[Federal Register Volume 78, Number 74 (Wednesday, April 17, 2013)]
[Pages 22890-22891]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-09030]



Indian Health Service

Reimbursement Rates for Calendar Year 2013

AGENCY: Indian Health Service, HHS.

ACTION: Notice.


SUMMARY: Notice is given that the Director of the 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 
2013 for Medicare and Medicaid beneficiaries, and beneficiaries of 
other Federal programs, and for recoveries under the Federal Medical 
Care Recovery Act (42 U.S.C. 2651-2653). 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 shall be available to the extent that those services 
are provided.

Inpatient Hospital Per Diem Rate (Excludes Physician/Practitioner 

Calendar Year 2013

Lower 48 States: $2,272
Alaska: $2,591

Outpatient Per Visit Rate (Excluding Medicare)

Calendar Year 2013

Lower 48 States: $330
Alaska: $541

Outpatient Per Visit Rate (Medicare)

Calendar Year 2013

Lower 48 States: $283
Alaska: $515

Medicare Part B Inpatient Ancillary Per Diem Rate

Calendar Year 2013

Lower 48 States: $483
Alaska: $846

[[Page 22891]]

Outpatient Surgery Rate (Medicare)

    Established Medicare rates for freestanding Ambulatory Surgery 

Effective Date for Calendar Year 2013 Rates

    Consistent with previous annual rate revisions, the Calendar Year 
2013 rates will be effective for services provided on/or after January 
1, 2013 to the extent consistent with payment authorities including the 
applicable Medicaid State plan.

    Dated: December 19, 2012.
Yvette Roubideaux,
Director, Indian Health Service.
[FR Doc. 2013-09030 Filed 4-16-13; 8:45 am]