Calendar Year 2020 Cost of Outpatient Medical, Dental, and Cosmetic Surgery Services Furnished by the Department of Defense Medical Treatment Facilities; Certain Rates Regarding Recovery From Tortiously Liable Third Persons

AGENCY:

Office of Management and Budget (OMB), Executive Office of the President.

ACTION:

Notice.

By virtue of the authority vested in the President by 42 U.S.C. 2652, the rates referenced below are hereby established. These rates are for use in connection with the recovery from tortiously liable third persons for the outpatient medical, dental and cosmetic surgery services furnished by military treatment facilities through the Department of Defense. They are the same rates as the outpatient third party reimbursement rates that were set on July 1, 2020 for billing medical insurers, but require a different approval authority for the purpose of billing for tort liability. The rates were established in accordance with the requirements of OMB Circular A-25, requiring reimbursement of the full cost of all services provided. The Calendar Year 2020 outpatient medical, dental and cosmetic surgery services referenced are effective for billing tort liability upon publication of this notice in the Federal Register and will remain in effect until further notice. Previously published inpatient rates remain in effect until further notice. Pharmacy rates are updated periodically. A full disclosure of the rates is posted at Health.mil website in the Defense Health Agency Uniform Business Office section ( http://health.mil/Military-Health-Topics/Business-Support/Uniform-Business-Office/Billing/Medical-Affirmative-Claims ).