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DOD/DODOASHA | RIN: 0720-AB83 | Publication ID: Spring 2022 |
Title: TRICARE Coverage of National Institute of Allergy and Infectious Disease Coronavirus Disease 2019 Clinical Trials | |
Abstract:
This final rule will publish under the title "TRICARE Coverage and Reimbursement of Certain Services Resulting from Temporary Program Changes in Response to the COVID-19 Pandemic,” related to RINs 0720-AB81 and 0720-AB83. The following provisions are finalized in a consolidated final rule, with modifications: (1) temporary waiver of the exclusion of audio-only telehealth services during the COVID-19 national emergency; (2) temporary waiver of telehealth cost-sharing during the COVID-19 national emergency; (3) temporary waiver of certain provider licensing requirements during the COVID-19 national emergency; (4) temporary waiver of the three-day prior hospital qualifying stay requirements for skilled nursing facilities during the COVID-19 national emergency; (5) temporary waiver of certain acute care hospital requirements for temporary hospitals and freestanding ambulatory surgery centers during the COVID-19 national emergency; (6) temporary revision of diagnosis related group (DRG) reimbursement at a 20 percent higher rate for COVID-19 patients during the COVID-19 Health and Human Services (HHS) Public Health Emergency (PHE); (7) temporary waiver of certain requirements for Long Term Care Hospitals (LTCHs) during the HHS PHE; (8) the permanent adoption of Medicare’s New Technology Add-On Payments (NTAPs) for new medical items and services; and (9) TRICARE’s enactment of the Medicare Hospital Value Based Purchasing (HVBP) Program. Two provisions of the TRICARE COVID-19 interim final rules are being addressed in a separate final rule: treatment use of investigational drugs under expanded access; and National Institute for Allergy and Infectious Disease (NIAID) sponsored clinical trials.
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Agency: Department of Defense(DOD) | 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: 32 CFR 199 | |
Legal Authority: 5 U.S.C. 301 10 U.S.C. ch 55 |
Legal Deadline:
None |
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Timetable:
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Regulatory Flexibility Analysis Required: Undetermined | Government Levels Affected: Undetermined |
Federalism: No | |
Included in the Regulatory Plan: Yes | |
RIN Data Printed in the FR: No | |
Related RINs: Related to 0720-AB81, Related to 0720-AB82 | |
Agency Contact: Erica Ferron Defense Health Agency, Medical Benefits and Reimbursement Division Department of Defense Office of Assistant Secretary for Health Affairs 16401 E Centretech Parkway, Aurora, CO 80011-9066 Phone:303 676-3626 Email: erica.c.ferron.civ@health.mil |