[Federal Register Volume 70, Number 102 (Friday, May 27, 2005)]
[Notices]
[Page 30764]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-10650]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Reimbursement Rates for Calendar Year 2005

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 and 249(b)), Public Law 83-568 (42 
U.S.C. 2001(a)) and the Indian Health Care Improvement Act (25 U.S.C. 
1601 et seq.), has approved the following rates for inpatient and 
outpatient medical care provided by IHS facilities for Calendar Year 
2005 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. Public Law 106-554, dated December 21, 2000, authorized 
IHS facilities to file Medicare Part B claims with the carrier for 
payment for physician and certain other practitioner services provided 
on or after July 1, 2001.

Inpatient Hospital Per Diem Rate (Excludes Physician/Practitioner 
Services)

Calendar Year 2005
Lower 48 States--$1,542
Alaska--$2,032

Outpatient Per Visit Rate (Excluding Medicare)

Calendar Year 2005
Lower 48 States--$223
Alaska--$391

Outpatient Per Visit Rate (Medicare)

Calendar Year 2005
Lower 48 States--$181
Alaska--$371

Medicare Part B Inpatient Ancillary Per Diem Rate

Calendar Year 2005
Lower 48 States--$312
Alaska--$635

Outpatient Surgery Rate (Medicare)

    Established Medicare rates for freestanding Ambulatory Surgery 
Centers.

Effective Date for Calendar Year 2005 Rates

    Consistent with previous annual rate revisions, the Calendar Year 
2005 rates will be effective for services provided on/or after January 
1, 2005 to the extent consistent with payment authorities including the 
applicable Medicaid State plan.

    Dated: May 20, 2005
Charles W. Grimm,
Assistant Surgeon General, Director, Indian Health Service.
[FR Doc. 05-10650 Filed 5-26-05; 8:45 am]
BILLING CODE 4165-16-P