74 FR 110 pgs. 27554-27555 - Reimbursement Rates for Calendar Year 2009

Type: NOTICEVolume: 74Number: 110Pages: 27554 - 27555
FR document: [FR Doc. E9-13644 Filed 6-9-09; 8:45 am]
Agency: Health and Human Services Department
Sub Agency: Indian Health Service
Official PDF Version:  PDF Version

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Indian Health Service

Reimbursement Rates for Calendar Year 2009

AGENCY:

Indian Health Service, HHS.

ACTION:

Notice.

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 2009 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. Section 1880 of the Social Security Act authorizes Medicare Part B payment to hospitals and ambulatory care clinics operated by IHS or by an Indian Tribe or Tribal organization.

Calendar Year 2009
Inpatient Hospital Per Diem Rate (Excludes Physician/Practitioner Services)
Lower 48 States $1,906
Alaska 2,238
Outpatient Per Visit Rate (Excluding Medicare)
Lower 48 States 268
Alaska 446
Outpatient Per Visit Rate (Medicare)
Lower 48 States 230
Alaska 407
Medicare Part B Inpatient Ancillary Per Diem Rate
Lower 48 States 397
Alaska 705
Outpatient Surgery Rate (Medicare)
Established Medicare rates for freestanding Ambulatory Surgery Centers.
Effective Date for Calendar Year 2009 Rates
Consistent with previous annual rate revisions, the Calendar Year 2009 rates will be effective for services provided on/or after January 1, 2009 to the extent consistent with payment authorities including the applicable Medicaid State plan.

Dated: February 4, 2009.

Robert G. McSwain,

Director, Indian Health Service.

[FR Doc. E9-13644 Filed 6-9-09; 8:45 am]

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