78574 Federal Register / Vol. 79, No. 249 / Tuesday, December 30, 2014 / Notices 

FOR FURTHER INFORMATION CONTACT: 

Crystal Rennie, Enterprise Records 

Service (005R1B), Department of 

Veterans Affairs, 810 Vermont Avenue 

NW., Washington, DC 20420, (202) 632– 

7492 or email crystal.rennie@va.gov. 

Please refer to ‘‘OMB Control No. 2900– 

0678’’ in any correspondence. 

SUPPLEMENTARY INFORMATION: 

Title: Agreement to Train on the Job 

Disabled Veterans, VA Form 28–1904. 

OMB Control Number: 2900–0678. 

Type of Review: Extension of a 

currently approved collection. 

Abstract: VA Form 28–1904 is a 

written agreement between an On the 

Job Training (OJT) establishments and 

VA. The agreement is necessary to 

ensure that OJT is providing claimants 

with the appropriate training and 

supervision, and VA’s obligation to 

provide claimants with the necessary 

tools, supplies, and equipment for such 

training. 

An agency may not conduct or 

sponsor, and a person is not required to 

respond to a collection of information 

unless it displays a currently valid OMB 

control number. The Federal Register 

Notice with a 60-day comment period 

soliciting comments on this collection 

of information was published on 

October 2, 2014, at pages 59557–59558. 

Affected Public: Business or other forprofit. 

Estimated Annual Burden: 150 hours. 

Estimated Average Burden per 

Respondent: 15 minutes. 

Frequency of Response: One-time. 

Estimated Number of Respondents: 

600. 

Dated: December 22, 2014. 

By direction of the Secretary. 

Crystal Rennie, 

VA Clearance Officer, U.S. Department of 

Veterans Affairs. 

[FR Doc. 2014–30374 Filed 12–29–14; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

Reasonable Charges for Medical Care 

or Services; V3.16, 2015 Calendar Year 

Update and National Average 

Administrative Prescription Drug 

Charge Update 

AGENCY: Department of Veterans Affairs. 

ACTION: Notice. 

SUMMARY: This Department of Veterans 

Affairs (VA) notice updates the data for 

calculating the ‘‘Reasonable Charges’’ 

collected or recovered by VA for 

medical care or services. This notice 

also updates the ‘‘National Average 

Administrative Costs’’ for purposes of 

calculating VA’s charges for 

prescription drugs that were not 

administered during treatment but 

provided or furnished by VA to a 

veteran. 

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: Section 

17.101 of 38 Code of Federal 

Regulations sets forth the ‘‘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 for 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.’’ Section 17.101 provides the 

methodologies for establishing billed 

amounts for several types of 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. 

Section 17.101 provides that the 

actual charge amounts at individual VA 

facilities based on these methodologies 

and the data sources used for 

calculating those actual charge amounts 

will either be published as a notice in 

the Federal Register or will be posted 

on the Internet site of the Veterans 

Health Administration Chief Business 

Office at http://www.va.gov/CBO/apps/

rates/index.asp. Certain charges are 

hereby updated as stated in this notice 

and will be effective on January 1, 2015. 

In cases where VA has not established 

charges for medical care or services 

provided or furnished at VA expense 

(by either VA or non-VA providers) 

under other provisions or regulations, 

the method for determining VA’s 

charges is set forth at 38 CFR 

17.101(a)(8). 

Based on the methodologies set forth 

in § 17.101, this notice provides an 

update to charges for 2015 HCPCS Level 

II and Current Procedural Terminology 

(CPT) codes. Charges are also being 

updated based on more recent versions 

of data sources 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. As of the date 

of this notice, the actual charge amounts 

at individual VA facilities based on the 

methodologies in § 17.101 will be 

posted at http://www.va.gov/CBO/apps/ 

rates/index.asp under the heading 

‘‘Reasonable Charges Data Tables’’ and 

identified as ‘‘V3.16 Data Tables 

(Outpatient and Professional).’’ 

The list of data sources used for 

calculating the actual charge amounts 

listed above also will be posted at 

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

index.asp under the heading 

‘‘Reasonable Charges Data Sources’’ and 

identified as ‘‘Reasonable Charges V3.16 

Data Sources (Outpatient and 

Professional) (PDF).’’ 

Acute inpatient facility charges and 

skilled nursing facility/sub-acute 

inpatient facility charges remain the 

same as set forth in the notice published 

in the Federal Register on September 

26, 2014 (79 FR 58048). The effective 

date of those charges is October 1, 2014. 

The data tables containing those actual 

charges are posted at http://www.va.gov/ 

CBO/apps/rates/index.asp under the 

heading ‘‘Reasonable Charges Data 

Tables’’ and identified as ‘‘V3.15 Data 

Tables (Inpatient).’’ The data sources 

used to calculate these charges are 

posted at http://www.va.gov/CBO/apps/ 

rates/index.asp under the heading 

‘‘Reasonable Charges Data Sources’’ 

and identified as ‘‘Reasonable Charges 

Data Sources V3.15 (Inpatient) (PDF). 

We are also updating the list of VA 

medical facility locations. The list of VA 

medical facility locations, including the 

first three digits of their zip codes as 

well as provider based/non-provider 

based designations, will be posted on 

the Internet site of the Veterans Health 

Administration Chief Business Office, 

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

apps/rates/index.asp under the heading 

‘‘VA Medical Facility Locations,’’ and 

mstockstill on DSK4VPTVN1PROD with NOTICES

Federal Register / Vol. 79, No. 249 / Tuesday, December 30, 2014 / Notices 78575 

identified as ‘‘VA Medical Facility 

Locations V3.16 (Jan 15).’’ 

As indicated in 38 CFR 17.101(m), 

when VA provides or furnishes 

prescription drugs not administered 

during treatment, ‘‘charges billed 

separately for such prescription drugs 

will consist of the amount that equals 

the total of the actual cost to VA for the 

drugs and the national average of VA 

administrative costs associated with 

dispensing the drugs for each 

prescription.’’ Section 17.101(m) 

includes the methodology for 

calculating the national average 

administrative cost for prescription drug 

charges not administered during 

treatment. 

VA determines the amount of the 

national average administrative cost 

annually for the prior fiscal year 

(October through September) and then 

applies the charge at the start of the next 

calendar year. The national average 

administrative drug cost for calendar 

year 2015 is $13.10. This change will be 

posted at http://www.va.gov/CBO/

payerinfo.asp and identified as ‘‘CY 

2015 Average Administrative Cost for 

Prescriptions.’’ 

Consistent with § 17.101, the national 

average administrative cost, the updated 

data tables, and supplementary tables 

containing the changes described in this 

notice will be posted online, as 

indicated in this notice. This notice will 

be posted at http://www.va.gov/CBO/

apps/rates/index.asp under the heading 

‘‘Federal Registers, Rules, and Notices’’ 

and identified as, ‘‘V3.16 Federal 

Register Notice 01/01/15 (Outpatient 

and Professional), and National 

Administrative Cost (PDF).’’ The 

national average administrative cost, 

updated data tables, and the 

supplementary tables containing the 

changes described will be effective until 

changed by a subsequent Federal 

Register notice. 

Signing Authority 

The Secretary of Veterans Affairs, or 

designee, approved this document 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. Jose 

D. Riojas, Chief of Staff, approved this 

document on December 18, 2014, for 

publication. 

Dated: December 22, 2014. 

William F. Russo, 

Acting Director, Office of Regulation Policy 

& Management, Office of the General Counsel, 

Department of Veterans Affairs. 

[FR Doc. 2014–30309 Filed 12–29–14; 8:45 am] 

BILLING CODE 8320–01–P 

DEPARTMENT OF VETERANS 

AFFAIRS 

Section 102(c) of the Veterans Access, 

Choice, and Accountability Act of 2014 

AGENCY: Department of Veterans Affairs. 

ACTION: Notice of Tribal Consultation. 

SUMMARY: As required by section 102(c) 

of the Veterans Access, Choice, and 

Accountability Act of 2014, the 

Secretary of the Department of Veterans 

Affairs (VA) and the Director of the 

Indian Health Service will jointly 

submit to Congress a report on the 

feasibility and advisability of entering 

into and expanding certain 

reimbursement agreements. VA is 

seeking Tribal Consultation on section 

102(c). 

DATES: Comments must be received by 

VA on or before January 14, 2015. 

FOR FURTHER INFORMATION CONTACT: 

Tracey Parker Warren, VA Office of 

Tribal Government Relations by phone 

at (202) 461–7400 (this is not a toll-free 

number), or by email at Tribal

governmentconsultation@va.gov. 

ADDRESSES: Written comments may be 

submitted to Tracey Parker Warren, VA 

Office of Public and Intergovernmental 

Affairs, Office of Tribal Government 

Relations by email at Tribalgovernment

consultation@va.gov, by fax to (202) 

273–5716, or by hand-delivery to 

Director, Office of Tribal Government 

Relations (075F), Department of 

Veterans Affairs, 810 Vermont Avenue 

NW., Room 1068, Washington, DC 

20420. Comments should indicate that 

the submission is in response to ‘‘Notice 

of Tribal Consultation: Section 102(c) of 

the Veterans Access, Choice, and 

Accountability Act of 2014.’’ 

SUPPLEMENTARY INFORMATION: VA’s 

Office of Tribal Government Relations 

(OTGR) is seeking Tribal Consultation 

on section 102(c) of the Veterans 

Access, Choice, and Accountability Act 

of 2014, Public Law (P.L.) 113–146. 

Public Law 113–146, section 102(c) 

(as revised by section 409(b)(2) of Public 

Law 113–175). OTGR specifically seeks 

Tribal Consultation in the form of 

written comments concerning the 

feasibility and advisability of Indian 

Health Service and Tribal Health 

Programs entering into agreements with 

VA for reimbursement of the costs of 

direct care services provided to eligible 

Veterans who are not American Indian 

or Alaska Native. 

Signing Authority 

The Secretary of Veterans Affairs, or 

designee, approved this document 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. Jose 

D. Riojas, Chief of Staff, approved this 

document on December 23, 2014, for 

publication. 

Dated: December 23, 2014. 

William F. Russo, 

Acting Director, Office of Regulation Policy 

& Management, Office of the General Counsel, 

Department of Veterans Affairs. 

[FR Doc. 2014–30527 Filed 12–29–14; 8:45 am] 

BILLING CODE 8320–01–P 

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