View Rule
View EO 12866 Meetings | Printer-Friendly Version Download RIN Data in XML |
HHS/IHS | RIN: 0917-AA12 | Publication ID: Spring 2016 |
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: Other Significant |
RIN Status: Previously published in the Unified Agenda | Agenda Stage of Rulemaking: Final Rule Stage |
Major: No | Unfunded Mandates: No |
CFR Citation: None (To search for a specific CFR, visit the Code of Federal Regulations.) | |
Legal Authority: Pub. L. 108-173 |
Legal Deadline:
None |
||||||||||||
Timetable:
|
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 |