Federal Register / Vol. 86, No. 147 / Wednesday, August 4, 2021 / Notices 42015 

IRS and other TAP related topics. Public 

input is welcomed. 

Dated: July 30, 2021. 

Kevin Brown, 

Acting Director, Taxpayer Advocacy Panel. 

[FR Doc. 2021–16640 Filed 8–3–21; 8:45 am] 

BILLING CODE 4830–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

Cost-Based and Inter-Agency Billing 

Rates for Medical Care or Services 

Provided by the Department of 

Veterans Affairs for Fiscal Year 2022 

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 U.S. Department of 

Veterans Affairs (VA) furnished in 

certain circumstances. 

DATES: The rates set forth herein are 

effective October 1, 2021. 

FOR FURTHER INFORMATION CONTACT: Ms. 

Debra Vatthauer, Office of Community 

Care, Revenue Operations, Payer 

Relations and Services, Rates and 

Charges (13RO1), Veterans Health 

Administration, Department of Veterans 

Affairs, 128 Bingham Road, Suite 1000, 

Asheville, NC 28806; telephone: 608– 

821–7346 (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 section 17.102(h) of title 38 Code of 

Federal Regulations (CFR). Two sets of 

rates are obtained by applying this 

methodology, Cost-Based and InterAgency. 

Cost-Based rates apply to medical care 

and services that are provided by VA 

under 38 CFR 17.102(a), (b), (d) and (g), 

respectively, in the following 

circumstances: 

• 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. 

Inter-Agency rates apply to medical 

care and services that are provided by 

VA under § 17.102(c) and (f), 

respectively, in the following 

circumstances when the care or services 

provided are not covered by any 

applicable sharing agreement in 

accordance with § 17.102(e): 

• To beneficiaries of the Department 

of Defense or other Federal agencies; 

and 

• To military retirees with chronic 

disability. 

The calculations for the Cost-Based 

and Inter-Agency rates are the same 

with two exceptions. Inter-Agency rates 

are all-inclusive and are not broken 

down into three components (i.e., 

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. 

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

effective October 1, 2021 and will 

remain in effect until the next fiscal year 

Federal Register update. These rates 

supersede those established by the 

Federal Register notice published on 

July 28, 2020, at 85 FR 45471. 

Cost-based 

rates 

Inter-agency 

rates 

A. Hospital Care per inpatient day 

General Medicine: 

All Inclusive Rate ....................................................................................................................................... $5,466 $5,318 

Physician ................................................................................................................................................... 654 ........................

Ancillary ..................................................................................................................................................... 1,424 ........................

Nursing Room and Board ......................................................................................................................... 3,388 ........................

Neurology: 

All Inclusive Rate ....................................................................................................................................... 5,127 4,981 

Physician ................................................................................................................................................... 751 ........................

Ancillary ..................................................................................................................................................... 1,354 ........................

Nursing Room and Board ......................................................................................................................... 3,022 ........................

Rehabilitation Medicine: 

All Inclusive Rate ....................................................................................................................................... 3,963 3,846 

Physician ................................................................................................................................................... 450 ........................

Ancillary ..................................................................................................................................................... 1,211 ........................

Nursing Room and Board ......................................................................................................................... 2,302 ........................

Blind Rehabilitation: 

All Inclusive Rate ....................................................................................................................................... 2,933 2,843 

Physician ................................................................................................................................................... 236 ........................

Ancillary ..................................................................................................................................................... 1,457 ........................

Nursing Room and Board ......................................................................................................................... 1,240 ........................

Spinal Cord Injury: 

All Inclusive Rate ....................................................................................................................................... 3,548 3,443 

Physician ................................................................................................................................................... 440 ........................

Ancillary ..................................................................................................................................................... 893 ........................

Nursing Room and Board ......................................................................................................................... 2,215 ........................

Surgery: 

All Inclusive Rate ....................................................................................................................................... 9,756 9,490 

Physician ................................................................................................................................................... 1,075 ........................

Ancillary ..................................................................................................................................................... 2,959 ........................

Nursing Room and Board ......................................................................................................................... 5,722 ........................

General Psychiatry: 

All Inclusive Rate ....................................................................................................................................... 2,875 2,788 

Physician ................................................................................................................................................... 271 ........................

Ancillary ..................................................................................................................................................... 453 ........................

Nursing Room and Board ......................................................................................................................... 2,151 ........................

Substance Abuse (Alcohol and Drug Treatment): 

All Inclusive Rate ....................................................................................................................................... 2,744 2,663 


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42016 Federal Register / Vol. 86, No. 147 / Wednesday, August 4, 2021 / Notices 

Cost-based 

rates 

Inter-agency 

rates 

Physician ................................................................................................................................................... 262 ........................

Ancillary ..................................................................................................................................................... 635 ........................

Nursing Room and Board ......................................................................................................................... 1,847 ........................

Psychosocial Residential Rehabilitation Program: 

All Inclusive Rate ....................................................................................................................................... 358 348 

Physician ................................................................................................................................................... 23 ........................

Ancillary ..................................................................................................................................................... 38 ........................

Nursing Room and Board ......................................................................................................................... 297 ........................

Intermediate Medicine: 

All Inclusive Rate ....................................................................................................................................... 3,269 3,179 

Physician ................................................................................................................................................... 161 ........................

Ancillary ..................................................................................................................................................... 480 ........................

Nursing Room and Board ......................................................................................................................... 2,628 ........................

Poly-trauma Inpatient: 

All Inclusive Rate ....................................................................................................................................... 3,936 3,805 

Physician ................................................................................................................................................... 447 ........................

Ancillary ..................................................................................................................................................... 1,202 ........................

Nursing Room and Board ......................................................................................................................... 2,287 ........................

B. Nursing Home Care, Per Day 

All Inclusive Rate 1,750 1,698 

Physician .......................................................................................................................................................... 54 ........................

Ancillary ............................................................................................................................................................ 237 ........................

Nursing Room and Board ................................................................................................................................. 1,459 ........................

C. Outpatient Medical Treatments 

Outpatient Visit (to include Ineligible Emergency Dental Care) ....................................................................... 506 493 

Outpatient Physical Medicine & Rehabilitation Service Visit ........................................................................... 347 336 

Outpatient Poly-trauma/Traumatic Brain Injury ................................................................................................ 678 660 

Signing Authority 

Denis McDonough, Secretary of 

Veterans Affairs, approved this 

document on July 30, 2021, 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. 

Luvenia Potts, 

Regulation Development Coordinator Office 

of Regulation Policy & Management, Office 

of the Secretary, Department of Veterans 

Affairs. 

[FR Doc. 2021–16627 Filed 8–3–21; 8:45 am] 

BILLING CODE 8320–01–P 


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