12074 Federal Register / Vol. 76, No. 43 / Friday, March 4, 2011 / Notices 

are eligible to participate. Enrollees in 

TRICARE Reserve Select and the 

Transitional Assistance Management 

Program may also use the program. 

TRIAP provides assistance to 

beneficiaries dealing with personal 

problems that might adversely impact 

their work performance, health, and 

well-being. It includes assessment, 

short-term counseling, and referrals to 

more comprehensive levels of care if 

needed. TRIAP is based on commercial 

employee assistance models and 

provides counseling in a virtual face-toface environment. There is a no 

diagnosis made, there are no limits to 

usage, and no notification about those 

seeking counseling will be made to their 

primary care managers or others, unless 

required by the counselor’s licensure 

(e.g., spouse abuse). Participant 

confidentiality is protected, as no 

medical record entry is made. 

Calls per month to the TRIAP line 

since the demonstration was extended 

and an aggressive marketing campaign 

launched have increased two fold, 

however, the majority (89%) of the calls 

are in the TRICARE West Region. In 

order to re-engage education efforts in 

the TRICARE North and South regions, 

allow enough time for these efforts to 

take effect and provide enough time to 

gather adequate data on the feasibility of 

utilizing audio and visual technologies 

including Web-based services to our 

active duty service members, their 

families and other beneficiaries on a 

permanent basis, an extension of the 

demonstration is necessary. 

b. Implementation 

This demonstration extension will be 

effective April 1, 2011. 

c. Evaluation 

As noted in the original Federal 

Register Notice, 74 FR 3667 July 24, 

2009, and the extension Federal 

Register Notice, March 30, 2010, an 

independent evaluation of the 

demonstration will be conducted. It will 

be performed retrospectively and using 

administrative measures of behavioral 

health care access to provide analyses 

and comment on the effectiveness of the 

demonstration in meeting its goal of 

improving beneficiary access to 

behavioral health care by incorporating 

Web-based technology. 

Dated: March 1, 2011. 

Morgan F. Park, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2011–4867 Filed 3–3–11; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

TRICARE, Formerly Known as the 

Civilian Health and Medical Program of 

the Uniformed Services (CHAMPUS); 

Fiscal Year 2011 Mental Health Rate 

Updates 

AGENCY: Department of Defense. 

ACTION: Notice of Updated Mental 

Health Rates for Fiscal Year 2011. 

SUMMARY: This notice provides the 

updated regional per-diem rates for lowvolume mental health providers; the 

update factor for hospital-specific perdiems; the updated cap per-diem for 

high-volume providers; the beneficiary 

per-diem cost-share amount for lowvolume providers; and, the updated perdiem rates for both full-day and half-day 

TRICARE Partial Hospitalization 

Programs for Fiscal Year 2011. 

DATES: Effective Date: The Fiscal Year 

2011 rates contained in this notice are 

effective for services on or after October 

1, 2010. 

ADDRESSES: TRICARE Management 

Activity (TMA), Medical Benefits and 

Reimbursement Branch, 16401 East 

Centretech Parkway, Aurora, CO 80011– 

9066. 

FOR FURTHER INFORMATION CONTACT: Ann 

N. Fazzini, Medical Benefits and 

Reimbursement Branch, TMA, 

telephone (303) 676–3803. 

SUPPLEMENTARY INFORMATION: The final 

rule published in the Federal Register 

(FR) on September 6, 1988 (53 FR 

34285) set forth reimbursement changes 

that were effective for all inpatient 

hospital admissions in psychiatric 

hospitals and exempt psychiatric units 

occurring on or after January 1, 1989. 

The final rule published in the Federal 

Register on July 1, 1993 (58 FR 35–400) 

set forth maximum per-diem rates for all 

partial hospitalization admissions on or 

after September 29, 1993. Included in 

these final rules were provisions for 

updating reimbursement rates for each 

federal Fiscal Year. As stated in the final 

rules, each per-diem shall be updated by 

the Medicare update factor for hospitals 

and units exempt from the Medicare 

Prospective Payment System (i.e., this is 

the same update factor used for the 

inpatient prospective payment system). 

For Fiscal Year 2011, the market basket 

rate is 2.6 percent. This year, Medicare 

applied two reductions to their market 

basket amount: (1) a 0.25 percent 

reduction due to provisions found in the 

Patient Protection and Affordable Care 

Act, and (2) a 2.9 percent reduction for 

documentation and coding adjustments 

found in Public Law 110–90. These two 

reductions do not apply to TRICARE. 

Hospitals and units with hospital 

specific rates (hospitals and units with 

high TRICARE volume) and regional 

specific rates for psychiatric hospitals 

and units with low TRICARE volume 

will have their TRICARE rates for Fiscal 

Year 2011 updated by 2.6 percent. 

Partial hospitalization rates for fullday and half-day programs will also be 

updated by 2.6 percent for Fiscal Year 

2011. 

The cap amount for high-volume 

hospitals and units will also be updated 

by the 2.6 percent for Fiscal Year 2011. 

The beneficiary cost share for low 

volume hospitals and units will also be 

updated by the 2.6 percent for Fiscal 

Year 2011. 

Per 32 Code of Federal Regulations 

(CFR) 199.14, the same area wage 

indexes used for the CHAMPUS 

Diagnosis-Related Group (DRG)-based 

payment system shall be applied to the 

wage portion of the applicable regional 

per-diem for each day of the admission. 

The wage portion shall be the same as 

that used for the CHAMPUS DRG-based 

payment system. For wage index values 

greater than 1.0, the wage portion of the 

regional rate subject to the area wage 

adjustment is 68.8 percent for Fiscal 

Year 2011. For wage index values less 

than or equal to 1.0, the wage portion 

of the regional rate subject to the area 

wage adjustment is 62 percent. 

Additionally, 32 CFR 199.14, requires 

that hospital specific and regional perdiems shall be updated by the Medicare 

update factor for hospitals and units 

exempt from the Medicare prospective 

payment system. 

The following reflect an update of 2.6 

percent for Fiscal Year 2011. 

REGIONAL SPECIFIC RATES FOR PSYCHIATRIC HOSPITALS AND UNITS

WITH LOW TRICARE VOLUME FOR

FISCAL YEAR 2011 

United States census region Regional 

rate 

Northeast: 

New England ..................... $764 

Mid-Atlantic ........................ 736 

Midwest: 

East North Central ............. 636 

West North Central ............ 600 

South: 

South Atlantic .................... 757 

East South Central ............ 810 

West South Central ........... 690 

West: 

Mountain ............................ 689 

Pacific ................................ 814 

Puerto Rico ........................ 519 

Beneficiary cost-share: Beneficiary 

cost-share (other than dependents of 


jlentini on DSKJ8SOYB1PROD with NOTICES
Federal Register / Vol. 76, No. 43 / Friday, March 4, 2011 / Notices 12075 

Active Duty members) for care paid on 

the basis of a regional per-diem rate is 

the lower of $202 per day or 25 percent 

of the hospital billed charges effective 

for services rendered on or after October 

1, 2010. Cap Amount: Updated cap 

amount for hospitals and units with 

high TRICARE volume is $960 per day 

for services on or after October 1, 2010. 

The following reflect an update of 2.6 

percent for Fiscal Year 2011 for the 

partial hospitalization rates. 

PARTIAL HOSPITALIZATION RATES FOR FULL-DAY AND HALF-DAY PROGRAMS

[Fiscal year 2011] 

United States census region 

Full-day rate 

(6 hours or 

more) 

Half-day 

rate 

(3–5 hours) 

Northeast: 

New England (Maine, N.H., Vt., Mass., R.I., Conn.) ............................................................................................... $306 $227 

Mid-Atlantic: 

(N.Y., N.J., Penn.) .................................................................................................................................................... 333 250 

Midwest: 

East North Central (Ohio, Ind., Ill., Mich., Wis.) ....................................................................................................... 293 218 

West North Central: 

(Minn., Iowa, Mo., N.D., S.D., Neb., Kan.) ............................................................................................................... 293 218 

South: 

South Atlantic (Del., Md., D.C., Va., W.Va., N.C., S.C., Ga., Fla.) ......................................................................... 314 237 

East South Central: 

(Ky., Tenn., Ala., Miss.) ............................................................................................................................................ 340 256 

West South Central: 

(Ark., La., Texas, Okla.) ........................................................................................................................................... $340 256 

West: 

Mountain (Mon., Idaho, Wyo., Col., N.M., Ariz., Utah, Nev.) ................................................................................... 343 259 

Pacific (Wash., Ore., Calif., Alaska, Hawaii) ............................................................................................................ 337 252 

Puerto Rico ...................................................................................................................................................................... 218 165 

The above rates are effective for 

services rendered on or after October 1, 

2010. 

Dated: March 1, 2011. 

Morgan F. Park, 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2011–4866 Filed 3–3–11; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

Meeting of the Defense Policy Board 

AGENCY: Defense Policy Board, 

Department of Defense. 

ACTION: Notice. 

SUMMARY: The Defense Policy Board will 

meet in closed session on March 15, 

2011 from 0800 hrs until 1800 hrs and 

on March 16, 2011 from 0800 hrs until 

1030 hrs at the Pentagon. 

The purpose of the meeting is to 

provide the Secretary of Defense, 

Deputy Secretary of Defense and Under 

Secretary of Defense for Policy with 

independent, informed advice on major 

matters of defense policy. The Board 

will hold classified discussions on 

national security matters. 

In accordance with Section 10(d) of 

the Federal Advisory Committee Act, 

Public Law 92–463, as amended [5 

U.S.C. App II (1982)], it has been 

determined that this meeting concerns 

matters listed in 5 U.S.C. 552B 

(c)(1)(1982), and that accordingly this 

meeting will be closed to the public. 

FOR FURTHER INFORMATION CONTACT: Ms. 

Ann Hansen, 703–571–9232. 

Dated: February 25, 2011. 

Morgan F. Park 

Alternate OSD Federal Register Liaison 

Officer, Department of Defense. 

[FR Doc. 2011–4864 Filed 3–3–11; 8:45 am] 

BILLING CODE 5001–06–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

Meeting of a Federal Advisory 

Committee 

AGENCY: Department of Defense. 

ACTION: Notice of meeting. 

SUMMARY: Under the provisions of the 

Federal Advisory Committee Act of 

1972 (5 U.S.C., Appendix, as amended), 

the Government in the Sunshine Act of 

1976 (5 U.S.C. 552b, as amended), and 

41 CFR 102–3.150, the Department of 

Defense announces that the following 

Federal Advisory Committee meeting of 

the Department of Defense Task Force 

on the Care, Management, and 

Transition of Recovering Wounded, Ill, 

and Injured Members of the Armed 

Forces (subsequently referred to as the 

Task Force) will take place. 

DATES: Wednesday, March 30, 2011, and 

Thursday, March 31, 2011 from 8 a.m.– 

5 p.m. 

ADDRESSES: Gaylord National Resort & 

Convention Center, 201 Waterfront St., 

National Harbor, MD 20745. 

FOR FURTHER CONTACT INFORMATION: Mail 

Delivery service through Recovering 

Warrior Task Force, Hoffman Building 

II, 200 Stovall St., Alexandria, VA 

22332–0021 ‘‘Mark as Time Sensitive for 

March Meeting.’’ 

E-mails to rwtf@wso.whs.mil. Telephone 

(703) 325–6640. Fax (703) 325–6710. 

SUPPLEMENTARY INFORMATION: 

Purpose of the Meeting: The purpose 

of the meeting is for the Task Force 

Members to convene and receive 

briefings on the Marine Corps Wounded 

Warrior Regiment, the Navy Safe Harbor 

Program, and the National Guard’s 

Transition Assistance Advisor Program. 

Agenda: (Please refer to http:// 

dtf.defense.gov/rwtf/meetings.html for 

the most up-to-date meeting 

information.) 

8 a.m.–5 p.m. Wednesday 30 March 

2011 

8 Opening and review of recent Task 

Force Installation Visits 

10 Break 

10:15 Measures of Effectiveness and 

Systems of Performance and 

Accountability and Marine Corps 

Support to Caregivers in the Marine 

Corps Wounded Warrior Regiment 


jlentini on DSKJ8SOYB1PROD with NOTICES