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Start Preamble
AGENCY:
Indian Health Service, HHS.
ACTION:
Notice.
SUMMARY:
Notice is given that the Principal Deputy Director of the Indian Health Service (IHS), under the authority of the Public Health Service Act, and the Indian Health Care Improvement Act, has approved the following rates for inpatient and outpatient medical care provided by IHS facilities for Calendar Year 2020 for Medicare and Medicaid beneficiaries, beneficiaries of other federal programs, and for recoveries under the Federal Medical Care Recovery Act. The inpatient rates for Medicare Part A are excluded from the table below, as Medicare inpatient payments for IHS hospital facilities are made based on the prospective payment system or reasonable costs when IHS facilities are designated as Medicare Critical Access Hospitals. Since the inpatient per diem rates set forth below do not include all physician services and practitioner services, additional payment shall be available to the extent that those services are provided.
Inpatient Hospital Per Diem Rate (Excludes Physician/Practitioner Services)
Calendar Year 2020
Lower 48 States $3,675
Alaska $3,529
Outpatient Per Visit Rate (Excluding Medicare)
Calendar Year 2020
Lower 48 States $479
Alaska $710
Outpatient Per Visit Rate (Medicare)
Calendar Year 2020
Lower 48 States $427
Alaska $683
Medicare Part B Inpatient Ancillary Per Diem Rate
Calendar Year 2020
Lower 48 States $838
Alaska $1,186
Outpatient Surgery Rate (Medicare)
Established Medicare rates for freestanding Ambulatory Surgery Centers.
Effective Date for Calendar Year 2020 Rates
Consistent with previous annual rate revisions, the Calendar Year 2020 rates will be effective for services provided on/or after January 1, 2020, to the extent consistent with payment authorities, Start Printed Page 21865including the applicable Medicaid State plan.
Start SignatureChris Buchanan,
RADM, Assistant Surgeon General, U.S. Public Health Service, Deputy Director, Indian Health Service.
[FR Doc. 2020-08247 Filed 4-17-20; 8:45 am]
BILLING CODE 4160-16-P
Document Information
- Published:
- 04/20/2020
- Department:
- Indian Health Service
- Entry Type:
- Notice
- Action:
- Notice.
- Document Number:
- 2020-08247
- Pages:
- 21864-21865 (2 pages)
- RINs:
- 0917-AA16: Calendar Year 2019 Reimbursement Rates
- RIN Links:
- https://www.federalregister.gov/regulations/0917-AA16/calendar-year-2019-reimbursement-rates
- PDF File:
- 2020-08247.pdf
- Supporting Documents:
- » Agency Information Collection Activities; Proposals, Submissions, and Approvals: Indian Health Service Medical Staff Credentials
- » Re-Designation of the Delivery Area for the Havasupai Tribe
- » Agency Information Collection Activities; Proposals, Submissions, and Approvals: Addendum to Declaration for Federal Employment, Child Care and Indian Child Care Worker Positions
- » Agency Information Collection Activities; Proposals, Submissions, and Approvals: Indian Health Service Loan Repayment Program
- » Delivery Area Designations: Pamunkey Indian Tribe
- » Funding Opportunities: National Urban Indian Behavioral Health Awareness
- » Applications: Tribal Management Grant Program
- » Proposed Re-designations of Service Delivery Areas: Tolowa Dee-ni' Nation (Smith River Rancheria)
- » Agency Information Collection Activities; Proposals, Submissions, and Approvals: Tribal Consultation and Urban Confer Sessions on the State of the Great Plains Area Indian Health Service
- » Office of Urban Indian Health Programs Strategic Plan