[Federal Register Volume 62, Number 154 (Monday, August 11, 1997)]
[Rules and Regulations]
[Pages 42904-42905]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-21088]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF DEFENSE
Office of the Secretary
32 CFR Part 199
[DoD 6010.8-R]
Civilian Health and Medical Program of the Uniformed Services
(CHAMPUS); Program for Persons With Disabilities; Basic Program
AGENCY: Department of Defense.
ACTION: Final rule; administrative corrections.
-----------------------------------------------------------------------
SUMMARY: The Department of Defense published a final rule concerning
the Civilian Health and Medical Program of the Uniformed Services
(CHAMPUS) on June 30, 1997 (62 FR 35086). There were incorrect
amendments published to the Program for Persons with Disabilities
section of the CHAMPUS rule. This document corrects the administrative
error.
EFFECTIVE DATES: October 28, 1997.
FOR FURTHER INFORMATION CONTACT: Mr. M. Kottyan, telephone 303-361-
1120.
SUPPLEMENTARY INFORMATION:
List of Subjects in 32 CFR Part 199
Administrative practice and procedures, Claims, Fraud, Health care,
Health insurance, Individuals with disabilities, Military personnel.
Accordingly, 32 CFR part 199 is amended to read as follows:
PART 199--[AMENDED]
1. The authority citation for 32 CFR part 199 continues to read as
follows:
Authority: 5 U.S.C. 301; 10 U.S.C. chapter 55.
2. Section 199.5 is amended by revising paragraph (b)(1)(iii) and
paragraphs (e)(2) through (e)(4) to read as follows:
Sec. 199.5 Program for Persons with Disabilities (PFPWD).
* * * * *
(b) * * *
(1) * * *
(iii) Deceased sponsor. A CHAMPUS beneficiary remains eligible for
benefits under the PFPWD:
(A) For a period of one calendar year from the date an active duty
sponsor dies; or
(B) Through midnight of the beneficiary's twenty-first birthday
when the beneficiary is receiving PFPWD benefits at the time the active
duty sponsor dies and the sponsor was eligible, at the time of death,
for receipt of hostile-fire pay or died as a result of a disease or
injury incurred while eligible for such pay.
* * * * *
(e) * * *
(2)(i) Sponsor cost-share liability. Regardless of the number of
PFPWD eligible family members, the sponsor's cost share for allowed
PFPWD benefits in a given month is according to the following table:
------------------------------------------------------------------------
Monthly
Member's pay grade share
------------------------------------------------------------------------
E-1 through E-5............................................... $25
E-6........................................................... 30
E-7 and O-1................................................... 35
E-8 and O-2................................................... 40
E-9, W-1, W-2, and O-3........................................ 45
W-3, W-4, and O-4............................................. 50
W-5 and O-5................................................... 65
O-6........................................................... 75
O-7........................................................... 100
O-8........................................................... 150
O-9........................................................... 200
O-10.......................................................... 250
------------------------------------------------------------------------
(ii) The sponsor's cost-share will be applied, up to the amount
given in the table in paragraph (e)(2)(i), to the first allowed charges
in any given month. The government's share will be paid, up to the
maximum amount(s) specified in paragraphs (e)(3) and (e)(4) of this
section for allowed charges after the sponsor's cost-share has been
applied.
(3) Government cost-share liability: member who sponsors one PFPWD
beneficiary. The total government share of the cost of all PFPWD
benefits provided in a given month to a beneficiary who is the
sponsor's only PFPWD eligible family member may not exceed $1,000 after
application of the allowable payment methodology. Any amount remaining
after the Government's maximum share has been reached is the
responsibility of the active duty sponsor.
(4) Government cost-share liability: member who sponsors more than
one PFPWD beneficiary. The total government share of the cost of all
PFPWD allowable benefits provided in a given month to a beneficiary who
is one of two or more PFPWD eligible family members of the same sponsor
shall be determined as follows:
(i) Maximum benefit limit determination for the first PFPWD
eligible beneficiary. The $1,000 maximum monthly government PFPWD
benefit amount shall apply only to the beneficiary incurring the least
amount of allowable PFPWD expense in a given month, after application
of the allowable payment methodology. If two or more PFPWD eligible
beneficiaries have the same amount of allowable PFPWD expenses in a
given month, the
[[Page 42905]]
$1,000 maximum benefit in that month shall apply to only one PFPWD
eligible beneficiary.
(ii) Maximum benefit limit determination for the remaining PFPWD
eligible beneficiaries. After application of the Government's cost-
share specified in paragraph (e)(4)(i) of this section, the government
shall cost-share the entire remaining amount for all allowable services
and items received in that month by the remaining PFPWD eligible
beneficiaries.
* * * * *
Dated: August 5, 1997.
L.M. Bynum,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 97-21088 Filed 8-8-97; 8:45 am]
BILLING CODE 5000-04-M
