10608 Federal Register / Vol. 78, No. 31 / Thursday, February 14, 2013 / Notices 

CONSUMER PRODUCT SAFETY 

COMMISSION 

Sunshine Act Meetings, Cancellation 

AGENCY: U.S. Consumer Product Safety 

Commission 

FEDERAL REGISTER CITATION OF PREVIOUS

ANNOUNCEMENT: Vol. 78, No. 27, Friday, 

February 8, 2013, page 9387. 

ANNOUNCED TIME AND DATE OF MEETING: 

Wednesday, February 13, 2013, 10 a.m.– 

11 a.m. 

MEETING CANCELED. For a recorded 

message containing the latest agenda 

information, call (301) 504–7948. 

CONTACT PERSON FOR ADDITIONAL

INFORMATION: Todd A. Stevenson, Office 

of the Secretary, 4330 East West 

Highway, Bethesda, MD 20814 (301) 

504–7923. 

Dated: February 12, 2013. 

Todd A. Stevenson, 

Secretary. 

[FR Doc. 2013–03560 Filed 2–12–13; 4:15 pm] 

BILLING CODE 6355–01–P 

CONSUMER PRODUCT SAFETY 

COMMISSION 

Sunshine Act Meeting Notice 

TIME AND DATE: Wednesday, February 20, 

2013, 10:00 a.m.–11:00 a.m. 

PLACE: Room 420, Bethesda Towers, 

4330 East West Highway, Bethesda, 

Maryland. 

STATUS: Commission Meeting—Open to 

the Public. 

Matters To Be Considered 

Decisional Matter: Sections 1112/1118 

Requirements for Third Party 

Conformity Assessment Bodies—Draft 

Final. 

A live webcast of the Meeting can be 

viewed at www.cpsc.gov/webcast. 

For a recorded message containing the 

latest agenda information, call (301) 

504–7948. 

CONTACT PERSON FOR MORE INFORMATION: 

Todd A. Stevenson, Office of the 

Secretary, U.S. Consumer Product 

Safety Commission, 4330 East West 

Highway, Bethesda, MD 20814, (301) 

504–7923. 

Dated: February 12, 2013. 

Todd A. Stevenson, 

Secretary. 

[FR Doc. 2013–03561 Filed 2–12–13; 4:15 pm] 

BILLING CODE 6355–01–P 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

David Grant United States Air Force 

Medical Center Specialty Care Travel 

Reimbursement Demonstration Project 

AGENCY: Department of Defense. 

ACTION: Notice of demonstration project. 

SUMMARY: This notice is to advise 

interested parties of a Military Health 

System (MHS) demonstration project 

under the authority of Title 10, United 

States Code, Section 1092, entitled 

David Grant United States Air Force 

Medical Center Specialty Care Travel 

Reimbursement Demonstration Project. 

This demonstration project is intended 

to test whether providing travel 

reimbursement will increase utilization 

of the direct care system by selected 

beneficiaries. The Military Treatment 

Facility (MTF) commander would 

determine based on the MTF’s 

individual capabilities, which specialty 

services in the facility currently have 

excess capacity and then offer those 

specialty services to qualified 

beneficiaries, including TRICARE 

Prime, TRICARE Standard and 

TRICARE for Life (TFL) beneficiaries, 

who reside more than one hour drive 

time away from the David Grant United 

States Air Force Medical Center 

(DGMC). These beneficiaries would be 

enticed to receive this specialty care 

from the more distant MTF rather than 

a closer authorized provider through the 

payment of travel costs from their 

residence to the MTF. The travel 

reimbursement offered under this 

demonstration will include roundtrip 

mileage reimbursement from the 

patient’s residence to DGMC. 

Reimbursement may also include 

overnight lodging for the patient the 

evening before an early morning 

procedure and travel for a non-medical 

attendant for patients when medically 

indicated. This demonstration will test 

if the travel reimbursement incentive 

can produce a cost of care savings 

related to the recapturing of selected 

DoD beneficiaries. This travel benefit 

will be authorized only when the MTF 

commander (or designee) determines 

that the DoD cost of funding the care 

(including the travel benefit) in the MTF 

is likely to be less than the DoD cost to 

provide the care in the purchased care 

system. This demonstration also seeks 

to maximize the utilization of DGMC 

specialists, maintain an adequate 

clinical case mix of patients for 

approved Graduate Medical Education 

program functioning in the MTF, and 

sustain readiness-related medical skills 

activities for the military providers. This 

demonstration would be initially 

conducted at DGMC and its satellite 

clinic, the McClellan Clinic (MCC) as 

well as the clinic located at Beale Air 

Force Base (Beale). However, it could be 

expanded to other MTFs with the 

approval of the Assistant Secretary of 

Defense (Health Affairs), and a 

subsequent Federal Register 

notification. 

DATES: This demonstration will be 

effective 60 days from the date of this 

notice for a period of thirty six (36) 

months, unless extended by a separate 

action. 

ADDRESSES: TRICARE Management 

Activity (TMA), Health Plan Operations, 

7700 Arlington Boulevard, Suite 5101, 

Falls Church, VA 22042–5101. 

FOR FURTHER INFORMATION CONTACT: For 

questions pertaining to this 

demonstration project, please contact 

Maj. Kevin Schultz at (707) 423–7887. 

SUPPLEMENTARY INFORMATION: 

a. Background 

A basic principle of the TRICARE 

program and the Military Health System 

(MHS) business design is that MTFs 

have first priority for providing referred 

specialty care or inpatient care for all 

TRICARE Prime enrollees. If the MTF 

does not have the capability to provide 

the needed care or cannot provide the 

care within the required access 

standard, then the care will be referred 

to the TRICARE provider network. 

TRICARE Prime access standards 

require referrals for specialty care 

services to be provided with an 

appropriately trained provider within 4 

weeks or sooner, if required, and within 

1-hour travel time from the beneficiary’s 

residence. The geographic area that 

represents 1-hour travel time 

surrounding an MTF is referred to as the 

Right of First Refusal (ROFR) area. 

For those Prime beneficiaries that live 

outside the ROFR area, their specialty 

care is referred to the civilian network. 

TRICARE Standard and TFL 

beneficiaries maintain freedom of 

choice and may receive specialty care 

from any TRICARE authorized civilian 

provider or alternatively may elect to 

receive their care in a MTF to the extent 

such care is available to them. 

DoD’s authority to reimburse travel 

expenses for TRICARE beneficiaries is 

currently limited to the TRICARE Prime 

Travel Benefit, provided pursuant to 10 

USC 1074i, which reimburses only 

Prime beneficiaries for non-emergent 

medically necessary specialty care that 

is provided more than 100 miles from 

the beneficiary’s primary care provider’s 

office to the nearest specialist’s office. 


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