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									DEPARTMENT OF VETERANS AFFAIRS
NOTICE TO HEALTH CARE PROVIDERS


On July 24, 2009 Department of Veterans Affairs, Veterans Health
Administration, rescinded the use of Medicare Dialysis and Laboratory Fee
Schedules for claims processed under 38 U.S.C. 1703 and 1728. This rescission
applies to dates of service on and after January 1, 2009 for dialysis and
laboratory care not purchased by contract or negotiated agreement. VA payment
for such services is the lesser of the actual amount billed or the amount
calculated using the 75th percentile methodology set forth in 38 CFR § 17.56(c)
(or the usual and customary rate if there are fewer than 8 treatment occurrences
for a procedure during the previous fiscal year).
[Reference: Title 38, Code of Federal Regulations, 17.56]

								
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