[Federal Register Volume 69, Number 118 (Monday, June 21, 2004)]
[Notices]
[Page 34375]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-13892]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Reimbursement Rates for Calendar Year 2004

AGENCY: Indian Health Service, HHS.

ACTION: Notice.

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SUMMARY: Notice is given that the Director of Indian Health Service 
(IHS), under the authority of sections 321(a) and 322(b) of the Public 
Health Service Act (42 U.S.C. 248(a) and 249(b)) and the Indian Health 
Care Improvement Act (25 U.S.C. 1601), has approved the following rates 
for inpatient and outpatient medical care provided by IHS facilities 
for Calendar Year 2004 for Medicare and Medicaid Beneficiaries and 
Beneficiaries of other Federal Agencies. The Medicare Part A inpatient 
rates are excluded from the table below as they are paid based on the 
prospective payment system. Since the inpatient rates set forth below 
do not include all physician services and practitioner services, 
additional payment may be available to the extent that those services 
meet applicable requirements. Legislation, effective July 1, 2001, 
allows IHS facilities to file Medicare claims with the carrier for 
payment for physician services.

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 Inpatient Hospital per Diem Rate (Excludes Physician Services) Calendar
                                Year 2004
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Lower 48 States..............................................     $1,512
Alaska.......................................................    $1,837
    Outpatient per Visit Rate (Excluding Medicare) Calendar Year 2004
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Lower 48 States..............................................
Alaska.......................................................      $402
         Outpatient per Visit Rate (Medicare) Calendar Year 2004
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Lower 48 States..............................................
Alaska.......................................................      $367
  Medicare Part B Inpatient Ancillary per Diem Rate Calendar Year 2004
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Lower 48 States..............................................       $307
Alaska.......................................................       $638
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Outpatient Surgery Rate (Medicare)

    Established Medicare rates for freestanding Ambulatory Surgery 
Centers.

Effective Date for Calendar Year 2004 Rates

    Consistent with previous annual rate revisions, the Calendar Year 
2004 rates will be effective for services provided on/or after January 
1, 2004, to the extent consistent with payment authorities including 
the applicable Medicaid State plan.

    Dated: February 3, 2004.
Charles W. Grim,
Assistant Surgeon General, Director, Indian Health Service.

    Editorial Note: This document was received by the Office of the 
Federal Register on June 15, 2004.

[FR Doc. 04-13892 Filed 6-18-04; 8:45 am]
BILLING CODE 4160-16-P