Such bonus funds shall be equal to the bonus funds authorized by Medicare, except as necessary to acknowledge any distinctive or distinct characteristics or necessities of the TRICARE program, and as described in directions issued by the Executive Director, TRICARE Management Activity. If the Department of Health and Human Services acts to amend or remove the availability for bonus payments under Medicare, TRICARE likewise might comply with Medicare in amending or eradicating provision for such payments. Application of upper cost charges. Higher payment rates defined beneath paragraph of this part could also be applied to all related services performed in a locality, or, if circumstances warrant, a new locality could also be defined for software of the upper funds. Establishment of a brand new locality could additionally be undertaken where access impairment is localized and never pervasive across the prevailing locality. Generally, institution of a model new, more specific locality will occur when the area is distant in order that geographical traits and different elements significantly impair transportation through regular means to well being care providers routinely available within the existing locality.

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The Director, OCHAMPUS, or designee, normally will take action with regard to the beneficial determination within ninety days of receipt of the beneficial choice or receipt of the revised beneficial decision following a remand order to the Hearing Officer. Because of the personal nature of the issues to be thought of, hearings usually shall be closed to the common public. However, the interesting get together could request an open listening to.

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