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 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 Department of Veterans Affairs (VA) that apply in certain circumstances.
 DATES: The rates set forth herein are effective August 29, 2017 and until further notice.
 FOR FURTHER INFORMATION CONTACT: Romona Greene, Office of Community Care (10D1C1), 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 in accordance with 38 CFR 17.102 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; and (d) 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 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, 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 that are effective upon publication of this notice and will remain in effect until the next 
                    **Federal Register**
                     notice is published. These rates supersede those established by the 
                    **Federal Register**
                     notice published on July 7, 2016, at 81 FR 44409. Cost-based
                             rates
Inter-agency
                             ratesA. Hospital Care per inpatient day:General Medicine:All Inclusive Rate
$3,805
$3,645Physician
455Ancillary
992Nursing Room and Board
2,358Neurology:All Inclusive Rate
3,806
3,644( print page 41094)Physician
557Ancillary
1005Nursing Room and Board
2,244Rehabilitation Medicine:All Inclusive Rate
2,489
2,372Physician
283Ancillary
760Nursing Room and Board
1,446Blind Rehabilitation:All Inclusive Rate
1,726
1,646Physician
139Ancillary
857Nursing Room and Board
730Spinal Cord Injury:All Inclusive Rate
2,285
2,182Physician
283Ancillary
575Nursing Room and Board
1,427Surgery:All Inclusive Rate
6,388
6,119Physician
704Ancillary
1,937Nursing Room and Board
3,747General Psychiatry:All Inclusive Rate
1,849
1,761Physician
175Ancillary
291Nursing Room and Board
1,383Substance Abuse (Alcohol and Drug Treatment):All Inclusive Rate
1,814
1,727Physician
173Ancillary
420Nursing Room and Board
1,221Psychosocial Residential Rehabilitation Program:All Inclusive Rate
705
671Physician
44Ancillary
74Nursing Room and Board
587Intermediate Medicine:All Inclusive Rate
2,123
2,025Physician
104Ancillary
311Nursing Room and Board
1,708Poly-trauma Inpatient:All Inclusive Rate
3,070
2,927Physician
349Ancillary
938Nursing Room and Board
1,783B. Nursing Home Care, Per Day:All Inclusive Rate
1,209
1,154Physician
38Ancillary
164Nursing Room and Board
1007C. Outpatient Medical Treatments:Outpatient Visit (to include Ineligible Emergency Dental Care)
347
333Outpatient Physical Medicine & Rehabilitation Service Visit
212
201Outpatient Poly-trauma/Traumatic Brain Injury
546
522**Note:**
                         Outpatient Prescriptions will be billed at Drug Cost plus Administrative Fee.
 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. Gina S. Farrisee, Deputy Chief of Staff, Department of Veterans Affairs, approved this document on August 21, 2017, for publication. Dated: August 22, 2017. Jeffrey Martin, Office Program Manager, Office of Regulation Policy & Management, Office of the Secretary, Department of Veterans Affairs.


[FR Doc. 2017-18219 Filed 8-28-17; 8:45 am] BILLING CODE 8320-01-P