Notice2024-29505
Reimbursement Rates for Calendar Year 2025
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
December 16, 2024
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 2025.
Full Text
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<title>Federal Register, Volume 89 Issue 241 (Monday, December 16, 2024)</title>
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[Federal Register Volume 89, Number 241 (Monday, December 16, 2024)]
[Notices]
[Pages 101607-101608]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-29505]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Indian Health Service
RIN 0917-AA25
Reimbursement Rates for Calendar Year 2025
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 2025.
SUPPLEMENTARY INFORMATION:
Background
The Director of the Indian Health Service, 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 2025 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.
Please note that the Centers for Medicare and Medicaid Services
(CMS) has issued a Final Rule to pay an add-on to the Medicare
Outpatient Per Visit Rate listed below for certain high-cost drugs for
people with Medicare who receive care at IHS or Tribal hospitals. See
89 FR 93912, (November 27, 2024), also available at <a href="https://www.federalregister.gov/documents/2024/11/27/2024-25521/medicare-and-medicaid-programs-hospital-outpatient-prospective-payment-and-ambulatory-surgical">https://www.federalregister.gov/documents/2024/11/27/2024-25521/medicare-and-medicaid-programs-hospital-outpatient-prospective-payment-and-ambulatory-surgical</a>. Further information regarding this proposal will
be issued directly from CMS.
Inpatient Hospital Per Diem Rate (Excludes Physician/Practitioner
Services)
Calendar Year 2025
Lower 48 States: $5,580.
Alaska: $5,074.
Outpatient Per Visit Rate (Excluding Medicare)
Calendar Year 2025
Lower 48 States: $801.
Alaska: $1,209.
Outpatient Per Visit Rate (Medicare)
Calendar Year 2025
Lower 48 States: $718.
[[Page 101608]]
Alaska: $1,193.
Medicare Part B Inpatient Ancillary Per Diem Rate
Calendar Year 2025
Lower 48 States: $1,074.
Alaska: $1,567.
Outpatient Surgery Rate (Medicare)
Established Medicare rates for freestanding Ambulatory Surgery
Centers.
Effective Date for Calendar Year 2025 Rates
Consistent with previous annual rate revisions, the Calendar Year
2025 rates will be effective for services provided on or after January
1, 2025, to the extent consistent with payment authorities, including
the applicable Medicaid State plan.
Roselyn Tso,
Director, Indian Health Service.
[FR Doc. 2024-29505 Filed 12-13-24; 8:45 am]
BILLING CODE 4166-14-P
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</html>Indexed from Federal Register on December 16, 2024.
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.