Federal Register / Vol. 72, No. 206 / Thursday, October 25, 2007 / Notices 60653 

Infrastructure: Gulf Coast Study.’’ is 

posted on the CCSP Web site at: 

www.climatescience.gov/Library/sap/ 

sap4–7/public-review-draft/default.htm. 

Detailed instructions for making 

comments on this draft report are 

provided on the SAP webpage. 

Comments must be prepared in 

accordance to these instructions and 

must be submitted to: 4.7–

transport@usgcrp.gov 

FOR FURTHER INFORMATION CONTACT: Dr. 

Fabien Laurier, Climate Change Science 

Program Office, 1717 Pennsylvania 

Avenue NW, Suite 250, Washington, DC 

20006, Telephone: (202) 419 3481. 

SUPPLEMENTARY INFORMATION: The CCSP 

was established by the President in 2002 

to coordinate and integrate scientific 

research on global and climate changes 

sponsored by 13 participating 

departments and agencies of the U.S. 

Government. The CCSP is charged with 

preparing information resources that 

promote climate-related discussions and 

decisions, including scientific synthesis 

and assessment analyses that support 

evaluation of important policy issues. 

Synthesis and Assessment Product 4.7 

identifies the potential effects of climate 

variability and change in transportation 

infrastructure and systems in the central 

U.S. Gulf coast. The purpose of this 

study is to develop knowledge and tools 

that will assist transportation decision 

makers in incorporating climate-related 

trend information into transportation 

system planning, design, engineering, 

and operational decisions. Implications 

for all transportation modes–surface, 

marine, and aviation–are addressed. 

Dated: October 17, 2007. 

William J. Brennan, 

Deputy Assistant Secretary of Commerce for 

International Affairs, and Acting Director, 

Climate Change Science Program. 

[FR Doc. E7–21048 Filed 10–24–07; 8:45 am] 

BILLING CODE 3510–12–S 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

[Transmittal Nos. 08–24] 

36(b)(1) Arms Sales Notification 

AGENCY: Department of Defense, Defense 

Security Cooperation Agency. 

ACTION: Notice. 

SUMMARY: The Department of Defense is 

publishing the unclassified text of a 

section 36(b)(1) arms sales notification. 

This is published to fulfill the 

requirements of section 155 of Public 

Law 104–164 dated 21 July 1996. 

FOR FURTHER INFORMATION CONTACT: Ms. 

B. English, DSCA/DBO/CFM, (703) 601–

3740. 

The following is a copy of a letter to 

the Speaker of the House of 

Representatives, Transmittal 08–24 with 

attached transmittal, policy justification, 

and Sensitivity of Technology. 

Dated: October 19, 2007. 

L.M. Bynum, 

OSD Federal Register Liaison Officer, 

Department of Defense. 

BILLING CODE 5001–06–M 

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[FR Doc. 07–5276 Filed 10–24–07; 8:45 am] 

BILLING CODE 5001–06–C 

DEPARTMENT OF DEFENSE 

Office of the Secretary 

TRICARE; Civilian Health and Medical 

Program of the Uniformed Services 

(CHAMPUS); Fiscal Year (FY) 2008 

Diagnosis-Related Group (DRG) 

Updates 

AGENCY: Office of the Secretary, 

Department of Defense (DoD). 

ACTION: Notice. 

SUMMARY: This notice describes the 

changes made to the TRICARE DRGbased payment system. It also provides 

the updated fixed loss cost outlier 

threshold, cost-to-charge ratios, and the 

Internet address for accessing the 

updated adjusted standardized amount 

and DRG relative weights to be used for 

FY 2008 under the TRICARE DRG-based 

payment system. 

DATES: Effective Dates: This FY 2008 

DRG update is effective for admissions 

occurring on or after October 1. 

ADDRESSES: TRICARE Management 

Activity (TMA), Medical Benefits and 

Reimbursement Systems, 16401 East 

Centretech Parkway, Aurora, CO 80011–

9066. 

FOR FURTHER INFORMATION CONTACT: Ann 

N. Fazzini, Medical Benefits and 

Reimbursement Systems, TMA, 

telephone (303) 676–3803. 

Questions regarding payment of 

specific claims under the TRICARE 

DRG-based payment system should be 

addressed to the appropriate contractor. 

SUPPLEMENTARY INFORMATION: The final 

rule published on September 1, 1987 (52 

FR 32992), set forth the basic 

procedures used under the CHAMPUS 

DRG-based payment system. This was 

subsequently amended by final rules 

published August 31, 1988 (53 FR 

33461), October 21, 1988 (53 FR 41331), 

December 16, 1988 (53 FR 50515), May 

30, 1990 (55 FR 21863), October 22, 

1990 (55 FR 42560), and September 10, 

1998 (63 FR 48439). 

This notice updates the TRICARE 

rates and weights in accordance with 

our previous final rules. The actual 

changes we are making are detailed 

below. 

I. Changes Which Affect the TRICARE 

DRG-Based Payment System 

A. Under the TRICARE DRG-based 

payment system, cases are classified 

into the appropriate DRG by a Grouper 

program. The Grouper classifies each 

case into a DRG on the basis of the 

diagnosis, procedure codes, and 

demographic information (that is, sex, 

age, and discharge status). The Grouper 

used for the TRICARE DRG-based 

payment system is the same as the FY 

2007 Medicare Grouper with two 

modifications. The TRICARE system has 

replaced Medicare DRG 435 with two 

age-based DRGs (900 and 901), and has 

implemented thirty-four (34) neonatal 

DRGs in place of Medicare DRGs 385 

through 390. For admissions occurring 

on or after October 1, 2001, DRG 435 has 

been replaced by DRG 523. The 

TRICARE system has replaced DRG 523 

with the two age-based DRGs (900 and 

901). For admissions occurring on or 

after October 1, 1995, the CHAMPUS 

grouper hierarchy logic was changed so 

the age split (age <29 days) and 

assignments to Major Diagnostic 

Category (MDC) 15 occur before 

assignment of the Pre-MDC DRGs. This 

resulted in all neonate tracheotomies 

and organ transplants to be grouped to 

MDC 15 and not to DRGs 480–483 or 

495. For admissions occurring on or 

after October 1, 1998, the CHAMPUS 

grouper hierarchy logic was changed to 

move DRG 103 to the PreMDC DRGs and 


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