[Federal Register Volume 63, Number 227 (Wednesday, November 25, 1998)]
[Notices]
[Page 65180]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-31422]


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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 David Grant 
Medical Center (DGMC), Fairfield, California, has been designated a 
regional Specialized Treatment Services Facility (STSF) for 
Neurosurgery, General Surgery, Cardiovascular Surgery, Orthopedic 
Surgery and Gynecology for TRICARE Region 10. The application for this 
STSF designation was submitted by the Lead Agent for TRICARE Region 10 
and approved by the Assistant Secretary of Defense (Health Affairs). 
The Lead Agent will ensure that the STSF maintains the quality and 
standards required for specialized treatment services. This designation 
covers the following Diagnostic Related Groups:

001-Craniotomy, Age Greater than 17, Except for Trauma
003-Craniotomy, Age 0-17
004-Spinal Procedures
049-Major Head and Neck Procedures
110-Major Cardiovascular Procedures with CC
111-Major Cardiovascular Procedures without CC
191-Pancreas, Liver and Shunt Procedures with CC
209--Major Joint and Limb Reattachment Procedures of Lower Extremity
286-Adrenal and Pituitary Procedures
357-Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy
491-Major Joint and Limb Reattachment Procedures of Upper Extremity

    DoD beneficiaries who reside in the DGMC STS Catchment Area for 
TRICARE Region 10 must be evaluated by DGMC before receiving TRICARE/
CHAMPUS cost sharing for the procedures that fall under the above 
Diagnostic Related Groups. 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 DGMC 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 DGMC. If the 
procedure cannot be performed at DGMC, the facility will provide a 
medical necessity review prior to issuance of a Nonavailability 
Statement. The DGMC STS Catchment Area covering TRICARE Region 10 is 
defined by zip codes in the Defense Medical Information System STS 
Facilities Catchment Area Directory. The Catchment Area includes zip 
codes within TRICARE Region 10 in California that fall within a 200 
mile radius of DGMC.

EFFECTIVE DATE: March 1, 1999.

FOR FURTHER INFORMATION CONTACT:
Colonel Steve Jennings, DGMC, (707) 423-7828; or Lieutenant Colonel 
Pamela Cygan, Office of the Lead Agent, TRICARE Region 10, (707) 424-
6533; or Lieutenant Colonel Teresa Sommese, TRICARE Management 
Activity, (703) 681-3628, extension 5029; or Mr. Tariq Shahid, TRICARE 
Management Activity, (303) 676-3801.

SUPPLEMENTARY INFORMATION: In FR DOC 93-27050, appearing in the Federal 
Register on November 5, 1993 (Vol. 58, FR 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 19, 1998.
L.M. Bynum,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
[FR Doc. 98-31422 Filed 11-24-98; 8:45 am]
BILLING CODE 5000-04-M