[Federal Register Volume 88, Number 38 (Monday, February 27, 2023)]
[Notices]
[Pages 12387-12388]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-03896]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

RIN 0917-AA22


Reimbursement Rates for Calendar Year 2023

AGENCY: Indian Health Service, HHS.

ACTION: Notice.

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SUMMARY: Notice is provided that the Director of the Indian Health 
Service (IHS) has approved the rates for inpatient and outpatient 
medical care provided by the IHS facilities for Calendar Year 2023.

SUPPLEMENTARY INFORMATION:

Background

    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 2023 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.


[[Page 12388]]


Inpatient Hospital per Diem Rate (Excludes Physician/Practitioner 
Services)
Calendar Year 2023
    Lower 48 States $4,333
    Alaska $3,478
Outpatient per Visit Rate (Excluding Medicare)
Calendar Year 2023
    Lower 48 States $654
    Alaska $862
Outpatient per Visit Rate (Medicare)
Calendar Year 2023
    Lower 48 States $620
    Alaska $801
Medicare Part B Inpatient Ancillary per Diem Rate
Calendar Year 2023
    Lower 48 States $829
    Alaska $1,066

Outpatient Surgery Rate (Medicare)

    Established Medicare rates for freestanding Ambulatory Surgery 
Centers.

Effective Date for Calendar Year 2023 Rates

    Consistent with previous annual rate revisions, the Calendar Year 
2023 rates will be effective for services provided on or after January 
1, 2023, to the extent consistent with payment authorities, including 
the applicable Medicaid State plan.

Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2023-03896 Filed 2-24-23; 8:45 am]
BILLING CODE 4165-16-P