Document Headings

                    Document headings vary by document type but may contain                    the following:                  
                -                       the agency or agencies that issued and signed a document                    
                -                       the number of the CFR title and the number of each part                      the document amends, proposes to amend, or is directly                      related to                    
                -                       the agency docket number / agency internal file number                    
                -                       the RIN which identifies each regulatory action listed in                      the Unified Agenda of Federal Regulatory and Deregulatory                      Actions                    

                    See the                                          Document Drafting Handbook                                        for more details.                  

###### Department of Health and Human Services

###### Indian Health Service

          - RIN 0917-AA25

# 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 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 https://www.federalregister.gov/​documents/​2024/​11/​27/​2024-25521/​medicare-and-medicaid-programs-hospital-outpatient-prospective-payment-and-ambulatory-surgical.*                     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.                          ( print 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