Source: https://www.federalregister.gov/documents/2000/11/07/00-28472/va-payment-for-non-va-public-or-private-hospital-care-and-non-va-physician-services-that-are
Timestamp: 2017-09-22 18:02:46
Document Index: 342277026

Matched Legal Cases: ['§\u2009603', '§\u200917', '§\u200917', '§\u2009233', '§\u200917', '§\u200917', '§\u200917']

Federal Register :: VA Payment for Non-VA Public or Private Hospital Care and Non-VA Physician Services That Are Associated With Either Outpatient or Inpatient Care
A Rule by the Veterans Affairs Department on 11/07/2000
65 FR 66636
66636-66637 (2 pages)
2900-AK57
00-28472
https://www.federalregister.gov/d/00-28472 https://www.federalregister.gov/d/00-28472
This document amends our medical regulations concerning VA payment for non-VA public or private hospital care provided to eligible VA beneficiaries. This document also amends our medical regulations concerning VA payment for non-VA physician services that are associated with either outpatient or inpatient care provided to eligible VA beneficiaries at non-VA facilities. With certain exceptions, these payments have been based on Medicare methodology. Sometimes VA can negotiate contracts with hospitals or physicians or with their agents to reduce the payment amounts. This document amends these Start Printed Page 66637regulations to allow VA to make lower payments based on such negotiations.
Effective Date: November 7, 2000.
Tony Guagliardo, Health Administration Service, (10C3), Veterans Health Administration, Department of Veterans Affairs, 810 Vermont Avenue, NW., Washington, DC 20420, (202) 273-8307. (This is not a toll-free number.)
This document allows VA to pay hospitals and physicians the amount that they on their own or through agents have negotiated to receive from VA. Accordingly, this document reflects contract actions that are exempt from the prior notice-and-comment and delayed effective date provisions of 5 U.S.C. 553.
The Secretary hereby certifies that this rule will not have a significant economic impact on a substantial number of small entities as they are defined in the Regulatory Flexibility Act, 5 U.S.C. 601-612. This rule would affect only a small portion of the business of the affected entities. Accordingly, pursuant to 5 U.S.C. 605(b), this rule is exempt from the initial and final regulatory flexibility analysis requirements of §§ 603 and 604.
The Catalog of Federal domestic assistance numbers for the programs affected by this rule are 64.005, 64.007, 64.008, 64.009, 64.010, 64.011, 64.012, 64.013, 64.014, 64.015, 64.016, 64.018, 64.019, 64.022, and 64.025.
2. In § 17.55, a new paragraph (k) is added; and the authority citation at the end of the section is revised, to read as follows:
§ 17.55
Payment for authorized public or private hospital care.
(k) Notwithstanding other provisions of this section, VA, for public or private hospital care covered by this section, will pay the lesser of the amount determined under paragraphs (a) through (j) of this section or the amount negotiated with the hospital or its agent.
(Authority: 38 USC 513, 1703, 1728; § 233 of P. L. 99-576)
3. Remove the undesignated center heading immediately before § 17.56.
4. In § 17.56, a new paragraph (e) is added to read as follows:
Payment for non-VA physician services associated with outpatient and inpatient care provided at non-VA facilities.
(e) Notwithstanding other provisions of this section, VA, for physician services covered by this section, will pay the lesser of the amount determined under paragraphs (a) through (d) of this section or the amount negotiated with the physician or the physician's agent.
(Authority: 38 U.S.C. 513, 38 U.S.C. 1703, 38 U.S.C. 1728)
5. Add an undesignated center heading immediately before § 17.57 to read as follows:
Use of Community Nursing Home Care Facilities.
[FR Doc. 00-28472 Filed 11-06-00; 8:45 am]