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Our firm assisted a tribe in its successful effort to secure a Forest Service decision banning rock climbing on Cave Rock, a significant tribal cultural site, and filed an amicus brief in Access Fund v. U.S. Department of Agriculture in support of the Forest Service’s decision, which was upheld.

General Memorandum 15-028

General Memorandum 15-028
Indian Health Service Issues Reimbursement Rates for Calendar Year 2015

The Indian Health Service (IHS) has issued in the attached April 7, 2015, FEDERAL REGISTER notice its Calendar Year (CY) 2015 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.

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 2014 and 2015 rates follows:
Inpatient Hospital Per Diem Rate (Excludes Physician Services) for MEDICAID
CY 2014 CY 2015
Lower 48 $2,413 $2,443
Alaska $2,675 $2,926

Outpatient Per Visit Rate (Excluding Medicare) for MEDICAID
CY 2014 CY 2015
Lower 48 $342 $350
Alaska $564 $601

Outpatient Per Visit Rate for MEDICARE
CY 2014 CY 2015
Lower 48 $297 $307
Alaska $516 $564

MEDICARE Part B Inpatient Ancillary Per Diem Rate
CY 2014 CY 2015
Lower 48 $502 $516
Alaska $862 $956

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

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Inquiries may be directed to:
Elliott Milhollin (emilhollin@hobbsstraus.com)

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


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