# Medical Billing for Healthcare Services Provided by Department of Defense Military Medical Treatment Facilities to Civilian Non-Beneficiaries
> **US Department of Defense** · Final rule. · Published 2026-02-06 · Effective 2026-03-09 · 91 FR 5303
## Document
- **Document number:** 2026-02437
- **Category:** other
- **Sub-agency:** US Department of Defense
- **Federal Register citation:** 91 FR 5303
- **CFR reference:** 32 CFR 220
- **Publication date:** 2026-02-06
- **Effective date:** 2026-03-09
- **DOD docket:** Docket ID: DoD-2022-HA-0054
## Abstract

As required by the James M. Inhofe National Defense Authorization Act for Fiscal Year 2023 (NDAA-23), this rule reduces financial harm to civilians who are not covered beneficiaries of the Military Health System (MHS), and who receive healthcare services at DoD military medical treatment facilities (MTF). The rulemaking implements the MHS Modified Payment and Waiver Program (MPWP) through which the DoD applies a sliding fee scale and/or a catastrophic fee waiver to medical invoices of certain non-beneficiaries and accepts payments from health insurers of non-beneficiaries as full payment except for copays, coinsurance, deductibles, nominal fees and non- covered services.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2026/02/06/2026-02437/medical-billing-for-healthcare-services-provided-by-department-of-defense-military-medical-treatment)
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