[Federal Register Volume 65, Number 8 (Wednesday, January 12, 2000)]
[Rules and Regulations]
[Pages 1817-1823]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-126]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
42 CFR Parts 412, 413, 483, and 485
[HCFA-1053-CN2]
RIN 0938-AJ50
Medicare Program; Changes to the Hospital Inpatient Prospective
Payment Systems and Fiscal Year 2000 Rates; Corrections
AGENCY: Health Care Financing Administration (HCFA), HHS.
ACTION: Final rule; correction notice.
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SUMMARY: In the July 30, 1999 issue of the Federal Register (64 FR
41490), we published a final rule that revised the Medicare hospital
inpatient prospective payment systems for operating costs and capital-
related costs to implement necessary changes arising from our
continuing experience with the system. This document corrects errors
made in that document.
EFFECTIVE DATE: October 1, 1999.
FOR FURTHER INFORMATION CONTACT: Linda Hite, (410) 786-4537.
SUPPLEMENTARY INFORMATION: Table 4A of the addendum to the July 30,
1999 final rule (64 FR 41585 through 41593), which lists each urban
area's wage index and geographic adjustment factor (GAF), inadvertently
listed the incorrect wage index or GAF values for a limited number of
areas and omitted the indicator for several large urban areas. The
corrected Table 4A is shown below (item number 4). We note that the
table as published in the July 30, 1999 Federal Register showed correct
figures for the vast majority of urban areas. The revised table
corrects a limited number of values to address technical errors in
preparing the table for publication in the July 30, 1999 Federal
Register. The
[[Page 1818]]
revised values do not reflect changes to wage data or to actual
payments.
The July 30, 1999 final rule also contained other technical and
typographical errors. Therefore, we are making the following
corrections:
1. On page 41520, first column, last two paragraphs, and the second
column, first full paragraph, the text beginning with ``Example 1'' and
ending with ``residents * 1 year).'' is inaccurate and should be
disregarded.
2. On page 41520, second column, second paragraph, line 18, the
phrase ``accepts 9 new (PGY 2) residents'' is corrected to read
``accepts 9 new (PGY 1) residents''; and
3. On page 41557, second column, last full paragraph, twenty-third
line, the figure ``$36,712'' is corrected to read ``$39,712''.
4. On pages 41585 through 41593, Table 4A--Wage Index and Capital
Geographic Adjustment Factor (GAF) for Urban Areas is replaced with the
following:
Table 4a--Wage Index and Capital Geographic Adjustment Factor (GAF) for
Urban Areas
------------------------------------------------------------------------
Wage
Urban area (constituent counties) index GAF
------------------------------------------------------------------------
0040 Abilene, TX: Taylor, TX..................... 0.8179 0.8714
00602 Aguadilla, \2\ PR: Aguada, PR Aguadilla, PR 0.4249 0.5565
Moca, PR.........................................
0080 Akron, OH; Portage, OH; Summit, OH.......... 1.0163 1.0111
0120 Albany, GA: Dougherty, GA; Lee, GA.......... 1.0372 1.0253
0160 Albany-Schenectady-Troy, NY: Albany, NY 0.8754 0.9129
Montgomery, NY; Rensselaer, NY; Saratoga, NY;
Schenectady, NY; Schoharie, NY...................
0200 Albuquerque, NM: Bernalillo, NM; Sandoval, 0.8499 0.8946
NM; Valencia, NM.................................
0220 Alexandria, LA: Rapides, LA................. 0.7910 0.8517
0240 Allentown-Bethlehem-Easton, PA: Carbon, PA; 0.9550 0.9690
Lehigh, PA; Northampton, PA......................
0280 Altoona, PA: Blair, PA...................... 0.9342 0.9545
0320 Amarillo, TX: Potter, TX; Randall, TX....... 0.8435 0.8900
0380 Anchorage, AK: Anchorage, AK................ 1.3009 1.1974
0440 Ann Arbor, MI: Lenawee, MI; Livingston, MI; 1.1483 1.0993
Washtenaw, MI....................................
0450 Anniston, AL: Calhoun, AL................... 0.8462 0.8919
0460 Appleton-Oshkosh-Neenah, WI: Calumet, WI; 0.8913 0.9242
Outagamie, WI; Winnebago, WI.....................
0470 Arecibo, PR: Arecibo, PR; Camuy, PR; 0.4815 0.6062
Hatillo, PR......................................
0480 Asheville, NC: Buncombe, NC; Madison, NC.... 0.8884 0.9222
0500 Athens, GA: Clarke, GA; Madison, GA; 0.9800 0.9863
Oconee,GA........................................
0520 Atlanta, \1\ GA: Barrow, GA; Bartow, GA; 1.0050 1.0034
Carroll, GA; Cherokee, GA; Clayton, GA; Cobb, GA;
Coweta, GA; DeKalb, GA; Douglas, GA; Fayette, GA;
Forsyth, GA; Fulton, GA; Gwinnett, GA; Henry, GA;
Newton, GA; Paulding, GA; Pickens, GA; Rockdale,
GA; Spalding, GA Walton, GA......................
0560 Atlantic-Cape May, NJ: Atlantic, NJ; Cape 1.1050 1.0708
May, NJ..........................................
0580 Auburn-Opelika, AL: Lee, AL................. 0.7748 0.8397
0600 Augusta-Aiken, GA-SC: Columbia, GA; 0.9013 0.9313
McDuffie, GA; Richmond, GA; Aiken, SC; Edgefield,
SC...............................................
0640 Austin-San Marcos, \1\ TX: Bastrop, TX; 0.9081 0.9361
Caldwell, TX; Hays, TX; Travis, TX; Williamson,
TX...............................................
0680 Bakersfield, \2\ CA: Kern, CA................ 0.9951 0.9966
0720 Baltimore, \1\ MD: Anne Arundel, MD; 0.9891 0.9925
Baltimore, MD; Baltimore City, MD; Carroll, MD;
Harford, MD; Howard, MD; Queen Anne's, MD........
0733 Bangor, ME: Penobscot, ME................... 0.9609 0.9731
0743 Barnstable-Yarmouth, MA: Barnstable, MA..... 1.3302 1.2158
0760 Baton Rouge, LA: Ascension, LA; East Baton 0.8707 0.9095
Rouge, LA; Livingston, LA; West Baton Rouge, LA..
0840 Beaumont-Port Arthur, TX: Hardin, TX; 0.8624 0.9036
Jefferson, TX; Orange, TX........................
0860 Bellingham, WA: Whatcom, WA................. 1.1394 1.0935
0870 Benton Harbor, \2\ MI: Berrien, MI.......... 0.8831 0.9184
0875 Bergen-Passaic, \1\ NJ: Bergen, NJ; Passaic, 1.1833 1.1222
NJ...............................................
0880 Billings, MT: Yellowstone, MT............... 1.0038 1.0026
0920 Biloxi-Gulfport-Pascagoula, MS: Hancock, MS; 0.7949 0.8545
Harrison, MS; Jackson, MS........................
0960 Binghamton, NY: Broome, NY; Tioga, NY....... 0.8750 0.9126
1000 Birmingham, AL: Blount, AL; Jefferson, AL; 0.8994 0.9300
St. Clair, AL; Shelby, AL........................
1010 Bismarck, ND: Burleigh, ND; Morton, ND...... 0.7893 0.8504
1020 Bloomington, IN: Monroe, IN................. 0.8593 0.9014
1040 Bloomington-Normal, IL: McLean, IL.......... 0.8993 0.9299
1080 Boise City, ID: Ada, ID: Canyon, ID......... 0.9086 0.9365
1123 Boston-Worcester-Lawrence-Lowell-Brockton, 1.1369 1.0918
MA-NH (MA Hospitals)\1\ \2\ Bristol, MA; Essex,
MA; Middlesex, MA; Norfolk, MA; Plymouth, MA;
Suffolk, MA; Worcester, MA; Hillsborough, NH;
Merrimack, NH; Rockingham, NH; Strafford, NH.....
1123 Boston-Worcester-Lawrence-Lowell-Brockton, 1.1358 1.0911
MA-NH (NH Hospitals)\1\ Bristol, MA; Essex, MA;
Middlesex, MA; Norfolk, MA; Plymouth, MA;
Suffolk, MA; Worcester, MA; Hillsborough, NH;
Merrimack, NH; Rockingham, NH; Strafford, NH.....
1125 Boulder-Longmont, CO: Boulder, CO........... 0.9944 0.9962
1145 Brazoria, TX: Brazoria, TX.................. 0.8516 0.8958
1150 Bremerton, WA: Kitsap, WA................... 1.1011 1.0682
1240 Brownsville-Harlingen-San Benito, TX: 0.9212 0.9453
Cameron, TX......................................
1260 Bryan-College Station, TX: Brazos, TX....... 0.8501 0.8947
1280 Buffalo-Niagara Falls, NY: \1\ Erie, NY; 0.9604 0.9727
Niagara, NY......................................
1303 Burlington, VT: Chittenden, VT; Franklin, 1.0558 1.0379
VT; Grand Isle, VT...............................
1310 Caguas, PR: Caguas, PR; Cayey, PR; Cidra, 0.4561 0.5842
PR; Gurabo, PR; San Lorenzo, PR..................
1320 Canton-Massillon, \2\ OH: Carroll, OH; 0.8649 0.9054
Stark, OH........................................
1350 Casper, WY: Natrona, WY..................... 0.9199 0.9444
1360 Cedar Rapids, IA: Linn, IA.................. 0.9018 0.9317
[[Page 1819]]
1400 Champaign-Urbana, IL: Champaign, IL......... 0.9163 0.9419
1440 Charleston-North Charleston, SC: Berkeley, 0.8988 0.9295
SC; Charleston, SC; Dorchester, SC...............
1480 Charleston, WV: Kanawha, WV; Putnam, WV..... 0.9095 0.9371
1520 Charlotte-Gastonia-Rock Hill, NC-SC: \1\ 0.9433 0.9608
Cabarrus, NC; Gaston, NC; Lincoln, NC;
Mecklenburg, NC; Rowan, NC; Stanly, NC; Union,
NC; York, SC.....................................
1540 Charlottesville, VA: Albemarle, VA; 1.0573 1.0389
Charlottesville City, VA; Fluvanna, VA; Greene,
VA...............................................
1560 Chattanooga, TN-GA: Catoosa, GA; Dade, GA; 0.9731 0.9815
Walker, GA; Hamilton, TN; Marion, TN.............
1580 Cheyenne, WY: \2\ Laramie, WY............... 0.8859 0.9204
1600 Chicago, IL: \1\ Cook, IL; DeKalb, IL; 1.0872 1.0589
DuPage, IL; Grundy, IL; Kane, IL; Kendall, IL;
Lake, IL; McHenry, IL; Will, IL..................
1620 Chico-Paradise, CA: Butte, CA............... 1.0390 1.0265
1640 Cincinnati, OH-KY-IN: \1\ Dearborn, IN; 0.9434 0.9609
Ohio, IN; Boone, KY; Campbell, KY; Gallatin, KY;
Grant, KY; Kenton, KY; Pendleton, KY; Brown, OH;
Clermont, OH; Hamilton, OH; Warren, OH...........
1660 Clarksville-Hopkinsville, TN-KY: Christian, 0.8283 0.8790
KY; Montgomery, TN...............................
1680 Cleveland-Lorain-Elyria, OH: \1\ Ashtabula, 0.9688 0.9785
OH; Cuyahoga, OH; Geauga, OH; Lake, OH; Lorain,
OH; Medina, OH...................................
1720 Colorado Springs, CO: El Paso, CO........... 0.9218 0.9458
1740 Columbia, MO: Boone, MO..................... 0.8904 0.9236
1760 Columbia, SC: Lexington, SC; Richland, SC... 0.9357 0.9555
1800 Columbus, GA-AL: Russell, AL; Chattahoochee, 0.8510 0.8954
GA; Harris, GA; Muscogee, GA.....................
1840 Columbus, OH: \1\ Delaware, OH; Fairfield, 0.9907 0.9936
OH; Franklin, OH; Licking, OH; Madison, OH;
Pickaway, OH.....................................
1880 Corpus Christi, TX: Nueces, TX; San 0.8702 0.9092
Patricio, TX.....................................
1890 Corvallis, OR: Benton, OR................... 1.1087 1.0732
1900 Cumberland, MD-WV (Maryland Hospitals): 0.8801 0.9163
Allegany, MD; Mineral, WV........................
1920 Dallas, TX: \1\ Collin, TX; Dallas, TX; 0.9589 0.9717
Denton, TX; Ellis, TX; Henderson, TX; Hunt, TX;
Kaufman, TX; Rockwall, TX........................
1950 Danville, VA: Danville City, VA; 0.9061 0.9347
Pittsylvania, VA.................................
1960 Davenport-Moline-Rock Island, IA-IL: Scott, 0.8706 0.9095
IA; Henry, IL; Rock Island, IL...................
2000 Dayton-Springfield, OH: Clark, OH; Greene, 0.9336 0.9540
OH; Miami, OH; Montgomery, OH....................
2020 Daytona Beach, FL: \2\ Flagler, FL; Volusia, 0.8986 0.9294
FL...............................................
2030 Decatur, AL: Lawrence, AL; Morgan, AL....... 0.8679 0.9075
2040 Decatur, IL: Macon, IL...................... 0.8321 0.8817
2080 Denver, CO: \1\ Adams, CO; Arapahoe, CO; 1.0197 1.0134
Denver, CO; Douglas, CO; Jefferson, CO...........
2120 Des Moines, IA: Dallas, IA; Polk, IA; 0.8754 0.9129
Warren, IA.......................................
2160 Detroit, MI: \1\ Lapeer, MI; Macomb, MI; 1.0421 1.0286
Monroe, MI; Oakland, MI; St. Clair, MI; Wayne, MI
2180 Dothan, AL: Dale, AL; Houston, AL........... 0.7836 0.8462
2190 Dover, DE: Kent, DE......................... 0.9335 0.9540
2200 Dubuque, IA: Dubuque, IA.................... 0.8520 0.8961
2240 Duluth-Superior, MN-WI: St. Louis, MN; 1.0165 1.0113
Douglas, WI......................................
2281 Dutchess County, NY: Dutchess, NY........... 0.9872 0.9912
2290 Eau Claire, WI: Chippewa, WI; Eau Claire, WI 0.8957 0.9273
2320 El Paso, TX: El Paso, TX.................... 0.8947 0.9266
2330 Elkhart-Goshen, IN: Elkhart, IN............. 0.9379 0.9570
2335 Elmira, NY: \2\ Chemung, NY................. 0.8636 0.9045
2340 Enid, OK: Garfield, OK...................... 0.7953 0.8548
2360 Erie, PA: Erie, PA.......................... 0.9023 0.9320
2400 Eugene-Springfield, OR: Lane, OR............ 1.0765 1.0518
2440 Evansville-Henderson, IN-KY (IN Hospitals): 0.8396 0.8872
\2\ Posey, IN; Vanderburgh, IN; Warrick, IN;
Henderson, KY....................................
2440 Evansville-Henderson, IN-KY (KY Hospitals): 0.8303 0.8804
Posey, IN; Vanderburgh, IN; Warrick, IN;
Henderson, KY....................................
2520 Fargo-Moorhead, ND-MN: Clay, MN; Cass, ND... 0.8620 0.9033
2560 Fayetteville, NC: Cumberland, NC............ 0.8494 0.8942
2580 Fayetteville-Springdale-Rogers, AR: Benton, 0.7773 0.8415
AR; Washington, AR...............................
2620 Flagstaff, AZ-UT: Coconino, AZ; Kane, UT.... 1.0348 1.0237
2640 Flint, MI: Genesee, MI...................... 1.1020 1.0688
2650 Florence, AL: Colbert, AL; Lauderdale, AL... 0.7927 0.8529
2655 Florence, SC: Florence, SC.................. 0.8618 0.9032
2670 Fort Collins-Loveland, CO: Larimer, CO...... 1.0302 1.0206
2680 Ft. Lauderdale, FL: \1\ Broward, FL......... 1.0172 1.0117
2700 Fort Myers-Cape Coral, FL: \2\ Lee, FL...... 0.8986 0.9294
2710 Fort Pierce-Port St. Lucie, FL: Martin, FL; 1.0109 1.0075
St. Lucie, FL....................................
2720 Fort Smith, AR-OK: Crawford, AR; Sebastian, 0.7844 0.8468
AR; Sequoyah, OK.................................
2750 Fort Walton Beach, FL: \2\ Okaloosa, FL..... 0.8986 0.9294
2760 Fort Wayne, IN: Adams, IN; Allen, IN; De 0.9096 0.9372
Kalb, IN; Huntington, IN; Wells, IN; Whitley, IN.
2800 Forth Worth-Arlington, TX: \1\ Hood, TX; 0.9835 0.9887
Johnson, TX; Parker, TX; Tarrant, TX.............
2840 Fresno, CA: Fresno, CA; Madera, CA.......... 1.0262 1.0179
2880 Gadsden, AL: Etowah, AL..................... 0.8754 0.9129
2900 Gainesville, FL: Alachua, FL................ 1.0102 1.0070
2920 Galveston-Texas City, TX: Galveston, TX..... 0.9732 0.9816
2960 Gary, IN: Lake, IN; Porter, IN.............. 0.9369 0.9563
2975 Glens Falls, NY: 2 Warren, NY; Washington, 0.8636 0.9045
NY...............................................
2980 Goldsboro, NC: Wayne, NC.................... 0.8333 0.8826
2985 Grand Forks, ND-MN: Polk, MN; Grand Forks, 0.9097 0.9372
ND...............................................
2995 Grand Junction, CO: Mesa, CO................ 0.9188 0.9437
3000 Grand Rapids-Muskegon-Holland, MI: 1 1.0135 1.0092
Allegan, MI; Kent, MI; Muskegon, MI; Ottawa, MI..
[[Page 1820]]
3040 Great Falls, MT: Cascade, MT................ 1.0459 1.0312
3060 Greeley, CO: Weld, CO....................... 0.9722 0.9809
3080 Green Bay, WI: Brown, WI.................... 0.9215 0.9456
3120 Greensboro-Winston-Salem-High Point, NC: 1 0.9037 0.9330
Alamance, NC; Davidson, NC; Davie, NC; Forsyth,
NC; Guilford, NC; Randolph, NC; Stokes, NC;
Yadkin, NC.......................................
3150 Greenville, NC; Pitt, NC.................... 0.9500 0.9655
3160 Greenville-Spartanburg-Anderson, SC: 0.9188 0.9437
Anderson, SC; Cherokee, SC; Greenville, SC;
Pickens, SC; Spartanburg, SC.....................
3180 Hagerstown, MD: Washington, MD.............. 0.8853 0.9200
3200 Hamilton-Middletown, OH: Butler, OH......... 0.8989 0.9296
3240 Harrisburg-Lebanon-Carlisle, PA: Cumberland, 0.9917 0.9943
PA; Dauphin, PA; Lebanon, PA; Perry, PA..........
3283 Hartford, CT: 1, 2 Hartford, CT; Litchfield, 1.2413 1.1595
CT; Middlesex, CT; Tolland, CT...................
3285 Hattiesburg, MS: 2 Forrest, MS; Lamar, MS... 0.7306 0.8066
3290 Hickory-Morganton-Lenoir, NC: Alexander, NC; 0.9148 0.9408
Burke, NC; Caldwell, NC; Catawba, NC.............
3320 Honolulu, HI: Honolulu, HI.................. 1.1479 1.0991
3350 Houma, LA: Lafourche, LA; Terrebonne, LA.... 0.7837 0.8463
3360 Houston, TX: 1 Chambers, TX; Fort Bend, TX; 0.9387 0.9576
Harris, TX; Liberty, TX; Montgomery, TX; Waller,
TX...............................................
3400 Huntington-Ashland, WV-KY-OH: Boyd, KY; 0.9757 0.9833
Carter, KY; Greenup, KY; Lawrence, OH; Cabell,
WV; Wayne, WV....................................
3440 Huntsville, AL: Limestone, AL; Madison, AL.. 0.8822 0.9178
3480 Indianapolis, IN: 1 Boone, IN; Hamilton, IN; 0.9792 0.9857
Hancock, IN; Hendricks, IN; Johnson, IN; Madison,
IN; Marion, IN; Morgan, IN; Shelby, IN...........
3500 Iowa City, IA: Johnson, IA.................. 0.9607 0.9729
3520 Jackson, MI: Jackson, MI.................... 0.8840 0.9190
3560 Jackson, MS: Hinds, MS; Madison, MS; Rankin, 0.8387 0.8865
MS...............................................
3580 Jackson, TN: Madison, TN; Chester, TN....... 0.8600 0.9019
3600 Jacksonville, FL: 1, 2 Clay, FL; Duval, FL; 0.8986 0.9294
Nassau, FL; St. Johns, FL........................
3605 Jacksonville, NC: 2 Onslow, NC.............. 0.8290 0.8795
3610 Jamestown, NY: 2 Chautauqua, NY............. 0.8636 0.9045
3620 Janesville-Beloit, WI: Rock, WI............. 0.9656 0.9763
3640 Jersey City, NJ: Hudson, NJ................. 1.1674 1.1118
3660 Johnson City-Kingsport-Bristol, TN-VA: 0.8894 0.9229
Carter, TN; Hawkins, TN; Sullivan, TN; Unicoi,
TN; Washington, TN; Bristol City, VA; Scott, VA
Washington, VA...................................
3680 Johnstown, PA: 2 Cambria, PA; Somerset, PA.. 0.8524 0.8964
3700 Jonesboro, AR: Craighead, AR................ 0.7251 0.8024
3710 Joplin, MO: 2 Jasper, MO; Newton, MO........ 0.7723 0.8378
3720 Kalamazoo-Battlecreek, MI: Calhoun, MI; 0.9981 0.9987
Kalamazoo, MI; Van Buren, MI.....................
3740 Kankakee, IL: Kankakee, IL.................. 0.8598 0.9017
3760 Kansas City, KS-MO: 1 Johnson, KS; 0.9322 0.9531
Leavenworth, KS; Miami, KS; Wyandotte, KS; Cass,
MO; Clay, MO; Clinton, MO; Jackson, MO;
Lafayette, MO; Platte, MO; Ray, MO...............
3800 Kenosha, WI: Kenosha, WI.................... 0.9033 0.9327
3810 Killeen-Temple, TX: Bell, TX; Coryell, TX... 0.9932 0.9953
3840 Knoxville, TN: Anderson, TN; Blount, TN; 0.9199 0.9444
Knox, TN; Loudon, TN; Sevier, TN; Union, TN......
3850 Kokomo, IN: Howard, IN; Tipton, IN.......... 0.8984 0.9293
3870 La Crosse, WI-MN: Houston, MN; La Crosse, WI 0.8933 0.9256
3880 Lafayette, LA: Acadia, LA; Lafayette, LA; 0.8397 0.8872
St. Landry, LA; St. Martin, LA...................
3920 Lafayette, IN: Clinton, IN; Tippecanoe, IN.. 0.8809 0.9168
3960 Lake Charles, LA: Calcasieu, LA............. 0.7966 0.8558
3980 Lakeland-Winter Haven, FL: 2 Polk, FL....... 0.8986 0.9294
4000 Lancaster, PA: Lancaster, PA................ 0.9255 0.9484
4040 Lansing-East Lansing, MI: Clinton, MI; 0.9977 0.9984
Eaton, MI; Ingham, MI............................
4080 Laredo, TX: Webb, TX........................ 0.8323 0.8819
4100 Las Cruces, NM: Dona Ana, NM................ 0.8590 0.9012
4120 Las Vegas, NV-AZ: 1 Mohave, AZ; Clark, NV; 1.1258 1.0845
Nye, NV..........................................
4150 Lawrence, KS: Douglas, KS................... 0.8222 0.8745
4200 Lawton, OK: Comanche, OK.................... 0.9532 0.9677
4243 Lewiston-Auburn, ME: Androscoggin, ME....... 0.8899 0.9232
4280 Lexington, KY: Bourbon, KY; Clark, KY; 0.8552 0.8984
Fayette, KY; Jessamine, KY; Madison, KY; Scott,
KY; Woodford, KY.................................
4320 Lima, OH: Allen, OH; Auglaize, OH........... 0.9108 0.9380
4360 Lincoln, NE: Lancaster, NE.................. 0.9670 0.9773
4400 Little Rock-North Little Rock, AR: Faulkner, 0.8614 0.9029
AR; Lonoke, AR; Pulaski, AR; Saline, AR..........
4420 Longview-Marshall, TX: Gregg, TX; Harrison, 0.8738 0.9118
TX; Upshur, TX...................................
4480 Los Angeles-Long Beach, CA: \1\ Los Angeles, 1.2085 1.1385
CA...............................................
4520 Louisville, KY-IN: Clark, IN; Floyd, IN; 0.9381 0.9572
Harrison, IN; Scott, IN; Bullitt, KY; Jefferson,
KY; Oldham, KY...................................
4600 Lubbock, TX: Lubbock, TX.................... 0.8411 0.8883
4640 Lynchburg, VA: Amherst, VA; Bedford, VA; 0.8814 0.9172
Bedford City, VA; Campbell, VA; Lynchburg City,
VA...............................................
4680 Macon, GA: Bibb, GA; Houston, GA; Jones, GA; 0.8530 0.8968
Peach, GA; Twiggs, GA............................
4720 Madison, WI: Dane, WI....................... 0.9729 0.9814
4800 Mansfield, OH: \2\ Crawford, OH; Richland, 0.8649 0.9054
OH...............................................
4840 Mayaguez, PR: Anasco, PR; Cabo Rojo, PR; 0.4674 0.5940
Hormigueros, PR; Mayaguez, PR; Sabana Grande, PR;
San German, PR...................................
4880 McAllen-Edinburg-Mission, TX: Hidalgo, TX... 0.8120 0.8671
[[Page 1821]]
4890 Medford-Ashland, OR: Jackson, OR............ 1.0492 1.0334
4900 Melbourne-Titusville-Palm Bay, FL: Brevard, 0.9296 0.9512
Fl...............................................
4920 Memphis, TN-AR-MS :\1\ Crittenden, AR; 0.8244 0.8761
DeSoto, MS; Fayette, TN; Shelby, TN; Tipton, TN..
4940 Merced, CA: Merced, CA...................... 1.0509 1.0346
5000 Miami, FL: \1\ Dade, FL..................... 1.0233 1.0159
5015 Middlesex-Somerset-Hunterdon, NJ: \1\ 1.0876 1.0592
Hunterdon, NJ; Middlesex, NJ; Somerset, NJ.......
5080 Milwaukee-Waukesha, WI: \1\ Milwaukee, WI; 0.9845 0.9894
Ozaukee, WI; Washington, WI; Waukesha, WI........
5120 Minneapolis-St. Paul, MN-WI: \1\ Anoka, MN; 1.0929 1.0627
Carver, MN; Chisago, MN; Dakota, MN; Hennepin,
MN; Isanti, MN; Ramsey, MN; Scott, MN; Sherburne,
MN; Washington, MN; Wright, MN; Pierce, WI; St.
Croix, WI........................................
5140 Missoula, MT: Missoula, MT.................. 0.9085 0.9364
5160 Mobile, AL: Baldwin, AL; Mobile, AL......... 0.8267 0.8778
5170 Modesto, CA: Stanislaus, CA................. 1.0111 1.0076
5190 Monmouth-Ocean, NJ: \1\ Monmouth, NJ; Ocean, 1.1258 1.0845
NJ...............................................
5200 Monroe, LA: Ouachita, LA.................... 0.8221 0.8745
5240 Montgomery, AL: Autauga, AL; Elmore, AL; 0.7724 0.8379
Montgomery, AL...................................
5280 Muncie, IN: Delaware, IN.................... 1.0834 1.0564
5330 Myrtle Beach, SC: Horry, SC................. 0.8529 0.8968
5345 Naples, FL: Collier, FL..................... 0.9839 0.9889
5360 Nashville, TN: \1\ Cheatham, TN; Davidson, 0.9449 0.9619
TN; Dickson, TN; Robertson, TN; Rutherford, TN;
Sumner, TN; Williamson, TN; Wilson, TN...........
5380 Nassau-Suffolk, NY: \1\ Nassau, NY; Suffolk, 1.4074 1.2637
NY...............................................
5483 New Haven-Bridgeport-Stamford-Waterbury- 1.2417 1.1598
Danbury, CT: \1\ Fairfield, CT; New Haven, CT....
5523 New London-Norwich, CT: New London, CT...... 1.2428 1.1605
5560 New Orleans, LA: \1\ Jefferson, LA; Orleans, 0.9089 0.9367
LA; Plaquemines, LA; St. Bernard, LA; St.
Charles, LA; St. James, LA; St. John The Baptist,
LA; St. Tammany, LA..............................
5600 New York, NY: \1\ Bronx, NY; Kings, NY; New 1.4517 1.2908
York, NY; Putnam, NY; Queens, NY; Richmond, NY;
Rockland, NY; Westchester, NY....................
5640 Newark, NJ: \1\ Essex, NJ; Morris, NJ; 1.0772 1.0522
Sussex, NJ; Union, NJ; Warren, NJ................
5660 Newburgh, NY-PA: Orange, NY; Pike, PA....... 1.0908 1.0613
5720 Norfolk-Virginia Beach-Newport News, VA-NC: 0.8442 0.8905
\1\ Currituck, NC; Chesapeake City, VA;
Gloucester, VA; Hampton City, VA; Isle of Wight,
VA; James City, VA; Mathews, VA; Newport News
City, VA; Norfolk City, VA; Poquoson City, VA;
Portsmouth City, VA; Suffolk City, VA; Virginia
Beach City VA; Williamsburg City, VA; York, VA...
5775 Oakland, CA: \1\ Alameda, CA; Contra Costa, 1.5095 1.3258
CA...............................................
5790 Ocala, FL: Marion, FL....................... 0.9615 0.9735
5800 Odessa-Midland, TX: Ector, TX; Midland, TX.. 0.8873 0.9214
5880 Oklahoma City, OK: \1\ Canadian, OK; 0.8589 0.9011
Cleveland, OK; Logan, OK; McClain, OK; Oklahoma,
OK; Pottawatomie, OK.............................
5910 Olympia, WA: Thurston, WA................... 1.0932 1.0629
5920 Omaha, NE-IA: Pottawattamie, IA; Cass, NE; 1.0455 1.0309
Douglas, NE; Sarpy, NE; Washington, NE...........
5945 Orange County, CA: \1\ Orange, CA........... 1.1592 1.1065
5960 Orlando, FL: \1\ Lake, FL; Orange, FL; 0.9806 0.9867
Osceola, FL; Seminole, FL........................
5990 Owensboro, KY: Daviess, KY.................. 0.8104 0.8659
6015 Panama City, FL: Bay, FL.................... 0.9169 0.9423
6020 Parkersburg-Marietta, WV-OH (WV Hospitals): 0.8414 0.8885
Washington, OH; Wood, WV.........................
6020 Parkersburg-Marietta, WV-OH (OH Hospitals): 0.8649 0.9054
\2\ Washington, OH; Wood, WV.....................
6080 Pensacola, FL: \2\ Escambia, FL; Santa Rosa, 0.8986 0.9294
FL...............................................
6120 Peoria-Pekin, IL: Peoria, IL; Tazewell, IL; 0.8399 0.8874
Woodford, IL.....................................
6160 Philadelphia, PA-NJ: \1\ Burlington, NJ; 1.1186 1.0798
Camden, NJ; Gloucester, NJ; Salem, NJ; Bucks, PA;
Chester, PA; Delaware, PA; Montgomery, PA;
Philadelphia, PA.................................
6200 Phoenix-Mesa, AZ: \1\ Maricopa, AZ; Pinal, 0.9464 0.9630
AZ...............................................
6240 Pine Bluff, AR: Jefferson, AR............... 0.7697 0.8359
6280 Pittsburgh, PA: \1\ Allegheny, PA; Beaver, 0.9634 0.9748
PA; Butler, PA; Fayette, PA; Washington, PA;
Westmoreland, PA.................................
6323 Pittsfield, MA: \2\ Berkshire, MA........... 1.1369 1.0918
6340 Pocatello, ID: Bannock, ID.................. 0.8973 0.9285
6360 Ponce, PR: Guayanilla, PR; Juana Diaz, PR; 0.4971 0.6196
Penuelas, PR; Ponce, PR; Villalba, PR; Yauco, PR.
6403 Portland, ME: Cumberland, ME; Sagadahoc, ME; 0.9487 0.9646
York, ME.........................................
6440 Portland-Vancouver, OR-WA: \1\ Clackamas, 1.0996 1.0672
OR; Columbia, OR; Multnomah, OR; Washington, OR;
Yamhill, OR; Clark, WA...........................
6483 Providence-Warwick-Pawtucket, RI: \1\ 1.0690 1.0468
Bristol, RI; Kent, RI; Newport, RI; Providence,
RI; Washington, RI...............................
6520 Provo-Orem, UT: Utah, UT.................... 0.9818 0.9875
6560 Pueblo, CO: Pueblo, CO...................... 0.8853 0.9200
6580 Punta Gorda, FL: Charlotte, FL.............. 0.9508 0.9660
6600 Racine, WI: Racine, WI...................... 0.9216 0.9456
6640 Raleigh-Durham-Chapel Hill, NC: \1\ Chatham, 0.9544 0.9685
NC; Durham, NC; Franklin, NC; Johnston, NC;
Orange, NC; Wake, NC.............................
6660 Rapid City, SD: Pennington, SD.............. 0.8363 0.8848
6680 Reading, PA: Berks, PA...................... 0.9436 0.9610
6690 Redding, CA: Shasta, CA..................... 1.1263 1.0849
6720 Reno, NV: Washoe, NV........................ 1.0655 1.0444
6740 Richland-Kennewick-Pasco, WA: Benton, WA; 1.1224 1.0823
Franklin, WA.....................................
[[Page 1822]]
6760 Richmond-Petersburg, VA: Charles City 0.9545 0.9686
County, VA; Chesterfield, VA; Colonial Heights
City, VA; Dinwiddie, VA; Goochland, VA; Hanover,
VA; Henrico, VA; Hopewell City, VA; New Kent, VA;
Petersburg City, VA; Powhatan, VA; Prince George,
VA; Richmond City, VA............................
6780 Riverside-San Bernardino, CA: \1\ Riverside, 1.1061 1.0715
CA; San Bernardino, CA...........................
6800 Roanoke, VA: Botetourt, VA; Roanoke, VA; 0.8142 0.8687
Roanoke City, VA; Salem City, VA.................
6820 Rochester, MN: Olmsted, MN.................. 1.1429 1.0958
6840 Rochester, NY: \1\ Genesee, NY; Livingston, 0.9184 0.9434
NY; Monroe, NY; Ontario, NY; Orleans, NY; Wayne,
NY...............................................
6880 Rockford, IL: Boone, IL; Ogle, IL; 0.8783 0.9150
Winnebago, IL....................................
6895 Rocky Mount, NC: Edgecombe, NC; Nash, NC.... 0.8735 0.9115
6920 Sacramento, CA: \1\ El Dorado, CA; Placer, 1.2284 1.1513
CA; Sacramento, CA...............................
6960 Saginaw-Bay City-Midland, MI: Bay, MI; 0.9294 0.9511
Midland, MI; Saginaw, MI.........................
6980 St. Cloud, MN: Benton, MN; Stearns, MN...... 0.9608 0.9730
7000 St. Joseph, MO: Andrew, MO; Buchanan, MO.... 0.8943 0.9264
7040 St. Louis, MO-IL: \1\ Clinton, IL; Jersey, 0.9052 0.9341
IL; Madison, IL; Monroe, IL; St. Clair, IL;
Franklin, MO; Jefferson, MO; Lincoln, MO; St.
Charles, MO; St. Louis, MO; St. Louis City, MO;
Warren, MO.......................................
7080 Salem, OR: Marion, OR; Polk, OR............. 0.9949 0.9965
7120 Salinas, CA: Monterey, CA................... 1.4710 1.3025
7160 Salt Lake City-Ogden, UT: \1\ Davis, UT; 0.9854 0.9900
Salt Lake, UT; Weber, UT.........................
7200 San Angelo, TX: Tom Green, TX............... 0.7845 0.8469
7240 San Antonio, TX: \1\ Bexar, TX; Comal, TX; 0.8318 0.8815
Guadalupe, TX; Wilson, TX........................
7320 San Diego, CA: \1\ San Diego, CA............ 1.1955 1.130
7360 San Francisco, CA: \1\ Marin, CA; San 1.378 41.2458
Francisco, CA; San Mateo, CA.....................
7400San Jose, CA: \1\ Santa Clara, CA............. 1.3492 1.2277
7440 San Juan-Bayamon, PR: \1\ Aguas Buenas, PR; 0.4657 0.5925
Barceloneta, PR; Bayamon, PR; Canovanas, PR;
Carolina, PR; Catano, PR; Ceiba, PR; Comerio, PR;
Corozal, PR; Dorado, PR; Fajardo, PR; Florida,
PR; Guaynabo, PR; Humacao, PR; Juncos, PR; Los
Piedras, PR; Loiza, PR; Luguillo, PR; Manati, PR;
Morovis, PR; Naguabo, PR; Naranjito, PR; Rio
Grande, PR; San Juan, PR; Toa Alta, PR; Toa Baja,
PR; Trujillo Alto, PR; Vega Alta, PR; Vega Baja,
PR; Yabucoa, PR..................................
7460 San Luis Obispo-Atascadero-Paso Robles, CA: 1.0470 1.0320
San Luis Obispo, CA..............................
7480 Santa Barbara-Santa Maria-Lompoc, CA: Santa 1.0819 1.0554
Barbara, CA......................................
7485 Santa Cruz-Watsonville, CA: Santa Cruz, CA.. 1.3927 1.2546
7490 Santa Fe, NM: Los Alamos, NM; Santa Fe, NM.. 1.0437 1.0297
7500 Santa Rosa, CA: Sonoma, CA.................. 1.3000 1.1968
7510 Sarasota-Bradenton, FL: Manatee, FL; 0.9905 0.9935
Sarasota, FL.....................................
7520 Savannah, GA: Bryan, GA; Chatham, GA; 0.9953 0.9968
Effingham, GA....................................
7560 Scranton--Wilkes-Barre--Hazleton, PA: \2\ 0.8524 0.8964
Columbia, PA; Lackawanna, PA; Luzerne, PA;
Wyoming, PA......................................
7600 Seattle-Bellevue-Everett, WA: \1\ Island, 1.1289 1.0866
WA; King, WA; Snohomish, WA......................
7610 Sharon, PA\2\: Mercer, PA................... 0.8524 0.8964
7620 Sheboygan, WI: \2\ Sheboygan, WI............ 0.8759 0.9133
7640 Sherman-Denison, TX: Grayson, TX............ 0.9329 0.9535
7680 Shreveport-Bossier City, LA: Bossier, LA; 0.9049 0.9339
Caddo, LA; Webster, LA...........................
7720 Sioux City, IA-NE: Woodbury, IA; Dakota, NE. 0.8549 0.8982
7760 Sioux Falls, SD: Lincoln, SD; Minnehaha, SD. 0.8776 0.9145
7800 South Bend, IN: St. Joseph, IN.............. 0.9793 0.9858
7840 Spokane, WA: Spokane, WA;................... 1.0799 1.0541
7880 Springfield, IL: Menard, IL; Sangamon, IL... 0.8684 0.9079
7920 Springfield, MO: Christian, MO; Greene, MO; 0.7991 0.8576
Webster, MO......................................
8003 Springfield, MA: \2\ Hampden, MA; Hampshire, 1.1369 1.0918
MA...............................................
8050 State College, PA: Centre, PA............... 0.9138 0.9401
8080 Steubenville-Weirton, OH-WV (OH Hospitals): 0.8649 0.9054
Jefferson, OH; Brooke, WV; Hancock, WV...........
8080 Steubenville-Weirton, OH-WV (WV Hospitals): 0.8614 0.9029
Jefferson, OH; Brooke, WV; Hancock, WV...........
8120 Stockton-Lodi, CA: San Joaquin, CA.......... 1.0518 1.0352
8140 Sumter, SC: \2\ Sumter, SC.................. 0.8264 0.8776
8160 Syracuse, NY: Cayuga, NY; Madison, NY; 0.9441 0.9614
Onondaga, NY; Oswego, NY.........................
8200 Tacoma, WA: Pierce, WA...................... 1.1631 1.1090
8240 Tallahassee, FL: \2\ Gadsden, FL; Leon, FL.. 0.8986 0.9294
8280 Tampa-St. Petersburg-Clearwater, FL: \1\ 0.9119 0.9388
Hernando, FL; Hillsborough, FL; Pasco, FL;
Pinellas, FL.....................................
8320 Terre Haute, IN: Clay, IN; Vermillion, IN; 0.8570 0.8997
Vigo, IN.........................................
8360 Texarkana, AR-Texarkana, TX: Miller, AR; 0.8174 0.8710
Bowie, TX........................................
8400 Toledo, OH: Fulton, OH; Lucas, OH; Wood, OH. 0.9593 0.9719
8440 Topeka, KS: Shawnee, KS..................... 0.9326 0.9533
8480 Trenton, NJ: Mercer, NJ..................... 0.9955 0.9969
8520 Tucson, AZ: Pima, AZ........................ 0.8742 0.9120
8560 Tulsa, OK: Creek, OK; Osage, OK; Rogers, OK; 0.8086 0.8646
Tulsa, OK; Wagoner, OK...........................
8600 Tuscaloosa, AL: Tuscaloosa, AL.............. 0.8064 0.8630
8640 Tyler, TX: Smith, TX........................ 0.9369 0.9563
8680 Utica-Rome, NY: \2\ Herkimer, NY; Oneida, NY 0.8636 0.9045
8720 Vallejo-Fairfield-Napa, CA: Napa, CA; 1.2655 1.1750
Solano, CA.......................................
8735 Ventura, CA: Ventura, CA.................... 1.0952 1.0643
8750 Victoria, TX: Victoria, TX.................. 0.8378 0.8859
8760 Vineland-Millville-Bridgeton, NJ: 1.0517 1.0351
Cumberland, NJ...................................
[[Page 1823]]
8780 Visalia-Tulare-Porterville, CA: Tulare, CA.. 1.0411 1.0280
8800 Waco, TX: McLennan, TX...................... 0.8075 0.8638
8840 Washington, DC-MD-VA-WV: \1\ District of 1.1053 1.0710
Columbia, DC; Calvert, MD; Charles, MD;
Frederick, MD; Montgomery, MD; Prince Georges,
MD; Alexandria City, VA; Arlington, VA; Clarke,
VA; Culpeper, VA; Fairfax, VA; Fairfax City, VA;
Falls Church City, VA; Fauquier, VA;
Fredericksburg City, VA; King George, VA;
Loudoun, VA; Manassas City, VA; Manassas Park
City, VA; Prince William, VA; Spotsylvania, VA;
Stafford, VA; Warren, VA; Berkeley, WV;
Jefferson, WV....................................
8920 Waterloo-Cedar Falls, IA: Black Hawk, IA.... 0.8841 0.9191
8940 Wausau, WI: Marathon, WI.................... 0.9445 0.9617
8960 West Palm Beach-Boca Raton, FL: \1\ Palm 0.9909 0.9938
Beach, FL........................................
9000 Wheeling, WV-OH (WV Hospitals): \2\ Belmont, 0.8068 0.8633
OH; Marshall, WV; Ohio, WV.......................
9000 Wheeling, WV-OH (OH Hospitals): \2\ Belmont, 0.8649 0.9054
OH; Marshall, WV; Ohio, WV.......................
9040 Wichita, KS: Butler, KS; Harvey, KS; 0.9421 0.9600
Sedgwick, KS.....................................
9080 Wichita Falls, TX: Archer, TX; Wichita, TX.. 0.7652 0.8325
9140 Williamsport, PA: \2\ Lycoming, PA.......... 0.8524 0.8964
9160Wilmington-Newark, DE-MD: New Castle, DE; 1.1274 1.0856
Cecil, MD........................................
9200 Wilmington, NC: New Hanover, NC; Brunswick, 0.9707 0.9798
NC...............................................
9260 Yakima, WA: \2\ Yakima, WA.................. 1.0446 1.0303
9270 Yolo, CA: Yolo, CA.......................... 1.0485 1.0330
9280 York, PA: York, PA.......................... 0.9309 0.9521
9320 Youngstown-Warren, OH: Columbiana, OH; 0.9996 0.9997
Mahoning, OH; Trumbull, OH.......................
9340 Yuba City, CA: Sutter, CA; Yuba, CA......... 1.0662 1.0449
9360 Yuma, AZ: Yuma, AZ.......................... 0.9924 0.9948
------------------------------------------------------------------------
\1\ Large Urban Area
\2\ Hospitals geographically located in the area are assigned the
statewide rural wage index for FY 2000.
5. On page 41597, in Table 5--List of Diagnosis Related Groups
(DRGs), Relative Weighting Factors, Geometric and Arthmetic Mean Length
of Stay, the fourth column (DRG title) is amended as follows:
a. Line 23, ``Traumatic Stupor & Coma, Coma >1 hr Age <17 w/o="" cc''="" is="" corrected="" to="" read="" ``traumatic="" stupor="" &="" coma,="" coma=""><1 hr="" age="">17 w/o
cc''; and
b. Line 24, ``*Traumatic Stupor & Coma, Coma >1 hr Age 0-17'' is
corrected to read ``*Traumatic Stupor & Coma, Coma <1 hr="" age="" 0-17''.="" 6.="" on="" page="" 41599,="" in="" table="" 5--list="" of="" diagnosis="" related="" groups="" (drgs),="" relative="" weighting="" factors,="" geometric="" and="" arthmetic="" mean="" length="" of="" stay,="" the="" fourth="" column="" (drg="" title)="" is="" amended="" as="" follows:="" a.="" line="" 5,="" ``cardiac="" congenital="" &="" valvular="" disorders="" age="">17 w'' is corrected to read ``Cardiac Congenital & Valvular
Disorders Age >17 w''; and
b. Line 7, ``Cardiac Congenital & Valvular Disorders Age
17 w/o'' is corrected to read ``Cardiac Congenital &
Valvular Disorders Age >17 w/o''.
7. On page 41605, in Table 5--List of Diagnosis Related Groups
(DRGs), Relative Weighting Factors, Geometric and Arthmetic Mean Length
of Stay, 12th line from the bottom is revised as follows:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Relative Geometric mean Arthimetic
weights LOS mean LOS
--------------------------------------------------------------------------------------------------------------------------------------------------------
* * * * * * *
480....................... ..................... SURG.................... LIVER TRANSPLANT........... 10.7834 17.5 23.1
* * * * * * *
--------------------------------------------------------------------------------------------------------------------------------------------------------
(Catalog of Federal Domestic Assistance Program No. 93.773
Medicare--Hospital Insurance)
Dated: December 9, 1999.
Brian P. Burns,
Deputy Assistant Secretary for Information Resource Management.
[FR Doc. 00-126 Filed 1-11-00; 8:45 am]
BILLING CODE 4120-01-P
