98-30473. TRICARE; the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Specialized Treatment Services (STS) Program

[Federal Register Volume 63, Number 220 (Monday, November 16, 1998)]
[Notices]
[Pages 63710-63711]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-30473]


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DEPARTMENT OF DEFENSE

Office of the Secretary


TRICARE; the 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 Naval 
Hospital

[[Page 63711]]

Jacksonville (NAVHOSPJAX), Florida, has been designated a regional 
Specialized Treatment Services facility (STSF) for total joint 
replacement. The application for this STSF designation was submitted by 
NAVHOSPJAX and approved by the Assistant Secretary of Defense (Health 
Affairs). The Lead Agent for TRICARE Region 3 will oversee that the 
STSF maintains the quality and standards required for specialized 
treatment services. This designation covers the following Diagnostic 
Related Groups:

209--Major Joint and Limb Reattachment Procedures of Lower Extremity
491--Major Joint and Limb Reattachment Procedures of Upper Extremity

DoD beneficiaries who reside in the NAVHOSPJAX STS Catchment Area must 
be evaluated by NAVHOSPJAX before receiving TRICARE/CHAMPUS cost 
sharing for procedures that fall under the above Diagnostic Related 
Groups, in accordance with TRICARE/CHAMPUS Nonavailability Statement 
policy. Travel and lodging for the patient and, if stated to be 
medically necessary by a referring physician, for a nonmedical 
attendant, will be reimbursed by NAVHOSPJAX in accordance with the 
provision of the Joint Federal Travel Regulation. Although evaluation 
in person is preferred, it is possible to conduct the evaluation 
telephonically if the patient is unable to travel to NAVHOSPJAX. If the 
procedures cannot be performed at NAVHOSPJAX, Humana Military 
Healthcare Services will provide a medical necessity review prior to 
issuance of a Nonavailabilty Statement or other similar authorizations. 
The NAVHOSPJAX STSF Catchment Area includes zip codes within TRICARE 
Region 3 that fall within a 200-mile radius South and West of 
NAVHOSPJAX.

EFFECTIVE DATE: March 1, 1999.

FOR FURTHER INFORMATION CONTACT:
Lieutenant Junior Grade Phillip Garbark, NAVHOSPJAX, [phone], or 
Commander Donald Rosenbaum or Lieutenant Colonel Richard Heekin, (904) 
777-7370; or Lt. Col Teresa Sommese, TRICARE Management Activity, (703) 
618-3628, extension 5029; or Mr. Tariq Shahid, TRICARE Management 
Activity, [phone].

SUPPLEMENTARY INFORMATION: In FR DOC 93-27050, appearing in the Federal 
Register on November 5, 1993 (Vol. 58, FR 58955-58964), 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. This notice is issued under 
the authority of 10 U.S.C. 1105 and 32 CFR 199.4(a)(10).

    Dated: November 9, 1998.
L.M. Bynum,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 98-30473 Filed 11-13-98; 8:45 am]
BILLING CODE 5000-04-M