Federal Register / Vol. 88, No. 242 / Tuesday, December 19, 2023 / Notices 87789 

Sherrette A. Funn, 

Paperwork Reduction Act Reports Clearance 

Officer, Office of the Secretary. 

[FR Doc. 2023–27868 Filed 12–18–23; 8:45 am] 

BILLING CODE 4150–45–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

RIN 0917–AA23 

Reimbursement Rates for Calendar 

Year 2024 

AGENCY: Indian Health Service, HHS. 

ACTION: Notice. 

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 2024. 

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 2024 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. 

Inpatient Hospital Per Diem Rate 

(Excludes Physician/Practitioner 

Services) 

Calendar Year 2024 

Lower 48 States: $5,083. 

Alaska: $4,326. 

Outpatient per Visit Rate (Excluding 

Medicare) 

Calendar Year 2024 

Lower 48 States: $719. 

Alaska: $1,060. 

Outpatient per Visit Rate (Medicare) 

Calendar Year 2024 

Lower 48 States: $667. 

Alaska: $961. 

Medicare Part B Inpatient Ancillary Per 

Diem Rate 

Calendar Year 2024 

Lower 48 States: $963. 

Alaska: $1,341. 

Outpatient Surgery Rate (Medicare) 

Established Medicare rates for 

freestanding Ambulatory Surgery 

Centers. 

Effective Date for Calendar Year 2024 

Rates 

Consistent with previous annual rate 

revisions, the Calendar Year 2024 rates 

will be effective for services provided 

on or after January 1, 2024, to the extent 

consistent with payment authorities, 

including the applicable Medicaid State 

plan. 

Roselyn Tso, 

Director, Indian Health Service. 

[FR Doc. 2023–27815 Filed 12–18–23; 8:45 am] 

BILLING CODE 4166–14–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Coast Guard 

[Docket Number: USCG–2023–0922] 

Designation of the New England 

Commission of Higher Education as a 

Designated Entity and Appointment of 

Dr. Amy Donahue as a Member of the 

Commission 

AGENCY: Coast Guard, Department of 

Homeland Security (DHS). 

ACTION: Notice. 

SUMMARY: The Coast Guard announces 

the designation of the New England 

Commission of Higher Education 

(NECHE) as a designated non-federal 

entity for the purposes of participation 

in its management by an authorized 

Coast Guard employee. Dr. Amy 

Donahue, the Provost of the Coast Guard 

Academy, has been authorizated to 

serve as a member of NECHE to provide 

oversight of, advice to, and coordination 

with, NECHE. Dr. Donahue will not 

participate in the day-to-day operations 

of NECHE. 

DATES: The designation and 

authorization are effective on November 

21, 2023. 

ADDRESSES: To view documents 

mentioned in this preamble as being 

available in the docket, go to https:// 

www.regulations.gov, type USCG–2023– 

0922 in the search box and click 

‘‘Search.’’ Next, in the Document Type 

column, select ‘‘Supporting & Related 

Material.’’ 

FOR FURTHER INFORMATION CONTACT: If 

you have questions on this notice, call 

or email Comamnder Jeffrey G. Janaro, 

Coast Guard Academy, telephone 860– 

444–8255, email jeff.g.janaro@uscg.mil. 

SUPPLEMENTARY INFORMATION: The Coast 

Guard announces the designation of the 

New England Commission of Higher 

Education (NECHE) as a ‘‘designated 

entity’’ under 10 U.S.C. 1589 and 1033. 

The Coast Guard also announces the 

participation of the Coast Guard 

Academy Provost Dr. Amy Donhue in 

the management of the entity as a 

Commisioner. Sections 1589 and 1033 

allow the Secretary of the Department of 

Homeland Security to specify certain 

non-federal entities as ‘‘designated 

entities’’ in which a member of the 

armed forces or a civilian employee may 

be authorized to participate in a specific 

capacity. The Secretary delegated this 

authority to the Commandant of the 

Coast Guard through the Department of 

Homeland Security Delegation No. 

00170.1, Revision No. 01.3 (paragraph 

II.14). 

A ‘‘designated entity’’ must meet the 

requirements of 10 U.S.C. 1033. In 

relevant part, section 1033 requires an 

entity to be a non-profit oganization and 

perform one of the statutorily 

enumerated functions, including 

accreditation of service academies and 

other schools of the armed forces. 

NECHE is a voluntary non-government 

association that provides accreditation 

to the U.S. Coast Guard Academy. 

Therefore, NECHE is an entity that may 

be designated under 10 U.S.C. 1033 and, 

in turn, 10 U.S.C. 1589. 

Section 1589 also allows the Secretary 

concerned to authorize an employee, 

including a civilian officer, to 

participate, without compensation, in 

the managemenent of a designated 

entity for the purposes of oversight, 

advice to, and coordination with that 

designated entity. An employee’s 

participation may not extend to the day 

to day operations of the entity. The 

Coast Guard Academy announces the 

authorization of Dr. Amy Donahue, the 

Provost of the Coast Guard Academy, to 

participate in the management of 

NECHE within limits of 10 U.S.C. 1033 

and 10 U.S.C. 1589. Specifically, and in 


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