[Federal Register Volume 74, Number 110 (Wednesday, June 10, 2009)]
[Notices]
[Pages 27554-27555]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-13644]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Reimbursement Rates for Calendar Year 2009

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 
2009 for Medicare and Medicaid beneficiaries and beneficiaries of other 
Federal programs. 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. Section 1880 of the Social Security Act authorizes 
Medicare Part B payment to hospitals and ambulatory care clinics 
operated by IHS or by an Indian Tribe or Tribal organization.

------------------------------------------------------------------------
                                                               Calendar
                                                              Year 2009
------------------------------------------------------------------------
    Inpatient Hospital Per Diem Rate (Excludes Physician/Practitioner
                                Services)
------------------------------------------------------------------------
 
Lower 48 States............................................       $1,906
Alaska.....................................................        2,238
------------------------------------------------------------------------
 
             Outpatient Per Visit Rate (Excluding Medicare)
------------------------------------------------------------------------
 
Lower 48 States............................................          268
Alaska.....................................................          446
------------------------------------------------------------------------
                  Outpatient Per Visit Rate (Medicare)
------------------------------------------------------------------------
 
Lower 48 States............................................          230
Alaska.....................................................          407
------------------------------------------------------------------------
 
            Medicare Part B Inpatient Ancillary Per Diem Rate
------------------------------------------------------------------------
 
Lower 48 States............................................          397
Alaska.....................................................          705
------------------------------------------------------------------------
                   Outpatient Surgery Rate (Medicare)
------------------------------------------------------------------------
 
Established Medicare rates for freestanding Ambulatory
 Surgery Centers.
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[[Page 27555]]

 
               Effective Date for Calendar Year 2009 Rates
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Consistent with previous annual rate revisions, the
 Calendar Year 2009 rates will be effective for services
 provided on/or after January 1, 2009 to the extent
 consistent with payment authorities including the
 applicable Medicaid State plan.
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    Dated: February 4, 2009.
Robert G. McSwain,
Director, Indian Health Service.
[FR Doc. E9-13644 Filed 6-9-09; 8:45 am]
BILLING CODE 4165-16-P