43958 Federal Register / Vol. 83, No. 167 / Tuesday, August 28, 2018 / Notices 

Abraham Lincoln National Cemetery 

(20953 West Hoff Road, Elwood, IL 

60421). 

On Thursday, September 13, the 

Committee will convene an open 

session at the Jesse Brown VA Medical 

Center; 820 South Damen Avenue, 

Chicago, IL 60612, from 8:30 a.m. to 

3:00 p.m. in the Prescription Conference 

Room JB 2446B (2nd Floor, Damen 

Building). The agenda will include 

overview briefings from the Jesse Brown 

VA Medical Center leadership on the 

facilities, programs, demographics, 

women Veterans programs, and other 

services available for Veterans in 

Chicago. In the afternoon, the 

Committee will reconvene a closed 

session, as it tours the Jesse Brown VA 

Medical Center. 

In the morning of Friday, September 

14, the Committee will convene an open 

session at the Jesse Brown VA Medical 

Center; 820 South Damen Avenue, 

Chicago, IL 60612, from 8:00 a.m. to 

9:00 a.m. in the Prescription Conference 

Room JB 2446B (2nd Floor, Damen 

Building), as it conducts an out-briefing 

with leadership from the Jesse Brown 

VA Medical Center / Edward Hines 

Junior Hospital / Captain James A. 

Lovell Federal Health Care Center / 

Chicago Regional Benefits Office / 

Abraham Lincoln National Cemetery. 

The Committee will reconvene an open 

session in the Prescription Conference 

Room JB 2446B (2nd Floor, Damen 

Building), as it participates in a town 

hall meeting with the women Veterans 

and other stakeholders. The town hall 

meeting will begin at 9:30 a.m. and end 

promptly at 11:00 a.m. 

With the exception of the town hall 

meeting, there will be no time for public 

comment during the meeting. Members 

of the public may submit written 

statements for the Committee’s review 

to 00W@mail.va.gov, or by fax at (202) 

273–7092. Any member of the public 

and media wishing to attend or seeking 

additional information should contact 

Shannon L. Middleton at (202) 461– 

6193, or 00W@mail.va.gov. 

Dated: August 23, 2018. 

Jelessa M. Burney, 

Federal Advisory Committee Management 

Officer. 

[FR Doc. 2018–18626 Filed 8–27–18; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

Cost-Based and Inter-Agency Billing 

Rates for Medical Care or Services 

Provided by the Department of 

Veterans Affairs 

AGENCY: Department of Veterans Affairs. 

ACTION: Notice. 

SUMMARY: This document updates the 

Cost-Based and Inter-Agency billing 

rates for medical care or services 

provided by the Department of Veterans 

Affairs (VA) furnished in certain 

circumstances. 

DATES: The rates set forth herein are 

effective August 28, 2018 and until 

further notice. 

FOR FURTHER INFORMATION CONTACT: 

Romona Greene, Office of Community 

Care, Revenue Operations, Payer 

Relations and Services, Rates and 

Charges (10D1C1), Veterans Health 

Administration, Department of Veterans 

Affairs, 810 Vermont Avenue NW, 

Washington, DC 20420, (202) 382–2521. 

(This is not a toll free number.) 

SUPPLEMENTARY INFORMATION: VA’s 

methodology for computing Cost-Based 

and Inter-Agency rates for medical care 

or services provided by VA is set forth 

in 38 CFR 17.102(h). Two sets of rates 

are obtained by applying this 

methodology, Cost-Based and InterAgency. 

In accordance with 38 CFR 17.102(a), 

(b), (d), and (g) respectively, Cost-Based 

rates apply to medical care and services 

that are provided by VA: 

• In error or based on tentative 

eligibility, 

• In a medical emergency, 

• To pensioners of allied nations; and 

• For research purposes in 

circumstances under which the medical 

care appropriation shall be reimbursed 

from the research appropriation. 

In accordance with 38 CFR 17.102(c) 

and (f), Inter-Agency rates apply to 

medical care and services that are 

provided by VA to beneficiaries of the 

Department of Defense or other Federal 

agencies, when the care or services 

provided is not covered by an 

applicable sharing agreement, unless 

otherwise stated. 

The calculations for the Cost-Based 

and Inter-Agency rates are the same 

with two exceptions. Inter-Agency rates 

are all-inclusive, are not broken down 

into three components (Physician; 

Ancillary; and Nursing, Room, and 

Board), and do not include standard 

fringe benefit costs that cover 

Government employee retirement, 

disability costs, and return on fixed 

assets. When VA pays for medical care 

or services from a non-VA source under 

circumstances in which the Cost-Based 

or Inter-Agency rates would apply if the 

care or services had been provided by 

VA, the charge for such care or services 

will be the actual amount paid by VA 

for the care or services. Inpatient 

charges will be at the per diem rates 

shown for the type of bed section or 

discrete treatment unit providing the 

care. 

The following table depicts the CostBased and Inter-Agency rates that are 

effective upon publication of this notice 

and will remain in effect until the next 

Federal Register notice is published. 

These rates supersede those established 

by the Federal Register notice 

published on August, 29 2017, at 82 FR 

41093. 

Cost-Based 

rates 

Inter-Agency 

rates 

A. Hospital Care per inpatient day: 

General Medicine: 

All Inclusive Rate ............................................................................................................................... $4,025 $3,882 

Physician ........................................................................................................................................... 482 

Ancillary ............................................................................................................................................. 1,049 

Nursing Room and Board ................................................................................................................. 2,494 

Neurology: 

All Inclusive Rate ............................................................................................................................... 3,805 3,664 

Physician ........................................................................................................................................... 557 

Ancillary ............................................................................................................................................. 1,005 

Nursing Room and Board ................................................................................................................. 2,243 

Rehabilitation Medicine: 

All Inclusive Rate ............................................................................................................................... 2,749 2,641 

Physician ........................................................................................................................................... 312 

Ancillary ............................................................................................................................................. 840 

Nursing Room and Board ................................................................................................................. 1,597 


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Federal Register / Vol. 83, No. 167 / Tuesday, August 28, 2018 / Notices 43959 

Cost-Based 

rates 

Inter-Agency 

rates 

Blind Rehabilitation: 

All Inclusive Rate ............................................................................................................................... 1,843 1,770 

Physician ........................................................................................................................................... 148 

Ancillary ............................................................................................................................................. 916 

Nursing Room and Board ................................................................................................................. 779 

Spinal Cord Injury: 

All Inclusive Rate ............................................................................................................................... 2,431 2,338 

Physician ........................................................................................................................................... 301 

Ancillary ............................................................................................................................................. 612 

Nursing Room and Board ................................................................................................................. 1,518 

Surgery: 

All Inclusive Rate ............................................................................................................................... 6,832 6,590 

Physician ........................................................................................................................................... 753 

Ancillary ............................................................................................................................................. 2,072 

Nursing Room and Board ................................................................................................................. 4,007 

General Psychiatry: 

All Inclusive Rate ............................................................................................................................... 1,993 1,913 

Physician ........................................................................................................................................... 188 

Ancillary ............................................................................................................................................. 314 

Nursing Room and Board ................................................................................................................. 1,491 

Substance Abuse (Alcohol and Drug Treatment): 

All Inclusive Rate ............................................................................................................................... 1,963 1,884 

Physician ........................................................................................................................................... 187 

Ancillary ............................................................................................................................................. 454 

Nursing Room and Board ................................................................................................................. 1,322 

Psychosocial Residential Rehabilitation Program: 

All Inclusive Rate ............................................................................................................................... 768 740 

Physician ........................................................................................................................................... 48 

Ancillary ............................................................................................................................................. 81 

Nursing Room and Board ................................................................................................................. 639 

Intermediate Medicine: 

All Inclusive Rate ............................................................................................................................... 2,483 2,388 

Physician ........................................................................................................................................... 122 

Ancillary ............................................................................................................................................. 364 

Nursing Room and Board ................................................................................................................. 1,997 

Poly-trauma Inpatient: 

All Inclusive Rate ............................................................................................................................... 3,113 2,981 

Physician ........................................................................................................................................... 354 

Ancillary ............................................................................................................................................. 951 

Nursing Room and Board ................................................................................................................. 1,808 

B. Nursing Home Care, Per Day: 

All Inclusive Rate ...................................................................................................................................... 1,268 1,218 

Physician .................................................................................................................................................. 39 

Ancillary .................................................................................................................................................... 172 

Nursing Room and Board ......................................................................................................................... 1057 

C. Outpatient Medical Treatments: 

Outpatient Visit (to include Ineligible Emergency Dental Care) ............................................................... 362 350 

Outpatient Physical Medicine & Rehabilitation Service Visit ................................................................... 223 213 

Outpatient Poly-trauma/Traumatic Brain Injury ........................................................................................ 602 580 

Note: Outpatient Prescriptions will be billed at Drug Cost plus Administrative Fee. 

Signing Authority 

The Secretary of Veterans Affairs 

approved this document and authorized 

the undersigned to sign and submit the 

document to the Office of the Federal 

Register for publication electronically as 

an official document of the Department 

of Veterans Affairs. Robert L. Wilkie, 

Secretary, Department of Veterans 

Affairs, approved this document on 

August 22, 2018, for publication. 

Dated: August 22, 2018. 

Jeffrey M. Martin, 

Impact Analyst, Office of Regulation Policy 

& Management, Office of the Secretary, 

Department of Veterans Affairs. 

[FR Doc. 2018–18555 Filed 8–27–18; 8:45 am] 

BILLING CODE 8320–01–P 


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