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Hobbs Straus successfully defended a former casino workers’ suit against a Tribe in a Tenth Circuit case finding absence of federal jurisdiction over non-Indian contract and tort disputes arising in Indian country. (2009)

GENERAL MEMORANDUM 11-053

GENERAL MEMORANDUM 11-053
Indian Health Service Issues Reimbursement Rates for Calendar Year 2011

The Indian Health Service has issued its Calendar Year (CY) 2011 reimbursement rates applicable to Medicare and Medicaid services provided by Indian Health Service-funded health programs (operated by IHS and tribes/tribal organizations). These rates are set annually by IHS with the concurrence of the Office of Management and Budget and are based on cost reports compiled by IHS. The 2011 rates were published in the attached May 2, 2011, FEDERAL REGISTER notice.

Medicare Part A (inpatient services) rates are not included in the notice as they are paid based on the prospective payment system. A comparison of the 2010 and 2011 rates follows:

Inpatient Hospital Per Diem Rate (Excludes Physician Services) for MEDICAID
CY 2010 CY 2011
Lower 48 $2,046 $2,034
Alaska $2,269
 
Outpatient Per Visit Rate (Excluding Medicare) for MEDICAID
CY 2010 CY 2011
Lower 48 $289 $294
Alaska $448 $490
 
Outpatient Per Visit Rate for MEDICARE
CY 2010 CY 2011
Lower 48 $246 $256
Alaska $415 $447
 
MEDICARE Part B Inpatient Ancillary Per Diem Rate
CY 2010 CY 2011
Lower 48 $429 $443
Alaska $689 $756

The Outpatient Surgery Rates for Medicare are the established Medicare rates for freestanding Ambulatory Surgery Centers.

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Inquiries may be directed to:
Carol Barbero (cbarbero@hobbsstraus.com)
Karen Funk (kfunk@hobbsstraus.com)

Available Documents for Download ( any referenced attachments are included in download )


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