Federal Register / Vol. 66, No. 243 / Tuesday, December 18, 2001 / Notices 65179

Office of Textiles and Apparel, 14th and

Constitution Avenue, NW., room H3100,

Washington, DC 20230, ATTN: Barbara

Anderson, at a cost of $25. Checks or

money orders should be made payable

to the U.S. Department of Commerce.

The 2002 Correlation will also be

available on the OTEXA website at

http://otexa.ita.doc.gov.

D. Michael Hutchinson,

Acting Chairman, Committee for the

Implementation of Textile Agreements.

[FR Doc. 01–31096 Filed 12–17–01; 8:45 am]

BILLING CODE 3510–DR–S

DEPARTMENT OF DEFENSE

Office of the Secretary

TRICARE Management Activity; Fiscal

Year 2002 Diagnosis Related Group

(DRG) Updates

AGENCY: Office of the Secretary, DoD.

ACTION: Notice of DRG revised rates.

SUMMARY: This notice describes the

changes made to the TRICARE DRGbased payment system in order to

conform to changes made to the

Medicare Prospective Payment System

(PPS).

It also provides the updated fixed loss

cost outlier threshold, cost-to-charge

ratios and the Internet address for

accessing the updated standardized

amounts and DRG relative weights to be

used for FY 2002 under the TRICARE

DRG-based payment system.

EFFECTIVE DATES: The rates, weights and

Medicare PPS changes which affect the

TRICARE DRG-based payment system

contained in this notice are effective for

admissions occurring on or after

October 1, 2001.

ADDRESSES: TRICARE Management

Activity (TMA), Medical Benefits and

Reimbursement Systems, 16401 East

Centretech Parkway, Aurora, CO 80011–

9066. For copies of the Federal Register

containing this notice, contact the

Superintendent of Documents, U.S.

Government Printing Office,

Washington, DC 20402, (202) 783–3238.

The charge for the Federal Register is

$10.00 for each issue payable by check

or money order to the Superintendent of

Documents.

FOR FURTHER INFORMATION CONTACT:

Marty Maxey, Medical Benefits and

Reimbursement Systems, TMA,

telephone (303) 676–3627. To obtain

copies of this document, see ADDRESSES

section above. 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).

An explicit tenet of these final rules,

and one based on the statute authorizing

the use of DRGs by TRICARE, is that the

TRICARE DRG-based payment system is

modeled on the Medicare PPS, and that,

whenever practicable, the TRICARE

system will follow the same rules that

apply to the Medicare PPS. The Centers

for Medicare and Medicaid Services

(CMS) publishes these changes annually

in the Federal Register and discusses in

detail the impact of the changes.

In addition, this notice updates the

rates and weights in accordance with

our previous final rules. The actual

changes we are making, along with a

description of their relationship to the

Medicare PPS, are detailed below.

I. Medicare PPS Changes Which Affect

the TRICARE DRG-Based Payment

System

Following is a discussion of the

changes CMS has made to the Medicare

PPS that affect the CHAMPUS DRGbased payment system.

A. DRG Classifications

Under both the Medicare PPS and 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 and

procedure codes and demographic

information (that is, sex, age, and

discharge status). The Grouper used the

TRICARE DRG-based payment system is

the same as the current Medicare

Grouper with two modifications. The

TRICARE system has replaced Medicare

DRG 435 with two age-based DRGs (900

and 901), and has implemented thirtyfour (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 aged-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

MDC 15 occur before assignment of the

PreMDC DRGs. This resulted in all

neonate tracheostomies 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 to

assign patients to PreMDC DRGs 480,

103 and 495 before assignment to MDC

15 DRGs and the neonatal DRGs. For

admissions occurring on or after

October 1, 2001, DRGs 512 and 513

were added to the PreMDC DRGs,

between DRGs 480 and 103 in the

TRICARE grouper hierarchy logic.

For FY 2002, CMS will implement

classification changes, including

surgical hierarchy changes. The

TRICARE Grouper will incorporate all

changes made to the Medicare Grouper.

B. Wage Index and Medicare

Geographic Classification Review Board

Guidelines

TRICARE will continue to use the

same wage index amounts used for the

Medicare PPS. In addition, TRICARE

will duplicate all changes with regard to

the wage index for specific hospitals

that are redesignated by the Medicare

Geographic Classification Review Board.

C. Hospital Market Basket

TRICARE will update the adjusted

standardized amounts according to the

final updated hospital market basket

used for the Medicare PPS according to

CMS’s August 1, 2001, final rule.

D. Outlier Payments

Since TRICARE does not include

capital payments in our DRG-based

payments, we will use the fixed loss

cost outlier threshold calculated by

CMS for paying cost outliers in the

absence of capital prospective

payments. For FY 2002, the fixed loss

cost outlier threshold is based on the

sum of the applicable DRG-based

payment rate plus any amounts payable

for IDME plus a fixed dollar amount.

Thus, for FY 2002, in order for a case

to qualify for cost outlier payments, the

costs must exceed the TRICARE DRG

base payment rate (wage adjusted) for

the DRG plus the IDME payment plus

$19,226 (wage adjusted). The marginal

cost factor for cost outliers continues to

be 80 percent.

E. Blood Clotting Factor

For FY 2002, TRICARE will use the

same HCPCS codes and payment rates

for blood clotting factors used in FY

2001, except for HCPCS code J7190

Factor VIII (antihemophilic factor—

human) which has changed from $0.85

per unit to $0.86 per unit. TRICARE

65180 Federal Register / Vol. 66, No. 243 / Tuesday, December 18, 2001 / Notices

uses the same ICD–9–CM diagnosis

codes as CMS for add-on payment for

blood clotting factors.

F. Indirect Medical Education (IDME)

Adjustment

Passage of The Benefits Improvement

and Protection Act of 2000, modified

the transition for the IDME adjustment

that was first established by the

Balanced Budget Act of 1997 and

revised by the Balanced Budget

Refinement Act of 1999. The formula

multiplier for the TRICARE IDME

adjustment has been revised to 1.21 for

FY 2002 and 1.02 for FY 2003 and

thereafter.

G. National Operating Standard Cost as

a Share of Total Costs

The FY 2002 TRICARE National

Operating Standard Cost as a Share of

Total Costs used in calculating the cost

outlier threshold is 0.918.

II. Cost to Charge Ratio.

For FY 2002, the cost-to-charge ratio

used for the TRICARE DRG-based

payment system will be 0.5003, which

is increased to 0.5073 to account for bad

debts. This shall be used to calculate the

adjusted standardized amounts and to

calculate cost outlier payments, except

for children’s hospitals. For children’s

hospital cost outliers the cost-to-charge

ratio used is 0.5520.

III. Updated Rates and Weights

The updated rates and weights are

accessible through the Internet at

www.tricare.osd.mil under the

sequential headings TRICARE Provider

Information, Reimbursement Systems,

and DRG Information. Table 1 provides

the ASA rates and Table 2 provides the

DRG weights to be used under the

TRICARE DRG-based payment system

during FY 2002 and which is a result of

the changes described above. The

implementing regulations for the

TRICARE/CHAMPUS DRG-based

payment system are in 32 CFR part 199.

Dated: December 12, 2001.

L.M. Bynum,

Alternate OSD Federal Register Liaison

Officer, Department of Defense.

[FR Doc. 01–31091 Filed 12–17–01; 8:45 am]

BILLING CODE 5001–08–M

DEPARTMENT OF DEFENSE

Department of the Army

Privacy Act of 1974; System of

Records

AGENCY: Department of the Army, DoD.

ACTION: Notice to Amend Systems of

Records.

SUMMARY: The Department of the Army

is amending three systems of records

notices in its existing inventory of

records systems subject to the Privacy

Act of 1974 (5 U.S.C. 552a), as amended.

Throughout the three notices,

‘Department of Defense Computer

Institute’ and ‘DODCI’’ are being

changed to ‘Information Resources

Management College’ and ‘IRMC’.

DATES: This proposed action would be

effective without further notice on

January 17, 2002 unless comments are

received which result in a contrary

determination.

ADDRESSES: Records Management

Division, U.S. Army Records

Management and Declassification

Agency, ATTN: TAPC–PDD–RP, Stop

5603, 6000 6th Street, Ft. Belvoir, VA

22060–5603.

FOR FURTHER INFORMATION CONTACT: Ms.

Janice Thornton at (703) 806–4390 or

DSN 656–4390 or Ms. Christie King at

(703) 806–3711 or DSN 656–3711.

SUPPLEMENTARY INFORMATION: The

Department of the Army systems of

records notices subject to the Privacy

Act of 1974 (5 U.S.C. 552a), as amended,

have been published in the Federal

Register and are available from the

address above.

The specific changes to the records

system being amended are set forth

below followed by the notice, as

amended, published in its entirety. The

proposed amendments are not within

the purview of subsection (r) of the

Privacy Act of 1974 (5 U.S.C. 552a), as

amended, which requires the

submission of a new or altered system

report.

Dated: December 12, 2001.

L.M. Bynum,

Alternate OSD Federal Register Liaison

Officer, Department of Defense.

A0351a NDU–CI

SYSTEM NAME:

DODCI Student Record System

(February 22, 1993, 58 FR 10002).

CHANGES:

SYSTEM IDENTIFIER:

Delete entry and replace with A0351a

IRMC.

SYSTEM NAME:

Delete entry and replace with

‘Information Resources Management

College Record System’.

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM:

Delete from entry ‘as regular students’

and ‘other’.

CATEGORIES OF RECORDS IN THE SYSTEM:

Delete entry and replace with

‘Individual’s name, Social Security

Number, home address, home telephone

number, military rank, civilian grade,

branch of service, course ID, activity

and consolidated list of students,

names, courses and their activities.’

AUTHORITY FOR MAINTENANCE OF THE SYSTEM:

Delete entry and replace with ‘10

U.S.C. 3013, Secretary of the Army;

Army Regulation 351–1, Individual

Military Education and Training; Army

Regulation 351–9, Inter-service

Education and Training; and E.O. 9397

(SSN).’

* * * * *

RETENTION AND DISPOSAL:

Delete entry and replace with

‘Records are maintained for a total of 40

years. Current file is maintained until

no longer needed, then retired to a

records holding area. The records

holding area will retire the military

records to National Personnel Records

Center, 9700 Page Avenue, St. Louis,

MO 63132–5100 when records are ten

years old.’

* * * * *

RECORD SOURCE CATEGORIES:

Delete parenthetical phrase.

* * * * *

A0351a IRMC

SYSTEM NAME:

Information Resources Management

College Record System.

SYSTEM LOCATION:

Information Resources Management

College, Washington Navy Yard,

Washington, DC 20374–5000.

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM:

All students who have completed a

course of instruction presented by the

Information Resources Management

College (IRMC). These are primarily

DoD military and civilian personnel;

personnel from federal, state and local

government agencies who have attended

courses on a space available basis;

military and civilian personnel from

foreign governments who requested and

were granted authority to attend

courses; and personnel from private

industry who are under direct contract

to a DoD activity who sponsor their

attendance.