The Indian Health Service (IHS) issued in a January 18, 2017, FEDERAL REGISTER notice its Calendar Year (CY) 2017 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. The notice may be found here:
https://www.gpo.gov/fdsys/pkg/FR-2017-01-18/pdf/2017-01075.pdf
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 2016 and 2017 rates follows:
Inpatient Hospital Per Diem Rate (Excludes Physician Services) for MEDICAID
CY 2016 CY 2017
Lower 48 $2,655 $2,933
Alaska $3,335 $3,235
Outpatient Per Visit Rate (Excluding Medicare) for MEDICAID
CY 2016 CY 2017
Lower 48 $368 $391
Alaska $603 $616
Outpatient Per Visit Rate for MEDICARE
CY 2016 CY 2017
Lower 48 $324 $349
Alaska $582 $577
MEDICARE Part B Inpatient Ancillary Per Diem Rate
CY 2016 CY 2017
Lower 48 $637 $ 679
Alaska $1,082 $1,046
The Outpatient Surgery Rates for Medicare are the established Medicare rates for freestanding Ambulatory Surgery Centers.
