Federal Register / Vol. 89, No. 241 / Monday, December 16, 2024 / Notices 101607 

document(s) that are accepting 

comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development. 

Attention: Document Identifier/OMB 

Control Number: ll, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, please access the CMS PRA 

website by copying and pasting the 

following web address into your web 

browser: https://www.cms.gov/ 

Regulations-and-Guidance/Legislation/ 

PaperworkReductionActof1995/PRAListing. 

FOR FURTHER INFORMATION CONTACT: 

William N. Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: 

Contents 

This notice sets out a summary of the 

use and burden associated with the 

following information collections. More 

detailed information can be found in 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 

CMS–10538 Hospice Information for 

Medicare Part D Plans 

Under the PRA (44 U.S.C. 3501– 

3520), Federal agencies must obtain 

approval from the Office of Management 

and Budget (OMB) for each collection of 

information they conduct or sponsor. 

The term ‘‘collection of information’’ is 

defined in 44 U.S.C. 3502(3) and 5 CFR 

1320.3(c) and includes agency requests 

or requirements that members of the 

public submit reports, keep records, or 

provide information to a third party. 

Section 3506(c)(2)(A) of the PRA 

requires Federal agencies to publish a 

60-day notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension or reinstatement of an existing 

collection of information, before 

submitting the collection to OMB for 

approval. To comply with this 

requirement, CMS is publishing this 

notice. 

Information Collections 

1. Type of Information Collection 

Request: Reinstatement without change 

of a previously approved collection; 

Title of Information Collection: Hospice 

Information for Medicare Part D Plans; 

Use: The Social Security Act in section 

1861(dd) and Federal regulations in 42 

CFR 418.106 and 418.202(f) require 

hospice programs to provide individuals 

under hospice care with drugs and 

biologicals related to the palliation and 

management of the terminal illness as 

defined in the hospice plan of care. 

Medicare payment is made to the 

hospice for each day an eligible 

beneficiary is under the hospice’s care, 

regardless of the amount of services 

provided on any given day. Because 

hospice care is a Medicare Part A 

benefit, drugs provided by the hospice 

and covered under the Medicare 

payment to the hospice program are not 

covered under Part D. 

The form would be completed by the 

prescriber or the beneficiary’s hospice, 

or if the prescriber or hospice provides 

the information verbally to the Part D 

sponsor, the form would be completed 

by the sponsor. Information provided on 

the form would be used by the Part D 

sponsor to establish coverage of the drug 

under Medicare Part D. Per statute, 

drugs that are necessary for the 

palliation and management of the 

terminal illness and related conditions 

are not eligible for payment under Part 

D. The standard form provides a vehicle 

for the hospice provider, prescriber or 

sponsor to document that the drug 

prescribed is ‘‘unrelated’’ to the 

terminal illness and related conditions. 

It also gives a hospice organization the 

option to communicate a beneficiary’s 

change in hospice status and/care plan 

to Part D sponsors. Form Number: CMS– 

10538 (OMB control number: 0938– 

1296); Frequency: Yearly; Affected 

Public: Private Sector (business or other 

for-profits); Number of Respondents: 

319; Number of Responses: 57,027; 

Total Annual Hours: 2,329. (For policy 

questions regarding this collection, 

contact Chad Buskirk at (410) 786–1630 

or chad.buskirk@cms.hhs.gov.) 

William N. Parham, III, 

Director, Division of Information Collections 

and Regulatory Impacts, Office of Strategic 

Operations and Regulatory Affairs. 

[FR Doc. 2024–29458 Filed 12–13–24; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

RIN 0917–AA25 

Reimbursement Rates for Calendar 

Year 2025 

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 addon 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-andmedicaid-programs-hospital-outpatientprospective-payment-and-ambulatorysurgical. 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. 


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101608 Federal Register / Vol. 89, No. 241 / Monday, December 16, 2024 / Notices 

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 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Notice of Proposed Purchased/ 

Referred Care Delivery Area 

Redesignation for the ShoshoneBannock Tribes 

AGENCY: Indian Health Service, HHS. 

ACTION: Notice. 

SUMMARY: This Notice advises the public 

that the Indian Health Service (IHS) 

proposes to expand the geographic 

boundaries of the Purchased/Referred 

Care Delivery Area (PRCDA) for the 

Shoshone-Bannock Tribes of the Fort 

Hall Indian Reservation in Idaho to 

include the Idaho counties of Ada, Bear 

Lake, Blaine, Bonneville, Butte, Canyon, 

Cassia, Custer, Elmore, Franklin, 

Fremont, Gem, Gooding, Jefferson, 

Jerome, Madison, Minidoka, Oneida, 

Payette, Teton, Twin Falls, and 

Washington. The current PRCDA for the 

Shoshone-Bannock Tribes includes the 

Idaho counties of Bannock, Bingham, 

Caribou, Lemhi, and Power. ShoshoneBannock Tribal members who reside 

outside of the PRCDA are eligible for 

direct care services; however, they are 

not eligible for Purchased/Referred Care 

(PRC) services. The sole purpose of this 

expansion would be to authorize 

additional Shoshone-Bannock Tribal 

members and beneficiaries to receive 

PRC services. 

DATES: Comments must be submitted by 

January 15, 2025. 

ADDRESSES: Because of staff and 

resource limitations, we cannot accept 

comments by facsimile (FAX) 

transmission. You may submit 

comments in one of four ways (please 

choose only one of the ways listed): 

1. Electronically. You may submit 

electronic comments on this regulation 

to https://www.regulations.gov. Follow 

the ‘‘Submit a Comment’’ instructions. 

2. By regular mail. You may mail 

written comments to the following 

address ONLY: Carl Mitchell, Director, 

Division of Regulatory and Policy 

Coordination, Indian Health Service, 

5600 Fishers Lane, Mail Stop: 09E70, 

Rockville, Maryland 20857. 

Please allow sufficient time for mailed 

comments to be received before the 

close of the comment period. 

3. By express or overnight mail. You 

may send written comments to the 

above address. 

4. By hand or courier. If you prefer, 

you may deliver (by hand or courier) 

your written comments before the close 

of the comment period to the address 

above. 

If you intend to deliver your 

comments to the Rockville address, 

please call telephone number (301) 443– 

1116 in advance to schedule your 

arrival with a staff member. 

FOR FURTHER INFORMATION CONTACT: 

CAPT John Rael, Director, Office of 

Resource Access and Partnerships, 

Indian Health Service, 5600 Fishers 

Lane, Mail Stop: 10E85C, Rockville, 

Maryland 20857. Telephone (301) 443– 

0969 (This is not a toll-free number). 

SUPPLEMENTARY INFORMATION: 

Inspection of Public Comments: All 

comments received before the close of 

the comment period are available for 

viewing by the public, including any 

personally identifiable or confidential 

business information that is included in 

a comment. 

Background: The IHS provides 

services under regulations in effect as of 

September 15, 1987, and republished at 

42 CFR part 136, subparts A–C. Subpart 

C defines a Contract Health Service 

Delivery Area (CHSDA), now referred to 

as a PRCDA, as the geographic area 

within which PRC will be made 

available by the IHS to members of an 

identified Indian community who reside 

in the PRCDA. Residence within a 

PRCDA by a person who is within the 

scope of the Indian health program, as 

set forth in 42 CFR 136.12, creates no 

legal entitlement to PRC services but 

only potential eligibility for services. 

Services needed, but not available at an 

IHS/Tribal facility, are provided under 

the PRC program depending on the 

availability of funds, the relative 

medical priority of the services to be 

provided, and the actual availability and 

accessibility of alternate resources in 

accordance with the regulations. 

The regulations at 42 CFR part 136, 

subpart C provide that, unless otherwise 

designated, a PRCDA shall consist of a 

county which includes all or part of a 

reservation and any county or counties 

which have a common boundary with 

the reservation. 42 CFR 136.22(a)(6). 

The regulations also provide that after 

consultation with the Tribal governing 

body or bodies on those reservations 

included within the PRCDA, the 

Secretary may, from time to time, 

redesignate areas within the United 

States for inclusion in or exclusion from 

a PRCDA. 42 CFR 136.22(b). The 

regulations require that certain criteria 

be considered before any redesignation 

is made. The criteria are as follows: 

(1) The number of Indians residing in 

the area proposed to be so included or 

excluded; 

(2) Whether the Tribal governing body 

has determined that Indians residing in 

the area near the reservation are socially 

and economically affiliated with the 

Tribe; 

(3) The geographic proximity to the 

reservation of the area whose inclusion 

or exclusion is being considered; and 

(4) The level of funding which would 

be available for the provision of PRC. 

Additionally, the regulations require 

that any redesignation of a PRCDA be 

made in accordance with the procedures 

of the Administrative Procedure Act (5 

U.S.C. 553). 42 CFR 136.22(c). In 

compliance with this requirement, the 

IHS is publishing this Notice and 

requesting public comments. 

The Shoshone-Bannock Tribes of the 

Fort Hall Indian Reservation is located 

in Fort Hall, Idaho, and operates their 

PRC program under an Indian SelfDetermination and Education 

Assistance Act (ISDEAA) agreement 

with the IHS. The IHS and the 

Shoshone-Bannock Tribes estimate that 

approximately 323 Tribal members 

reside in Ada, Bear Lake, Blaine, 

Bonneville, Butte, Canyon, Cassia, 

Custer, Elmore, Franklin, Fremont, Gem, 

Gooding, Jefferson, Jerome, Madison, 

Minidoka, Oneida, Payette, Teton, Twin 

Falls, and Washington Counties of Idaho 

and would become PRC eligible through 

the proposed redesignation and 

expansion of the Tribes’ PRCDA. The 

Shoshone-Bannock Tribes states that the 

Tribal members who reside in the 

proposed expansion counties are 

socially and economically affiliated 

with the Tribe, and that the Tribe would 

like to recognize these persons as 

eligible for PRC services. Accordingly, 

the IHS proposes to expand the PRCDA 


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