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B-329697 1 (2018-01-16)

handle is hein.gao/gaobadufi0001 and id is 1 raw text is: cIAO U.S. GOVERNMENT ACCOUNTABILITY OFFICE 441 G St. N.W. Washington, DC 20548 B-329697 January 16, 2018 The Honorable John McCain Chairman The Honorable Jack Reed Ranking Member Committee on Armed Services United States Senate The Honorable Mac Thornberry Chairman The Honorable Adam Smith Ranking Member Committee on Armed Services House of Representatives Subject: Department of Defense, Office of the Secretary: TRICARE; Reimbursement of Long Term Care Hospitals and Inpatient Rehabilitation Facilities Pursuant to section 801 (a)(2)(A) of title 5, United States Code, this is our report on a major rule promulgated by the Department of Defense, Office of the Secretary (DOD) entitled TRICARE; Reimbursement of Long Term Care Hospitals and Inpatient Rehabilitation Facilities (RIN: 0720- AB47). We received the rule on December 26, 2017. It was published in the Federal Register as a final rule on December 29, 2017. 82 Fed. Reg. 61,678. According to DOD, the final rule establishes reimbursement rates for Long Term Care Hospitals (LTCHs) and Inpatient Rehabilitation Facilities (IRFs) in accordance with the statutory requirement that TRICARE inpatient care payments shall be determined to the extent practicable in accordance with the same reimbursement rules as apply to payments to providers of services of the same type under Medicare. This final rule adopts Medicare's reimbursement methodologies for inpatient services provided by LTCHs and IRFs. Each reimbursement methodology will be phased in over a 3-year period. The final rule also removes the definitions for hospital, long-term (tuberculosis, chronic care, or rehabilitation) and long-term hospital care, and creates separate definitions for Long Term Care Hospital and Inpatient Rehabilitation Facility adopting the Centers for Medicare and Medicaid Services classification criteria. The final rule also includes authority for a year-end, discretionary General Temporary Military Contingency Payment Adjustment for inpatient services in TRICARE network I RFs when deemed essential to meet military contingency requirements. The rule is effective March 5, 2018. The regulations setting forth the revised reimbursement systems shall be applicable for all admissions to Long Term Care Hospitals and Inpatient Rehabilitation Facilities, respectively, commencing on or after the first day of the month which is at least 120 days after the date of publication of the rule in the Federal Register.

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