Federal Register: May 27, 2005 (Volume 70, Number 102)
DOCID: FR Doc 05-10650
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
NOTICE: NOTICES
DOCUMENT ACTION: Notice.
SUBJECT CATEGORY:
Reimbursement Rates for Calendar Year 2005
DOCUMENT 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 83568 (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
2005 for Medicare and Medicaid Beneficiaries and Beneficiaries of other
Federal Agencies. 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 106554, 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 2005
Lower 48 States$1,542
Alaska$2,032
Outpatient Per Visit Rate (Excluding Medicare)
Calendar Year 2005
Lower 48 States$223
Alaska$391
Outpatient Per Visit Rate (Medicare)
Calendar Year 2005
Lower 48 States$181
Alaska$371
Medicare Part B Inpatient Ancillary Per Diem Rate
Calendar Year 2005
Lower 48 States$312
Alaska$635
Outpatient Surgery Rate (Medicare)
Established Medicare rates for freestanding Ambulatory Surgery Centers.
Effective Date for Calendar Year 2005 Rates
Consistent with previous annual rate revisions, the Calendar Year
2005 rates will be effective for services provided on/or after January
1, 2005 to the extent consistent with payment authorities including the applicable Medicaid State plan.
Dated: May 20, 2005
Charles W. Grimm,
Assistant Surgeon General, Director, Indian Health Service. [FR Doc. 0510650 Filed 52605; 8:45 am]
BILLING CODE 416516P
SUMMARY:
Inpatient and outpatient medical care; reimbursement rates (2005 CY),