Notice2023-03896
Reimbursement Rates for Calendar Year 2023
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
February 27, 2023
Issuing agencies
Health and Human Services DepartmentIndian Health Service
Abstract
Notice is provided that the Director of the Indian Health Service (IHS) has approved the rates for inpatient and outpatient medical care provided by the IHS facilities for Calendar Year 2023.
Full Text
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<title>Federal Register, Volume 88 Issue 38 (Monday, February 27, 2023)</title>
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[Federal Register Volume 88, Number 38 (Monday, February 27, 2023)]
[Notices]
[Pages 12387-12388]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-03896]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
RIN 0917-AA22
Reimbursement Rates for Calendar Year 2023
AGENCY: Indian Health Service, HHS.
ACTION: Notice.
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SUMMARY: Notice is provided that the Director of the Indian Health
Service (IHS) has approved the rates for inpatient and outpatient
medical care provided by the IHS facilities for Calendar Year 2023.
SUPPLEMENTARY INFORMATION:
Background
The Director of the 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 2023 for Medicare and
Medicaid beneficiaries, beneficiaries of other federal programs, and
for recoveries under the Federal Medical Care Recovery Act (42 U.S.C.
2651-2653). The inpatient rates for Medicare Part A are excluded from
the table below. That is because Medicare inpatient payments for IHS
hospital facilities are made based on the prospective payment system,
or (when IHS facilities are designated as Medicare Critical Access
Hospitals) on a reasonable cost basis. Since the inpatient per diem
rates set forth below do not include all physician services and
practitioner services, additional payment shall be available to the
extent that those services are provided.
[[Page 12388]]
Inpatient Hospital per Diem Rate (Excludes Physician/Practitioner
Services)
Calendar Year 2023
Lower 48 States $4,333
Alaska $3,478
Outpatient per Visit Rate (Excluding Medicare)
Calendar Year 2023
Lower 48 States $654
Alaska $862
Outpatient per Visit Rate (Medicare)
Calendar Year 2023
Lower 48 States $620
Alaska $801
Medicare Part B Inpatient Ancillary per Diem Rate
Calendar Year 2023
Lower 48 States $829
Alaska $1,066
Outpatient Surgery Rate (Medicare)
Established Medicare rates for freestanding Ambulatory Surgery
Centers.
Effective Date for Calendar Year 2023 Rates
Consistent with previous annual rate revisions, the Calendar Year
2023 rates will be effective for services provided on or after January
1, 2023, to the extent consistent with payment authorities, including
the applicable Medicaid State plan.
Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2023-03896 Filed 2-24-23; 8:45 am]
BILLING CODE 4165-16-P
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</html>Indexed from Federal Register on February 27, 2023.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.