All claims must be submitted electronically in order to receive payment for services. The appearance of hyperlinks does not constitute endorsement by the DHA of non-U.S. Government sites or the information, products, or services contained therein. on NARA's archives.gov. 1079(i)(2), the ASD(HA) has determined that, generally, the NTAP reimbursement methodology is practicable for TRICARE to adopt for any otherwise covered services and supplies with a Medicare NTAP, under the same conditions as approved by Medicare. Provisions under this portion of the estimate have already been implemented; cost estimates provided here are updates from estimates published in the associated IFR under which they were implemented. All Rights Reserved. A grouper program classifies each case into the appropriate DRG. TRICARE rates CHAMPUS Maximum Allowable Charges (CMAC) is the most frequently used TRICARE reimbursement method for procedures or services. Pursuant to the Congressional Review Act (5 U.S.C. Federal Register provide legal notice to the public and judicial notice The estimate in this IFR is largely consistent with the original estimate (approximately $7.3M per month), with an expected decrease in per-month spend further from the initial days of the pandemic and the stay-at-home orders that prompted this provision. The purpose was to incentivize TRICARE beneficiaries to use telehealth services and avoid unnecessary in-person TRICARE-authorized provider visits, which could potentially bring them into contact with or aid the spread of COVID-19. The CMS memorandum eliminating future enrollments into the Hospitals Without Walls initiative, does not impact any of the changes from the initial IFR or in this final rule, as both require a provider to first be enrolled with CMS as a hospital under the initiative to register with TRICARE as a hospital and receive reimbursement as a hospital. documents in the last year, 11 The addition of telephonic office visits as a permanent benefit will positively impact beneficiaries, particularly beneficiaries with limited access to broadband and other technology required for video telehealth visits, as this change will provide them better access to the existing telehealth benefit. FDA-approved at-home antigen rapid diagnostic test kits may be covered with a physician's order. 601) because it would not, if promulgated, have a significant economic impact on a substantial number of small entities. This page serves as a central repository for rates within the TRICARE/CHAMPUS DRG-Based Payment System. 1 Enrollment Fees. Reimbursement Modifications Consistent With Medicare Requirements, c. Beneficiary Cost-Shares and Copayments, Termination of Cost-Share and Copayment Waivers for Telehealth During the COVID-19 Pandemic, A. IFRTRICARE Coverage and Payment for Certain Services in Response to the COVID-19 Pandemic, b. 0EeBfZA[]JA#1{0b/BCYl*XLi0"\KJ+{p-[Ap+[qLWiP['u7$W XqB Follow instructions on submitting your completed package. 6 TRICARE eligibility was incorrectly removed from around 26K Army Active Guard and Reserve personnel records. This includes military, network, or non-network TRICARE-authorized providers. Evidence. Doing Business with the Defense Health Agency, Defense Medical Readiness Training Institute, Defense Health Program Agency Financial Report, 2020 DOD Womens Reproductive Health Survey (WRHS), Conducting Health Care Surveys in the DOD, Transition from CAHPS Version 4.0 to Version 5.0, TRICARE Inpatient Satisfaction Surveys (TRISS), 2018 Health-Related Behaviors Survey (HRBS), 2015 Health-Related Behavior Survey Active Duty, 2014 Health Related Behavior Survey of Reserve Component Leadership Fact Sheet, 2011 Health-Related Behavior Survey Active Duty, 2009 Health-Related Behavior Survey - Reserve Component, Clinical Improvement Priorities for MTF Providers, Small Market and Stand-Alone MTF Organizations, Defense Health Agency Region Indo-Pacific, Comprehensive Changes to the Autism Care Demonstration, Applied Behavior Analysis Maximum Allowed Amounts, Blend Rate Method for Radiology for Cancer and Children's Hospitals, TRICARE CHAMPUS ASA and DRG Weights Summary, TRICARE Rate Variables and Cost-Share Per Diems, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Limits on Number of Services without Override Code, Mental Health and Substance Use Disorder Facility Rates, Military Medical Support Office at DHA, Great Lakes, Information for Patients: TRICARE Pharmacy Program, Information for Pharmaceutical Manufacturers, Contact the TRICARE Retail Refund Team and FAQs, Opioid Overdose Education and Naloxone Distribution Program, DHA Pharmacy Operations Support Contract Data Management Team, Prescription Drug Monitoring Program Procedures, Quality, Patient Safety & Access Information (for Patients), Quality & Safety of Health Care (for Health Care Professionals), Eliminating Wrong Site Surgery and Procedure Events, The Global Trigger Tool in the Military Health System Guide, Patient Safety & Quality Academic Collaborative, Patient Safety Champion Recognition Program, Armed Forces Billing and Collection Utilization Solution, Health Plan and Policy Billing Guidelines, Health Insurance Portability and Accountability Act, UBO Standard Insurance Table (SIT)/Other Health Insurance (OHI), Air Force Wounded Warrior Northeast Warrior CARE Photo Essay, Ensuring Access to Reproductive Health Care, Military Acute Concussion Evaluation 2 (MACE 2), ABACUS Custom Tools Reports_Webinar Posttest, ABACUS Electronic Billing_Webinar Posttest, DHA UBO Webinar ABACUS Custom Tools Reports, DHA UBO Webinar_ABACUS Electronic Billing, ABA Maximum Allowed Rates Effective May 1 2022, 2000-2022 Q3 DOD Worldwide Numbers for TBI, 5 MinuteConsult Mobile App & CME Instructions, ClinicalKey for Nursing Clinical Updates CE Instructions. We received four comments regarding the waiving of telehealth cost-shares and copays, all of them supportive of the waiver, with one commenter also noting the negative effect of loss copay revenue for the DoD. Hospitals, skilled nursing facilities and other institutional providers under the IPPS are subject to HVBP under TRICARE. TRICARE Provider Connect - Patient Medication List, Nominate a Beneficiary For Case or Disease Management, www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS. TRICARE's temporary waiving of cost-shares and copays for all telehealth services was in line with initiatives by commercial insurers to incentivize telehealth care to help prevent the spread of COVID-19 and to reduce financial burdens on patients. documents in the last year, 86 Payment methodology. We also find that NTAPs, given that they increase revenue under the DRG system, would not have an adverse impact on hospitals and providers. We do not anticipate any induced demand for hospital care due to the authorization of new facilities. 11 These include psychiatric hospitals; rehabilitation hospitals; long-term care (LTC) hospitals; childrens hospitals; critical access hospitals (CAHs); PPS-exempt TRICARE cancer hospitals, and hospitals in the state of Maryland. Please see a summary of the comments and the DoD's responses below. an income transfer between taxpayers and program beneficiaries. 03/03/2023, 43 Leaders Emphasize Inspiring Change Creating Community at DHAs Black History Month Observance. The President of the United States communicates information on holidays, commemorations, special observances, trade, and policy through Proclamations. Criteria for improvement. Amid pandemic, CMS should level field for phone E/M visits, Kevin B. O'Reilly, Fill out each required form completely and sign as required. on TRICARE eligibility is determined by the military services. Visit theDefense Enrollment Eligibility Reporting System. TRICARE routinely updates its reimbursement rates in accordance with CMS updates, consistent with existing statutory requirements, when practicable. Waiver of Interstate and International Licensing for Providers. Hospitals subject to HVBP are reimbursed using adjustment factors found in the current CMS IPPS Final Rule Table, available at www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS. endstream endobj 896 0 obj <>stream We thank all the commenters for their support and feedback. That is because Medicare inpatient payments for IHS hospital facilities are made based on the prospective payment system, or (when IHS facilities are designated as Medicare Critical Access Hospitals) on a reasonable cost basis. [FR Doc. Doing Business with the Defense Health Agency, Defense Medical Readiness Training Institute, Defense Health Program Agency Financial Report, 2020 DOD Womens Reproductive Health Survey (WRHS), Conducting Health Care Surveys in the DOD, Transition from CAHPS Version 4.0 to Version 5.0, TRICARE Inpatient Satisfaction Surveys (TRISS), 2018 Health-Related Behaviors Survey (HRBS), 2015 Health-Related Behavior Survey Active Duty, 2014 Health Related Behavior Survey of Reserve Component Leadership Fact Sheet, 2011 Health-Related Behavior Survey Active Duty, 2009 Health-Related Behavior Survey - Reserve Component, Clinical Improvement Priorities for MTF Providers, Small Market and Stand-Alone MTF Organizations, Defense Health Agency Region Indo-Pacific, Comprehensive Changes to the Autism Care Demonstration, Applied Behavior Analysis Maximum Allowed Amounts, Blend Rate Method for Radiology for Cancer and Children's Hospitals, TRICARE CHAMPUS ASA and DRG Weights Summary, TRICARE Rate Variables and Cost-Share Per Diems, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Limits on Number of Services without Override Code, Mental Health and Substance Use Disorder Facility Rates, Military Medical Support Office at DHA, Great Lakes, Information for Patients: TRICARE Pharmacy Program, Information for Pharmaceutical Manufacturers, Contact the TRICARE Retail Refund Team and FAQs, Opioid Overdose Education and Naloxone Distribution Program, DHA Pharmacy Operations Support Contract Data Management Team, Prescription Drug Monitoring Program Procedures, Quality, Patient Safety & Access Information (for Patients), Quality & Safety of Health Care (for Health Care Professionals), Eliminating Wrong Site Surgery and Procedure Events, The Global Trigger Tool in the Military Health System Guide, Patient Safety & Quality Academic Collaborative, Patient Safety Champion Recognition Program, Armed Forces Billing and Collection Utilization Solution, Health Plan and Policy Billing Guidelines, Health Insurance Portability and Accountability Act, UBO Standard Insurance Table (SIT)/Other Health Insurance (OHI), Air Force Wounded Warrior Northeast Warrior CARE Photo Essay, Ensuring Access to Reproductive Health Care, Military Acute Concussion Evaluation 2 (MACE 2), ABACUS Custom Tools Reports_Webinar Posttest, ABACUS Electronic Billing_Webinar Posttest, DHA UBO Webinar ABACUS Custom Tools Reports, DHA UBO Webinar_ABACUS Electronic Billing, ABA Maximum Allowed Rates Effective May 1 2022, 2000-2022 Q3 DOD Worldwide Numbers for TBI, 5 MinuteConsult Mobile App & CME Instructions, ClinicalKey for Nursing Clinical Updates CE Instructions, Applied Behavioral Analysis Maximum Allowed Amounts, Mental Health and Substance Use Disorder Facility List, Calendar Year 2022 TRICARE Prime and TRICARE Select Out-of-Pocket Costs: Active Duty Family Members, Calendar Year 2022 TRICARE Prime and TRICARE Select Out-of-Pocket Costs: Retired Service Members, Their Families, and Others, Memorandum to Establish 2022 Premium Rates, 2020 Billing Rates for Care Provided to Foreign Nationals, TRICARE Prime and TRICARE Select Out-of-Pocket Expenses for Calendar Year 2020, 2019 Billing Rates for Care Provided to Foreign Nationals, 2019 Monthly Premium Rates for TRS, TRR, and TYA, Policy Memorandum to Establish 2018 Monthly Premium Rates for TRICARE Reserve Select and TRICARE Retired Reserve, Policy Memorandum to Establish Calendar Year 2018 Premium Rates for the TRICARE Young Adult Program, Memorandum to Establish 2017 TRICARE Reserve Select and TRICARE Retired Reserve Rates, Memorandum to Establish 2017 Premium Rates for the TRICARE Young Adult Program, Memorandum: Medical Billing Rates for Other Than Foreign Nationals 2016, Memorandum: Medical Billing Rates for Foreign Nationals 2016. Both TRICARE's statutory authority and population differ from Medicare's, so it is appropriate for TRICARE to continue to manage its authorized provider program separately from Medicare's. regulatory information on FederalRegister.gov with the objective of You can use these rate differences as estimates on the rate changes for private insurance companies, however it's best to ensure the specific CPT code you want to use is covered by insurance. No public comments were received on this provision. The President of the United States manages the operations of the Executive branch of Government through Executive orders. You must submit all of your itemized travel receipts, including expenses less than $75.00. we do not estimate that there would be any induced demand because of an increase in facilities). e.g., This is not to exceed the. Title 32 CFR 199.6 was last modified November 17, 2020 (85 FR 73196). This final rule revises this regulatory exclusion and permanently modifies 32 CFR 199.4(c)(1)(iii) Telehealth Services to add coverage for medically necessary telephonic office visits, in all geographic areas where TRICARE beneficiaries reside. ( In those cases, adopting NTAPs was likely to reflect a cost savings compared to the estimated costs, as waivers are typically paid at billed charges. The ASD(HA) finds it practicable to establish a category of TRICARE NTAPs. Document page views are updated periodically throughout the day and are cumulative counts for this document. Paragraph 199.14(a)(1)(iv)(A)NTAPs (not including the new pediatric reimbursement methodology provided in table 1), Paragraph 199.14(a)(1)(iv)(B)HVBP Program. endstream endobj 894 0 obj <>stream For the most accurate information or questions about rates, policies, etc., please contact your managed care support contractor. documents in the last year, 26 h40_e+KKW=*P6&%Am,5d\`%5c~QH4Zam $|a-{oj: x} ~ EaU;u~uB` WQ,,@95uxzMl| The final rule is consistent with the IFR. Your trip may qualify for reimbursement if youre enrolled in TRICARE Prime or TRICARE Prime Remote for Active Duty Family Members and: It depends. Accessed 15 Dec. 2020. About the Federal Register documents in the last year, by the Energy Department Waiving of Acute Care Hospital Requirements for Temporary Hospital Facilities and Freestanding ASCs, c. 20 Percent Increase in DRG Rates for COVID-19 Patients, d. LTCH Reimbursement at the Federal Rate, e. Adoption of Medicare's NTAPs for New Medical Services, E. Telehealth Cost-Share/Copayment Waiver, Executive Order 12866, Regulatory Planning and Review and, 2. chapter 55. Federal Register issue. A telephonic office visit consists of a beneficiary, who is an established patient, calling his/her provider to discuss an illness (including mental illness), injury, or medical condition. No comments were received on this provision. Telehealth services were 5.7 percent of all outpatient professional visits. The ASD(HA) finds it necessary to make this provision of the final rule effective upon publication of the final rule. RPM services of physiologic parameters including, but not limited to, monitoring of weight, blood pressure, pulse oximetry and respiratory flow rate shall be covered. You are assigned to Primary Care Manager (PCM) in the United States. 4 We determined such a restriction would be impractical, unnecessary, and difficult and costly to administer. Information for Patients: About TRICARE | Rates and Reimbursement Memorandum to Establish 2022 Premium Rates Policy Policy Memorandum to Establish 2022 Premium Rates for TRICARE Reserve Select, TRICARE Retired Reserve, TRICARE Young Adult, and the Continued Health Care Benefit Program Identification #: N/A Date: 8/17/2021 Type: Memorandums All AGR records and TRICARE health plans should be corrected and reinstated. on frozen at the rate when the survivor or medically-retired member is . ) to 32 CFR Below is a summary of the comments and the Department's responses. The Prime Travel Benefit reimburses reasonable travel expensesAmounts you pay when traveling to and from your appointment. Doing Business with the Defense Health Agency, Defense Medical Readiness Training Institute, Defense Health Program Agency Financial Report, 2020 DOD Womens Reproductive Health Survey (WRHS), Conducting Health Care Surveys in the DOD, Transition from CAHPS Version 4.0 to Version 5.0, TRICARE Inpatient Satisfaction Surveys (TRISS), 2018 Health-Related Behaviors Survey (HRBS), 2015 Health-Related Behavior Survey Active Duty, 2014 Health Related Behavior Survey of Reserve Component Leadership Fact Sheet, 2011 Health-Related Behavior Survey Active Duty, 2009 Health-Related Behavior Survey - Reserve Component, Clinical Improvement Priorities for MTF Providers, Small Market and Stand-Alone MTF Organizations, Defense Health Agency Region Indo-Pacific, Comprehensive Changes to the Autism Care Demonstration, Applied Behavior Analysis Maximum Allowed Amounts, Blend Rate Method for Radiology for Cancer and Children's Hospitals, TRICARE CHAMPUS ASA and DRG Weights Summary, TRICARE Rate Variables and Cost-Share Per Diems, Durable Medical Equipment, Prosthetics, Orthotics, and Supplies, Limits on Number of Services without Override Code, Mental Health and Substance Use Disorder Facility Rates, Military Medical Support Office at DHA, Great Lakes, Information for Patients: TRICARE Pharmacy Program, Information for Pharmaceutical Manufacturers, Contact the TRICARE Retail Refund Team and FAQs, Opioid Overdose Education and Naloxone Distribution Program, DHA Pharmacy Operations Support Contract Data Management Team, Prescription Drug Monitoring Program Procedures, Quality, Patient Safety & Access Information (for Patients), Quality & Safety of Health Care (for Health Care Professionals), Eliminating Wrong Site Surgery and Procedure Events, The Global Trigger Tool in the Military Health System Guide, Patient Safety & Quality Academic Collaborative, Patient Safety Champion Recognition Program, Armed Forces Billing and Collection Utilization Solution, Health Plan and Policy Billing Guidelines, Health Insurance Portability and Accountability Act, UBO Standard Insurance Table (SIT)/Other Health Insurance (OHI), Air Force Wounded Warrior Northeast Warrior CARE Photo Essay, Ensuring Access to Reproductive Health Care, Military Acute Concussion Evaluation 2 (MACE 2), ABACUS Custom Tools Reports_Webinar Posttest, ABACUS Electronic Billing_Webinar Posttest, DHA UBO Webinar ABACUS Custom Tools Reports, DHA UBO Webinar_ABACUS Electronic Billing, ABA Maximum Allowed Rates Effective May 1 2022, 2000-2022 Q3 DOD Worldwide Numbers for TBI, 5 MinuteConsult Mobile App & CME Instructions, ClinicalKey for Nursing Clinical Updates CE Instructions, FY 2013, FY 2014, and FY 2015 Final HAC List, DRGs Subject to Device Replacement Policy for Hospital Admissions on or after Oct. 1, 2009, For questions or more information about rates, policies, etc., please contact your, To learn more about DRG Rates, please visit the. In order to determine if telephonic office visits should be converted to a permanent telehealth benefit, DoD analyzed claims data from TRICARE private sector care and reviewed published industry information from: Medicare; health insurance plans; and physicians' professional organizations regarding telephonic office visits. The final rule content is consistent with the IFR content; however the HVBP provision has been moved from 199.14(a)(1)(iii)(E)( LTCH Site Neutral Payments. TRICARE program staff and contractors who administer the TRICARE benefit will be minimally impacted as this change will require them to update their systems to accommodate the change. Every provider we work with is assigned an admin as a point of contact. These amounts are the only new costs associated with the FR ( Although CMS ceased accepting new enrollments into the Hospitals Without Walls initiative, effective December 1, 2021, those entities that were previously enrolled under the initiative continue to be enrolled and receive reimbursement for hospital inpatient and outpatient services. New Technology Add-On Payments, or NTAPs, allow for more appropriate reimbursement for new medical services and technology not yet included in DRG rates. documents in the last year, by the Nuclear Regulatory Commission documents in the last year, 981 Comments related to the treatment use of investigational drugs under expanded access will be discussed in a future final rule. documents in the last year, by the National Oceanic and Atmospheric Administration on The appearance of hyperlinks does not constitute endorsement by the Department of Defense of non-U.S. Government sites or the information, products, or services contained therein. The President of the United States issues other types of documents, including but not limited to; memoranda, notices, determinations, letters, messages, and orders. This repetition of headings to form internal navigation links - 05. Our guide to psych testing reimbursement rates in 2022 will teach you what Medicare pays qualified therapists, psychiatrists, and health care professionals for these CPT codes. ) through (a)(1)(iv)(A)( Then, in 1984, the final rule, Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Cardiac Pacemaker Telephonic Monitoring (49 FR 35934) revised the exclusion to allow coverage of transtelephonic monitoring (a type of biotelemetry) of cardiac pacemakers. Amend 199.4 by revising paragraphs (c)(1)(iii), (g)(52) introductory text and (g)(52)(i) to read as follows: (iii) 05/31/2022 at 8:45 am. 1W$&98'qN9[=EA%x0Pa0 To determine TRICARE coverage, please check the Prior Authorization, Referral and Benefits Tool and Benefits A-Z. 6 This provision will be effective the date published in the FR through the expiration of Medicare's Hospitals Without Walls initiative. This provision of the final rule is being terminated early due to both the cost of waiving cost-shares and because there remain few, if any, stay-at-home orders for this provision to support. to the courts under 44 U.S.C. 8 This repetition of headings to form internal navigation links 2. NTAPs. Costs Associated With Previously-Implemented Permanent Regulatory Provisions, Public Law 96-354, Regulatory Flexibility Act (, E. Public Law 96-511, Paperwork Reduction Act (44 U.S.C. 2. 2001(a)), and the Indian Health Care Improvement Act (25 U.S.C. Register documents. This information can be found at www.tricare.mil/trs and www.tricare.mil/trr. electronic version on GPOs govinfo.gov. This table of contents is a navigational tool, processed from the TRICARE spent approximately $20.6M on waived telehealth cost-shares and copayments in FY20 and another $71.4M through the end of September 2021. The nominal cost associated with this provision is due to an assumption that, as a result of the waiver, SNF admissions will increase by three percent. As such, the ASD(HA) is terminating the waiver of cost-shares and copayments for telehealth services on the effective date of this final rule, or upon expiration of the President's national emergency for COVID-19, whichever occurs earlier. corresponding official PDF file on govinfo.gov. For providers overseas, this allowed providers, both in person and via telehealth, to practice outside of the nation where licensed when permitted by the host nation. (A) Additionally, the elimination of the telehealth cost-share/copayment waiver may shift some visits that could have been performed virtually to in-person as there will no longer be a financial incentive to obtain services virtually. i.e., rendition of the daily Federal Register on FederalRegister.gov does not TheraThink.com 2023. TRICARE-authorized providers will be minimally impacted in that telephonic office visit will give them a new means to provide care and treatment to beneficiaries and generate revenue. The CHAMPUS DRG-based payment system is modeled on the Medicare Prospective Payment System (PPS) and uses annually updated items and numbers from the Medicare PPS as provided for in this part and in instructions issued by the Director, DHA. documents in the last year. Note: The CHAMPUS maximum allowable charges (CMAC) take precedence over state prevailing rates. This document has been published in the Federal Register. DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101. The HVBP adjustment is added (if positive value) or subtracted (if negative value) from the TRICARE allowed amount in order to determine the final claims payment amount. legal research should verify their results against an official edition of +. Table 1New Costs Due to Modifications in the Final Rule. hKk@]3/uZ-t0yHELR-{w'>`$ q@nN`FQ4FjMkCC" Q$/RmS l.cQk%l4cWeR*,wAed"rs5nNR4)\dvj1F#-2m&-{i5K gx@@}h-!GN^>\Fj9k> zJ)ufC6>Mk_; - 8; Termination of President's national emergency for COVID-19. documents in the last year, 940 TRICARE may consider whether a new medical service or technology meets the eligibility criteria specified in paragraphs (a)(1)(iv)(A)( The modifications to paragraph 199.14(a)(1)(iv)(A) (previously 199.14(a)(1)(iii)(E)( Then, contact your servicing Prime Travel Benefit office. Federal Register provide legal notice to the public and judicial notice As such, there are no incremental costs associated with expanding coverage of temporary hospitals. CPT only 2006 American Medical Association (or such other date of publication of CPT). We received one comment on this provision of the IFR that was supportive of the waiver, but requested the DoD adopt another Medicare waiver; that is, the waiver of a 60-day wellness period. It has been determined that this rule does not have a substantial effect on Indian tribal governments. As private practitioners, our clinical work alone is full-time. Executive Orders 12866 and 13563 direct agencies to assess all costs and benefits of available regulatory alternatives and, if regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distribute impacts, and equity). The number and severity of COVID-19 cases for TRICARE patients, along with the length of the President's declared national emergency for COVID-19 and the associated HHS PHE would impact the estimates provided in this section. Assistant Surgeon General, RADM, U.S. Public Health Service, Director, Indian Health Service. The revisions to 199.17 included adding high-value services as a benefit under the TRICARE program, as well as copayment requirements for Group B beneficiaries. As its measure of significant economic impact on a substantial number of small entities, HHS uses an adverse change in revenue of more than 3 to 5 percent. daily Federal Register on FederalRegister.gov will remain an unofficial Temporary Hospitals and Freestanding ASCs. on 2651-2653). If eligibility questions arise or more information is needed regarding TRICARE eligibility, contact: Defense Manpower Data Center: https://dwp.dmdc.osd.mil/dwp/app/main Defense Enrollment Eligibility Reporting System (DEERS): 1-800-538-9552 CMS updates maximum NTAP payment amounts annually. 248 and 249(b)), Public Law 83-568 (42 U.S.C. Included are amounts for FY20 through the end of FY22. The totality of the circumstances is considered when making a determination that a new medical service or technology represents an advance that substantially improves, relative to services or technologies previously available, the diagnosis or treatment of TRICARE beneficiaries. 2 For TRICARE covered services and supplies, TRICARE will adopt Medicare NTAPs as implemented under 42 CFR 412.87 under the same conditions as published by the Centers for Medicare & Medicaid Services, except for pediatric cases. TRICARE is a registered trademark of the Department of Defense, Defense Health Agency. Costs Associated With Previously-Implemented Temporary Regulatory Provisions, 3. 804(2). Medicare Reimbursement Rate 2020 Medicare Reimbursement Rate 2021 Medicare Reimbursement Rate 2022 Medicare Reimbursement Rate 2023; 90791: Psychological Diagnostic Evaluation: $140.19: $180.75: $195.46: $174.86: 90792: Psychological Diagnostic Evaluation with Medication Management: $157.49: $201.68: $218.90: $196.55: 90832: Individual .