[Federal Register Volume 85, Number 251 (Thursday, December 31, 2020)]
[Notices]
[Page 86940]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-28950]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

RIN 0917-AA19


Reimbursement Rates for Calendar Year 2021

AGENCY: Indian Health Service (IHS), Department of Health and Human 
Services (HHS).

ACTION: Notice.

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SUMMARY: Notice is provided that the Director of the Indian Health 
Service has approved the rates for inpatient and outpatient medical 
care provided by IHS facilities for Calendar Year 2021.

SUPPLEMENTARY INFORMATION: 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 
2021 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 inpatient rates for Medicare 
Part A are excluded from the table below. That is because Medicare 
inpatient payments for IHS hospital facilities are made based on the 
prospective payment system, or (when IHS facilities are designated as 
Medicare Critical Access Hospitals) on a reasonable cost basis. 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 2021

Lower 48 States $3,631
Alaska $3,384

Outpatient Per Visit Rate (Excluding Medicare)

Calendar Year 2021

Lower 48 States $519
Alaska $808

Outpatient Per Visit Rate (Medicare)

Calendar Year 2021

Lower 48 States $414
Alaska $662

Medicare Part B Inpatient Ancillary Per Diem Rate

Calendar Year 2021

Lower 48 States $678
Alaska $1,039

Outpatient Surgery Rate (Medicare)

    Established Medicare rates for freestanding Ambulatory Surgery 
Centers.

Effective Date for Calendar Year 2021 Rates

    Consistent with previous annual rate revisions, the Calendar Year 
2021 rates will be effective for services provided on/or after January 
1, 2021, to the extent consistent with payment authorities, including 
the applicable Medicaid State plan.

Michael D. Weahkee,
Assistant Surgeon General, RADM, U.S. Public Health Service, Director, 
Indian Health Service.
[FR Doc. 2020-28950 Filed 12-30-20; 8:45 am]
BILLING CODE 4165-16-P