[Federal Register Volume 85, Number 76 (Monday, April 20, 2020)]
[Pages 21864-21865]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-08247]



Indian Health Service

RIN 0917-AA16

Reimbursement Rates for Calendar Year 2020

AGENCY: Indian Health Service, HHS.

ACTION: Notice.


SUMMARY: Notice is given that the Principal Deputy Director of the 
Indian Health Service (IHS), under the authority 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 2020 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 

Calendar Year 2020

Lower 48 States $3,675
Alaska $3,529

Outpatient Per Visit Rate (Excluding Medicare)

Calendar Year 2020

Lower 48 States $479
Alaska $710

Outpatient Per Visit Rate (Medicare)

Calendar Year 2020

Lower 48 States $427
Alaska $683

Medicare Part B Inpatient Ancillary Per Diem Rate

Calendar Year 2020

Lower 48 States $838
Alaska $1,186

Outpatient Surgery Rate (Medicare)

    Established Medicare rates for freestanding Ambulatory Surgery 

Effective Date for Calendar Year 2020 Rates

    Consistent with previous annual rate revisions, the Calendar Year 
2020 rates will be effective for services provided on/or after January 
1, 2020, to the extent consistent with payment authorities,

[[Page 21865]]

including the applicable Medicaid State plan.

Chris Buchanan,
RADM, Assistant Surgeon General, U.S. Public Health Service, Deputy 
Director, Indian Health Service.
[FR Doc. 2020-08247 Filed 4-17-20; 8:45 am]