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.
