[Federal Register Volume 61, Number 154 (Thursday, August 8, 1996)]
[Notices]
[Pages 41384-41385]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-20158]
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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 Dwight D.
Eisenhower Army Medical Center (EAMC) has been designated a Regional
Specialized Treatment Services Facility for Cardiac Surgery. This
designation covers the following Diagnosis Related Groups:
104--Cardiac valve procedure with cardiac cath
105--Cardiac valve procedure without cardiac cath
106--Coronary bypass with cardiac cath
107--Coronary bypass without cardiac cath
108--Other cardiothoracic procedures
112--Percutaneous cardiovascular procedures
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 EAMC in accordance with the provisions of the Joint
Federal Travel Regulation. All DoD beneficiaries who reside in the EAMC
STS Catchment Area must be evaluated by EAMC 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
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travel to EAMC. If the procedure cannot be performed at EAMC, Humana
Military Healthcare Services will provide a medical necessity review in
order to support issuance of a Nonavailability Statement by EAMC.
The EAMC STS Catchment Area is defined by zip code in the Defense
Medical Information System STS Facilities Catchment Area Directory,
dated December 1, 1995. The Catchment Area includes zip codes within
TRICARE Region 3 that fall within a 200 mile radius of EAMC, summarized
as follows:
All South Carolina zip codes EXCEPT: 29566, 29582.
All Georgia zip codes EXCEPT: 30108, 30109, 30113, 30117, 30125,
30138, 30140, 30176, 30182, 30707, 30728, 30731, 30736, 30741, 30742,
30750, 30752, 31626, 31629, 31713, 31715, 31717, 31723, 31724, 31725,
31728, 31729, 31734, 31736, 31741, 31745, 31751, 31754, 31759, 31761,
31773, 31792, 31797, 31799.
The following Alabama zip codes: 36801, 36802, 36803, 36851, 36852,
36854, 36856, 36859, 36863, 36867, 36868, 36869, 36871, 36872, 36874,
36875, 36877.
The following Florida zip codes: 32011, 32034, 32035, 32046, 32097.
EFFECTIVE DATE: September 10, 1996.
FOR FURTHER INFORMATION CONTACT:
Ms. Tina Lukens, EAMC, at (706) 787-6714, Major Thomas Wagner, DoD
Health Services Region 3, at (706) 787-2010, or colonel Michael Dunn,
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: August 2, 1996.
L.M. Bynum,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 96-20158 Filed 8-7-96; 8:45 am]
BILLING CODE 5000-04-M