# Reimbursement Rates for Calendar Year 2005
**AGENCY:**
Indian Health Service, HHS.
**ACTION:**
Notice.
**SUMMARY:**
Notice is given that the Director of Indian Health Service (IHS), under the authority of sections 321(a) and 322(b) of the Public Health Service Act (42 U.S.C. 248 and 249(b)), Public Law 83-568 (42 U.S.C. 2001(a)) and the Indian Health Care Improvement Act (25 U.S.C. 1601 *et seq.* ), has approved the following rates for inpatient and outpatient medical care provided by IHS facilities for Calendar Year 2005 for Medicare and Medicaid Beneficiaries and Beneficiaries of other Federal Agencies. The Medicare Part A inpatient rates are excluded from the table below as they are paid based on the prospective payment system. Since the inpatient rates set forth below do not include all physician services and practitioner services, additional payment may be available to the extent that those services meet applicable requirements. Public Law 106-554, dated December 21, 2000, authorized IHS facilities to file Medicare Part B claims with the carrier for payment for physician and certain other practitioner services provided on or after July 1, 2001.
**Inpatient Hospital Per Diem Rate (Excludes Physician/Practitioner Services)**
**Calendar Year 2005**
Lower 48 States—$1,542
Alaska—$2,032
**Outpatient Per Visit Rate (Excluding Medicare)**
**Calendar Year 2005**
Lower 48 States—$223
Alaska—$391
**Outpatient Per Visit Rate (Medicare)**
**Calendar Year 2005**
Lower 48 States—$181
Alaska—$371
**Medicare Part B Inpatient Ancillary Per Diem Rate**
**Calendar Year 2005**
Lower 48 States—$312
Alaska—$635
**Outpatient Surgery Rate (Medicare)**
Established Medicare rates for freestanding Ambulatory Surgery Centers.
**Effective Date for Calendar Year 2005 Rates**
Consistent with previous annual rate revisions, the Calendar Year 2005 rates will be effective for services provided on/or after January 1, 2005 to the extent consistent with payment authorities including the applicable Medicaid State plan.
Dated: May 20, 2005
Charles W. Grimm,
Assistant Surgeon General, Director, Indian Health Service.