[Federal Register Volume 63, Number 220 (Monday, November 16, 1998)]
[Notices]
[Pages 63711-63712]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-30479]


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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 Brooke Army 
Medical Center (BAMC) and Wilford Hall Medical Center (WHMC), 
hereinafter referred to as Destination San Antonio, have been 
designated the Regional Specialized Treatment Service facilities 
(STSFs) for DRGs 1, 3, 4, 49, 104-107, 110-111, 191, 209, 491, 286, and 
357. The application for the STSF designation was submitted by the Lead 
Agency for TRICARE Region 6 and approved by the Assistant Secretary of 
Defense (Health Affairs). The Lead

[[Page 63712]]

Agent will oversee that the STSFs maintain the quality and standards 
required for specialized treatment services. DoD beneficiaries residing 
within a 200-mile radius of Destination San Antonio facilities falling 
into the above patient category must be evaluated by Destination San 
Antonio staff before receiving care for these DRGs under direct 
military care or TRICARE/CHAMPUS cost sharing. Travel and lodging for 
the patient and, if stated to be medically necessary by a referring 
physician, for a nonmedical attendant, will be reimbursed by 
Destination San Antonio facility 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 a Destination San Antonio facility. 
If the care for these DRGs cannot be performed at the Destination San 
Antonio facilities, the TRICARE Managed Care Support Contractor for 
Region 6 will provide a medical necessity review prior to issuance of 
an Inpatient Care Authorization or Non-availability Statement.

EFFECTIVE DATE: March 1, 1999.

FOR FURTHER INFORMATION CONTACT:
For DRSs 49, 191, 209, 491, and 286, contact Wilford Hall Medical 
Center, Office of the Medical Staff, at (210) 292-6002. For DRGs 1, 3, 
and 4 contact COL Baskin or LTC Anders at (202) 916-3203/2225. For DRGs 
104-107 and 110-111 contact Brooke Army Medical Center's Nurse 
Coordinator, Cardiothoracic Surgery Service, at (210) 916-3392. For DRG 
357, contact COL Morton at (210) 916-2525. The TRICARE Management 
Activity points of contact are Lt. Col. Teresa Sommese at (703) 681-
3628, extension 5029, or Mr. Tariq Shahid at (303) 676-3801.

SUPPLEMENTARY INFORMATION: In FR DOC 93-27050, appearing in the Federal 
Register on November 5, 1993 (Vol. 58, 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 9, 1998.
L.M. Bynum,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 98-30479 Filed 11-13-98; 8:45 am]
BILLING CODE 5000-04-M