[Federal Register: March 30, 2004 (Volume 69, Number 61)]
[Notices]
[Page 16531]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr30mr04-53]
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DEPARTMENT OF DEFENSE
Office of the Secretary
TRICARE; Implementation of the TRICARE Home Health Agency
Prospective Payment System
AGENCY: Office of the Secretary, Department of Defense.
ACTION: Notice of implementation of Home Health Agency Prospective
Payment System.
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SUMMARY: This notice is to advise interested parties of the phased-in
implementation of the Home Health Agency Prospective Payment System
(HHA PPS). Public notification of HHA PPS implementation was required
under a previous interim final rule (67 FR 40597) published in the
Federal Register on June 13, 2002, if TRICARE was unable to effectively
and efficiently implement the HHA PPS within the specified statutory
effective date of August 12, 2002.
The HHA PPS will be implemented with the start health care delivery
date of the following regional groupings of states under each of the
TRICARE Next Generation of Contracts (T-Nex); e.g., as of June 1, 2004,
home health agency services in the state of Washington will be
processed and paid under the HHA PPS as part of the West T-Nex regional
contract.
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T-Nex region/contractor States Start healthcare delivery
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North (Health Net Federal Services, Illinois, Indiana, Kentucky, July 1, 2004.
Inc.). Michigan, Ohio, Wisconsin, West
Virginia, Virginia (except the
Northern Virginia/National
Capital Area), North Carolina,
Eastern Iowa, Rock Island, IL,
Fort Campbell catchment area of
Tennessee.
Connecticut, Delaware, District September 1, 2004.
of Columbia, Maine, Maryland,
Massachusetts, New Hampshire,
New Jersey, New York,
Pennsylvania, Rhode Island,
Vermont, Northern Virginia,
West Virginia (portion).
South (Humana Military Healthcare Oklahoma, Arkansas and major November 1, 2004.
Services). portions of Texas and Louisiana.
Alabama, Florida, Georgia, August 1, 2004.
Mississippi, Eastern Louisiana,
South Carolina, Tennessee,
small area of Arkansas, New
Orleans area.
West (TriWest Healthcare Alliance Corp.) Washington, Oregon, Northern June 1, 2004.
Idaho.
California, Hawaii, Alaska...... July 1, 2004.
Arizona, Colorado, Idaho, Iowa, October 1, 2004.
Kansas, Minnesota, Missouri,
Montana, Nebraska, Nevada, New
Mexico, North Dakota, South
Dakota, western portion of
Texas, Wyoming.
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FOR FURTHER INFORMATION CONTACT: David Bennett, Medical Benefits and
Reimbursement Systems, TRICARE Management Activity, telephone (303)
676-3494.
Dated: March 23, 2004.
L.M. Bynum,
Alternate OSD Federal Register Liaison, Officer, Department of Defense.
[FR Doc. 04-6978 Filed 3-29-04; 8:45 am]
BILLING CODE 5001-06-M