[Federal Register Volume 77, Number 109 (Wednesday, June 6, 2012)]
[Notices]
[Page 33470]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-13627]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Reimbursement Rates for Calendar Year 2012

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 
2012 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.

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

Calendar Year 2012

Lower 48 States: $2,169
Alaska: $2,350

Outpatient per Visit Rate (Excluding Medicare)

Calendar Year 2012

Lower 48 States: $317
Alaska: $515

Outpatient per Visit Rate (Medicare)

Calendar Year 2012

Lower 48 States: $273
Alaska: $468

Medicare Part B Inpatient Ancillary Per Diem Rate

Calendar Year 2012

Lower 48 States: $477
Alaska: $811

Outpatient Surgery Rate (Medicare)

    Established Medicare rates for freestanding Ambulatory Surgery 
Centers.

Effective Date for Calendar Year 2012 Rates

    Consistent with previous annual rate revisions, the Calendar Year 
2012 rates will be effective for services provided on/or after January 
1, 2012 to the extent consistent with payment authorities including the 
applicable Medicaid State plan.

    Dated: February 9, 2012.
Yvette Roubideaux,
Director, Indian Health Service.
[FR Doc. 2012-13627 Filed 6-5-12; 8:45 am]
BILLING CODE 4165-16-P