.
L.M. Bynum,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 97-1346 Filed 1-17-97; 8:45 am]
BILLING CODE 5000-04-M
