title: TRICARE; sub-acute care program; uniform skilled nursing facility benefit; home health care benefit; adopting Medicare payment methods for skilled nursing facilities and home health care providers. Final rule.
abstract: This rule partially implements the TRICARE "sub-acute and long-term care program reform" enacted by Congress in the National Defense Authorization Act for Fiscal Year 2002, specifically: Establishment of "an effective, efficient, and integrated sub-acute care benefits program," with skilled nursing facility (SNF) and home health care benefits modeled after those of the Medicare program; adoption of Medicare payment methods for skilled nursing facility, home health care, and certain other institutional health care providers; adoption of Medicare rules on balance billing of beneficiaries, prohibiting it by institutional providers and limiting it by non-institutional providers; and change in the statutory exclusion of coverage for custodial and domiciliary care.
mesh_terms: D000553:Ambulatory Care / Q000191:economics / Q000331:legislation & jurisprudence; D006699:Home Care Services / Q000191:economics* / Q000331:legislation & jurisprudence; D006801:Humans; D008134:Long-Term Care / Q000191:economics* / Q000331:legislation & jurisprudence; D006278:Medicare / Q000191:economics* / Q000331:legislation & jurisprudence; D008887:Military Medicine; D009732:Nursing Care; D009735:Nursing Homes / Q000191:economics* / Q000331:legislation & jurisprudence; D011445:Prospective Payment System / Q000191:economics* / Q000331:legislation & jurisprudence; D014481:United States