[Federal Register Volume 81, Number 46 (Wednesday, March 9, 2016)]
[Notices]
[Page 12513]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-05252]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service


Reimbursement Rates for Calendar Year 2016

AGENCY: Indian Health Service, HHS.

ACTION: Notice.

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SUMMARY: Notice is given that the Principal Deputy 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 2016 for Medicare and Medicaid 
beneficiaries, 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 per diem 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
                                Services)
                          [Calendar year 2016]
------------------------------------------------------------------------
 
------------------------------------------------------------------------
  Lower 48 States.......................................          $2,655
  Alaska................................................           3,335
Outpatient per Visit Rate (Excluding Medicare):
  Lower 48 States.......................................             368
  Alaska................................................             603
Outpatient Per Visit Rate (Medicare):
  Lower 48 States.......................................             324
  Alaska................................................             582
Medicare Part B Inpatient Ancillary Per Diem Rate:
  Lower 48 States.......................................             637
  Alaska................................................           1,082
Outpatient Surgery Rate (Medicare):
  Established Medicare rates for freestanding Ambulatory
   Surgery Centers......................................
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Effective Date for Calendar Year 2016 Rates

    Consistent with previous annual rate revisions, the Calendar Year 
2016 rates will be effective for services provided on/or after January 
1, 2016 to the extent consistent with payment authorities including the 
applicable Medicaid State plan.

    Dated: March 3, 2016.
 Mary Smith,
 Principal Deputy Director, Indian Health Service.
[FR Doc. 2016-05252 Filed 3-8-16; 8:45 am]
 BILLING CODE 4160-16-P