[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]


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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.

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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]
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