[Federal Register Volume 63, Number 227 (Wednesday, November 25, 1998)]
[Notices]
[Page 65180]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-31422]
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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 David Grant
Medical Center (DGMC), Fairfield, California, has been designated a
regional Specialized Treatment Services Facility (STSF) for
Neurosurgery, General Surgery, Cardiovascular Surgery, Orthopedic
Surgery and Gynecology for TRICARE Region 10. The application for this
STSF designation was submitted by the Lead Agent for TRICARE Region 10
and approved by the Assistant Secretary of Defense (Health Affairs).
The Lead Agent will ensure that the STSF maintains the quality and
standards required for specialized treatment services. This designation
covers the following Diagnostic Related Groups:
001-Craniotomy, Age Greater than 17, Except for Trauma
003-Craniotomy, Age 0-17
004-Spinal Procedures
049-Major Head and Neck Procedures
110-Major Cardiovascular Procedures with CC
111-Major Cardiovascular Procedures without CC
191-Pancreas, Liver and Shunt Procedures with CC
209--Major Joint and Limb Reattachment Procedures of Lower Extremity
286-Adrenal and Pituitary Procedures
357-Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy
491-Major Joint and Limb Reattachment Procedures of Upper Extremity
DoD beneficiaries who reside in the DGMC STS Catchment Area for
TRICARE Region 10 must be evaluated by DGMC before receiving TRICARE/
CHAMPUS cost sharing for the procedures that fall under the above
Diagnostic Related Groups. 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 DGMC in accordance with the
provisions 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 DGMC. If the
procedure cannot be performed at DGMC, the facility will provide a
medical necessity review prior to issuance of a Nonavailability
Statement. The DGMC STS Catchment Area covering TRICARE Region 10 is
defined by zip codes in the Defense Medical Information System STS
Facilities Catchment Area Directory. The Catchment Area includes zip
codes within TRICARE Region 10 in California that fall within a 200
mile radius of DGMC.
EFFECTIVE DATE: March 1, 1999.
FOR FURTHER INFORMATION CONTACT:
Colonel Steve Jennings, DGMC, (707) 423-7828; or Lieutenant Colonel
Pamela Cygan, Office of the Lead Agent, TRICARE Region 10, (707) 424-
6533; or Lieutenant Colonel Teresa Sommese, TRICARE Management
Activity, (703) 681-3628, extension 5029; or Mr. Tariq Shahid, TRICARE
Management Activity, (303) 676-3801.
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 19, 1998.
L.M. Bynum,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 98-31422 Filed 11-24-98; 8:45 am]
BILLING CODE 5000-04-M
