June 20, 2007

Reimbursement Rates for Calendar Year 2007

SUMMARY: Notice is given that the Director of 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 2007 for Medicare and Medicaid beneficiaries and beneficiaries of other Federal programs. 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 rates set forth below do not include all physician services and practitioner services, additional payment may be available to the extent that those services meet applicable requirements. Public Law 106-554, section 432, dated December 21, 2000, authorized IHS facilities to file Medicare Part B claims with the carrier for payment for physician and certain other practitioner services provided on or after July 1, 2001.
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[Federal Register: June 20, 2007 (Volume 72, Number 118)]
[Notices]               
[Page 34018]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr20jn07-103]                         

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

 
Reimbursement Rates for Calendar Year 2007

AGENCY: Indian Health Service, HHS.

ACTION: Notice.

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SUMMARY: Notice is given that the Director of 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 
2007 for Medicare and Medicaid beneficiaries and beneficiaries of other 
Federal programs. 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 rates set forth below do not include all 
physician services and practitioner services, additional payment may be 
available to the extent that those services meet applicable 
requirements. Public Law 106-554, section 432, dated December 21, 2000, 
authorized IHS facilities to file Medicare Part B claims with the 
carrier for payment for physician and certain other practitioner 
services provided on or after July 1, 2001.

Inpatient Hospital Per Diem Rate (Excludes Physician/Practitioner 
Services)

Calendar Year 2007

    Lower 48 States: $1,725.
    Alaska: $2,208.

Outpatient Per Visit Rate (Excluding Medicare)

Calendar Year 2007

    Lower 48 States: $256.
    Alaska: $398.

Outpatient Per Visit Rate (Medicare)

Calendar Year 2007

    Lower 48 States: $201.
    Alaska: $356.

Medicare Part B Inpatient Ancillary Per Diem Rate

Calendar Year 2007

    Lower 48 States: $353.
    Alaska: $613.

Outpatient Surgery Rate (Medicare)

    Established Medicare rates for freestanding Ambulatory Surgery 
Centers

Effective Date for Calendar Year 2007 Rates

    Consistent with previous annual rate revisions, the Calendar Year 
2007 rates will be effective for services provided on/or after January 
1, 2007 to the extent consistent with payment authorities including the 
applicable Medicaid State plan.

    Dated: January 4, 2007.
Charles W. Grim,
Assistant Surgeon General, Director, Indian Health Service.
[FR Doc. 07-3037 Filed 6-19-07; 8:45 am]

BILLING CODE 4165-16-M