View Rule

View EO 12866 Meetings

Printer-Friendly Version     Download RIN Data in XML

---

HHS/IHS

RIN: 0917-AA12

Publication ID: Fall 2014

Title: Medicare-Like Rate for Non-Hospital Services
Abstract: Section 506 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) (Pub. L. 108-173) authorized the Secretary to establish a payment methodology, payment rates, and admissions practices for Medicare-participating hospitals that furnish inpatient services applicable when such hospitals provide medical care to an eligible American Indian/Alaskan Native beneficiary that has been authorized by an IHS, tribal or urban program (I/T/U). The MLR methodology established by 42 CFR part 136 subpart D does not apply to non-hospital services, including physician and other health professional services, and non-provider-based items and services. Rather, I/T/Us reimburse for authorized services at the rates provided by contracts negotiated locally with providers or according to provider's billed charges.
Agency: Department of Health and Human Services(HHS)	Priority: Substantive, Nonsignificant
RIN Status: Previously published in the Unified Agenda	Agenda Stage of Rulemaking: Proposed Rule Stage
Major: No	Unfunded Mandates: No
CFR Citation: None     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: PL 108-173

Legal Deadline:  None

Timetable: Action Date FR Cite NPRM  01/00/2015

Regulatory Flexibility Analysis Required: No	Government Levels Affected: None
Federalism: No
Included in the Regulatory Plan: No
RIN Data Printed in the FR: No
Agency Contact: Carl Harper Director, Office of Resource Access and Partnerships Department of Health and Human Services Indian Health Service 801 Thompson Avenue, TMP Suite 360, Rockville, MD 20852 Phone:301 443-1016 Email: carl.harper@hhs.gov