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Proposed RuleSignificant2024-225842024-10-01

Medical Billing for Healthcare Services Provided by Department of Defense Military Medical Treatment Facilities to Civilian Non-Beneficiaries

Defense Department,

Abstract

As required by the James M. Inhofe National Defense Authorization Act for Fiscal Year 2023 (NDAA-23), this document proposes to reduce financial harm to civilians who are not covered beneficiaries of the Military Health System (MHS), and who receive healthcare services at DoD military medical treatment facilities (MTF). The rulemaking, once finalized, will implement the MHS Modified Payment and Waiver Program (MPWP) through which the DoD will apply a sliding fee scale and/or a catastrophic fee waiver to medical invoices of certain non-beneficiaries and will accept payments from health insurers of non-beneficiaries as full payment except for copays, coinsurance, deductibles, nominal fees and non-covered services.

Action & Dates

Action
Proposed rule.
Dates
This rulemaking, once finalized, will apply to non-beneficiary patient medical care provided on or after June 21, 2023. Comments to this proposed rule are being accepted and must be received by December 2, 2024.
Effective Date
2023-06-21

CFR References

Topics

ClaimsHealth careHealth insuranceMilitary personnel

Public Comment

Comments Close
2024-12-02

Document Excerpt

Document Headings Document headings vary by document type but may contain the following: the agency or agencies that issued and signed a document the number of the CFR title and the number of each part the document amends, proposes to amend, or is directly related to the agency docket number / agency internal file number the RIN which identifies each regulatory action listed in the Unified Agenda of Federal Regulatory and Deregulatory Actions See the Document Drafting Handbook for more details. Department of Defense Office of the Secretary 32 CFR Part 220 [Docket ID: DoD-2022-HA-0054] RIN 0720-AB87 AGENCY: Defense Health Agency (DHA), Department of Defense (DoD). ACTION: Proposed rule. SUMMARY: As required by the James M. Inhofe National Defense Authorization Act for Fiscal Year 2023 (NDAA-23), this document proposes to reduce financial harm to civilians who are not covered beneficiaries of the Military Health System (MHS), and who receive healthcare services at DoD military medical treatment facilities (MTF). The rulemaking, once finalized, will implement the MHS Modified Payment and Waiver Program (MPWP) through which the DoD will apply a sliding fee scale and/or a catastrophic fee waiver to medical invoices of certain non-beneficiaries and will accept payments from health insurers of non-beneficiaries as full payment except for copays, coinsurance, deductibles, nominal fees and non-covered services. DATES: This rulemaking, once finalized, will apply to non-beneficiary patient medical care provided on or after June 21, 2023. Comments to this proposed rule are being accepted and must be received by December 2, 2024. ADDRESSES: You may submit comments, identified by docket number and/or Regulation Identifier Number (RIN) number and title, by any of the following methods: Federal eRulemaking Portal: https://www.regulations.gov . Follow the instructions for submitting comments. Mail: Department of Defense, Office of the Assistant to the Secretary of Defense for Privac

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Related Documents

Other Federal Register documents from the same docket.

Full Document

Citation: 89 FR 79804