Federal Register / Vol. 79, No. 213 / Tuesday, November 4, 2014 / Notices 65479 

DEPARTMENT OF THE TREASURY 

Fiscal Service 

Rate for Federal Debt Collection, 

Discount and Rate Evaluation 

AGENCY: Bureau of the Fiscal Service, 

Treasury. 

ACTION: Notice of rate to be used for 

Federal debt collection, and discount 

and rebate evaluation. 

SUMMARY: The Secretary of the Treasury 

is responsible for computing and 

publishing the percentage rate that is to 

be used in assessing interest charges for 

outstanding debts owed to the 

Government (The Debt Collection Act of 

1982, as amended (codified at 31 U.S.C. 

Section 3717)). This rate is also to be 

used by agencies as a comparison point 

in evaluating the cost-effectiveness of a 

cash discount. In addition, this rate is to 

be used in determining when agencies 

should pay purchase card invoices 

when the card issuer offers a rebate (5 

CFR 1315.8). Notice is hereby given that 

the applicable rate for calendar year 

2015 is 1.00 percent. 

DATES: January 1, 2015 through 

December 31, 2015. 

FOR FURTHER INFORMATION CONTACT: ECommerce Division, Bureau of the 

Fiscal Service, Department of the 

Treasury, 401 14th Street SW., 

Washington, DC 20227 (Telephone: 

202–874–9428). 

SUPPLEMENTARY INFORMATION: The rate 

reflects the current value of funds to the 

Treasury for use in connection with 

Federal Cash Management systems and 

is based on investment rates set for 

purposes of Public Law 95–147, 91 Stat. 

1227. Computed each year by averaging 

Treasury Tax and Loan (TT&L) 

investment rates for the 12-month 

period ending every September 30, 

rounded to the nearest whole 

percentage, for applicability effective 

each January 1. Quarterly revisions will 

be made if the annual average, on a 

moving basis, changes by 2 percentage 

points. The rate for calendar year 2015 

reflects the average investment rates for 

the 12-month period that ended 

September 30, 2014. 

Dated: October 29, 2014. 

John B. Hill, 

Assistant Commissioner Payment 

Management and Chief Disbursing Officer. 

[FR Doc. 2014–26171 Filed 11–3–14; 8:45 am] 

BILLING CODE 4810–35–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

Cost-Based and Inter-Agency Billing 

Rates for Medical Care or Services 

Provided by the Department of 

Veterans Affairs 

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). 

DATES: Effective Date: The rates set forth 

in this notice are effective November 4, 

2014 and until further notice. 

FOR FURTHER INFORMATION CONTACT: 

Romona Greene, Chief Business Office 

(10NB), Veterans Health 

Administration, Department of Veterans 

Affairs, 810 Vermont Avenue NW., 

Washington, DC 20420, (202) 382–2521. 

(This is not a toll free number.) 

SUPPLEMENTARY INFORMATION: VA’s 

methodology for computing Cost-Based 

and Inter-Agency billing rates for 

medical care or services provided by VA 

is set forth in 38 CFR 17.102(h). Two 

sets of rates are obtained by applying 

this methodology, Cost-Based rates and 

Inter-Agency rates. Cost-Based rates 

apply to medical care and services that 

are provided by VA: 

(a) In error or based on tentative 

eligibility; 

(b) In a medical emergency; 

(c) To pensioners of allied nations; or 

(d) For research purposes in 

circumstances under which VA medical 

care appropriation is to be reimbursed 

by VA research appropriation. 

Inter-Agency rates apply to medical 

care and services that are provided by 

VA to beneficiaries of the Department of 

Defense (DoD) or other Federal agencies, 

when the care or services provided is 

not covered by an applicable sharing 

agreement. The Inter-Agency rates 

contained in this notice do not apply to 

sharing agreements between VA and 

DoD unless otherwise stated. 

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 (Physician; 

Ancillary; and Nursing, Room and 

Board), and Inter-Agency rates do not 

include standard fringe benefit costs 

that cover government employee 

retirement, disability costs, and return 

on fixed assets. When VA pays for 

medical care or services from a non-VA 

source under circumstances in which 

the Cost-Based or Inter-Agency Rates 

would apply if the care or services had 

been provided by VA, the charge for 

such care or services will be the actual 

amount paid by VA for the care or 

services. Inpatient charges will be at the 

per diem rates shown for the type of bed 

section or discrete treatment unit 

providing the care. 

The following table depicts the Cost 

Based and Inter-Agency Rates which are 

effective upon publication of this notice. 

These rates supersede those established 

by the Federal Register notice 

published on July 11, 2011 at 76 FR 

40749. 

Cost-based 

rates 

Inter-agency 

rates 

A. Hospital Care per inpatient day 

General Medicine: 

All Inclusive Rate ....................................................................................................................................... $3,313 $3,142 

Physician ................................................................................................................................................... 397 ........................

Ancillary ..................................................................................................................................................... 863 ........................

Nursing Room and Board ......................................................................................................................... 2,053 ........................

Neurology: 

All Inclusive Rate ....................................................................................................................................... 3,152 2,993 

Physician ................................................................................................................................................... 461 ........................

Ancillary ..................................................................................................................................................... 832 ........................

Nursing Room and Board ......................................................................................................................... 1,859 ........................

Rehabilitation Medicine: 

All Inclusive Rate ....................................................................................................................................... 2,480 2,353 

Physician ................................................................................................................................................... 282 ........................

Ancillary ..................................................................................................................................................... 758 ........................

Nursing Room and Board ......................................................................................................................... 1,440 ........................

Blind Rehabilitation: 


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65480 Federal Register / Vol. 79, No. 213 / Tuesday, November 4, 2014 / Notices 

Cost-based 

rates 

Inter-agency 

rates 

All Inclusive Rate ....................................................................................................................................... 1,641 1,557 

Physician ................................................................................................................................................... 132 ........................

Ancillary ..................................................................................................................................................... 815 ........................

Nursing Room and Board ......................................................................................................................... 694 ........................

Spinal Cord Injury: 

All Inclusive Rate ....................................................................................................................................... 2,201 2,089 

Physician .......................................................................................................................................................... 273 ........................

Ancillary ..................................................................................................................................................... 554 ........................

Nursing Room and Board ......................................................................................................................... 1,374 ........................

Surgery: 

All Inclusive Rate ....................................................................................................................................... 5,165 4,899 

Physician ................................................................................................................................................... 569 ........................

Ancillary ..................................................................................................................................................... 1,567 ........................

Nursing Room and Board ......................................................................................................................... 3,029 ........................

General Psychiatry: 

All Inclusive Rate ....................................................................................................................................... 1,611 1,527 

Physician ................................................................................................................................................... 152 ........................

Ancillary ..................................................................................................................................................... 254 ........................

Nursing Room and Board ......................................................................................................................... 1,205 ........................

Substance Abuse (Alcohol and Drug Treatment): 

All Inclusive Rate ....................................................................................................................................... 1,363 1,294 

Physician ................................................................................................................................................... 130 ........................

Ancillary ..................................................................................................................................................... 315 ........................

Nursing Room and Board ......................................................................................................................... 918 ........................

Psychosocial Residential Rehabilitation Program: 

All Inclusive Rate ....................................................................................................................................... 650 616 

Physician ................................................................................................................................................... 41 ........................

Ancillary ..................................................................................................................................................... 68 ........................

Nursing Room and Board ......................................................................................................................... 541 ........................

Intermediate Medicine: 

All Inclusive Rate ....................................................................................................................................... 2,249 2,135 

Physician ................................................................................................................................................... 111 ........................

Ancillary ..................................................................................................................................................... 330 ........................

Nursing Room and Board ......................................................................................................................... 1,808 ........................

Polytrauma Inpatient: 

All Inclusive Rate ....................................................................................................................................... 3,217 3,058 

Physician ................................................................................................................................................... 365 ........................

Ancillary ..................................................................................................................................................... 983 ........................

Nursing Room and Board ......................................................................................................................... 1,869 ........................

B. Nursing Home Care, Per Day 

All Inclusive Rate .............................................................................................................................................. 1,082 1,025 

Physician .......................................................................................................................................................... 34 

Ancillary ............................................................................................................................................................ 146 

Nursing Room and Board ................................................................................................................................. 902 

C. Outpatient Medical Treatments 

Outpatient Visit (to include Ineligible Dental Care) .......................................................................................... 236 222 

Physical Medicine & Rehabilitation Service Outpatient Visit ........................................................................... 443 419 

Outpatient Polytrauma/Traumatic Brain Injury ................................................................................................. 586 561 

Dated: October 30, 2014. By Direction of the Secretary. 

William F. Russo, 

Acting Director, Office of Regulation Policy 

and Management, Office of the General 

Counsel, U.S. Department of Veterans Affairs. 

[FR Doc. 2014–26148 Filed 11–3–14; 8:45 am] 

BILLING CODE 8320–01–P 


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