Health benefits, Federal employees: Medically underserved areas (2007 CY),
[Federal Register: October 17, 2006 (Volume 71, Number 200)]
[Notices]
[Page 61086]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr17oc06-137]
[[Page 61086]]
OFFICE OF PERSONNEL MANAGEMENT
Federal Employees Health Benefits Program:Medically Underserved Areas for 2007
AGENCY: Office of Personnel Management.
ACTION: Notice of medically underserved areas for 2007.
SUMMARY: The Office of Personnel Management (OPM) has completed its annual determination of the States that qualify as Medically Underserved Areas under the Federal Employees Health Benefits (FEHB) Program for calendar year 2007. This is necessary to comply with a provision of the FEHB law that mandates special consideration for enrollees of certain FEHB plans who receive covered health services in States with critical shortages of primary care physicians. Accordingly, for calendar year 2007, OPM's calculations show that the following states are Medically Underserved Areas under the FEHB Program: Alabama, Arizona, Idaho, Kentucky, Louisiana, Mississippi, Missouri, Montana, New Mexico, North Dakota, South Carolina, South Dakota, Texas, West Virginia, and Wyoming. For the 2007 calendar year Texas is being added and Alaska is being removed from the list.
DATES: Effective Date: January 1, 2007.
FOR FURTHER INFORMATION CONTACT: Ingrid Burford, 202-606-0004.
SUPPLEMENTARY INFORMATION: FEHB law (5 U.S.C. 8902(m)(2)) mandates special consideration for enrollees of certain FEHB plans who receive covered health services in States with critical shortages of primary care physicians. The FEHB law also requires that a State be designated as a Medically Underserved Area if 25 percent or more of the population lives in an area designated by the Department of Health and Human Services (HHS) as a primary medical care manpower shortage area. Such States are designated as Medically Underserved Areas for purposes of the FEHB Program, and the law requires non-HMO FEHB plans to reimburse beneficiaries, subject to their contract terms, for covered services obtained from any licensed provider in these States.
FEHB regulations (5 CFR 890.701) require OPM to make an annual determination of the States that qualify as Medically Underserved Areas for the next calendar year by comparing the latest HHS State-by-State population counts on primary medical care manpower shortage areas with U.S. Census figures on State resident populations.
Office of Personnel Management. Linda M. Springer, Director. [FR Doc. E6-17161 Filed 10-16-06; 8:45 am]
BILLING CODE 6325-39-P
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