The Indian Health Service (IHS) issued in a February 6, 2019, FEDERAL REGISTER notice its Calendar Year (CY) 2019 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.govinfo.gov/content/pkg/FR-2019-02-06/pdf/2019-01181.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 2018 and 2019 rates follows:
Inpatient Hospital Per Diem Rate (Excludes Physician Services) for MEDICAID
CY 2018 CY 2019
Lower 48 $3,229 $3,442
Alaska $3,277 $3,434
Outpatient Per Visit Rate (Excluding Medicare) for MEDICAID
CY 2018 CY 2019
Lower 48 $427 $455
Alaska $653 $682
Outpatient Per Visit Rate for MEDICARE
CY 2018 CY 2019
Lower 48 $383 $405
Alaska $595 $646
MEDICARE Part B Inpatient Ancillary Per Diem Rate
CY 2018 CY 2019
Lower 48 $ 740 $ 789
Alaska $1,061 $1,144
The Outpatient Surgery Rates for Medicare are the established Medicare rates for freestanding Ambulatory Surgery Centers.
