On April 8, 2022, the Indian Health Service (IHS) released a notice on their reimbursement rates for calendar year 2022. These rates are specifically for inpatient and outpatient medical care provided by IHS facilities for 2022 Medicare and Medicaid beneficiaries.
The inpatient per diem rate for the lower 48 states is $4,239, while Alaska’s is $3,583. The outpatient per visit rate excluding Medicare for the lower 48 states is $640, while Alaska’s is $945. Outpatient per visit rate including Medicare for the lower 48 is $541, while Alaska’s is $792. The Medicare Part B inpatient ancillary per diem rate for the lower 48 states is $813, while Alaska’s is $1,138. IHS Tribal health clinics and health facility staff should consider this information when billing for health care coverage for Tribal members.