04-28157. Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Corrections
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Start Preamble
AGENCY:
Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION:
Correction notice.
SUMMARY:
This document corrects technical errors that appeared in the July 30, 2004 Federal Register, entitled “Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities—Update—Notice.”
EFFECTIVE DATE:
This correction is effective October 1, 2004, except for certain wage index corrections that are effective January 1, 2005.
Start Further InfoFOR FURTHER INFORMATION CONTACT:
Jeanette Kranacs, (410) 786-9385, Bill Ullman, (410) 786-5667, or Sheila Lambowitz, (410) 786-7605.
End Further Info End Preamble Start Supplemental InformationSUPPLEMENTARY INFORMATION:
I. Background
On October 7, 2004, we published a correction notice (FR Doc. 04-22399, 69 FR 60158) to correct a number of technical errors that had appeared in the FY 2005 SNF PPS update notice published on July 30, 2004 (FR Doc. 04-17443, 69 FR 45775). In that notice we indicated that the corrected wage tables and other tables were being posted on the CMS Web site at http://www.cms.hhs.gov/providers/snfpps, and we also expressed our intent to publish them in a forthcoming Federal Register notice. In this notice we are fulfilling that intent, as well as correcting certain additional technical errors in wage index values that have been recently identified. The corrections appear in this document under the heading “Correction of Errors.” The provisions in this correction notice are effective as if they had been included in the document published in the Federal Register on July 30, 2004, that is, as of October 1, 2004, except for those wage index value corrections that we specifically note to be effective as of January 1, 2005.
In this notice, we hereby set forth the corrected versions of Tables 8, 9, 10, and 12 that were referenced in FR Doc. 04-22399 (69 FR 60158).
In addition, Table 8 is further revised to reflect the following additional corrections, which become effective as of January 1, 2005:
1. The entry of “0.7959” for Metropolitan Statistical Area (MSA) 3960 (Lake Charles, LA) is revised by adding “(0.7972, effective January 1, 2005)”.
2. The entry of “0.8053” for MSA 4280 (Lexington, KY) is revised by adding “(0.9219, effective January 1, 2005)”.
3. The entry of “1.0025” for MSA 5000 (Miami, FL) is revised by adding “(0.9870, effective January 1, 2005)”.
4. The entry of “1.2921” for MSA 5380 (Nassau-Suffolk, NY) is revised by adding “(1.2907, effective January 1, 2005)”.
5. The entry of “1.3587” for MSA 5600 (New York, NY) is revised by adding “(1.3586, effective January 1, 2005)”.
6. The entry of “1.0975” for MSA 6780 (Riverside-San Bernardino, CA) is revised by adding “(1.0970, effective January 1, 2005)”.
7. The entry of “0.9964” for MSA 8780 (Visalia-Tulare-Porterville, CA) is revised by adding “(0.9975, effective January 1, 2005)”.
8. The entry of “1.0059” for MSA 8960 (West Palm Beach-Boca Raton, FL) is revised by adding “(1.0362, effective January 1, 2005)”.
9. The entry of “0.9472” for MSA 9040 (Wichita, KS) is revised by adding “(0.9468, effective January 1, 2005)”.
II. Correction of Errors
In FR Doc. 04-17443 (69 FR 45775), make the following corrections:
1. On pages 45787 through 45814, in Table 8—Wage Index for Rural Areas the table is corrected to read as follows: Start Printed Page 78446
Table 8.—Wage Index for Urban Areas
MSA Urban area (constituent counties or county equivalents) Wage index 0040 Abilene, TX 0.8009 Taylor, TX 0060 Aguadilla, PR 0.4294 Aguada, PR Aguadilla, PR Moca, PR 0080 Akron, OH 0.9055 Portage, OH Summit, OH 0120 Albany, GA 1.1266 Dougherty, GA Lee, GA 0160 Albany-Schenectady-Troy, NY 0.8570 Albany, NY Montgomery, NY Rensselaer, NY Saratoga, NY Schenectady, NY Schoharie, NY 0200 Albuquerque, NM 1.0485 Bernalillo, NM Sandoval, NM Valencia, NM 0220 Alexandria, LA 0.8171 Rapides, LA 0240 Allentown-Bethlehem-Easton, PA 0.9536 Carbon, PA Lehigh, PA Northampton, PA 0280 Altoona, PA 0.8462 Blair, PA 0320 Amarillo, TX 0.9178 Potter, TX Randall, TX 0380 Anchorage, AK 1.2109 Anchorage, AK 0440 Ann Arbor, MI 1.0816 Lenawee, MI Livingston, MI Washtenaw, MI 0450 Anniston,AL 0.7881 Calhoun, AL 0460 Appleton-Oshkosh-Neenah, WI 0.9115 Calumet, WI Outagamie, WI Winnebago, WI 0470 Arecibo, PR 0.3757 Arecibo, PR Camuy, PR Hatillo, PR 0480 Asheville, NC 0.9501 Buncombe, NC Madison, NC 0500 Athens, GA 1.0202 Clarke, GA Madison, GA Oconee, GA 0520 Atlanta, GA 0.9971 Barrow, GA Bartow, GA Carroll, GA Cherokee, GA Clayton, GA Cobb, GA Coweta, GA De Kalb, GA Douglas, GA Fayette, GA Forsyth, GA Fulton, GA Gwinnett, GA Henry, GA Start Printed Page 78447 Newton, GA Paulding, GA Pickens, GA Rockdale, GA Spalding, GA Walton, GA 0560 Atlantic City-Cape May, NJ 1.0907 Atlantic City, NJ Cape May, NJ 0580 Auburn-Opelika, AL 0.8215 Lee, AL 0600 Augusta-Aiken, GA-SC 0.9208 Columbia, GA McDuffie, GA Richmond, GA Aiken, SC Edgefield, SC 0640 Austin-San Marcos, TX 0.9595 Bastrop, TX Caldwell, TX Hays, TX Travis, TX Williamson, TX 0680 Bakersfield, CA 1.0036 Kern, CA 0720 Baltimore, MD 0.9907 Anne Arundel, MD Baltimore, MD Baltimore City, MD Carroll, MD Harford, MD Howard, MD Queen Annes, MD 0733 Bangor, ME 0.9955 Penobscot, ME 0743 Barnstable-Yarmouth, MA 1.2335 Barnstable, MA 0760 Baton Rouge, LA 0.8354 Ascension, LA East Baton Rouge Livingston, LA West Baton Rouge, LA 0840 Beaumont-Port Arthur, TX 0.8616 Hardin, TX Jefferson, TX Orange, TX 0860 Bellingham, WA 1.1642 Whatcom, WA 0870 Benton Harbor, MI 0.8847 Berrien, MI 0875 Bergen-Passaic, NJ 1.1967 Bergen, NJ Passaic, NJ 0880 Billings, MT 0.8961 Yellowstone, MT 0920 Biloxi-Gulfport-Pascagoula, MS 0.8649 Hancock, MS Harrison, MS Jackson, MS 0960 Binghamton, NY 0.8447 Broome, NY Tioga, NY 1000 Birmingham, AL 0.9198 Blount, AL Jefferson, AL St. Clair, AL Shelby, AL 1010 Bismarck, ND 0.7505 Burleigh, ND Morton, ND 1020 Bloomington, IN 0.8587 Monroe, IN Start Printed Page 78448 1040 Bloomington-Normal, IL 0.9111 McLean, IL 1080 Boise City, ID 0.9352 Ada, ID Canyon, ID 1123 Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH 1.1290 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 1.0046 Boulder, CO 1145 Brazoria, TX 0.8524 Brazoria, TX 1150 Bremerton, WA 1.0614 Kitsap, WA 1240 Brownsville-Harlingen-San Benito, TX 1.0125 Cameron, TX 1260 Bryan-College Station, TX 0.9243 Brazos, TX 1280 Buffalo-Niagara Falls, NY 0.9339 Erie, NY Niagara, NY 1303 Burlington, VT 0.9322 Chittenden, VT Franklin, VT Grand Isle, VT 1310 Caguas, PR 0.4061 Caguas, PR Cayey, PR Cidra, PR Gurabo, PR San Lorenzo, PR 1320 Canton-Massillon, OH 0.8895 Carroll, OH Stark, OH 1350 Casper, WY 0.9243 Natrona, WY 1360 Cedar Rapids, IA 0.8975 Linn, IA 1400 Champaign-Urbana, IL 0.9527 Champaign, IL 1440 Charleston-North Charleston, SC 0.9420 Berkeley, SC Charleston, SC Dorchester, SC 1480 Charleston, WV 0.8876 Kanawha, WV Putnam, WV 1520 Charlotte-Gastonia-Rock Hill, NC-SC 0.9711 Cabarrus, NC Gaston, NC Lincoln, NC Mecklenburg, NC Rowan, NC Union, NC York, SC 1540 Charlottesville, VA 1.0294 Albemarle, VA Charlottesville City, VA Fluvanna, VA Greene, VA 1560 Chattanooga, TN-GA 0.9207 Catoosa, GA Dade, GA Start Printed Page 78449 Walker, GA Hamilton, TN Marion, TN 1580 Cheyenne, WY 0.8980 Laramie, WY 1600 Chicago, IL 1.0851 Cook, IL De Kalb, IL Du Page, IL Grundy, IL Kane, IL Kendall, IL Lake, IL McHenry, IL Will, IL 1620 Chico-Paradise, CA 1.0542 Butte, CA 1640 Cincinnati, OH-KY-IN 0.9595 Dearborn, IN 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 0.8022 Christian, KY Montgomery, TN 1680 Cleveland-Lorain-Elyria, OH 0.9626 Ashtabula, OH Geauga, OH Cuyahoga, OH Lake, OH Lorain, OH Medina, OH 1720 Colorado Springs, CO 0.9792 El Paso, CO 1740 Columbia MO 0.8396 Boone, MO 1760 Columbia, SC 0.9450 Lexington, SC Richland, SC 1800 Columbus, GA-AL 0.8690 Russell,AL Chattanoochee, GA Harris, GA Muscogee, GA 1840 Columbus, OH 0.9753 Delaware, OH Fairfield, OH Franklin, OH Licking, OH Madison, OH Pickaway, OH 1880 Corpus Christi, TX 0.8647 Nueces, TX San Patricio, TX 1890 Corvallis, OR 1.0545 Benton, OR 1900 Cumberland, MD-WV 0.8662 Allegany MD Mineral WV 1920 Dallas, TX 1.0054 Collin, TX Dallas, TX Denton, TX Ellis, TX Start Printed Page 78450 Henderson, TX Hunt, TX Kaufman, TX Rockwall, TX 1950 Danville, VA 0.8643 Danville City, VA Pittsylvania, VA 1960 Davenport-Moline-Rock Island, IA-IL 0.8773 Scott, IA Henry, IL Rock Island, IL 2000 Dayton-Springfield, OH 0.9231 Clark, OH Greene, OH Miami, OH Montgomery, OH 2020 Daytona Beach, FL 0.8900 Flagler, FL Volusia, FL 2030 Decatur, AL 0.8894 Lawrence, AL Morgan, AL 2040 Decatur, IL 0.8122 Macon, IL 2080 Denver, CO 1.0904 Adams, CO Arapahoe, CO Broomfield, CO Denver, CO Douglas, CO Jefferson, CO 2120 Des Moines, IA 0.9266 Dallas, IA Polk, IA Warren, IA 2160 Detroit, MI 1.0227 Lapeer, MI Macomb, MI Monroe, MI Oakland, MI St. Clair, MI Wayne, MI 2180 Dothan, AL 0.7596 Dale, AL Houston, AL 2190 Dover, DE 0.9825 Kent, DE 2200 Dubuque, IA 0.8748 Dubuque, IA 2240 Duluth-Superior, MN-WI 1.0356 St. Louis, MN Douglas, WI 2281 Dutchess County, NY 1.1657 Dutchess, NY 2290 Eau Claire, WI 0.9139 Chippewa, WI Eau Claire, WI 2320 El Paso, TX 0.9181 El Paso, TX 2330 Elkhart-Goshen, IN 0.9278 Elkhart, IN 2335 Elmira, NY 0.8445 Chemung, NY 2340 Enid, OK 0.9001 Garfield, OK 2360 Erie, PA 0.8699 Erie, PA 2400 Eugene-Springfield, OR 1.0940 Lane, OR 2440 Evansville-Henderson, IN-KY 0.8395 Posey, IN Vanderburgh, IN Start Printed Page 78451 Warrick, IN Henderson, KY 2520 Fargo-Moorhead, ND-MN 0.9114 Clay, MN Cass, ND 2560 Fayetteville, NC 0.9363 Cumberland, NC 2580 Fayetteville-Springdale-Rogers, AR 0.8636 Benton, AR Washington, AR 2620 Flagstaff, AZ-UT 1.0611 Coconino, AZ Kane, UT 2640 Flint, MI 1.1178 Genesee, MI 2650 Florence, AL 0.7883 Colbert, AL Lauderdale, AL 2655 Florence, SC 0.8960 Florence, SC 2670 Fort Collins-Loveland, CO 1.0218 Larimer, CO 2680 Ft. Lauderdale, FL 1.0165 Broward, FL 2700 Fort Myers-Cape Coral, FL 0.9371 Lee, FL 2710 Fort Pierce-Port St. Lucie, FL 1.0046 Martin, FL St. Lucie, FL 2720 Fort Smith, AR-OK 0.8303 Crawford, AR Sebastian, AR Sequoyah, OK 2750 Fort Walton Beach, FL 0.8786 Okaloosa, FL 2760 Fort Wayne, IN 0.9737 Adams, IN Allen, IN De Kalb, IN Huntington, IN Wells, IN Whitley, IN 2800 Forth Worth-Arlington, TX 0.9520 Hood, TX Johnson, TX Parker, TX Tarrant, TX 2840 Fresno, CA 1.0407 Fresno, CA Madera, CA 2880 Gadsden, AL 0.8049 Etowah, AL 2900 Gainesville, FL 0.9459 Alachua, FL 2920 Galveston-Texas City, TX 0.9403 Galveston, TX 2960 Gary, IN 0.9342 Lake, IN Porter, IN 2975 Glens Falls, NY 0.8467 Warren, NY Washington, NY 2980 Goldsboro, NC 0.8778 Wayne, NC 2985 Grand Forks, ND-MN 0.9091 Polk, MN Grand Forks, ND 2995 Grand Junction, CO 0.9900 Mesa, CO 3000 Grand Rapids-Muskegon-Holland, MI 0.9519 Allegan, MI Kent, MI Start Printed Page 78452 Muskegon, MI Ottawa, MI 3040 Great Falls, MT 0.8810 Cascade, MT 3060 Greeley, CO 0.9444 Weld, CO 3080 Green Bay, WI 0.9586 Brown, WI 3120 Greensboro-Winston-Salem-High Point, NC 0.9312 Alamance, NC Davidson, NC Davie, NC Forsyth, NC Guilford, NC Randolph, NC Stokes, NC Yadkin, NC 3150 Greenville, NC 0.9183 Pitt, NC 3160 Greenville-Spartanburg-Anderson, SC 0.9400 Anderson, SC Cherokee, SC Greenville, SC Pickens, SC Spartanburg, SC 3180 Hagerstown, MD 0.9940 Washington, MD 3200 Hamilton-Middletown, OH 0.9066 Butler, OH 3240 Harrisburg-Lebanon-Carlisle, PA 0.9286 Cumberland, PA Dauphin, PA Lebanon, PA Perry, PA 3283 Hartford, CT 1.1054 Hartford, CT Litchfield, CT Middlesex, CT Tolland, CT 3285 Hattiesburg, MS 0.7362 Forrest, MS Lamar, MS 3290 Hickory-Morganton-Lenoir, NC 0.9502 Alexander, NC Burke, NC Caldwell, NC Catawba, NC 3320 Honolulu, HI 1.1013 Honolulu, HI 3350 Houma, LA 0.7721 Lafourche, LA Terrebonne, LA 3360 Houston, TX 1.0117 Chambers, TX Fort Bend, TX Harris, TX Liberty, TX Montgomery, TX Waller, TX 3400 Huntington-Ashland, WV-KY-OH 0.9564 Boyd, KY Carter, KY Greenup, KY Lawrence, OH Cabell, WV Wayne, WV 3440 Huntsville, AL 0.8851 Limestone, AL Madison, AL 3480 Indianapolis, IN 1.0039 Boone, IN Hamilton, IN Start Printed Page 78453 Hancock, IN Hendricks, IN Johnson, IN Madison, IN Marion, IN Morgan, IN Shelby, IN 3500 Iowa City, IA 0.9654 Johnson, IA 3520 Jackson, MI 0.9146 Jackson, MI 3560 Jackson, MS 0.8406 Hinds, MS Madison, MS Rankin, MS 3580 Jackson, TN 0.8900 Chester, TN Madison, TN 3600 Jacksonville, FL 0.9548 Clay, FL Duval, FL Nassau, FL St. Johns, FL 3605 Jacksonville, NC 0.8401 Onslow, NC 3610 Jamestown, NY 0.7589 Chautaqua, NY 3620 Janesville-Beloit, WI 0.9583 Rock, WI 3640 Jersey City, NJ 1.0923 Hudson, NJ 3660 Johnson City-Kingsport-Bristol, TN-VA 0.8202 Carter, TN Hawkins, TN Sullivan, TN Unicoi, TN Washington, TN Bristol City, VA Scott, VA Washington, VA 3680 Johnstown, PA 0.7980 Cambria, PA Somerset, PA 3700 Jonesboro, AR 0.8144 Craighead, AR 3710 Joplin, MO 0.8721 Jasper, MO Newton, MO 3720 Kalamazoo-Battlecreek, MI 1.0350 Calhoun, MI Kalamazoo, MI Van Buren, MI 3740 Kankakee, IL 1.0603 Kankakee, IL 3760 Kansas City, KS-MO 0.9641 Johnson, KS Leavenworth, KS Miami, KS Wyandotte, KS Cass, MO Clay, MO Clinton, MO Jackson, MO Lafayette, MO Platte, MO Ray, MO 3800 Kenosha, WI 0.9772 Kenosha, WI 3810 Killeen-Temple, TX 0.9242 Bell, TX Coryell, TX 3840 Knoxville, TN 0.8508 Start Printed Page 78454 Anderson, TN Blount, TN Knox, TN Loudon, TN Sevier, TN Union, TN 3850 Kokomo, IN 0.8986 Howard, IN Tipton, IN 3870 La Crosse, WI-MN 0.9289 Houston, MN La Crosse, WI 3880 Lafayette, LA 0.8105 Acadia, LA Lafayette, LA St. Landry, LA St. Martin, LA 3920 Lafayette, IN 0.9067 Clinton, IN Tippecanoe, IN 3960 Lake Charles, LA 0.7959 (0.7972**) Calcasieu, LA 3980 Lakeland-Winter Haven, FL 0.8930 Polk, FL 4000 Lancaster, PA 0.9883 Lancaster, PA 4040 Lansing-East Lansing, MI 0.9658 Clinton, MI Eaton, MI Ingham, MI 4080 Laredo, TX 0.8747 Webb, TX 4100 Las Cruces, NM 0.8784 Dona Ana, NM 4120 Las Vegas, NV-AZ 1.1121 Mohave, AZ Clark, NV Nye, NV 4150 Lawrence, KS 0.8644 Douglas, KS 4200 Lawton, OK 0.8212 Comanche, OK 4243 Lewiston-Auburn, ME 0.9562 Androscoggin, ME 4280 Lexington, KY 0.8053 (0.9219**) Bourbon, KY Clark, KY Fayette, KY Jessamine, KY Madison, KY Scott, KY Woodford, KY 4320 Lima, OH 0.9258 Allen, OH Auglaize, OH 4360 Lincoln, NE 1.0208 Lancaster, NE 4400 Little Rock-North Little, AR 0.8826 Faulkner, AR Lonoke, AR Pulaski, AR Saline, AR 4420 Longview-Marshall, TX 0.8739 Gregg, TX Harrison, TX Upshur, TX 4480 Los Angeles-Long Beach, CA 1.1732 Los Angeles, CA 4520 Louisville, KY-IN 0.9162 Clark, IN Floyd, IN Harrison, IN Start Printed Page 78455 Scott, IN Bullitt, KY Jefferson, KY Oldham, KY 4600 Lubbock, TX 0.8777 Lubbock, TX 4640 Lynchburg, VA 0.9017 Amherst, VA Bedford City, VA Bedford, VA Campbell, VA Lynchburg City, VA 4680 Macon, GA 0.9596 Bibb, GA Houston, GA Jones, GA Peach, GA Twiggs, GA 4720 Madison, WI 1.0395 Dane, WI 4800 Mansfield, OH 0.9105 Crawford, OH Richland, OH 4840 Mayaguez, PR 0.4769 Anasco, PR Cabo Rojo, PR Hormigueros, PR Mayaguez, PR Sabana Grande, PR San German, PR 4880 McAllen-Edinburg-Mission, TX 0.8602 Hidalgo, TX 4890 Medford-Ashland, OR 1.0534 Jackson, OR 4900 Melbourne-Titusville-Palm Bay, FL 0.9633 Brevard, FL 4920 Memphis, TN-AR-MS 0.9234 Crittenden, AR De Soto, MS Fayette, TN Shelby, TN Tipton, TN 4940 Merced, CA 1.0575 Merced, CA 5000 Miami, FL 1.0025 (0.9870**) Dade, FL 5015 Middlesex-Somerset-Hunterdon, NJ 1.1360 Hunterdon, NJ Middlesex, NJ Somerset, NJ 5080 Milwaukee-Waukesha, WI 1.0076 Milwaukee, WI Ozaukee, WI Washington, WI Waukesha, WI 5120 Minneapolis-St. Paul, MN-WI 1.1066 Anoka, MN 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 0.9618 Missoula, MT 5160 Mobile, AL 0.7932 Start Printed Page 78456 Baldwin, AL Mobile, AL 5170 Modesto, CA 1.1966 Stanislaus, CA 5190 Monmouth-Ocean, NJ 1.0888 Monmouth, NJ Ocean, NJ 5200 Monroe, LA 0.7913 Ouachita, LA 5240 Montgomery, AL 0.8300 Autauga, AL Elmore, AL Montgomery, AL 5280 Muncie, IN 0.8580 Delaware, IN 5330 Myrtle Beach, SC 0.9022 Horry, SC 5345 Naples, FL 1.0558 Collier, FL 5360 Nashville, TN 1.0108 Cheatham, TN Davidson, TN Dickson, TN Robertson, TN Rutherford, TN Sumner, TN Williamson, TN Wilson, TN 5380 Nassau-Suffolk, NY 1.2921 (1.2907**) Nassau, NY Suffolk, NY 5483 New Haven-Bridgeport-Stamford-Waterbury-Danbury, CT 1.2254 Fairfield, CT New Haven, CT 5523 New London-Norwich, CT 1.1596 New London, CT 5560 New Orleans, LA 0.9103 Jefferson, LA Orleans, LA Plaquemines, LA St. Bernard, LA St. Charles, LA St. James, LA St. John The Baptist, LA St. Tammany, LA 5600 New York, NY 1.3587 (1.3586**) Bronx, NY Kings, NY New York, NY Putnam, NY Queens, NY Richmond, NY Rockland, NY Westchester, NY 5640 Newark, NJ 1.1625 Essex, NJ Morris, NJ Sussex, NJ Union, NJ Warren, NJ 5660 Newburgh, NY-PA 1.1170 Orange, NY Pike, PA 5720 Norfolk-Virginia Beach-Newport News, VA-NC 0.8894 Currituck, NC Chesapeake City, VA Gloucester, VA Hampton City, VA Isle of Wight, VA James City, VA Mathews, VA Newport News City, VA Start Printed Page 78457 Norfolk City, VA Poquoson City,VA Portsmouth City, VA Suffolk City, VA Virginia Beach City, VA Williamsburg City, VA York, VA 5775 Oakland, CA 1.5220 Alameda, CA Contra Costa, CA 5790 Ocala, FL 0.9153 Marion, FL 5800 Odessa-Midland, TX 0.9632 Ector, TX Midland, TX 5880 Oklahoma City, OK 0.8966 Canadian, OK Cleveland, OK Logan, OK McClain, OK Oklahoma, OK Pottawatomie, OK 5910 Olympia, WA 1.1006 Thurston, WA 5920 Omaha, NE-IA 0.9754 Pottawattamie, IA Cass, NE Douglas, NE Sarpy, NE Washington, NE 5945 Orange County, CA 1.1611 Orange, CA 5960 Orlando, FL 0.9742 Lake, FL Orange, FL Osceola, FL Seminole, FL 5990 Owensboro, KY 0.8434 Daviess, KY 6015 Panama City, FL 0.8124 Bay, FL 6020 Parkersburg-Marietta, WV-OH 0.8288 Washington, OH Wood, WV 6080 Pensacola, FL 0.8306 Escambia, FL Santa Rosa, FL 6120 Peoria-Pekin, IL 0.8886 Peoria, IL Tazewell, IL Woodford, IL 6160 Philadelphia, PA-NJ 1.0824 Burlington, NJ Camden, NJ Gloucester, NJ Salem, NJ Bucks, PA Chester, PA Delaware, PA Montgomery, PA Philadelphia, PA 6200 Phoenix-Mesa, AZ 0.9982 Maricopa, AZ Pinal, AZ 6240 Pine Bluff, AR 0.8673 Jefferson, AR 6280 Pittsburgh, PA 0.8756 Allegheny, PA Beaver, PA Butler, PA Fayette, PA Washington, PA Start Printed Page 78458 Westmoreland, PA 6323 Pittsfield, MA 1.0439 Berkshire, MA 6340 Pocatello, ID 0.9601 Bannock, ID 6360 Ponce, PR 0.4954 Guayanilla, PR Juana Diaz, PR Penuelas, PR Ponce, PR Villalba, PR Yauco, PR 6403 Portland, ME 1.0112 Cumberland, ME Sagadahoc, ME York, ME 6440 Portland-Vancouver, OR-WA 1.1403 Clackamas, OR Columbia, OR Multnomah, OR Washington, OR Yamhill, OR Clark, WA 6483 Providence-Warwick-Pawtucket, RI 1.1061 Bristol, RI Kent, RI Newport, RI Providence, RI Washington, RI 6520 Provo-Orem, UT 0.9613 Utah, UT 6560 Pueblo, CO 0.8752 Pueblo, CO 6580 Punta Gorda, FL 0.9441 Charlotte, FL 6600 Racine, WI 0.9045 Racine, WI 6640 Raleigh-Durham-Chapel Hill, NC 1.0258 Chatham, NC Durham, NC Franklin, NC Johnston, NC Orange, NC Wake, NC 6660 Rapid City, SD 0.8912 Pennington, SD 6680 Reading, PA 0.9215 Berks, PA 6690 Redding, CA 1.1835 Shasta, CA 6720 Reno, NV 1.0456 Washoe, NV 6740 Richland-Kennewick-Pasco, WA 1.0520 Benton, WA Franklin, WA 6760 Richmond-Petersburg, VA 0.9397 Charles City 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 1.0975 (1.0970**) Riverside, CA San Bernardino, CA Start Printed Page 78459 6800 Roanoke, VA 0.8428 Botetourt, VA Roanoke, VA Roanoke City, VA Salem City, VA 6820 Rochester, MN 1.1504 Olmsted, MN 6840 Rochester, NY 0.9196 Genesee, NY Livingston, NY Monroe, NY Ontario, NY Orleans, NY Wayne, NY 6880 Rockford, IL 0.9626 Boone, IL Ogle, IL Winnebago, IL 6895 Rocky Mount, NC 0.8998 Edgecombe, NC Nash, NC 6920 Sacramento, CA 1.1848 El Dorado, CA Placer, CA Sacramento, CA 6960 Saginaw-Bay City-Midland, MI 0.9696 Bay, MI Midland, MI Saginaw, MI 6980 St. Cloud, MN 1.0215 Benton, MN Stearns, MN 7000 St. Joseph, MO 1.0013 Andrews, MO Buchanan, MO 7040 St. Louis, MO-IL 0.9081 Clinton, IL Jersey, 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 Sullivan City, MO 7080 Salem, OR 1.0556 Marion, OR Polk, OR 7120 Salinas, CA 1.3823 Monterey, CA 7160 Salt Lake City-Ogden, UT 0.9487 Davis, UT Salt Lake, UT Weber, UT 7200 San Angelo, TX 0.8167 Tom Green, TX 7240 San Antonio, TX 0.9023 Bexar, TX Comal, TX Guadalupe, TX Wilson, TX 7320 San Diego, CA 1.1267 San Diego, CA 7360 San Francisco, CA 1.4712 Marin, CA San Francisco, CA San Mateo, CA 7400 San Jose, CA 1.4744 Start Printed Page 78460 Santa Clara, CA 7440 San Juan-Bayamon, PR 0.4802 Aguas Buenas, PR 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 1.1118 San Luis Obispo, CA 7480 Santa Barbara-Santa Maria-Lompoc, CA 1.0771 Santa Barbara, CA 7485 Santa Cruz-Watsonville, CA 1.4779 Santa Cruz, CA 7490 Santa Fe, NM 1.0590 Los Alamos, NM Santa Fe, NM 7500 Santa Rosa, CA 1.2961 Sonoma, CA 7510 Sarasota-Bradenton, FL 0.9629 Manatee, FL Sarasota, FL 7520 Savannah, GA 0.9460 Bryan, GA Chatham, GA Effingham, GA 7560 Scranton--Wilkes-Barre--Hazleton, PA 0.8522 Columbia, PA Lackawanna, PA Luzerne, PA Wyoming, PA 7600 Seattle-Bellevue-Everett, WA 1.1479 Island, WA King, WA Snohomish, WA 7610 Sharon, PA 0.7881 Mercer, PA 7620 Sheboygan, WI 0.8948 Sheboygan, WI 7640 Sherman-Denison, TX 0.9617 Grayson, TX 7680 Shreveport-Bossier City, LA 0.9111 Bossier, LA Caddo, LA Webster, LA 7720 Sioux City, IA-NE 0.9094 Woodbury, IA Dakota, NE Start Printed Page 78461 7760 Sioux Falls, SD 0.9441 Lincoln, SD Minnehaha, SD 7800 South Bend, IN 0.9447 St. Joseph, IN 7840 Spokane, WA 1.0660 Spokane, WA 7880 Springfield, IL 0.8738 Menard, IL Sangamon, IL 7920 Springfield, MO 0.8597 Christian, MO Greene, MO Webster, MO 8003 Springfield, MA 1.0173 Hampden, MA Hampshire, MA 8050 State College, PA 0.8461 Centre, PA 8080 Steubenville-Weirton, OH-WV 0.8280 Jefferson, OH Brooke, WV Hancock, WV 8120 Stockton-Lodi, CA 1.0564 San Joaquin, CA 8140 Sumter, SC 0.8520 Sumter, SC 8160 Syracuse, NY 0.9394 Cayuga, NY Madison, NY Onondaga, NY Oswego, NY 8200 Tacoma, WA 1.1078 Pierce, WA 8240 Tallahassee, FL 0.8655 Gadsden, FL Leon, FL 8280 Tampa-St. Petersburg-Clearwater, FL 0.9024 Hernando, FL Hillsborough, FL Pasco, FL Pinellas, FL 8320 Terre Haute, IN 0.8582 Clay, IN Vermillion, IN Vigo, IN 8360 Texarkana, AR-Texarkana, TX 0.8413 Miller, AR Bowie, TX 8400 Toledo, OH 0.9524 Fulton, OH Lucas, OH Wood, OH 8440 Topeka, KS 0.8904 Shawnee, KS 8480 Trenton, NJ 1.0276 Mercer, NJ 8520 Tucson, AZ 0.8926 Pima, AZ 8560 Tulsa, OK 0.8729 Creek, OK Osage, OK Rogers, OK Tulsa, OK Wagoner, OK 8600 Tuscaloosa, AL 0.8440 Tuscaloosa, AL 8640 Tyler, TX 0.9502 Smith, TX 8680 Utica-Rome, NY 0.8295 Herkimer, NY Oneida, NY Start Printed Page 78462 8720 Vallejo-Fairfield-Napa, CA 1.3517 Napa, CA Solano, CA 8735 Ventura, CA 1.1105 Ventura, CA 8750 Victoria, TX 0.8469 Victoria, TX 8760 Vineland-Millville-Bridgeton, NJ 1.0573 Cumberland, NJ 8780 Visalia-Tulare-Porterville, CA 0.9964 (0.9975**) Tulare, CA 8800 Waco, TX 0.8146 McLennan, TX 8840 Washington, DC-MD-VA-WV 1.0971 District of Columbia, DC Calvert, MD Charles, MD Frederick, MD Montgomery, MD Prince Georges, MD Alexandria City, VA Arlington, VA Clarke, VA Culpepper, 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 0.8633 Black Hawk, IA 8940 Wausau, WI 0.9570 Marathon, WI 8960 West Palm Beach-Boca Raton, FL 1.0059 (1.0362**) Palm Beach, FL 9000 Wheeling, OH-WV 0.7449 Belmont, OH Marshall, WV Ohio, WV 9040 Wichita, KS 0.9472 (0.9468**) Butler, KS Harvey, KS Sedgwick, KS 9080 Wichita Falls, TX 0.8395 Archer, TX Wichita, TX 9140 Williamsport, PA 0.8485 Lycoming, PA 9160 Wilmington-Newark, DE-MD 1.1121 New Castle, DE Cecil, MD 9200 Wilmington, NC 0.9237 New Hanover, NC Brunswick, NC 9260 Yakima, WA 1.0322 Yakima, WA 9270 Yolo, CA 0.9378 Yolo, CA 9280 York, PA 0.9150 York, PA 9320 Youngstown-Warren, OH 0.9517 Columbiana, OH Start Printed Page 78463 Mahoning, OH Trumbull, OH 9340 Yuba City, CA 1.0363 Sutter, CA Yuba, CA 9360 Yuma, AZ 0.8871 Yuma, AZ **Effective January 1, 2005 2. On page 45815, Table 9 is revised to read as follows:
Table 9.—Wage Index for Rural Areas
Nonurban area Wage index Alabama 0.7637 Alaska 1.1637 Arizona 0.9140 Arkansas 0.7703 California 1.0297 Colorado 0.9368 Connecticut 1.1917 Delaware 0.9503 Florida 0.8721 Georgia 0.8247 Guam 0.9611 Hawaii 1.0522 Idaho 0.8826 Illinois 0.8340 Indiana 0.8736 Iowa 0.8550 Kansas 0.8087 Kentucky 0.7844 Louisiana 0.7290 Maine 0.9039 Maryland 0.9179 Massachusetts 1.0216 Michigan 0.8740 Minnesota 0.9339 Mississippi 0.7583 Missouri 0.7829 Montana 0.8701 Nebraska 0.9035 Nevada 0.9832 New Hampshire 0.9940 New Jersey 1 New Mexico 0.8529 New York 0.8403 North Carolina 0.8500 North Dakota 0.7743 Ohio 0.8759 Oklahoma 0.7537 Oregon 1.0049 Pennsylvania 0.8348 Puerto Rico 0.4047 Rhode Island 1 South Carolina 0.8640 South Dakota 0.8393 Tennessee 0.7876 Texas 0.7910 Utah 0.8843 Vermont 0.9375 Virginia 0.8479 Virgin Islands 0.7456 Washington 1.0072 West Virginia 0.8083 Wisconsin 0.9498 Wyoming 0.9182 1 All counties within the State are classified urban. 3. On page 45817, Table 10 is revised to read as follows:
Table 10.—SNF XYZ: Located in State College, PA
[Wage Index: 0.8461]
RUG Group Labor Wage index Adj. labor Non-labor Adj. rate Percent adjustment Medicare days Payment RVC $274.56 0.8461 $232.31 $85.65 $317.96 *$339.26 14 $4,750 RHA $212.18 0.8461 $179.53 $66.19 $245.72 *$262.18 16 $4,195 CC2 $175.71 0.8461 $148.67 $54.82 $203.49 **$463.96 10 $4,640 SSC $176.74 0.8461 $149.54 $55.13 $204.67 ***$245.60 30 $7,368 IA2 $119.84 0.8461 $101.40 $37.39 $138.79 $138.79 30 $4,164 Total 100 $25,117 *Reflects a 6.7 percent adjustment from section 314 of the BIPA. **Reflects a 128 percent adjustment from section 511 of the MMA. Section 101(a) of the BBRA no longer applies because of the MMA section 511 adjustment. ***Reflects a 20 percent adjustment from section 101(a) of the BBRA. 4. On page 45821, Table 12 is revised to read as follows:
Table 12.—Projected Impact of FY 2005 Update to the SNF PPS
Number of facilities Wage index change Total FY 2005 change Total 15,252 0.0% 2.8% Urban 10,016 0.0% 2.8% Rural 5,236 0.0% 2.8% Hospital based urban 984 0.1% 2.9% Start Printed Page 78464 Freestanding urban 8,466 0.0% 2.8% Hospital based rural 640 0.1% 2.9% Freestanding rural 3,708 0.0% 2.8% Urban by region: New England 913 −0.6% 2.2% Middle Atlantic 1,526 −0.7% 2.1% South Atlantic 1,610 0.3% 3.1% East North Central 1,943 0.2% 3.0% East South Central 456 0.0% 2.8% West North Central 691 0.4% 3.2% West South Central 965 0.8% 3.6% Mountain 432 −0.4% 2.4% Pacific 1,473 0.4% 3.2% Rural by region: New England 149 0.4% 3.2% Middle Atlantic 254 −0.4% 2.4% South Atlantic 715 −0.3% 2.5% East North Central 948 0.1% 2.9% Central East South 595 −0.4% 2.4% West North Central 1,220 0.5% 3.3% West South Central 817 0.4% 3.2% Mountain 330 −0.2% 2.6% Pacific 208 0.0% 2.8% Ownership: Government 712 0.0% 2.8% Proprietary 9,457 0.0% 2.8% Voluntary 3605 0.0% 2.8% III. Waiver of Proposed Rulemaking and Delayed Effective Date
We ordinarily publish a notice of proposed rulemaking in the Federal Register to provide a period for public comment before the provisions of a notice such as this take effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). We also ordinarily provide a 30-day delay in the effective date of the provisions of a notice in accordance with section 553(d) of the APA (5 U.S.C. 553(d)). However, we can waive both the notice and comment procedure and the 30-day delay in effective date if the Secretary finds, for good cause, that a notice and comment process is impracticable, unnecessary or contrary to the public interest, and incorporates a statement of the finding and the reasons therefore in the notice.
We find it unnecessary to undertake notice-and-comment rulemaking because this notice merely provides technical corrections to the regulations. We are not changing our payment methodology, but rather, are simply implementing correctly the payment methodology that we previously proposed, received comment on, and subsequently finalized. Thus, because the public has already had the opportunity to comment on the payment methodology being used to calculate wage indexes, additional comment would be unnecessary.
Further, we believe a delayed effective date is unnecessary because this correction notice merely corrects inadvertent technical errors. Further, we believe imposing a 30-day delay in the effective date would be contrary to the public interest for SNF providers in the affected MSAs. We believe that it is imperative that these providers receive appropriate SNF PPS payments in as timely a manner as possible, and any delay in applying the appropriate wage index would be contrary to the public interest. Further, the changes noted above do not make any substantive changes to the SNF PPS payment methodology or underlying payment policies. Therefore, we find good cause to waive notice-and-comment procedures, as well as the 30-day delay in effective date.
(Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program)
Start SignatureEnd Signature End Supplemental InformationDated: December 15, 2004.
Ann Agnew,
Executive Secretary to the Department.
[FR Doc. 04-28157 Filed 12-29-04; 8:45 am]
BILLING CODE 4120-01-P
Document Information
- Effective Date:
- 10/1/2004
- Published:
- 12/30/2004
- Department:
- Centers for Medicare & Medicaid Services
- Entry Type:
- Notice
- Action:
- Correction notice.
- Document Number:
- 04-28157
- Dates:
- This correction is effective October 1, 2004, except for certain wage index corrections that are effective January 1, 2005.
- Pages:
- 78445-78464 (20 pages)
- Docket Numbers:
- CMS-1249-CN2
- RINs:
- 0938-AM46: Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities--Update for FY 2005 (CMS-1249-N)
- RIN Links:
- https://www.federalregister.gov/regulations/0938-AM46/prospective-payment-system-and-consolidated-billing-for-skilled-nursing-facilities-update-for-fy-200
- PDF File:
- 04-28157.pdf