[Federal Register Volume 62, Number 154 (Monday, August 11, 1997)] [Rules and Regulations] [Pages 42904-42905] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 97-21088] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF DEFENSE Office of the Secretary 32 CFR Part 199 [DoD 6010.8-R] Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); Program for Persons With Disabilities; Basic Program AGENCY: Department of Defense. ACTION: Final rule; administrative corrections. ----------------------------------------------------------------------- SUMMARY: The Department of Defense published a final rule concerning the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) on June 30, 1997 (62 FR 35086). There were incorrect amendments published to the Program for Persons with Disabilities section of the CHAMPUS rule. This document corrects the administrative error. EFFECTIVE DATES: October 28, 1997. FOR FURTHER INFORMATION CONTACT: Mr. M. Kottyan, telephone 303-361- 1120. SUPPLEMENTARY INFORMATION: List of Subjects in 32 CFR Part 199 Administrative practice and procedures, Claims, Fraud, Health care, Health insurance, Individuals with disabilities, Military personnel. Accordingly, 32 CFR part 199 is amended to read as follows: PART 199--[AMENDED] 1. The authority citation for 32 CFR part 199 continues to read as follows: Authority: 5 U.S.C. 301; 10 U.S.C. chapter 55. 2. Section 199.5 is amended by revising paragraph (b)(1)(iii) and paragraphs (e)(2) through (e)(4) to read as follows: Sec. 199.5 Program for Persons with Disabilities (PFPWD). * * * * * (b) * * * (1) * * * (iii) Deceased sponsor. A CHAMPUS beneficiary remains eligible for benefits under the PFPWD: (A) For a period of one calendar year from the date an active duty sponsor dies; or (B) Through midnight of the beneficiary's twenty-first birthday when the beneficiary is receiving PFPWD benefits at the time the active duty sponsor dies and the sponsor was eligible, at the time of death, for receipt of hostile-fire pay or died as a result of a disease or injury incurred while eligible for such pay. * * * * * (e) * * * (2)(i) Sponsor cost-share liability. Regardless of the number of PFPWD eligible family members, the sponsor's cost share for allowed PFPWD benefits in a given month is according to the following table: ------------------------------------------------------------------------ Monthly Member's pay grade share ------------------------------------------------------------------------ E-1 through E-5............................................... $25 E-6........................................................... 30 E-7 and O-1................................................... 35 E-8 and O-2................................................... 40 E-9, W-1, W-2, and O-3........................................ 45 W-3, W-4, and O-4............................................. 50 W-5 and O-5................................................... 65 O-6........................................................... 75 O-7........................................................... 100 O-8........................................................... 150 O-9........................................................... 200 O-10.......................................................... 250 ------------------------------------------------------------------------ (ii) The sponsor's cost-share will be applied, up to the amount given in the table in paragraph (e)(2)(i), to the first allowed charges in any given month. The government's share will be paid, up to the maximum amount(s) specified in paragraphs (e)(3) and (e)(4) of this section for allowed charges after the sponsor's cost-share has been applied. (3) Government cost-share liability: member who sponsors one PFPWD beneficiary. The total government share of the cost of all PFPWD benefits provided in a given month to a beneficiary who is the sponsor's only PFPWD eligible family member may not exceed $1,000 after application of the allowable payment methodology. Any amount remaining after the Government's maximum share has been reached is the responsibility of the active duty sponsor. (4) Government cost-share liability: member who sponsors more than one PFPWD beneficiary. The total government share of the cost of all PFPWD allowable benefits provided in a given month to a beneficiary who is one of two or more PFPWD eligible family members of the same sponsor shall be determined as follows: (i) Maximum benefit limit determination for the first PFPWD eligible beneficiary. The $1,000 maximum monthly government PFPWD benefit amount shall apply only to the beneficiary incurring the least amount of allowable PFPWD expense in a given month, after application of the allowable payment methodology. If two or more PFPWD eligible beneficiaries have the same amount of allowable PFPWD expenses in a given month, the [[Page 42905]] $1,000 maximum benefit in that month shall apply to only one PFPWD eligible beneficiary. (ii) Maximum benefit limit determination for the remaining PFPWD eligible beneficiaries. After application of the Government's cost- share specified in paragraph (e)(4)(i) of this section, the government shall cost-share the entire remaining amount for all allowable services and items received in that month by the remaining PFPWD eligible beneficiaries. * * * * * Dated: August 5, 1997. L.M. Bynum, Alternate OSD Federal Register Liaison Officer, Department of Defense. [FR Doc. 97-21088 Filed 8-8-97; 8:45 am] BILLING CODE 5000-04-M