[Federal Register Volume 84, Number 25 (Wednesday, February 6, 2019)]
[Notices]
[Page 2241]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-01181]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

RIN 0917-AA16


Reimbursement Rates for Calendar Year 2019

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, and the Indian Health Care 
Improvement Act, has approved the following rates for inpatient and 
outpatient medical care provided by IHS facilities for Calendar Year 
2019 for Medicare and Medicaid beneficiaries, beneficiaries of other 
federal programs, and for recoveries under the Federal Medical Care 
Recovery Act. The inpatient rates for Medicare Part A are excluded from 
the table below, as Medicare inpatient payments for IHS hospital 
facilities are made based on the prospective payment system or 
reasonable costs when IHS facilities are designated as Medicare 
Critical Access Hospitals. 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 2019

Lower 48 States $3,442
Alaska $3,434

Outpatient Per Visit Rate (Excluding Medicare)

Calendar Year 2019

Lower 48 States $455
Alaska $682

Outpatient Per Visit Rate (Medicare)

Calendar Year 2019

Lower 48 States $405
Alaska $646

Medicare Part B Inpatient Ancillary Per Diem Rate

Calendar Year 2019

Lower 48 States $789
Alaska $1,144

Outpatient Surgery Rate (Medicare)

    Established Medicare rates for freestanding Ambulatory Surgery 
Centers.

Effective Date for Calendar Year 2019 Rates

    Consistent with previous annual rate revisions, the Calendar Year 
2019 rates will be effective for services provided on/or after January 
1, 2019, to the extent consistent with payment authorities, including 
the applicable Medicaid State plan.

 Michael D. Weahkee,
 RADM, Assistant Surgeon General, U.S. Public Health Service, Principal 
Deputy Director, Indian Health Service.
[FR Doc. 2019-01181 Filed 2-5-19; 8:45 am]
 BILLING CODE 4165-16-P