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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 12-077

General Memorandum 12-077
Indian Health Service Issues Correction on Reimbursement Rates for Calendar Year 2012

The Indian Health Service (IHS) issued in the attached June 19, 2012, FEDERAL REGISTER notice a correction to its Calendar Year (CY) 2012 reimbursement rates applicable to Medicare and Medicaid services provided by IHS-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. We reported on the rates listed in the June 6, 2012, FEDERAL REGISTER in our General Memorandum 12-071 dated June 8, 2012.

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 2011 and 2012 rates follows.
Inpatient Hospital Per Diem Rate (Excludes Physician Services) for MEDICAID
CY 2011 CY 2012

Lower 48 $2,034 $2,165
Alaska $2,269 $2,347

Outpatient Per Visit Rate (Excluding Medicare) for MEDICAID
CY 2011 CY 2012

Lower 48 $294 $316
Alaska $490 $515

Outpatient Per Visit Rate for MEDICARE ____________
CY 2011 CY 2012

Lower 48 $256 $273
Alaska $447 $468

MEDICARE Part B Inpatient Ancillary Per Diem Rate .
CY 2011 CY 2012

Lower 48 $443 $476
Alaska $756 $810

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:
Elliott Milhollin (emillollin@hobbsstraus.com)
Karen Funk (kfunk@hobbsstraus.com)

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


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