[Federal Register Volume 76, Number 106 (Thursday, June 2, 2011)]
[Notices]
[Page 31998]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-13695]
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OFFICE OF PERSONNEL MANAGEMENT
Federal Employees Health Benefits Program: Medically Underserved
Areas for 2012
AGENCY: U.S. Office of Personnel Management.
ACTION: Notice.
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SUMMARY: The U.S. Office of Personnel Management (OPM) has completed
its annual determination of the States that qualify as Medically
Underserved Areas under the Federal Employees Health Benefits (FEHB)
Program for calendar year 2012. This is necessary to comply with a
provision of the FEHB law that mandates special consideration for
enrollees of certain FEHB plans who receive covered health services in
States with critical shortages of primary care physicians. Accordingly,
for calendar year 2012, the following 15 states are considered as
Medically Underserved Areas under the FEHB Program: Alabama, Alaska,
Arizona, Idaho, Illinois, Kentucky, Louisiana, Mississippi, Missouri,
Montana, New Mexico, North Dakota, Oklahoma, South Dakota, and Wyoming.
South Carolina is designated as a Medically Underserved Area in 2011,
but will not be so designated for 2012. Alaska is being added as a
Medically Underserved Area for the 2012 calendar year.
DATES: Effective Date: January 1, 2012.
FOR FURTHER INFORMATION CONTACT: Lynelle T. Frye, 202-606-0004.
SUPPLEMENTARY INFORMATION: FEHB law (5 U.S.C. 8902(m)(2)) requires
special consideration for enrollees of certain FEHB plans who receive
covered health services in States with critical shortages of primary
care physicians. This section of the law requires that a State be
designated as a Medically Underserved Area if 25 percent or more of the
population lives in an area designated by the Department of Health and
Human Services (HHS) as a primary medical care manpower shortage area.
Such States are designated as Medically Underserved Areas for purposes
of the FEHB Program, and the law requires non-HMO FEHB plans to
reimburse beneficiaries, subject to their contract terms, for covered
services obtained from any licensed provider in these States.
FEHB regulations (5 CFR 890.701) require OPM to make an annual
determination of the States that qualify as Medically Underserved Areas
for the next calendar year by comparing the latest HHS State-by-State
population counts on primary medical care manpower shortage areas with
U.S. Census figures on State resident populations.
U.S. Office of Personnel Management.
John Berry,
Director..
[FR Doc. 2011-13695 Filed 6-1-11; 8:45 am]
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