Federal Register / Vol. 75, No. 186 / Monday, September 27, 2010 / Notices 59329 

The notices of applications stated in 

detail the qualifications, experience, 

and medical condition of each applicant 

for an exemption from the vision 

requirements. That information is 

available by consulting the above cited 

Federal Register publications. 

Interested parties or organizations 

possessing information that would 

otherwise show that any, or all, of these 

drivers are not currently achieving the 

statutory level of safety should 

immediately notify FMCSA. The 

Agency will evaluate any adverse 

evidence submitted and, if safety is 

being compromised or if continuation of 

the exemption would not be consistent 

with the goals and objectives of 49 

U.S.C. 31136(e) and 31315, FMCSA will 

take immediate steps to revoke the 

exemption of a driver. 

Issued on: September 21, 2010. 

Larry W. Minor, 

Associate Administrator for Policy and 

Program Development. 

[FR Doc. 2010–24195 Filed 9–24–10; 8:45 am] 

BILLING CODE 4910–EX–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

Reasonable Charges for Inpatient MS– 

DRGs and SNF Medical Services; 2011 

Fiscal Year Update 

AGENCY: Department of Veterans Affairs. 

ACTION: Notice. 

SUMMARY: Section 17.101 of Title 38 of 

the Code of Federal Regulations sets 

forth the Department of Veterans Affairs 

(VA) medical regulations concerning 

‘‘Reasonable Charges’’ for medical care 

or services provided or furnished by VA 

to a veteran: 

—For a nonservice-connected disability 

for which the veteran is entitled to 

care (or the payment of expenses of 

care) under a health plan contract; 

—For a nonservice-connected disability 

incurred incident to the veteran’s 

employment and covered under a 

worker’s compensation law or plan 

that provides reimbursement or 

indemnification for such care and 

services; or 

—For a nonservice-connected disability 

incurred as a result of a motor vehicle 

accident in a State that requires 

automobile accident reparations 

insurance. 

The regulations include 

methodologies for establishing billed 

amounts for the following types of 

charges: Acute inpatient facility charges; 

skilled nursing facility/sub-acute 

inpatient facility charges; partial 

hospitalization facility charges; 

outpatient facility charges; physician 

and other professional charges, 

including professional charges for 

anesthesia services and dental services; 

pathology and laboratory charges; 

observation care facility charges; 

ambulance and other emergency 

transportation charges; and charges for 

durable medical equipment, drugs, 

injectables, and other medical services, 

items, and supplies identified by 

Healthcare Common Procedure Coding 

System (HCPCS) Level II codes. The 

regulations also provide that data for 

calculating actual charge amounts at 

individual VA facilities based on these 

methodologies will either be published 

in a notice in the Federal Register or 

will be posted on the Internet site of the 

Veterans Health Administration (VHA) 

Chief Business Office, currently at 

http://www1.va.gov/CBO/apps/rates/ 

index.asp, under ‘‘Charge Data.’’ Certain 

charges are hereby updated as described 

in the Supplementary Information 

section of this notice. These changes are 

effective October 1, 2010. 

When charges for medical care or 

services provided or furnished at VA 

expense by either VA or non-VA 

providers have not been established 

under other provisions of the 

regulations, the method for determining 

VA’s charges is set forth at 38 CFR 

17.101(a)(8). 

FOR FURTHER INFORMATION CONTACT: 

Romona Greene, Chief Business Office 

(168), Veterans Health Administration, 

Department of Veterans Affairs, 810 

Vermont Avenue, NW., Washington, DC 

20420, (202) 461–1595. (This is not a 

toll free number.) 

SUPPLEMENTARY INFORMATION: Of the 

charge types listed in the Summary 

section of this notice, only the acute 

inpatient facility charges and skilled 

nursing facility/sub-acute inpatient 

facility charges are being changed. 

Charges for the following charge types: 

partial hospitalization facility charges; 

outpatient facility charges; physician 

and other professional charges, 

including professional charges for 

anesthesia services and dental services; 

pathology and laboratory charges; 

observation care facility charges; 

ambulance and other emergency 

transportation charges; and charges for 

durable medical equipment, drugs, 

injectables, and other medical services, 

items, and supplies identified by 

HCPCS Level II codes are not being 

changed. These Outpatient facility 

charges and Professional charges remain 

the same as set forth in a notice 

published in the Federal Register on 

December 28, 2009 (74 FR 247). 

Based on the methodologies set forth 

in 38 CFR 17.101(b), this document 

provides an update to acute inpatient 

charges that were based on 2010 

Medicare severity diagnosis related 

groups (MS–DRGs). Acute inpatient 

facility charges by MS–DRGs are set 

forth in Table A and are posted on the 

Internet site of the VHA Chief Business 

Office, currently at http://www1.va.gov/ 

CBO/apps/rates/index.asp, under 

‘‘Charge Data.’’ This Table A 

corresponds to the Table A referenced 

in the September 17, 2009, Federal 

Register Notice. Table A referenced in 

this notice provides updated charges 

based on 2011 MS–DRGs and will 

replace Table A posted on the Internet 

site of the VHA Chief Business Office, 

which corresponds to the Table A 

referenced in the September 17, 2009, 

Federal Register notice. 

Also, this document provides for an 

updated all-inclusive per diem charge 

for skilled nursing facility/sub-acute 

inpatient facility charge using the 

methodologies set forth in 38 CFR 

17.101(c), and it is adjusted by a 

geographic area factor based on the 

location where the care is provided. The 

skilled nursing facility/sub-acute 

inpatient facility per diem charge is set 

forth in Table B and is posted on the 

Internet site of the VHA Chief Business 

Office, currently at http://www1.va.gov/ 

CBO/apps/rates/index.asp, under 

‘‘Charge Data.’’ This Table B corresponds 

to the Table B referenced in the 

September 17, 2009, Federal Register 

Notice. Table B referenced in this notice 

provides updated all-inclusive 

nationwide skilled nursing facility/subacute inpatient facility per diem charge 

and will replace Table B posted on the 

Internet site of the VHA Chief Business 

Office, which corresponds to the Table 

B referenced in the September 17, 2009, 

Federal Register notice. 

The charges in this update for acute 

inpatient facility and skilled nursing 

facility/sub-acute inpatient facility 

services are effective October 1, 2010. 

In this update, we are retaining the 

table designations used for acute 

inpatient facility charges by MS–DRGs 

which is posted on the Internet site of 

the VHA Chief Business Office, 

currently at http://www1.va.gov/CBO/

apps/rates/index.asp, under ‘‘Charge 

Data.’’ We also are retaining the table 

designation used for skilled nursing 

facility/sub-acute inpatient facility 

charges which is posted on the Internet 

site of the VHA Chief Business Office, 

currently at http://www1.va.gov/CBO/

apps/rates/index.asp, under ‘‘Charge 

Data.’’ Accordingly, the tables identified 

as being updated by this notice 

correspond to the applicable tables 


srobinson on DSKHWCL6B1PROD with NOTICES
59330 Federal Register / Vol. 75, No. 186 / Monday, September 27, 2010 / Notices 

referenced in the September 17, 2009, 

notice, beginning with Table A through 

Table B. 

We have updated the list of data 

sources presented in Supplementary 

Table 1 posted on the Internet site of the 

VHA Chief Business Office, currently at 

http://www1.va.gov/CBO/apps/rates/

index.asp to reflect the updated data 

sources used to establish the updated 

charges described in this notice. 

We have also updated the list of VA 

medical facility locations. As a 

reminder, in Supplementary Table 3 

posted on the internet site of the VHA 

Chief Business Office, currently at 

http://www1.va.gov/CBO/apps/rates/

index.asp, we set forth the list of VA 

medical facility locations, which 

includes their three-digit ZIP Codes and 

provider-based/non-provider-based 

designations. 

Consistent with VA’s regulations, the 

updated data tables and supplementary 

tables containing the changes described 

in this notice will be posted on the 

Internet site of the VHA Chief Business 

Office, currently at http://www1.va.gov/ 

CBO/apps/rates/index.asp, under 

‘‘Charge Data.’’ 

Approved: August 25, 2010. 

John R. Gingrich, 

Chief of Staff, Department of Veterans Affairs. 

[FR Doc. 2010–24116 Filed 9–24–10; 8:45 am] 

BILLING CODE P 


srobinson on DSKHWCL6B1PROD with NOTICES