07-4875. Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 Rates; Correction  

  • Start Preamble Start Printed Page 57634

    AGENCY:

    Centers for Medicare & Medicaid Services (CMS), HHS.

    ACTION:

    Correction of final rule with comment period.

    SUMMARY:

    This document corrects technical errors that appeared in the final rule with comment period entitled “Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2008 Rates” that appeared in the August 22, 2007 Federal Register.

    DATES:

    This correction is effective October 1, 2007.

    Start Further Info

    FOR FURTHER INFORMATION CONTACT:

    Eric Ruiz, (410) 786-0247.

    End Further Info End Preamble Start Supplemental Information

    SUPPLEMENTARY INFORMATION:

    I. Background

    In FR Doc. 07-3820 of August 22, 2007 (72 FR 47130), there were a number of technical errors that are identified and corrected in the Correction of Errors section of this notice. We issued the fiscal year (FY) 2008 hospital inpatient prospective payment systems (IPPS) final rule with comment period on August 1, 2007. The FY 2008 IPPS final rule with comment period appeared in the August 22, 2007 Federal Register.

    II. Summary of Errors

    We recently discovered that an inadvertent technical error was made in the calculation of hospital specific rates for sole community hospitals (SCHs) and Medicare-dependent hospitals (MDHs). Although we did not publish these hospital specific rates in the FY 2008 IPPS final rule, hospital specific rates affect our calculation of budget neutrality factors for DRG recalibration, the wage index, geographic reclassification, and the rural floor. Accordingly, we have recalculated these budget neutrality factors. Because we recalculated these budget neutrality factors, we also recalculated the standardized amounts and outlier threshold. These changes decreased the standardized amounts slightly and reduce the final FY 2008 outlier threshold by $175. In addition, we are correcting unintentional technical errors in the geographic classification or reclassification for several providers. Therefore, in this notice we are making the following corrections:

    • Outlier threshold.
    • Recalibration, wage and recalibration, geographic reclassification, and rural floor budget neutrality factors.
    • Tables 1A through 1D, 2, 4A, 4C, 4J, 9A, 9C, and 10.
    • Impact analysis tables (Tables I, II, III, and IV).

    In addition, we have posted these corrected tables on our Web site at http://www.cms.hhs.gov/​AcuteInpatientPPS/​WIFN/​list.asp.

    This notice also corrects other technical and typographical errors including the following:

    • Date that mediastinitis will be listed on the major complication or comorbidity (MCC) list.
    • Tables 5 and 11.

    III. Correction of Errors

    In FR Doc. 07-3820 of August 22, 2007 (72 FR 47130), make the following corrections:

    A. Corrections to the Preamble

    1. On page 47142, 3rd column, 2nd full paragraph, lines 1 and 2, the phrase “Division of Acute Care, Center for Medicaid Management” is corrected to read “Division of Acute Care, Center for Medicare Management.”

    2. On page 47162, 1st column, 2nd full paragraph, lines 6 and 7, the sentence “The MS DRGs have 3,342 codes on the MCC list and 4,922 codes on the CC list.” is corrected to read “The MS-DRGs have 1584 codes on the MCC list and 3343 codes on the CC list”.

    3. On page 47186, 3rd column, 1st partial paragraph, line 20, the figure “$22,650” is corrected to read “$22,460”.

    4. On page 47207, 3rd column, last paragraph, lines 4 through 6, the phrase, “injection, transfusion, and vaccination (ventilator-associated pneumonia is also included here).” is corrected to read “injection, transfusion, and vaccination”.

    5. On page 47208, 2nd column, 1st full paragraph, lines 4 through 6, the phrase “injection, transfusion, and vaccination (ventilator-associated pneumonia is also indexed here).” is corrected to read “injection, transfusion, and vaccination.”

    6. On page 47213, 2nd column, 3rd full paragraph, line 14, the date “October 1, 2009” is corrected to read “October 1, 2008.”

    7. On page 47251, top of the page, the table “DRGs Subject to Final Policy”, after line 31 (MDC 5, MS-DRG 242, 243, and 244) is corrected by adding the following entry:

    DRGs Subject to Final Policy

    MDCMS-DRGNarrative description of DRG
    5245AICD Lead & Generator Procedures (this is a new DRG, with procedures moved from CMS DRG 551, Permanent Cardiac Pacemaker Implant with Major Cardiovascular Diagnosis or AICD Lead or Generator).

    8. On page 47387, 3rd column, 1st partial paragraph, line 9, after the phrase “outpatient visit. ” is corrected by adding a sentence to read as follows: “In § 489.20(u), we also added language to specify that § 482.13(b)(2) pertains to the right of the patient to make informed decision regarding his or her care.”

    9. On page 47388, 2nd column, 3rd full paragraph, line 8, the phrase “would condition consumers” access to” is corrected to read “would condition consumers' access to”.

    10. On page 47391,

    a. Third column, 1st full paragraph, line 28 after the phrase “regulatory text we originally proposed.” is corrected by adding a sentence to read as follows: “In § 489.20(v), we also added language to specify that § 482.13(b)(2) pertains to the right of the patient to make informed decision regarding his or her care.”

    B. Corrections to the Regulations Text

    § 412.2 [Corrected]

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    1. On page 47410, 1st column, 2nd paragraph, the section heading “§ 412.2 Basis for payment.” is corrected to read “§ 412.2 Basis of payment.” Start Printed Page 57635

    End Amendment Part

    C. Corrections to the Addendum

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    1. On page 47416,

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    a. First column,

    End Amendment Part

    (1) Second full paragraph,

    (a) Line 15, the figure “0.996563” is corrected to read “0.996383.”

    (b) Line 21, the figure “0.995913.” is corrected to read “0.995743.”

    (c) Line 31, the figure “0.995913” is corrected to read “0.995743.”

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    b. Second column, 1st full paragraph, line 29, the figure “0.991695” is corrected to read “0.991290”.

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    c. Third column, 1st partial paragraph, line 5, the figure “0.999318” is corrected to read “0.999265.”

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    2. On page 47419,

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    a. First column, 1st partial paragraph, line 4, the figure “$22,635.” is corrected to read “$22,460.”

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    b. Third column,

    End Amendment Part

    (1) First full paragraph, line 15, the figure “4.83” is corrected to read “4.87”.

    (2) Third full paragraph, after line 7, the figures in the table are corrected to read as follows:

    Operating standardized amountsCapital federal rate
    National0.9490150.951251
    Puerto Rico0.9641490.958732
    Start Amendment Part

    3. On page 47420, 3rd column, 1st partial paragraph, last line, the figure “0.999903.” is corrected to read “0.999902”.

    End Amendment Part Start Amendment Part

    4. On page 47421, bottom half of the page, in the table Comparison of FY 2007 Standardized Amounts to the FY 2008 Single Standardized Amount with Full Update and Reduced Update, the figures in the listed entries are corrected to read as follows:

    End Amendment Part

    Comparison of FY 2007 Standardized Amounts to the FY 2008 Single Standardized Amount With Full Update and Reduced Update

    Full update (3.3 percent); wage index is greater than 1.0000Full update (3.3 percent); wage index is less than 1.0000Reduced update (1.3 percent); wage index is greater than 1.0000Reduced update (1.3 percent); wage index is less than 1.0000
    FY 2007 Base Rate, after removing reclassification budget neutrality, demonstration budget neutrality, wage index transition budget neutrality factors and outlier offset (based on the labor and market share percentage for FY 2008)Labor: $3,609.23 Nonlabor: $1,569.01Labor: $3,609.23 Nonlabor: $1,569.01Labor: $3,609.23 Nonlabor: $1,569.01Labor: $3,609.23. Nonlabor: $1,569.01.
    FY 2008 Update Factor1.0331.0331.0131.013.
    FY 2008 DRG Recalibrations and Wage Index Budget Neutrality Factor0.9963830.9963830.9965630.996563.
    FY 2008 Reclassification Budget Neutrality Factor0.9912900.9912900.9912900.991290.
    Adjusted for Blend of FY 2007 DRG Recalibration and Wage Index Budget Neutrality FactorsLabor: $3,682.49 Nonlabor: $1,600.86Labor: $3,275.68 Nonlabor: $2,007.67Labor: $3,611.20 Nonlabor: $1,569.86Labor: $3,212.26. Nonlabor: $1,968.80.
    Imputed Rural Floor Budget Neutrality Factor0.9992650.9992650.9992650.999265.
    FY 2008 Outlier Factor0.9490150.9490150.9490150.949015.
    Rural Demonstration Budget Neutrality Factor0.9999020.9999020.9999020.999902.
    FY 2008 Documentation and Coding Adjustment0.9880.9880.9880.988.
    Rural Floor Adjustment1.0022141.0022141.0022141.002214.
    Rate for FY 2008Labor: $3,457.57 Nonlabor: $1,503.07Labor: $3,075.60 Nonlabor: $1,885.04Labor: $3,390.63 Nonlabor: $1,473.97Labor: $3,016.05. Nonlabor: $1,848.55.
    Start Amendment Part

    5. On page 47423, 1st column, 3rd full paragraph, line 14, the figure “0.983962.” is corrected to read “0.983794.”

    End Amendment Part Start Amendment Part

    6. On page 47424, 3rd column, 2nd full paragraph, last line, the figure “0.86” is corrected to read “0.91”.

    End Amendment Part Start Amendment Part

    7. On page 47428,

    End Amendment Part Start Amendment Part

    a. First column,

    End Amendment Part

    (1) First full paragraph,

    (a) Line 13, the figure “4.83” is corrected to read “4.87”.

    (b) Line 16, the figure “0.9517” is corrected to read “0.9513.”

    (2) Second full paragraph,

    (a) Lines 5 and 6, the phrase, “0.9517 is a −0.53 percent” is corrected to read “0.9513 is −0.57 percent”.

    (b) Lines 10 and 11, the figures “0.9947(0.9517/0.9568).” are corrected to read “0.9943(0.9513/0.9568).”

    (c) Line 13, the figure “0.53” is corrected to read “0.57”.

    Start Amendment Part

    b. Third column,

    End Amendment Part

    (1) First full paragraph,

    (a) Line 9, the phrase “FY 2008 relative weights” is corrected to read, “FY 2007 relative weights”.

    (b) Line 22, the figure “1.0018” is corrected to read “1.0017”.

    (c) Line 25, the phrase “adjustment of 0.9924” is corrected to read “adjustment of 0.9923”.

    (2) Second full paragraph,

    (a) Line 4, the date “FY 2007 GAF” is corrected to read “FY 2008 GAF”.

    (b) Line 15, the figure “0.9903” is corrected to read “0.9902.”

    Start Amendment Part

    8. On page 47429, in the table Budget Neutrality Adjustment for DRG Reclassifications and Recalibration and the Geographic Adjustment Factors, the listed entry is corrected to read as follows: Start Printed Page 57636

    End Amendment Part
    Fiscal yearNational
    Incremental adjustmentCumulative
    Geographic adjustment factorDRG reclassifications and recalibrationCombined
    20081.001720.997920.999630.99021
    Start Amendment Part

    9. On page 47430, 1st column, 2nd full paragraph,

    End Amendment Part

    (1) Line 8, the figure “0.9997.” is corrected to read “0.9996.”

    (2) Line 20, the figure “0.9997.” is corrected to read “0.9996.”

    (3) Line 22, the figure “0.9903” is corrected to read “0.9902.”

    Start Amendment Part

    10. On page 47431,

    End Amendment Part Start Amendment Part

    a. Second column,

    End Amendment Part

    (2) Second full paragraph, line 6, the figure “0.9997.” is corrected to read “0.9996.”

    (3) Third full paragraph, line 2, the figure “0.9517.” is corrected to read “0.9513.”

    Start Amendment Part

    b. Third column,

    End Amendment Part

    (1) First paragraph,

    (a) Line 10, the figure “0.03” is corrected to read, “0.04”.

    (b) Line 13, the figure “0.53” is corrected to read, “0.57”.

    (c) Lines 33, the figure “0.86” is corrected to read, “0.91”.

    Start Amendment Part

    c. Bottom half of the page, the table Comparison of Factors and Adjustments: FY 2007 Capital Federal Rate and FY 2008 Capital Federal Rate, the table and footnotes are corrected to read as follows:

    End Amendment Part

    Comparison of Factors and Adjustments: FY 2007 Capital Federal Rate and FY 2008 Capital Federal Rate

    FY 2007FY 2008 4ChangePercent change 5
    Update Factor 11.01101.00901.00900.00
    GAF/DRG Adjustment Factor 10.99860.99960.9996−0.04
    Outlier Adjustment Factor 20.95680.95130.9943−0.57
    Exceptions Adjustment Factor 20.99970.99971.00000.00
    MS-DRG Upcoding Adjustment Factor 30.98800.9880−1.20
    Capital Federal Rate$427.03$423.130.9909−0.91
    1 The update factor and the GAF/DRG budget neutrality factors are built permanently into the capital rates. Thus, for example, the incremental change from FY 2007 to FY 2008 resulting from the application of the 0.9996 GAF/DRG budget neutrality factor for FY 2008 is 0.9996.
    2 The outlier reduction factor and the exceptions adjustment factor are not built permanently into the capital rates; that is, these factors are not applied cumulatively in determining the capital rates. Thus, for example, the net change resulting from the application of the FY 2008 outlier adjustment factor is 0.9513/0.9568, or 0.9943.
    3 Adjustment to FY 2008 IPPS rates to account for upcoding expected to result from the adoption of the MS-DRGs, as discussed above in section III. of the Addendum to this final rule with comment period.
    4 Factors for FY 2008, as discussed above in section III. of the Addendum to this final rule with comment period.
    5 Percent change of individual factors may not sum due to rounding.
    Start Amendment Part

    11. On page 47432,

    End Amendment Part Start Amendment Part

    a. Top of the page, the table Comparison of Factors and Adjustments: Proposed FY 2008 Capital Federal Rate and Final FY 2008 Capital Federal Rate, the table is corrected to read as follows:

    End Amendment Part

    Comparison of Factors and Adjustments: Proposed FY 2008 Capital Federal Rate and Final FY 2008 Capital Federal Rate

    Proposed FY 2008 for rural hospitalsProposed FY 2008 for urban hospitalsFinal FY 2008 for all hospitals*Percent change for rural hospitals**Percent change for urban hospitals**
    Update Factor1.00801.00001.00900.100.90
    GAF/DRG Adjustment Factor1.00181.00180.9996−0.22−0.22
    Outlier Adjustment Factor0.94840.94840.95130.310.31
    Exceptions Adjustment Factor0.99970.99970.99970.000.00
    MS-DRG Upcoding Adjustment Factor0.97600.97600.98801.231.23
    Capital Federal Rate$417.26$413.87$423.131.412.24
    Start Amendment Part

    b. Second column, 2nd full paragraph, line 10, the figure “$199.80.” is corrected to read “$200.32.”

    End Amendment Part Start Amendment Part

    c. Third column, 4th full paragraph, line 16, the figure “$22,635.” is corrected to read “$22,460.”

    End Amendment Part Start Amendment Part

    12. On page 47435,

    End Amendment Part

    a. In Table 1A.—National Adjusted Operating Standardized Amounts, Labor/Nonlabor (69.7 Percent Labor Share/30.3 Percent Nonlabor Share if Wage Index Greater Than 1), the table is corrected to read as follows: Start Printed Page 57637

    Table 1A.—National Adjusted Operating Standardized Amounts; Labor/Nonlabor

    [(69.7 Percent labor share/30.3 percent nonlabor share if wage index greater than 1)]

    Full update (3.3 percent)Reduced update (1.3 percent)
    Labor-relatedNonlabor-relatedLabor-relatedNonlabor-related
    $3,457.57$1,503.07$3,390.63$1,473.97
    Start Amendment Part

    b. In Table 1B.—National Adjusted Operating Standardized Amounts, Labor/Nonlabor (62 Percent Labor Share/38 Percent Nonlabor Share if Wage Index Less Than or Equal to 1), the table is corrected to read as follows:

    End Amendment Part

    Table 1B.—National Adjusted Operating Standardized Amounts, Labor/Nonlabor

    [(62 Percent labor share/38 percent nonlabor share if wage index less than or equal to 1)]

    Full update (3.3 percent)Reduced update (1.3 percent)
    Labor-relatedNonlabor-relatedLabor-relatedNonlabor-related
    $3,075.60$1,885.04$3,016.05$1,848.55
    Start Amendment Part

    c. In Table 1C.—Adjusted Operating Standardized Amounts for Puerto Rico Labor, Labor/Nonlabor, the table is corrected to read as follows:

    End Amendment Part

    Table 1C.—Adjusted Operating Standardized Amounts for Puerto Rico, Labor/Nonlabor

    Rates if wage index greater than 1Rates if wage index less than or equal to 1
    LaborNonlaborLaborNonlabor
    National$3,457.57$1,503.07$3,075.60$1,885.04
    Puerto Rico1,453.58890.901,376.21968.27
    Start Amendment Part

    d. In Table 1D.—Capital Standard Federal Payment Rate, the table is corrected to read as follows:

    End Amendment Part

    Table 1D.—Capital Standard Federal Payment Rate

    Rate
    National$423.13
    Puerto Rico$200.32
    Start Amendment Part

    13. On pages 47435 through 47496, in Table 2.—Hospital Case-Mix Indexes for Discharges Occurring in Federal Fiscal Year 2006; Hospital Wage Indexes for Federal Fiscal Year 2008; Hospital Average Hourly Wages for Federal Fiscal Years 2006 (2002 Wage Data), 2007 (2003 Wage Data), and 2008 (2004 Wage Data); and 3-Year Average of Hospital Average Hourly Wages, the wage index for the listed provider numbers are corrected to read as follows:

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    Table 2.—Hospital Case-Mix Indexes for Discharges Occuring in Federal Fiscal Year 2006; Hospital Wage Indexes for Federal Fiscal Year 2008; Hospital Average Hourly Wages for Federal Fiscal Years 2006 (2002 Wage Data), 2007 (2003 Wage Data), and 2008 (2004 Wage Data); and 3-Year Average of Hospital Average Hourly Wages

    Provider No.Case-mix index 2FY 2008 wage indexAverage hourly wage FY 2006Average hourly wage FY 2007Average hourly wage FY 2008 1Average hourly wage **(3 years)
    0100011.51910.756721.654622.198923.219522.3615
    0100051.13780.869022.490623.602223.020323.0415
    0100061.51260.769323.482323.497523.750223.5724
    0100071.02070.756718.242919.932921.349219.8699
    0100081.04170.774120.459117.953322.079319.9268
    0100090.97020.872523.222823.562625.901124.2272
    0100101.10430.869021.497427.038522.860223.5943
    0100111.67480.885627.485027.665827.466827.5393
    0100121.23560.938822.702024.405925.576724.1956
    0100151.04270.761321.511122.338327.080623.3440
    0100161.57700.885625.150224.648826.861125.5444
    0100181.71230.885622.299023.704824.897423.6077
    0100191.27220.769322.090622.876623.346022.7785
    0100211.18510.756718.678519.736721.062419.7975
    Start Printed Page 57638
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    0100270.76340.756715.370516.468217.051316.2718
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    0100980.9805*14.3076**14.3076
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    Start Printed Page 57639
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    5100231.28390.788920.490820.643521.094020.7445
    5100241.84140.840824.044425.563426.662125.4529
    5100260.99830.756816.619217.990819.202517.9223
    510028****21.7135**21.7135
    5100291.32350.839422.455622.710424.087223.0837
    5100301.09730.825621.558324.393624.200723.3949
    5100311.43150.839421.763723.262424.023722.9923
    5100331.72810.825923.030522.618924.079623.2701
    5100381.05430.756817.283220.656520.918019.6284
    5100391.25010.756819.546819.875120.471919.9555
    5100461.34670.773321.254022.171222.293521.8981
    5100471.14860.839124.095427.121427.685926.2421
    5100481.17510.756817.509618.857622.793019.5221
    5100501.60350.756819.976621.077221.900920.9839
    5100531.10710.756820.860822.331821.533821.5798
    5100551.53460.887930.786828.461529.411129.5182
    5100581.34520.825922.697623.901525.324823.9858
    5100590.71380.839421.955122.143520.884721.6752
    5100621.16280.839423.321626.229626.706625.4037
    5100671.10680.756821.209925.043725.213023.8479
    5100681.1378*23.1011**23.1011
    Start Printed Page 57697
    5100701.22720.839423.238223.563923.974223.5991
    5100711.31650.773323.168523.450823.295423.3056
    5100721.16000.756820.199720.514619.437020.0241
    5100771.05390.872523.658424.501025.951524.6973
    5100821.10840.756819.187819.908120.327919.7905
    5100851.29340.839423.717426.387726.261725.5462
    5100861.17450.756817.593319.873519.260618.9127
    510089****27.7061**27.7061
    5100901.84980.8879****
    5200021.33941.000524.995027.770529.050127.3208
    5200041.39310.969925.463927.653028.985727.3816
    5200081.53491.029629.835330.755333.805731.4985
    5200091.72240.968426.150327.404428.859127.4837
    5200111.30350.968425.274726.626828.022426.6546
    5200131.45840.968426.622529.001830.183428.6561
    5200171.12050.968424.667728.469929.327827.4748
    5200191.36040.968426.743328.697129.864028.5157
    5200211.30201.047226.693528.418229.112928.1504
    5200271.37021.029627.677131.428432.413730.5716
    5200281.35031.099725.416426.726028.081326.7500
    5200301.72261.000527.018429.467830.572429.0613
    5200331.26580.968425.085328.066229.023627.5164
    5200341.23210.968423.985026.109426.888625.6368
    5200351.35810.976024.776727.327628.104826.7464
    5200371.81881.000529.723430.179932.214430.7303
    5200381.23911.029626.647029.313429.633928.5933
    5200401.21431.029627.232529.126231.203829.0319
    5200411.07011.117622.759523.549525.376423.9562
    5200441.35150.976026.019127.368528.238227.2573
    5200451.66290.968426.003027.333629.255627.5277
    5200481.56680.968425.172426.808029.187026.9823
    5200492.13350.968425.925626.985128.093626.9958
    5200511.55621.029628.488031.994931.597430.7556
    5200571.17270.987725.374527.752829.115827.4376
    5200591.30441.058328.090729.580130.449129.3858
    5200601.3697*23.881724.8638*24.3767
    5200621.24651.029628.221528.851032.858430.1184
    5200631.13731.029627.410029.099330.339128.9452
    5200641.59871.029628.610130.322531.572330.0470
    5200661.43790.985327.165729.208831.064429.1283
    520068****24.8184**24.8184
    5200701.77520.968424.893527.677128.205926.9824
    5200711.16831.029627.620230.026230.693029.4715
    5200751.56450.968427.169929.292030.158228.8342
    5200761.24061.099726.169727.333527.442326.9220
    5200781.51711.029627.598929.983731.660629.7283
    5200831.73701.117628.840730.882632.772830.8985
    5200871.77120.969927.337428.581030.565928.8732
    5200881.40960.988826.993630.745030.665729.5653
    5200891.57121.117630.044833.879333.409832.4835
    5200911.29710.968424.632025.459327.344225.8210
    520094****25.7567**25.7567
    5200951.29371.099726.786330.421632.038129.8120
    5200961.37830.987924.575827.889629.598527.4540
    5200971.39760.968426.332129.147929.999828.4877
    5200982.03551.117630.615032.578536.577633.3175
    5201001.27980.985326.216129.324329.945828.5050
    5201021.17281.029626.823429.168030.799028.9928
    5201031.54951.029627.914730.316532.626930.3612
    5201071.27920.971628.343128.987829.417828.9355
    5201091.03920.968423.327124.722825.069724.3762
    5201131.32720.968427.413531.470833.347530.7254
    5201161.26691.029626.990227.968830.215628.3945
    520132****23.194125.000627.343125.0308
    5201361.72491.029627.770330.652232.147930.1365
    5201381.88791.029628.439430.801631.658130.2963
    5201391.28931.029626.511028.887030.490328.6153
    Start Printed Page 57698
    5201400.3793*28.443331.004331.131530.2285
    5201521.0907*24.939229.7308*27.4042
    5201601.86620.968425.758827.954829.558227.7551
    5201701.47821.029627.222130.430931.471029.7190
    5201731.08290.968428.099529.242931.059929.4647
    5201771.61941.029630.731731.455532.571431.6050
    5201781.0240*20.2666**20.2666
    5201891.20421.047228.472028.001429.029528.4999
    5201931.70020.968426.088527.811329.200727.7865
    5201941.71481.029624.940830.166831.437928.8968
    5201950.35561.029636.697336.311636.290036.4369
    5201961.67980.968435.104336.926631.117534.0254
    520197******30.191730.1917
    5201981.41930.9684**28.597528.5975
    5201992.27761.0296**36.569936.5699
    5202000.9180*****
    5202010.6866*****
    5202021.44951.0005****
    5300021.12720.916426.835628.306329.206928.1167
    5300061.18270.916424.931827.242129.210427.0638
    530007****20.4391**20.4391
    5300081.16730.916423.858924.009026.518024.7926
    5300090.92020.916426.831624.671926.049025.8222
    5300101.30580.916425.848225.985227.412126.4402
    5300111.11240.916424.824527.877227.861326.9109
    5300121.70600.927125.252626.958228.752426.9862
    5300141.55200.920524.594726.715628.546926.6902
    5300151.15410.927327.687629.831029.830629.0860
    5300171.10520.916425.336229.850331.110528.7232
    530023****21.3813**21.3813
    5300251.24020.916428.693824.439229.434627.4317
    5300321.01590.916425.772823.900424.658024.7334
    1 Based on salaries adjusted occupational mix, according to the calculation in section II.D.6 of the preamble to this final rule.
    2 The case-mix index is based on the billed DRGs in the FY 2006 MedPAR file. It is not transfer adjusted.
    * Denotes wage data not available for the provider for that year.
    ** Based on the sum of the salaries and hours computed for Federal FYs 2006, 2007, and 2008.
    *** Denotes MedPAR data not available for the provider for FY 2006.
    3 This provider, 140B10, is part of a multi-campus provider, 140010, that is comprised of campuses that are located in two different CBSAs. For the FY 2008 wage index, a new provider record was created, designated with a “B” in the 4th position of the provider number, to distinguish between the portion of the wages and hours of the multi-campus facility that is being allocated between the two different CBSAs. Please refer to the FY 2008 final rule, section III.H.I.7 “Geographic Reclassification for Multi-campus Hospitals,” for more details on this provision.
    4 This provider, 220B74, is part of a multi-campus provider, 220074, that is comprised of campuses that are located in two different CBSAs. For the FY 2008 wage index, a new provider record was created, designated with a “B” in the 4th position of the provider number, to distinguish between the portion of the wages and hours of the multi-campus facility that is being allocated between the two different CBSAs. Please refer to the FY 2008 final rule, section III.H.I.7 “Geographic Reclassification for Multi-campus Hospitals,” for more details on this provision.
    Start Amendment Part

    14. On pages 47503 through 47526, in Table 4A.—Wage Index and Capital Geographic Adjustment Factor (GAF) for Urban Areas by CBSA—FY 2008, the table is corrected to read as follows:

    End Amendment Part

    Table 4A.—Wage Index and Capital Geographic Adjustment Factor (GAF) for Urban Areas by CBSA—FY 2008

    CBSA codeUrban area (constituent counties)Wage indexGAF
    10180Abilene, TX0.82410.8759
     Callahan County, TX
     Jones County, TX
     Taylor County, TX
    10380Aguadilla-Isabela-San Sebastián, PR0.33450.4724
     Aguada Municipio, PR
     Aguadilla Municipio, PR
     Añasco Municipio, PR
     Isabela Municipio, PR
    Start Printed Page 57699
     Lares Municipio, PR
     Moca Municipio, PR
     Rincón Municipio, PR
     San Sebastián Municipio, PR
    10420Akron, OH0.87000.9090
     Portage County, OH
     Summit County, OH
    10500Albany, GA0.86670.9067
     Baker County, GA
     Dougherty County, GA
     Lee County, GA
     Terrell County, GA
     Worth County, GA
    10580Albany-Schenectady-Troy, NY0.86680.9067
     Albany County, NY
     Rensselaer County, NY
     Saratoga County, NY
     Schenectady County, NY
     Schoharie County, NY
    10740Albuquerque, NM0.97260.9812
     Bernalillo County, NM
     Sandoval County, NM
     Torrance County, NM
     Valencia County, NM
    10780Alexandria, LA0.79780.8567
     Grant Parish, LA
     Rapides Parish, LA
    10900Allentown-Bethlehem-Easton, PA-NJ (PA Hospitals)1.00041.0003
     Warren County, NJ
     Carbon County, PA
     Lehigh County, PA
     Northampton County, PA
    109002 Allentown-Bethlehem-Easton, PA-NJ (NJ Hospitals)1.16171.1081
     Warren County, NJ
     Carbon County, PA
     Lehigh County, PA
     Northampton County, PA
    110202 Altoona, PA0.83500.8838
     Blair County, PA
    11100Amarillo, TX0.91520.9411
     Armstrong County, TX
     Carson County, TX
     Potter County, TX
     Randall County, TX
    11180Ames, IA0.99760.9984
     Story County, IA
    112602 Anchorage, AK1.20841.1384
     Anchorage Municipality, AK
     Matanuska-Susitna Borough, AK
    11300Anderson, IN0.89650.9279
     Madison County, IN
    11340Anderson, SC0.92090.9451
     Anderson County, SC
    11460Ann Arbor, MI1.04991.0339
     Washtenaw County, MI
    11500Anniston-Oxford, AL0.79760.8565
     Calhoun County, AL
    115402 Appleton, WI0.96840.9783
     Calumet County, WI
     Outagamie County, WI
    11700Asheville, NC0.92020.9446
     Buncombe County, NC
     Haywood County, NC
     Henderson County, NC
     Madison County, NC
    12020Athens-Clarke County, GA0.99970.9998
     Clarke County, GA
     Madison County, GA
     Oconee County, GA
     Oglethorpe County, GA
    Start Printed Page 57700
    120601 Atlanta-Sandy Springs-Marietta, GA0.98130.9872
     Barrow County, GA
     Bartow County, GA
     Butts County, GA
     Carroll County, GA
     Cherokee County, GA
     Clayton County, GA
     Cobb County, GA
     Coweta County, GA
     Dawson County, GA
     DeKalb County, GA
     Douglas County, GA
     Fayette County, GA
     Forsyth County, GA
     Fulton County, GA
     Gwinnett County, GA
     Haralson County, GA
     Heard County, GA
     Henry County, GA
     Jasper County, GA
     Lamar County, GA
     Meriwether County, GA
     Newton County, GA
     Paulding County, GA
     Pickens County, GA
     Pike County, GA
     Rockdale County, GA
     Spalding County, GA
     Walton County, GA
    12100Atlantic City, NJ1.20641.1371
     Atlantic County, NJ
    12220Auburn-Opelika, AL0.80760.8639
     Lee County, AL
    12260Augusta-Richmond County, GA-SC0.95990.9724
     Burke County, GA
     Columbia County, GA
     McDuffie County, GA
     Richmond County, GA
     Aiken County, SC
     Edgefield County, SC
    124201 Austin-Round Rock, TX0.95020.9656
     Bastrop County, TX
     Caldwell County, TX
     Hays County, TX
     Travis County, TX
     Williamson County, TX
    125402 Bakersfield, CA1.17361.1159
     Kern County, CA
    125801 Baltimore-Towson, MD1.00311.0021
     Anne Arundel County, MD
     Baltimore County, MD
     Carroll County, MD
     Harford County, MD
     Howard County, MD
     Queen Anne's County, MD
     Baltimore City, MD
    12620Bangor, ME0.98820.9919
     Penobscot County, ME
    12700Barnstable Town, MA1.26121.1722
     Barnstable County, MA
    12940Baton Rouge, LA0.80100.8590
     Ascension Parish, LA
     East Baton Rouge Parish, LA
     East Feliciana Parish, LA
     Iberville Parish, LA
     Livingston Parish, LA
     Pointe Coupee Parish, LA
     St. Helena Parish, LA
     West Baton Rouge Parish, LA
     West Feliciana Parish, LA
    Start Printed Page 57701
    12980Battle Creek, MI1.00531.0036
     Calhoun County, MI
    13020Bay City, MI0.93940.9581
     Bay County, MI
    13140Beaumont-Port Arthur, TX0.86160.9030
     Hardin County, TX
     Jefferson County, TX
     Orange County, TX
    13380Bellingham, WA1.12581.0845
     Whatcom County, WA
    13460Bend, OR1.05861.0398
     Deschutes County, OR
    136441 Bethesda-Gaithersburg-Frederick, MD1.10171.0686
     Frederick County, MD
     Montgomery County, MD
    13740Billings, MT0.88710.9212
     Carbon County, MT
     Yellowstone County, MT
    13780Binghamton, NY0.90680.9352
     Broome County, NY
     Tioga County, NY
    138201 Birmingham-Hoover, AL0.88560.9202
     Bibb County, AL
     Blount County, AL
     Chilton County, AL
     Jefferson County, AL
     St. Clair County, AL
     Shelby County, AL
     Walker County, AL
    13900Bismarck, ND0.73110.8070
     Burleigh County, ND
     Morton County, ND
    13980Blacksburg-Christiansburg-Radford, VA0.81290.8677
     Giles County, VA
     Montgomery County, VA
     Pulaski County, VA
     Radford City, VA
    14020Bloomington, IN0.93240.9532
     Greene County, IN
     Monroe County, IN
     Owen County, IN
    14060Bloomington-Normal, IL0.94840.9644
     McLean County, IL
    14260Boise City-Nampa, ID0.94970.9653
     Ada County, ID
     Boise County, ID
     Canyon County, ID
     Gem County, ID
     Owyhee County, ID
    144841 Boston-Quincy, MA1.18441.1229
     Norfolk County, MA
     Plymouth County, MA
     Suffolk County, MA
    14500Boulder, CO1.01101.0075
     Boulder County, CO
    14540Bowling Green, KY0.80860.8646
     Edmonson County, KY
     Warren County, KY
    14740Bremerton-Silverdale, WA1.08211.0555
     Kitsap County, WA
    14860Bridgeport-Stamford-Norwalk, CT1.27791.1828
     Fairfield County, CT
    15180Brownsville-Harlingen, TX0.91930.9440
     Cameron County, TX
    15260Brunswick, GA0.97650.9838
     Brantley County, GA
     Glynn County, GA
     McIntosh County, GA
    153801 Buffalo-Niagara Falls, NY0.95890.9717
     Erie County, NY
    Start Printed Page 57702
     Niagara County, NY
    155002 Burlington, NC0.86040.9022
     Alamance County, NC
    155402 Burlington-South Burlington, VT1.03881.0264
     Chittenden County, VT
     Franklin County, VT
     Grand Isle County, VT
    157641 Cambridge-Newton-Framingham, MA1.12171.0818
     Middlesex County, MA
    1580412 Camden, NJ1.16171.1081
     Burlington County, NJ
     Camden County, NJ
     Gloucester County, NJ
    15940Canton-Massillon, OH0.89180.9246
     Carroll County, OH
     Stark County, OH
    15980Cape Coral-Fort Myers, FL0.94860.9645
     Lee County, FL
    161802 Carson City, NV0.97020.9795
     Carson City, NV
    16220Casper, WY0.92710.9495
     Natrona County, WY
    16300Cedar Rapids, IA0.86850.9080
     Benton County, IA
     Jones County, IA
     Linn County, IA
    16580Champaign-Urbana, IL0.93160.9526
     Champaign County, IL
     Ford County, IL
     Piatt County, IL
    16620Charleston, WV0.83940.8870
     Boone County, WV
     Clay County, WV
     Kanawha County, WV
     Lincoln County, WV
     Putnam County, WV
    16700Charleston-North Charleston, SC0.91020.9376
     Berkeley County, SC
     Charleston County, SC
     Dorchester County, SC
    167401 Charlotte-Gastonia-Concord, NC-SC0.95060.9659
     Anson County, NC
     Cabarrus County, NC
     Gaston County, NC
     Mecklenburg County, NC
     Union County, NC
     York County, SC
    16820Charlottesville, VA0.91610.9418
     Albemarle County, VA
     Fluvanna County, VA
     Greene County, VA
     Nelson County, VA
     Charlottesville City, VA
    16860Chattanooga, TN-GA0.89630.9278
     Catoosa County, GA
     Dade County, GA
     Walker County, GA
     Hamilton County, TN
     Marion County, TN
     Sequatchie County, TN
    16940Cheyenne, WY0.92050.9449
     Laramie County, WY
    169741 Chicago-Naperville-Joliet, IL1.05881.0399
     Cook County, IL
     DeKalb County, IL
     DuPage County, IL
     Grundy County, IL
     Kane County, IL
     Kendall County, IL
     McHenry County, IL
    Start Printed Page 57703
     Will County, IL
    170202 Chico, CA1.17361.1159
     Butte County, CA
    171401 Cincinnati-Middletown, OH-KY-IN0.96610.9767
     Dearborn County, IN
     Franklin County, IN
     Ohio County, IN
     Boone County, KY
     Bracken County, KY
     Campbell County, KY
     Gallatin County, KY
     Grant County, KY
     Kenton County, KY
     Pendleton County, KY
     Brown County, OH
     Butler County, OH
     Clermont County, OH
     Hamilton County, OH
     Warren County, OH
    17300Clarksville, TN-KY0.82190.8743
     Christian County, KY
     Trigg County, KY
     Montgomery County, TN
     Stewart County, TN
    17420Cleveland, TN0.81710.8708
     Bradley County, TN
     Polk County, TN
    174601 Cleveland-Elyria-Mentor, OH0.93450.9547
     Cuyahoga County, OH
     Geauga County, OH
     Lake County, OH
     Lorain County, OH
     Medina County, OH
    17660Coeur d'Alene, ID0.93550.9554
     Kootenai County, ID
    17780College Station-Bryan, TX0.91720.9425
     Brazos County, TX
     Burleson County, TX
     Robertson County, TX
    17820Colorado Springs, CO0.94670.9632
     El Paso County, CO
     Teller County, CO
    17860Columbia, MO0.85380.8974
     Boone County, MO
     Howard County, MO
    17900Columbia, SC0.88300.9183
     Calhoun County, SC
     Fairfield County, SC
     Kershaw County, SC
     Lexington County, SC
     Richland County, SC
     Saluda County, SC
    17980Columbus, GA-AL0.90200.9318
     Russell County, AL
     Chattahoochee County, GA
     Harris County, GA
     Marion County, GA
     Muscogee County, GA
    18020Columbus, IN0.96260.9742
     Bartholomew County, IN
    181401 Columbus, OH1.00251.0017
     Delaware County, OH
     Fairfield County, OH
     Franklin County, OH
     Licking County, OH
     Madison County, OH
     Morrow County, OH
     Pickaway County, OH
     Union County, OH
    18580Corpus Christi, TX0.84560.8915
    Start Printed Page 57704
     Aransas County, TX
     Nueces County, TX
     San Patricio County, TX
    18700Corvallis, OR1.07021.0476
     Benton County, OR
    190602 Cumberland, MD-WV (MD Hospitals)0.89120.9242
     Allegany County, MD
     Mineral County, WV
    19060Cumberland, MD-WV (WV Hospitals)0.79630.8556
     Allegany County, MD
     Mineral County, WV
    191241 Dallas-Plano-Irving, TX0.97860.9853
     Collin County, TX
     Dallas County, TX
     Delta County, TX
     Denton County, TX
     Ellis County, TX
     Hunt County, TX
     Kaufman County, TX
     Rockwall County, TX
    19140Dalton, GA0.85830.9007
     Murray County, GA
     Whitfield County, GA
    19180Danville, IL0.92450.9477
     Vermilion County, IL
    19260Danville, VA0.82970.8800
     Pittsylvania County, VA
     Danville City, VA
    19340Davenport-Moline-Rock Island, IA-IL0.88940.9229
     Henry County, IL
     Mercer County, IL
     Rock Island County, IL
     Scott County, IA
    19380Dayton, OH0.92790.9500
     Greene County, OH
     Miami County, OH
     Montgomery County, OH
     Preble County, OH
    19460Decatur, AL0.78320.8459
     Lawrence County, AL
     Morgan County, AL
    195002 Decatur, IL0.83460.8835
     Macon County, IL
    19660Deltona-Daytona Beach-Ormond Beach, FL0.89440.9264
     Volusia County, FL
    197401 Denver-Aurora, CO1.04551.0309
     Adams County, CO
     Arapahoe County, CO
     Broomfield County, CO
     Clear Creek County, CO
     Denver County, CO
     Douglas County, CO
     Elbert County, CO
     Gilpin County, CO
     Jefferson County, CO
     Park County, CO
    19780Des Moines-West Des Moines, IA0.91580.9415
     Dallas County, IA
     Guthrie County, IA
     Madison County, IA
     Polk County, IA
     Warren County, IA
    198041 Detroit-Livonia-Dearborn, MI1.00961.0066
     Wayne County, MI
    200202 Dothan, AL0.75670.8262
     Geneva County, AL
     Henry County, AL
     Houston County, AL
    20100Dover, DE1.03971.0270
     Kent County, DE
    Start Printed Page 57705
    20220Dubuque, IA0.88760.9216
     Dubuque County, IA
    20260Duluth, MN-WI1.00821.0056
     Carlton County, MN
     St. Louis County, MN
     Douglas County, WI
    20500Durham, NC0.97390.9821
     Chatham County, NC
     Durham County, NC
     Orange County, NC
     Person County, NC
    207402 Eau Claire, WI0.96840.9783
     Chippewa County, WI
     Eau Claire County, WI
    207641,2 Edison, NJ1.16171.1081
     Middlesex County, NJ
     Monmouth County, NJ
     Ocean County, NJ
     Somerset County, NJ
    209402 El Centro, CA1.17361.1159
     Imperial County, CA
    21060Elizabethtown, KY0.86180.9032
     Hardin County, KY
     Larue County, KY
    21140Elkhart-Goshen, IN0.95410.9683
     Elkhart County, IN
    213002 Elmira, NY0.83520.8840
     Chemung County, NY
    21340El Paso, TX0.91410.9403
     El Paso County, TX
    21500Erie, PA0.85030.8949
     Erie County, PA
    21660Eugene-Springfield, OR1.10031.0676
     Lane County, OR
    217802 Evansville, IN-KY (IN Hospitals)0.85690.8996
     Gibson County, IN
     Posey County, IN
     Vanderburgh County, IN
     Warrick County, IN
     Henderson County, KY
     Webster County, KY
    21780Evansville, IN-KY (KY Hospitals)0.84650.8922
     Gibson County, IN
     Posey County, IN
     Vanderburgh County, IN
     Warrick County, IN
     Henderson County, KY
     Webster County, KY
    218202 Fairbanks, AK1.20841.1384
     Fairbanks North Star Borough, AK
    21940Fajardo, PR0.43660.5669
     Ceiba Municipio, PR
     Fajardo Municipio, PR
     Luquillo Municipio, PR
    220202 Fargo, ND-MN (MN Hospitals)0.91140.9384
     Clay County, MN
     Cass County, ND
    22020Fargo, ND-MN (ND Hospitals)0.79440.8542
     Clay County, MN
     Cass County, ND
    22140Farmington, NM0.92830.9503
     San Juan County, NM
    22180Fayetteville, NC0.99180.9944
     Cumberland County, NC
     Hoke County, NC
    22220Fayetteville-Springdale-Rogers, AR-MO0.88720.9213
     Benton County, AR
     Madison County, AR
     Washington County, AR
     McDonald County, MO
    Start Printed Page 57706
    22380Flagstaff, AZ1.15521.1038
     Coconino County, AZ
    22420Flint, MI1.10131.0683
     Genesee County, MI
    225002 Florence, SC0.87080.9096
     Darlington County, SC
     Florence County, SC
    22520Florence-Muscle Shoals, AL0.76930.8356
     Colbert County, AL
     Lauderdale County, AL
    22540Fond du Lac, WI0.98880.9923
     Fond du Lac County, WI
    22660Fort Collins-Loveland, CO0.95800.9710
     Larimer County, CO
    227441 Fort Lauderdale-Pompano Beach-Deerfield Beach, FL1.02481.0169
     Broward County, FL
    22900Fort Smith, AR-OK0.80530.8622
     Crawford County, AR
     Franklin County, AR
     Sebastian County, AR
     Le Flore County, OK
     Sequoyah County, OK
    230202 Fort Walton Beach-Crestview-Destin, FL0.87330.9114
     Okaloosa County, FL
    23060Fort Wayne, IN0.90410.9333
     Allen County, IN
     Wells County, IN
     Whitley County, IN
    231041 Fort Worth-Arlington, TX0.96370.9750
     Johnson County, TX
     Parker County, TX
     Tarrant County, TX
     Wise County, TX
    234202 Fresno, CA1.17361.1159
     Fresno County, CA
    23460Gadsden, AL0.81440.8688
     Etowah County, AL
    23540Gainesville, FL0.93020.9517
     Alachua County, FL
     Gilchrist County, FL
    23580Gainesville, GA0.94190.9598
     Hall County, GA
    23844Gary, IN0.92420.9475
     Jasper County, IN
     Lake County, IN
     Newton County, IN
     Porter County, IN
    24020Glens Falls, NY0.85230.8963
     Warren County, NY
     Washington County, NY
    24140Goldsboro, NC0.92720.9496
     Wayne County, NC
    242202 Grand Forks, ND-MN (MN Hospitals)0.91140.9384
     Polk County, MN
     Grand Forks County, ND
    24220Grand Forks, ND-MN (ND Hospitals)0.80490.8619
     Polk County, MN
     Grand Forks County, ND
    24300Grand Junction, CO1.01361.0093
     Mesa County, CO
    24340Grand Rapids-Wyoming, MI0.93740.9567
     Barry County, MI
     Ionia County, MI
     Kent County, MI
     Newaygo County, MI
    24500Great Falls, MT0.87610.9134
     Cascade County, MT
    24540Greeley, CO0.99960.9997
     Weld County, CO
    245802 Green Bay, WI0.96840.9783
    Start Printed Page 57707
     Brown County, WI
     Kewaunee County, WI
     Oconto County, WI
    24660Greensboro-High Point, NC0.91070.9380
     Guilford County, NC
     Randolph County, NC
     Rockingham County, NC
    24780Greenville, NC0.92680.9493
     Greene County, NC
     Pitt County, NC
    24860Greenville-Mauldin-Easley, SC0.96370.9750
     Greenville County, SC
     Laurens County, SC
     Pickens County, SC
    25020Guayama, PR0.29440.4328
     Arroyo Municipio, PR
     Guayama Municipio, PR
     Patillas Municipio, PR
    25060Gulfport-Biloxi, MS0.86080.9024
     Hancock County, MS
     Harrison County, MS
     Stone County, MS
    25180Hagerstown-Martinsburg, MD-WV0.92560.9484
     Washington County, MD
     Berkeley County, WV
     Morgan County, WV
    252602 Hanford-Corcoran, CA1.17361.1159
     Kings County, CA
    25420Harrisburg-Carlisle, PA0.92310.9467
     Cumberland County, PA
     Dauphin County, PA
     Perry County, PA
    25500Harrisonburg, VA0.88960.9230
     Rockingham County, VA
     Harrisonburg City, VA
    2554012 Hartford-West Hartford-East Hartford, CT1.24331.1608
     Hartford County, CT
     Middlesex County, CT
     Tolland County, CT
    256202 Hattiesburg, MS0.77520.8400
     Forrest County, MS
     Lamar County, MS
     Perry County, MS
    25860Hickory-Lenoir-Morganton, NC0.89730.9285
     Alexander County, NC
     Burke County, NC
     Caldwell County, NC
     Catawba County, NC
    25980Hinesville-Fort Stewart, GA0.78610.8481
     Liberty County, GA
     Long County, GA
    26100Holland-Grand Haven, MI0.90630.9348
     Ottawa County, MI
    26180Honolulu, HI1.13061.0877
     Honolulu County, HI
    26300Hot Springs, AR0.91060.9379
     Garland County, AR
    26380Houma-Bayou Cane-Thibodaux, LA0.79760.8565
     Lafourche Parish, LA
     Terrebonne Parish, LA
    264201 Houston-Sugar Land-Baytown, TX0.99970.9998
     Austin County, TX
     Brazoria County, TX
     Chambers County, TX
     Fort Bend County, TX
     Galveston County, TX
     Harris County, TX
     Liberty County, TX
     Montgomery County, TX
     San Jacinto County, TX
    Start Printed Page 57708
     Waller County, TX
    26580Huntington-Ashland, WV-KY-OH0.88790.9218
     Boyd County, KY
     Greenup County, KY
     Lawrence County, OH
     Cabell County, WV
     Wayne County, WV
    26620Huntsville, AL0.90180.9317
     Limestone County, AL
     Madison County, AL
    26820Idaho Falls, ID0.92730.9496
     Bonneville County, ID
     Jefferson County, ID
    269001 Indianapolis-Carmel, IN0.97180.9806
     Boone County, IN
     Brown County, IN
     Hamilton County, IN
     Hancock County, IN
     Hendricks County, IN
     Johnson County, IN
     Marion County, IN
     Morgan County, IN
     Putnam County, IN
     Shelby County, IN
    26980Iowa City, IA0.94240.9602
     Johnson County, IA
     Washington County, IA
    27060Ithaca, NY0.97100.9800
     Tompkins County, NY
    27100Jackson, MI0.94610.9628
     Jackson County, MI
    27140Jackson, MS0.79510.8547
     Copiah County, MS
     Hinds County, MS
     Madison County, MS
     Rankin County, MS
     Simpson County, MS
    27180Jackson, TN0.85920.9013
     Chester County, TN
     Madison County, TN
    272601 Jacksonville, FL0.90890.9367
     Baker County, FL
     Clay County, FL
     Duval County, FL
     Nassau County, FL
     St. Johns County, FL
    273402 Jacksonville, NC0.86040.9022
     Onslow County, NC
    27500Janesville, WI0.98530.9899
     Rock County, WI
    27620Jefferson City, MO0.87030.9093
     Callaway County, MO
     Cole County, MO
     Moniteau County, MO
     Osage County, MO
    277402 Johnson City, TN0.79180.8523
     Carter County, TN
     Unicoi County, TN
     Washington County, TN
    277802 Johnstown, PA0.83390.8830
     Cambria County, PA
    27860Jonesboro, AR0.85030.8949
     Craighead County, AR
     Poinsett County, AR
    27900Joplin, MO0.92120.9453
     Jasper County, MO
     Newton County, MO
    28020Kalamazoo-Portage, MI1.05011.0340
     Kalamazoo County, MI
     Van Buren County, MI
    Start Printed Page 57709
    28100Kankakee-Bradley, IL1.01451.0099
     Kankakee County, IL
    281401 Kansas City, MO-KS0.93190.9528
     Franklin County, KS
     Johnson County, KS
     Leavenworth County, KS
     Linn County, KS
     Miami County, KS
     Wyandotte County, KS
     Bates County, MO
     Caldwell County, MO
     Cass County, MO
     Clay County, MO
     Clinton County, MO
     Jackson County, MO
     Lafayette County, MO
     Platte County, MO
     Ray County, MO
    284202 Kennewick-Richland-Pasco, WA1.05591.0380
     Benton County, WA
     Franklin County, WA
    28660Killeen-Temple-Fort Hood, TX0.83040.8805
     Bell County, TX
     Coryell County, TX
     Lampasas County, TX
    287002 Kingsport-Bristol-Bristol, TN-VA (VA Hospitals)0.80740.8637
     Hawkins County, TN
     Sullivan County, TN
     Bristol City, VA
     Scott County, VA
     Washington County, VA
    287002 Kingsport-Bristol-Bristol, TN-VA (TN Hospitals)0.79180.8523
     Hawkins County, TN
     Sullivan County, TN
     Bristol City, VA
     Scott County, VA
     Washington County, VA
    28740Kingston, NY0.95790.9710
     Ulster County, NY
    28940Knoxville, TN0.80130.8592
     Anderson County, TN
     Blount County, TN
     Knox County, TN
     Loudon County, TN
     Union County, TN
    29020Kokomo, IN0.94640.9630
     Howard County, IN
     Tipton County, IN
    29100La Crosse, WI-MN0.96990.9793
     Houston County, MN
     La Crosse County, WI
    29140Lafayette, IN0.86770.9074
     Benton County, IN
     Carroll County, IN
     Tippecanoe County, IN
    29180Lafayette, LA0.83230.8819
     Lafayette Parish, LA
     St. Martin Parish, LA
    29340Lake Charles, LA0.77840.8424
     Calcasieu Parish, LA
     Cameron Parish, LA
    29404Lake County-Kenosha County, IL-WI1.05831.0396
     Lake County, IL
     Kenosha County, WI
    29420Lake Havasu City-Kingman, AZ0.93340.9539
     Mohave County, AZ
    29460Lakeland, FL0.88350.9187
     Polk County, FL
    29540Lancaster, PA0.96500.9759
     Lancaster County, PA
    Start Printed Page 57710
    29620Lansing-East Lansing, MI1.00481.0033
     Clinton County, MI
     Eaton County, MI
     Ingham County, MI
    29700Laredo, TX0.85010.8947
     Webb County, TX
    297402 Las Cruces, NM0.89660.9280
     Dona Ana County, NM
    298201 Las Vegas-Paradise, NV1.14531.0974
     Clark County, NV
    29940Lawrence, KS0.81700.8707
     Douglas County, KS
    30020Lawton, OK0.84060.8879
     Comanche County, OK
    301402 Lebanon, PA0.83390.8830
     Lebanon County, PA
    303002 Lewiston, ID-WA (WA Hospitals)1.05591.0380
     Nez Perce County, ID
     Asotin County, WA
    30300Lewiston, ID-WA (ID Hospitals)0.92260.9463
     Nez Perce County, ID
     Asotin County, WA
    30340Lewiston-Auburn, ME0.92900.9508
     Androscoggin County, ME
    30460Lexington-Fayette, KY0.90030.9306
     Bourbon County, KY
     Clark County, KY
     Fayette County, KY
     Jessamine County, KY
     Scott County, KY
     Woodford County, KY
    30620Lima, OH0.93080.9521
     Allen County, OH
    30700Lincoln, NE0.98730.9913
     Lancaster County, NE
     Seward County, NE
    30780Little Rock-North Little Rock-Conway, AR0.89610.9276
     Faulkner County, AR
     Grant County, AR
     Lonoke County, AR
     Perry County, AR
     Pulaski County, AR
     Saline County, AR
    30860Logan, UT-ID0.92150.9456
     Franklin County, ID
     Cache County, UT
    30980Longview, TX0.88720.9213
     Gregg County, TX
     Rusk County, TX
     Upshur County, TX
    31020Longview, WA1.10281.0693
     Cowlitz County, WA
    3108412 Los Angeles-Long Beach-Glendale, CA1.17361.1159
     Los Angeles County, CA
    311401 Louisville-Jefferson County, KY-IN0.90300.9325
     Clark County, IN
     Floyd County, IN
     Harrison County, IN
     Washington County, IN
     Bullitt County, KY
     Henry County, KY
     Jefferson County, KY
     Meade County, KY
     Nelson County, KY
     Oldham County, KY
     Shelby County, KY
     Spencer County, KY
     Trimble County, KY
    31180Lubbock, TX0.86420.9049
     Crosby County, TX
    Start Printed Page 57711
     Lubbock County, TX
    31340Lynchburg, VA0.86060.9023
     Amherst County, VA
     Appomattox County, VA
     Bedford County, VA
     Campbell County, VA
     Bedford City, VA
     Lynchburg City, VA
    31420Macon, GA0.97490.9827
     Bibb County, GA
     Crawford County, GA
     Jones County, GA
     Monroe County, GA
     Twiggs County, GA
    314602 Madera, CA1.17361.1159
     Madera County, CA
    31540Madison, WI1.11761.0791
     Columbia County, WI
     Dane County, WI
     Iowa County, WI
    317002 Manchester-Nashua, NH1.12601.0847
     Hillsborough County, NH
    31900Mansfield, OH0.92100.9452
     Richland County, OH
    32420Mayagüez, PR0.36570.5021
     Hormigueros Municipio, PR
     Mayagüez Municipio, PR
    32580McAllen-Edinburg-Mission, TX0.91360.9400
     Hidalgo County, TX
    32780Medford, OR1.02981.0203
     Jackson County, OR
    328201 Memphis, TN-MS-AR0.93140.9525
     Crittenden County, AR
     DeSoto County, MS
     Marshall County, MS
     Tate County, MS
     Tunica County, MS
     Fayette County, TN
     Shelby County, TN
     Tipton County, TN
    32900Merced, CA1.19811.1318
     Merced County, CA
    331241 Miami-Miami Beach-Kendall, FL1.00091.0006
     Miami-Dade County, FL
    33140Michigan City-La Porte, IN0.87860.9152
     LaPorte County, IN
    33260Midland, TX0.97120.9802
     Midland County, TX
    333401 Milwaukee-Waukesha-West Allis, WI1.02961.0202
     Milwaukee County, WI
     Ozaukee County, WI
     Washington County, WI
     Waukesha County, WI
    334601 Minneapolis-St. Paul-Bloomington, MN-WI1.08971.0606
     Anoka County, MN
     Carver County, MN
     Chisago County, MN
     Dakota County, MN
     Hennepin County, MN
     Isanti County, MN
     Ramsey County, MN
     Scott County, MN
     Sherburne County, MN
     Washington County, MN
     Wright County, MN
     Pierce County, WI
     St. Croix County, WI
    33540Missoula, MT0.87380.9118
     Missoula County, MT
    33660Mobile, AL0.79480.8545
    Start Printed Page 57712
     Mobile County, AL
    33700Modesto, CA1.20201.1343
     Stanislaus County, CA
    33740Monroe, LA0.78690.8486
     Ouachita Parish, LA
     Union Parish, LA
    33780Monroe, MI0.94700.9634
     Monroe County, MI
    33860Montgomery, AL0.81120.8665
     Autauga County, AL
     Elmore County, AL
     Lowndes County, AL
     Montgomery County, AL
    34060Morgantown, WV0.84080.8880
     Monongalia County, WV
     Preston County, WV
    341002 Morristown, TN0.79180.8523
     Grainger County, TN
     Hamblen County, TN
     Jefferson County, TN
    345802 Mount Vernon-Anacortes, WA1.05591.0380
     Skagit County, WA
    346202 Muncie, IN0.85690.8996
     Delaware County, IN
    34740Muskegon-Norton Shores, MI0.99680.9978
     Muskegon County, MI
    348202 Myrtle Beach-Conway-North Myrtle Beach, SC0.87080.9096
     Horry County, SC
    34900Napa, CA1.39601.2567
     Napa County, CA
    34940Naples-Marco Island, FL0.96190.9737
     Collier County, FL
    349801 Nashville-Davidson-Murfreesboro-Franklin, TN0.96190.9737
     Cannon County, TN
     Cheatham County, TN
     Davidson County, TN
     Dickson County, TN
     Hickman County, TN
     Macon County, TN
     Robertson County, TN
     Rutherford County, TN
     Smith County, TN
     Sumner County, TN
     Trousdale County, TN
     Williamson County, TN
     Wilson County, TN
    350041 Nassau-Suffolk, NY1.28781.1891
     Nassau County, NY
     Suffolk County, NY
    350841 Newark-Union, NJ-PA1.16741.1118
     Essex County, NJ
     Hunterdon County, NJ
     Morris County, NJ
     Sussex County, NJ
     Union County, NJ
     Pike County, PA
    353002 New Haven-Milford, CT1.24331.1608
     New Haven County, CT
    353801 New Orleans-Metairie-Kenner, LA0.87120.9099
     Jefferson Parish, LA
     Orleans Parish, LA
     Plaquemines Parish, LA
     St. Bernard Parish, LA
     St. Charles Parish, LA
     St. John the Baptist Parish, LA
     St. Tammany Parish, LA
    356441 New York-White Plains-Wayne, NY-NJ1.32301.2113
     Bergen County, NJ
     Hudson County, NJ
     Passaic County, NJ
    Start Printed Page 57713
     Bronx County, NY
     Kings County, NY
     New York County, NY
     Putnam County, NY
     Queens County, NY
     Richmond County, NY
     Rockland County, NY
     Westchester County, NY
    35660Niles-Benton Harbor, MI0.91340.9399
     Berrien County, MI
    359802 Norwich-New London, CT1.24331.1608
     New London County, CT
    360841 Oakland-Fremont-Hayward, CA1.53441.3407
     Alameda County, CA
     Contra Costa County, CA
    361002 Ocala, FL0.87330.9114
     Marion County, FL
    361402 Ocean City, NJ1.16171.1081
     Cape May County, NJ
    36220Odessa, TX0.99540.9968
     Ector County, TX
    36260Ogden-Clearfield, UT0.90530.9341
     Davis County, UT
     Morgan County, UT
     Weber County, UT
    364201 Oklahoma City, OK0.87540.9129
     Canadian County, OK
     Cleveland County, OK
     Grady County, OK
     Lincoln County, OK
     Logan County, OK
     McClain County, OK
     Oklahoma County, OK
    36500Olympia, WA1.14201.0952
     Thurston County, WA
    36540Omaha-Council Bluffs, NE-IA0.94740.9637
     Harrison County, IA
     Mills County, IA
     Pottawattamie County, IA
     Cass County, NE
     Douglas County, NE
     Sarpy County, NE
     Saunders County, NE
     Washington County, NE
    367401 Orlando-Kissimmee, FL0.92850.9505
     Lake County, FL
     Orange County, FL
     Osceola County, FL
     Seminole County, FL
    367802 Oshkosh-Neenah, WI0.96840.9783
     Winnebago County, WI
    36980Owensboro, KY0.86980.9089
     Daviess County, KY
     Hancock County, KY
     McLean County, KY
    371002 Oxnard-Thousand Oaks-Ventura, CA1.17361.1159
     Ventura County, CA
    37340Palm Bay-Melbourne-Titusville, FL0.93800.9571
     Brevard County, FL
    37380Palm Coast, FL0.87370.9117
     Flager County, FL
    374602 Panama City-Lynn Haven, FL0.87330.9114
     Bay County, FL
    376202 Parkersburg-Marietta-Vienna, WV-OH (OH Hospitals)0.86970.9088
     Washington County, OH
     Pleasants County, WV
     Wirt County, WV
     Wood County, WV
    37620Parkersburg-Marietta-Vienna, WV-OH (WV Hospitals)0.82590.8772
     Washington County, OH
    Start Printed Page 57714
     Pleasants County, WV
     Wirt County, WV
     Wood County, WV
    37700Pascagoula, MS0.85400.8976
     George County, MS
     Jackson County, MS
    37764Peabody, MA1.06001.0407
     Essex County, MA
    378602 Pensacola-Ferry Pass-Brent, FL0.87330.9114
     Escambia County, FL
     Santa Rosa County, FL
    37900Peoria, IL0.93850.9575
     Marshall County, IL
     Peoria County, IL
     Stark County, IL
     Tazewell County, IL
     Woodford County, IL
    379641 Philadelphia, PA1.08921.0603
     Bucks County, PA
     Chester County, PA
     Delaware County, PA
     Montgomery County, PA
     Philadelphia County, PA
    380601 Phoenix-Mesa-Scottsdale, AZ1.01111.0076
     Maricopa County, AZ
     Pinal County, AZ
    38220Pine Bluff, AR0.81520.8694
     Cleveland County, AR
     Jefferson County, AR
     Lincoln County, AR
    383001 Pittsburgh, PA0.83910.8868
     Allegheny County, PA
     Armstrong County, PA
     Beaver County, PA
     Butler County, PA
     Fayette County, PA
     Washington County, PA
     Westmoreland County, PA
    38340Pittsfield, MA1.00531.0036
     Berkshire County, MA
    38540Pocatello, ID0.91870.9436
     Bannock County, ID
     Power County, ID
    38660Ponce, PR0.42620.5576
     Juana Díaz Municipio, PR
     Ponce Municipio, PR
     Villalba Municipio, PR
    38860Portland-South Portland-Biddeford, ME0.99910.9994
     Cumberland County, ME
     Sagadahoc County, ME
    p;York County, ME
    389001 Portland-Vancouver-Beaverton, OR-WA1.12271.0825
     Clackamas County, OR
     Columbia County, OR
     Multnomah County, OR
     Washington County, OR
     Yamhill County, OR
     Clark County, WA
     Skamania County, WA
    38940Port St. Lucie, FL1.00361.0025
     Martin County, FL
     St. Lucie County, FL
    39100Poughkeepsie-Newburgh-Middletown, NY1.09831.0663
     Dutchess County, NY
     Orange County, NY
    39140Prescott, AZ0.99610.9973
     Yavapai County, AZ
    393001 Providence-New Bedford-Fall River, RI-MA1.05331.0362
     Bristol County, MA
     Bristol County, RI
    Start Printed Page 57715
     Kent County, RI
     Newport County, RI
     Providence County, RI
     Washington County, RI
    39340Provo-Orem, UT0.94810.9642
     Juab County, UT
     Utah County, UT
    393802 Pueblo, CO0.94480.9619
     Pueblo County, CO
    39460Punta Gorda, FL0.95590.9696
     Charlotte County, FL
    395402 Racine, WI0.96840.9783
     Racine County, WI
    39580Raleigh-Cary, NC0.96630.9768
     Franklin County, NC
     Johnston County, NC
     Wake County, NC
    39660Rapid City, SD0.86860.9080
     Meade County, SD
     Pennington County, SD
    39740Reading, PA0.94140.9595
     Berks County, PA
    39820Redding, CA1.28101.1848
     Shasta County, CA
    39900Reno-Sparks, NV1.10631.0716
     Storey County, NV
     Washoe County, NV
    400601 Richmond, VA0.92330.9468
     Amelia County, VA
     Caroline County, VA
     Charles City County, VA
     Chesterfield County, VA
     Cumberland County, VA
     Dinwiddie County, VA
     Goochland County, VA
     Hanover County, VA
     Henrico County, VA
     King and Queen County, VA
     King William County, VA
     Louisa County, VA
     New Kent County, VA
     Powhatan County, VA
     Prince George County, VA
     Sussex County, VA
     Colonial Heights City, VA
     Hopewell City, VA
     Petersburg City, VA
     Richmond City, VA
    4014012 Riverside-San Bernardino-Ontario, CA1.17361.1159
     Riverside County, CA
     San Bernardino County, CA
    40220Roanoke, VA0.88890.9225
     Botetourt County, VA
     Craig County, VA
     Franklin County, VA
     Roanoke County, VA
     Roanoke City, VA
     Salem City, VA
    40340Rochester, MN1.04911.0334
     Dodge County, MN
     Olmsted County, MN
     Wabasha County, MN
    403801 Rochester, NY0.89190.9246
     Livingston County, NY
     Monroe County, NY
     Ontario County, NY
     Orleans County, NY
     Wayne County, NY
    40420Rockford, IL0.98050.9866
     Boone County, IL
    Start Printed Page 57716
     Winnebago County, IL
    404842 Rockingham County-Strafford County, NH1.12601.0847
     Rockingham County, NH
     Strafford County, NH
    40580Rocky Mount, NC0.90080.9310
     Edgecombe County, NC
     Nash County, NC
    40660Rome, GA0.95480.9688
     Floyd County, GA
    409001 Sacramento--Arden-Arcade--Roseville, CA1.30681.2011
     El Dorado County, CA
     Placer County, CA
     Sacramento County, CA
     Yolo County, CA
    40980Saginaw-Saginaw Township North, MI0.91230.9391
     Saginaw County, MI
    41060St. Cloud, MN1.10591.0714
     Benton County, MN
     Stearns County, MN
    41100St. George, UT0.95360.9680
     Washington County, UT
    41140St. Joseph, MO-KS0.88270.9181
     Doniphan County, KS
     Andrew County, MO
     Buchanan County, MO
     DeKalb County, MO
    411801 St. Louis, MO-IL0.89830.9292
     Bond County, IL
     Calhoun County, IL
     Clinton County, IL
     Jersey County, IL
     Macoupin County, IL
     Madison County, IL
     Monroe County, IL
     St. Clair County, IL
     Crawford County, MO
     Franklin County, MO
     Jefferson County, MO
     Lincoln County, MO
     St. Charles County, MO
     St. Louis County, MO
     Warren County, MO
     Washington County, MO
     St. Louis City, MO
    41420Salem, OR1.03981.0271
     Marion County, OR
     Polk County, OR
    41500Salinas, CA1.45941.2955
     Monterey County, CA
    415402 Salisbury, MD0.89120.9242
     Somerset County, MD
     Wicomico County, MD
    41620Salt Lake City, UT0.94740.9637
     Salt Lake County, UT
     Summit County, UT
     Tooele County, UT
    41660San Angelo, TX0.86590.9061
     Irion County, TX
     Tom Green County, TX
    417001 San Antonio, TX0.88960.9230
     Atascosa County, TX
     Bandera County, TX
     Bexar County, TX
     Comal County, TX
     Guadalupe County, TX
     Kendall County, TX
     Medina County, TX
     Wilson County, TX
    4174012 San Diego-Carlsbad-San Marcos, CA1.17361.1159
     San Diego County, CA
    Start Printed Page 57717
    41780Sandusky, OH0.87550.9130
     Erie County, OH
    418841 San Francisco-San Mateo-Redwood City, CA1.48021.3081
     Marin County, CA
     San Francisco County, CA
     San Mateo County, CA
    41900San Germán-Cabo Rojo, PR0.46030.5878
     Cabo Rojo Municipio, PR
     Lajas Municipio, PR
     Sabana Grande Municipio, PR
     San Germán Municipio, PR
    419401 San Jose-Sunnyvale-Santa Clara, CA1.54411.3465
     San Benito County, CA
     Santa Clara County, CA
    419801 San Juan-Caguas-Guaynabo, PR0.45260.5811
     Aguas Buenas Municipio, PR
     Aibonito Municipio, PR
     Arecibo Municipio, PR
     Barceloneta Municipio, PR
     Barranquitas Municipio, PR
     Bayamón Municipio, PR
     Caguas Municipio, PR
     Camuy Municipio, PR
     Canóvanas Municipio, PR
     Carolina Municipio, PR
     Cataño Municipio, PR
     Cayey Municipio, PR
     Ciales Municipio, PR
     Cidra Municipio, PR
     Comerío Municipio, PR
     Corozal Municipio, PR
     Dorado Municipio, PR
     Florida Municipio, PR
     Guaynabo Municipio, PR
     Gurabo Municipio, PR
     Hatillo Municipio, PR
     Humacao Municipio, PR
     Juncos Municipio, PR
     Las Piedras Municipio, PR
     Loíza Municipio, PR
     Manatí Municipio, PR
     Maunabo Municipio, PR
     Morovis Municipio, PR
     Naguabo Municipio, PR
     Naranjito Municipio, PR
     Orocovis Municipio, PR
     Quebradillas Municipio, PR
     Río Grande Municipio, PR
     San Juan Municipio, PR
     San Lorenzo Municipio, PR
     Toa Alta Municipio, PR
     Toa Baja Municipio, PR
     Trujillo Alto Municipio, PR
     Vega Alta Municipio, PR
     Vega Baja Municipio, PR
     Yabucoa Municipio, PR
    42020San Luis Obispo-Paso Robles, CA1.19521.1299
     San Luis Obispo County, CA
    4204412 Santa Ana-Anaheim-Irvine, CA1.17361.1159
     Orange County, CA
    420602 Santa Barbara-Santa Maria-Goleta, CA1.17361.1159
     Santa Barbara County, CA
    42100Santa Cruz-Watsonville, CA1.56691.3601
     Santa Cruz County, CA
    42140Santa Fe, NM1.06831.0463
     Santa Fe County, NM
    42220Santa Rosa-Petaluma, CA1.44701.2879
     Sonoma County, CA
    42260Sarasota-Bradenton-Venice, FL0.97710.9843
     Manatee County, FL
    Start Printed Page 57718
     Sarasota County, FL
    42340Savannah, GA0.88910.9227
     Bryan County, GA
     Chatham County, GA
     Effingham County, GA
    425402 Scranton—Wilkes-Barre, PA0.83460.8835
     Lackawanna County, PA
     Luzerne County, PA
     Wyoming County, PA
    426441 Seattle-Bellevue-Everett, WA1.13631.0914
     King County, WA
     Snohomish County, WA
    42680Sebastian-Vero Beach, FL0.97040.9796
     Indian River County, FL
    431002 Sheboygan, WI0.96840.9783
     Sheboygan County, WI
    43300Sherman-Denison, TX0.85310.8969
     Grayson County, TX
    43340Shreveport-Bossier City, LA0.85520.8984
     Bossier Parish, LA
     Caddo Parish, LA
     De Soto Parish, LA
    43580Sioux City, IA-NE-SD0.90830.9363
     Woodbury County, IA
     Dakota County, NE
     Dixon County, NE
     Union County, SD
    43620Sioux Falls, SD0.95540.9692
     Lincoln County, SD
     McCook County, SD
     Minnehaha County, SD
     Turner County, SD
    43780South Bend-Mishawaka, IN-MI0.96430.9754
     St. Joseph County, IN
     Cass County, MI
    43900Spartanburg, SC0.93950.9582
     Spartanburg County, SC
    440602 Spokane, WA1.05591.0380
     Spokane County, WA
    44100Springfield, IL0.89430.9264
     Menard County, IL
     Sangamon County, IL
    44140Springfield, MA1.04511.0307
     Franklin County, MA
     Hampden County, MA
     Hampshire County, MA
    44180Springfield, MO0.87910.9155
     Christian County, MO
     Dallas County, MO
     Greene County, MO
     Polk County, MO
     Webster County, MO
    442202 Springfield, OH0.86970.9088
     Clark County, OH
    44300State College, PA0.86200.9033
     Centre County, PA
    44700Stockton, CA1.18101.1207
     San Joaquin County, CA
    44940Sumter, SC0.88990.9232
     Sumter County, SC
    45060Syracuse, NY0.99500.9966
     Madison County, NY
     Onondaga County, NY
     Oswego County, NY
    45104Tacoma, WA1.09341.0631
     Pierce County, WA
    45220Tallahassee, FL0.90280.9324
     Gadsden County, FL
     Jefferson County, FL
     Leon County, FL
    Start Printed Page 57719
     Wakulla County, FL
    453001 Tampa-St. Petersburg-Clearwater, FL0.91710.9425
     Hernando County, FL
     Hillsborough County, FL
     Pasco County, FL
     Pinellas County, FL
    45460Terre Haute, IN0.88240.9179
     Clay County, IN
     Sullivan County, IN
     Vermillion County, IN
     Vigo County, IN
    455002 Texarkana, TX-Texarkana, AR (TX Hospitals)0.81980.8728
     Miller County, AR
     Bowie County, TX
    45500Texarkana, TX-Texarkana, AR (AR Hospitals)0.77820.8422
     Miller County, AR
     Bowie County, TX
    45780Toledo, OH0.92690.9493
     Fulton County, OH
     Lucas County, OH
     Ottawa County, OH
     Wood County, OH
    45820Topeka, KS0.85570.8988
     Jackson County, KS
     Jefferson County, KS
     Osage County, KS
     Shawnee County, KS
     Wabaunsee County, KS
    459402 Trenton-Ewing, NJ1.16171.1081
     Mercer County, NJ
    46060Tucson, AZ0.94170.9597
     Pima County, AZ
    46140Tulsa, OK0.84980.8945
     Creek County, OK
     Okmulgee County, OK
     Osage County, OK
     Pawnee County, OK
     Rogers County, OK
     Tulsa County, OK
     Wagoner County, OK
    46220Tuscaloosa, AL0.85310.8969
     Greene County, AL
     Hale County, AL
     Tuscaloosa County, AL
    46340Tyler, TX0.91820.9432
     Smith County, TX
    46540Utica-Rome, NY0.87740.9143
     Herkimer County, NY
     Oneida County, NY
    46660Valdosta, GA0.82040.8732
     Brooks County, GA
     Echols County, GA
     Lanier County, GA
     Lowndes County, GA
    46700Vallejo-Fairfield, CA1.44331.2857
     Solano County, CA
    470202 Victoria, TX0.81980.8728
     Calhoun County, TX
     Goliad County, TX
     Victoria County, TX
    47220Vineland-Millville-Bridgeton, NJ1.16171.1081
     Cumberland County, NJ
    472601 Virginia Beach-Norfolk-Newport News, VA-NC0.87770.9145
     Currituck County, NC
     Gloucester County, VA
     Isle of Wight County, VA
     James City County, VA
     Mathews County, VA
     Surry County, VA
     York County, VA
    Start Printed Page 57720
     Chesapeake City, VA
     Hampton City, VA
     Newport News City, VA
     Norfolk City, VA
     Poquoson City, VA
     Portsmouth City, VA
     Suffolk City, VA
     Virginia Beach City, VA
     Williamsburg City, VA
    473002 Visalia-Porterville, CA1.17361.1159
     Tulare County, CA
    47380Waco, TX0.85940.9014
     McLennan County, TX
    47580Warner Robins, GA0.96140.9734
     Houston County, GA
    476441 Warren-Troy-Farmington Hills, MI1.00341.0023
     Lapeer County, MI
     Livingston County, MI
     Macomb County, MI
     Oakland County, MI
     St. Clair County, MI
    478941 Washington-Arlington-Alexandria, DC-VA-MD-WV1.06761.0458
     District of Columbia, DC
     Calvert County, MD
     Charles County, MD
     Prince George's County, MD
     Arlington County, VA
     Clarke County, VA
     Fairfax County, VA
     Fauquier County, VA
     Loudoun County, VA
     Prince William County, VA
     Spotsylvania County, VA
     Stafford County, VA
     Warren County, VA
     Alexandria City, VA
     Fairfax City, VA
     Falls Church City, VA
     Fredericksburg City, VA
     Manassas City, VA
     Manassas Park City, VA
     Jefferson County, WV
    47940Waterloo-Cedar Falls, IA0.87200.9105
     Black Hawk County, IA
     Bremer County, IA
     Grundy County, IA
    48140Wausau, WI1.00051.0003
     Marathon County, WI
    482602 Weirton-Steubenville, WV-OH (OH Hospitals)0.86970.9088
     Jefferson County, OH
     Brooke County, WV
     Hancock County, WV
    48260Weirton-Steubenville, WV-OH (WV Hospitals)0.78890.8501
     Jefferson County, OH
     Brooke County, WV
     Hancock County, WV
    48300Wenatchee, WA1.12761.0857
     Chelan County, WA
     Douglas County, WA
    484241 West Palm Beach-Boca Raton-Boynton Beach, FL0.95770.9708
     Palm Beach County, FL
    485402 Wheeling, WV-OH (OH Hospitals)0.86970.9088
     Belmont County, OH
     Marshall County, WV
     Ohio County, WV
    485402 Wheeling, WV-OH (WV Hospitals)0.75680.8263
     Belmont County, OH
     Marshall County, WV
     Ohio County, WV
    48620Wichita, KS0.89390.9261
    Start Printed Page 57721
     Butler County, KS
     Harvey County, KS
     Sedgwick County, KS
     Sumner County, KS
    48660Wichita Falls, TX0.82030.8731
     Archer County, TX
     Clay County, TX
     Wichita County, TX
    487002 Williamsport, PA0.83390.8830
     Lycoming County, PA
    48864Wilmington, DE-MD-NJ (DE, MD Hospitals)1.06671.0452
     New Castle County, DE
     Cecil County, MD
     Salem County, NJ
    488642 Wilmington, DE-MD-NJ (NJ Hospitals)1.16171.1081
     New Castle County, DE
     Cecil County, MD
     Salem County, NJ
    48900Wilmington, NC0.93260.9533
     Brunswick County, NC
     New Hanover County, NC
     Pender County, NC
    49020Winchester, VA-WV0.98460.9894
     Frederick County, VA
     Winchester City, VA
     Hampshire County, WV
    49180Winston-Salem, NC0.90780.9359
     Davie County, NC
     Forsyth County, NC
     Stokes County, NC
     Yadkin County, NC
    49340Worcester, MA1.13551.0909
     Worcester County, MA
    494202 Yakima, WA1.05591.0380
     Yakima County, WA
    49500Yauco, PR0.32010.4584
     Guánica Municipio, PR
     Guayanilla Municipio, PR
     Peñuelas Municipio, PR
     Yauco Municipio, PR
    49620York-Hanover, PA0.94260.9603
     York County, PA
    49660Youngstown-Warren-Boardman, OH-PA0.89920.9298
     Mahoning County, OH
     Trumbull County, OH
     Mercer County, PA
    497002 Yuba City, CA1.17361.1159
     Sutter County, CA
     Yuba County, CA
    49740Yuma, AZ1.00861.0059
     Yuma County, AZ
    Start Amendment Part

    15. On pages 47526 through 47527, in Table 4B.—Wage Index and Capital Geographic Adjustment (GAF) for Rural Areas By CBSA, the table is corrected to read as follows:

    End Amendment Part

    Table 4B.—Wage Index and Capital Geographic Adjustment (GAF) for Rural Areas by CBSA—FY 2008

    CBSA codeNonurban areaWage indexGAF
    01Alabama0.75670.8262
    02Alaska1.20841.1384
    03Arizona0.88550.9201
    04Arkansas0.75160.8224
    05California1.17361.1159
    06Colorado0.94480.9619
    07Connecticut1.24331.1608
    Start Printed Page 57722
    08Delaware1.01051.0072
    10Florida0.87330.9114
    11Georgia0.78610.8481
    12Hawaii1.07411.0502
    13Idaho0.78180.8449
    14Illinois0.83460.8835
    15Indiana0.85690.8996
    16Iowa0.84760.8929
    17Kansas0.79800.8568
    18Kentucky0.78100.8443
    19Louisiana0.75860.8276
    20Maine0.84090.8881
    21Maryland0.89120.9242
    22Massachusetts0.97060.9798
    23Michigan0.89090.9239
    24Minnesota0.91140.9384
    25Mississippi0.77520.8400
    26Missouri0.81530.8695
    27Montana0.83360.8828
    28Nebraska0.88470.9195
    29Nevada0.97020.9795
    30New Hampshire1.12601.0847
    31New Jersey11.16171.1081
    32New Mexico0.89660.9280
    33New York0.83520.8840
    34North Carolina0.86040.9022
    35North Dakota0.73090.8068
    36Ohio0.86970.9088
    37Oklahoma0.77020.8363
    38Oregon0.99570.9971
    39Pennsylvania0.83390.8830
    40Puerto Rico1
    41Rhode Island1
    42South Carolina0.87080.9096
    43South Dakota0.83440.8834
    44Tennessee0.79180.8523
    45Texas0.81980.8728
    46Utah0.82150.8740
    47Vermont1.03881.0264
    49Virginia0.80740.8637
    50Washington1.05591.0380
    51West Virginia0.75680.8263
    52Wisconsin0.96840.9783
    53Wyoming0.91640.9420
    Start Amendment Part

    15a. On pages 47527 through 47530, in Table 4C.—Wage Index and Capital Geographic Adjustment (GAF) for Hospitals That are Reclassified by CBSA, the table is corrected to read as follows:

    End Amendment Part

    Table 4C.—Wage Index and Capital Geographic Adjustment Factor (GAF) for Hospitals That Are Reclassified By CBSA—FY 2008

    CBSA codeAreaWage indexGAF
    10500Albany, GA0.86670.9067
    10580Albany-Schenectady-Troy, NY0.86680.9067
    10740Albuquerque, NM0.97260.9812
    10780Alexandria, LA0.79780.8567
    10900Allentown-Bethlehem-Easton, PA-NJ1.00041.0003
    11100Amarillo, TX0.91520.9411
    11180Ames, IA0.92230.9461
    11260Anchorage, AK1.20841.1384
    11460Ann Arbor, MI1.01441.0098
    11500Anniston-Oxford, AL0.79760.8565
    12060Atlanta-Sandy Springs-Marietta, GA0.98130.9872
    12260Augusta-Richmond County, GA-SC0.95990.9724
    12420Austin-Round Rock, TX0.95020.9656
    12580Baltimore-Towson, MD1.00311.0021
    Start Printed Page 57723
    12620Bangor, ME0.98820.9919
    12940Baton Rouge, LA0.80100.8590
    13020Bay City, MI0.93940.9581
    13644Bethesda-Gaithersburg-Frederick, MD1.10171.0686
    13780Binghamton, NY0.87750.9144
    13820Birmingham-Hoover, AL0.86900.9108
    13900Bismarck, ND0.73110.8070
    13980Blacksburg-Christiansburg-Radford, VA0.77330.8386
    14020Bloomington, IN0.88240.9179
    14484Boston-Quincy, MA1.13041.0876
    14740Bremerton-Silverdale, WA1.08211.0555
    14860Bridgeport-Stamford-Norwalk, CT1.23421.1550
    15380Buffalo-Niagara Falls, NY0.95890.9717
    15540Burlington-South Burlington, VT0.95850.9714
    15940Canton-Massillon, OH0.88070.9167
    16180Carson City, NV0.97020.9795
    16620Charleston, WV0.83940.8870
    16700Charleston-North Charleston, SC0.91020.9376
    16740Charlotte-Gastonia-Concord, NC-SC0.93420.9545
    16820Charlottesville, VA0.91610.9418
    16860Chattanooga, TN-GA0.89630.9278
    16974Chicago-Naperville-Joliet, IL1.04721.0321
    17140Cincinnati-Middletown, OH-KY-IN0.96610.9767
    17300Clarksville, TN-KY0.80960.8653
    17460Cleveland-Elyria-Mentor, OH0.92160.9456
    17820Colorado Springs, CO0.94670.9632
    17860Columbia, MO0.85380.8974
    17980Columbus, GA-AL0.85880.9010
    18140Columbus, OH0.98210.9877
    18700Corvallis, OR1.03161.0215
    19124Dallas-Plano-Irving, TX0.96810.9780
    19340Davenport-Moline-Rock Island, IA-IL0.88940.9229
    19380Dayton, OH0.92790.9500
    19460Decatur, AL0.78320.8459
    19740Denver-Aurora, CO1.04551.0309
    19804Detroit-Livonia-Dearborn, MI1.00961.0066
    20100Dover, DE1.01051.0072
    20260Duluth, MN-WI0.99560.9970
    20500Durham, NC0.97390.9821
    20764Edison, NJ1.16171.1081
    21060Elizabethtown, KY0.79790.8568
    21500Erie, PA0.83520.8840
    21660Eugene-Springfield, OR1.07081.0480
    21780Evansville, IN-KY (KY Hospitals)0.81230.8673
    21780Evansville, IN-KY (IN Hospitals)0.85690.8996
    22020Fargo, ND-MN0.79440.8542
    22180Fayetteville, NC0.95940.9720
    22220Fayetteville-Springdale-Rogers, AR-MO0.87150.9101
    22380Flagstaff, AZ1.11871.0798
    22420Flint, MI1.02441.0166
    22520Florence-Muscle Shoals, AL0.77520.8400
    22540Fond du Lac, WI0.97160.9805
    22660Fort Collins-Loveland, CO0.95800.9710
    22744Fort Lauderdale-Pompano Beach-Deerfield Beach, FL1.02481.0169
    23020Fort Walton Beach-Crestview-Destin, FL0.87330.9114
    23060Fort Wayne, IN0.90410.9333
    23104Fort Worth-Arlington, TX0.96370.9750
    23540Gainesville, FL0.93020.9517
    23844Gary, IN0.92420.9475
    24300Grand Junction, CO1.01361.0093
    24340Grand Rapids-Wyoming, MI0.93740.9567
    24500Great Falls, MT0.87610.9134
    24540Greeley, CO0.97450.9825
    24580Green Bay, WI (MI Hospitals)0.93570.9555
    24580Green Bay, WI (WI Hospitals)0.96840.9783
    24660Greensboro-High Point, NC0.91070.9380
    24780Greenville, NC0.92680.9493
    24860Greenville-Mauldin-Easley, SC0.94040.9588
    25060Gulfport-Biloxi, MS0.82170.8742
    25420Harrisburg-Carlisle, PA0.91160.9386
    Start Printed Page 57724
    25540Hartford-West Hartford-East Hartford, CT (CT Hospitals)1.24331.1608
    25540Hartford-West Hartford-East Hartford, CT (MA Hospitals)1.10261.0692
    25860Hickory-Lenoir-Morganton, NC0.88150.9173
    26180Honolulu, HI1.13061.0877
    26420Houston-Sugar Land-Baytown, TX0.99970.9998
    26580Huntington-Ashland, WV-KY-OH0.87250.9108
    26620Huntsville, AL0.87250.9040
    26820Idaho Falls, ID0.92730.9496
    26900Indianapolis-Carmel, IN0.95900.9717
    26980Iowa City, IA0.91380.9401
    27060Ithaca, NY0.97100.9800
    27140Jackson, MS0.79510.8547
    27180Jackson, TN0.84350.8900
    27260Jacksonville, FL0.90890.9367
    27620Jefferson City, MO0.87030.9093
    27780Johnstown, PA0.83390.8830
    27860Jonesboro, AR0.85030.8949
    27900Joplin, MO0.89670.9281
    28020Kalamazoo-Portage, MI1.01471.0100
    28140Kansas City, MO-KS0.93190.9528
    28420Kennewick-Richland-Pasco, WA (ID Hospitals)0.96150.9735
    28420Kennewick-Richland-Pasco, WA (WA Hospitals)1.05591.0380
    28700Kingsport-Bristol-Bristol, TN-VA0.78100.8443
    28740Kingston, NY0.92710.9495
    28940Knoxville, TN0.80130.8592
    29180Lafayette, LA0.83230.8819
    29404Lake County-Kenosha County, IL-WI1.05831.0396
    29460Lakeland, FL0.88350.9187
    29540Lancaster, PA0.96500.9759
    29620Lansing-East Lansing, MI0.99070.9936
    29740Las Cruces, NM0.89660.9280
    29820Las Vegas-Paradise, NV1.12231.0822
    30020Lawton, OK0.80710.8635
    30460Lexington-Fayette, KY0.87970.9160
    30620Lima, OH0.93080.9521
    30700Lincoln, NE0.96270.9743
    30780Little Rock-North Little Rock-Conway, AR0.87250.9108
    30860Logan, UT-ID0.92150.9456
    30980Longview, TX0.88720.9213
    31084Los Angeles-Long Beach-Santa Ana, CA1.17361.1159
    31140Louisville-Jefferson County, KY-IN0.90300.9325
    31340Lynchburg, VA0.86060.9023
    31420Macon, GA0.95680.9702
    31540Madison, WI1.09971.0672
    31700Manchester-Nashua, NH1.12601.0847
    32780Medford, OR1.01471.0100
    32820Memphis, TN-MS-AR0.89640.9278
    33124Miami-Miami Beach-Kendall, FL1.00091.0006
    33340Milwaukee-Waukesha-West Allis, WI1.02961.0202
    33460Minneapolis-St. Paul-Bloomington, MN-WI1.08971.0606
    33540Missoula, MT0.87380.9118
    33700Modesto, CA1.20201.1343
    33740Monroe, LA0.77650.8409
    33860Montgomery, AL0.81120.8665
    34060Morgantown, WV0.82560.8770
    34740Muskegon-Norton Shores, MI0.94750.9637
    34820Myrtle Beach-Conway-North Myrtle Beach, SC0.87080.9096
    34980Nashville-Davidson-Murfreesboro-Franklin, TN0.93640.9560
    35004Nassau-Suffolk, NY1.26261.1731
    35084Newark-Union, NJ-PA (NJ Hospitals)1.16171.1081
    35084Newark-Union, NJ-PA (PA, NY Hospitals)1.15711.1051
    35300New Haven-Milford, CT1.24331.1608
    35380New Orleans-Metairie-Kenner, LA0.87120.9099
    35644New York-White Plains-Wayne, NY-NJ1.30031.1970
    35980Norwich-New London, CT1.17331.1157
    36084Oakland-Fremont-Hayward, CA1.53441.3407
    36140Ocean City, NJ1.04991.0339
    36220Odessa, TX0.95230.9671
    36420Oklahoma City, OK0.87540.9129
    36500Olympia, WA1.12881.0865
    Start Printed Page 57725
    36740Orlando-Kissimmee, FL0.91710.9425
    37700Pascagoula, MS0.85400.8976
    37860Pensacola-Ferry Pass-Brent, FL0.81230.8673
    37900Peoria, IL0.92260.9463
    37964Philadelphia, PA (DE, PA Hospitals)1.07661.0518
    37964Philadelphia, PA (NJ Hospitals)1.16171.1081
    38220Pine Bluff, AR0.79560.8551
    38300Pittsburgh, PA (PA, WV Hospitals)0.83910.8868
    38300Pittsburgh, PA (OH Hospitals)0.86970.9088
    38340Pittsfield, MA1.03881.0264
    38860Portland-South Portland-Biddeford, ME0.95900.9717
    38900Portland-Vancouver-Beaverton, OR-WA1.12271.0825
    38940Port St. Lucie, FL0.98520.9898
    39100Poughkeepsie-Newburgh-Middletown, NY1.07631.0516
    39140Prescott, AZ0.95770.9708
    39340Provo-Orem, UT0.93800.9571
    39580Raleigh-Cary, NC0.94750.9637
    39740Reading, PA0.94140.9595
    39820Redding, CA1.26521.1748
    39900Reno-Sparks, NV1.08521.0576
    40060Richmond, VA0.92330.9468
    40220Roanoke, VA0.87460.9123
    40340Rochester, MN1.04911.0334
    40380Rochester, NY0.89190.9246
    40420Rockford, IL0.97040.9796
    40484Rockingham County, NH1.01741.0119
    40660Rome, GA0.93880.9577
    40900Sacramento—Arden-Arcade—Roseville, CA1.29191.1917
    40980Saginaw-Saginaw Township North, MI0.89750.9286
    41060St. Cloud, MN1.03231.0220
    41100St. George, UT0.95360.9680
    41140St. Joseph, MO-KS0.88270.9181
    41180St. Louis, MO-IL0.89830.9292
    41620Salt Lake City, UT0.94740.9637
    41700San Antonio, TX0.88960.9230
    41884San Francisco-San Mateo-Redwood City, CA1.48021.3081
    41980San Juan-Caguas-Guaynabo, PR0.45260.5811
    42044Santa Ana-Anaheim-Irvine, CA1.17361.1159
    42140Santa Fe, NM1.03801.0259
    42220Santa Rosa-Petaluma, CA1.41471.2682
    42260Sarasota-Bradenton-Venice, FL0.97710.9843
    42340Savannah, GA0.88910.9227
    42644Seattle-Bellevue-Everett, WA1.12091.0813
    43300Sherman-Denison, TX0.85310.8969
    43340Shreveport-Bossier City, LA0.85520.8984
    43580Sioux City, IA-NE-SD0.88470.9195
    43620Sioux Falls, SD0.93730.9566
    43780South Bend-Mishawaka, IN-MI0.95040.9658
    43900Spartanburg, SC0.93950.9582
    44060Spokane, WA1.02271.0155
    44180Springfield, MO0.86200.9033
    44940Sumter, SC0.87080.9096
    45060Syracuse, NY0.96030.9726
    45220Tallahassee, FL0.84540.8914
    45300Tampa-St. Petersburg-Clearwater, FL0.91710.9425
    45500Texarkana, TX-Texarkana, AR0.77820.8422
    45780Toledo, OH0.92690.9493
    45820Topeka, KS0.84520.8912
    46140Tulsa, OK0.84980.8945
    46220Tuscaloosa, AL0.81620.8702
    46340Tyler, TX0.91820.9432
    46700Vallejo-Fairfield, CA1.42681.2756
    47260Virginia Beach-Norfolk-Newport News, VA0.87770.9145
    47894Washington-Arlington-Alexandria, DC-VA1.06761.0458
    48140Wausau, WI1.00051.0003
    48620Wichita, KS0.87180.9103
    48700Williamsport, PA0.83390.8830
    48864Wilmington, DE-MD-NJ (NJ Hospitals)1.16171.1081
    48864Wilmington, DE-MD-NJ (DE Hospitals)1.06671.0452
    48900Wilmington, NC0.91570.9415
    Start Printed Page 57726
    49180Winston-Salem, NC0.90780.9359
    49340Worcester, MA1.12601.0847
    49660Youngstown-Warren-Boardman, OH-PA0.86980.9089
    04Rural Arkansas0.75860.8276
    05Rural California1.17361.1159
    07Rural Connecticut1.24331.1608
    10Rural Florida0.87330.9114
    14Rural Illinois0.83460.8835
    16Rural Iowa0.84760.8929
    17Rural Kansas0.79800.8568
    22Rural Massachusetts0.97060.9798
    23Rural Michigan0.89090.9239
    24Rural Minnesota0.91140.9384
    25Rural Mississippi0.77520.8400
    26Rural Missouri0.81530.8695
    29Rural Nevada0.87070.9095
    30Rural New Hampshire1.05331.0362
    33Rural New York0.83520.8840
    34Rural North Carolina0.86040.9022
    36Rural Ohio0.86970.9088
    37Rural Oklahoma0.77020.8363
    38Rural Oregon0.99570.9971
    39Rural Pennsylvania (PA Hospitals)0.83390.8830
    39Rural Pennsylvania (NY Hospitals)0.83520.8840
    44Rural Tennessee0.79180.8523
    45Rural Texas0.81980.8728
    47Rural Vermont0.94280.9605
    49Rural Virginia0.80740.8637
    50Rural Washington1.05591.0380
    53Rural Wyoming0.90100.9311
    Start Amendment Part

    16. On pages 47531 through 47539, Table 4J.—Out-Migration Adjustment—FY 2008 is corrected by—

    End Amendment Part Start Amendment Part

    a. Adding the following entries (in numerical order):

    End Amendment Part

    Table 4J.—Out-Migration Adjustment—FY 2008

    Provider No.Reclassified for FY 2008Out-migration adjustmentQualifying county nameCounty code
    3900560.0036HUNTINGDON39380
    390110*0.0003CAMBRIA39160
    3901170.0002BEDFORD39100
    3901250.0022WAYNE39760
    390130*0.0003CAMBRIA39160
    Start Amendment Part

    b. Correcting the following entries:

    End Amendment Part
    Provider No.Reclassified for FY 2008Out-migration adjustmentQualifying county nameCounty code
    010022*0.1128CHEROKEE01090
    0100610.0542JACKSON01350
    0101100.0215BULLOCK01050
    010158*0.0023FRANKLIN01290
    040014*0.0199WHITE04720
    040071*0.0149JEFFERSON04340
    040100*0.0199WHITE04720
    1800700.0240GRAYSON18420
    1900440.0261ACADIA19000
    190106*0.0102ALLEN19010
    1901330.0102ALLEN19010
    230021*0.0101BERRIEN23100
    230078*0.0101BERRIEN23100
    Start Printed Page 57727
    330008*0.0126WYOMING33900
    3300100.0067MONTGOMERY33380
    3300330.0223CHENANGO33080
    3300470.0067MONTGOMERY33380
    330073*0.0151GENESEE33290
    330094*0.0503COLUMBIA33200
    330103*0.0131CATTARAUGUS33040
    3301320.0131CATTARAUGUS33040
    3301750.0260CORTLAND33210
    330235*0.0306CAYUGA33050
    3302760.0036FULTON33280
    330386*0.0745SULLIVAN33710
    3600020.0141ASHLAND36020
    360125*0.0133ASHTABULA36030
    360245*0.0133ASHTABULA36030
    370015*0.0366MAYES37480
    3701690.0163MCINTOSH37450
    3701720.0258LATIMER37380
    3702140.0121GARVIN37240
    380022*0.0067LINN38210
    3800290.0075MARION38230
    3800510.0075MARION38230
    3800560.0075MARION38230
    3900080.0060LAWRENCE39450
    390016*0.0060LAWRENCE39450
    3900520.0047CLEARFIELD39230
    390065*0.0532ADAMS39000
    390113*0.0053CRAWFORD39260
    3901220.0053CRAWFORD39260
    390138*0.0218FRANKLIN39350
    3901460.0022WARREN39740
    3901500.0031GREENE39370
    390151*0.0218FRANKLIN39350
    3902010.1170MONROE39550
    3902360.0003BRADFORD39130
    4500900.0650COOKE45340
    4502100.0151PANOLA45842
    4502360.0389HOPKINS45654
    450395*0.0441POLK45850
    4504510.0536SOMERVELL45893
    4505730.0126JASPER45690
    450596*0.0743HOOD45653
    450770*0.0182MILAM45795
    4508380.0126JASPER45690
    4600170.0383BOX ELDER46010
    460039*0.0383BOX ELDER46010
    4901100.0185MONTGOMERY49600
    510018*0.0188JACKSON51170
    Start Amendment Part

    17. On page 47543, in Table 5.—List of Proposed Medicare Severity-Diagnosis Related Groups (MS-DRGs), Relative Weighting Factors, and Geometric and Arithmetic Mean Length of Stay, 9th through 10th lines from the bottom (MS-DRG 237), the MS-DRG title “Major cardiovasc procedures w MCC or thoracic aortic anuerysm repair” is corrected to read “Major cardiovasc procedures w MCC or thoracic aortic aneurysm repair”.

    End Amendment Part Start Amendment Part

    18. On pages 48127 through 48138, Table 9A.—Hospital Reclassifications and Redesignations—FY 2008, is corrected by—

    End Amendment Part Start Amendment Part

    a. Adding the following entries (in numerical order):

    End Amendment Part

    Table 9A.—Hospital Reclassifications And Redesignations—FY 2008

    Provider No.Geographic CBSAReclassified CBSALUGAR
    3400853424660LUGAR
    3400963424660LUGAR
    Start Amendment Part

    b. Correcting the following entries: Start Printed Page 57728

    End Amendment Part
    Provider No.Geographic CBSAReclassified CBSALUGAR
    0100050113820
    0100830137860
    1002521038940
    1600641624
    1801161814
    2300694764422420
    2302794764422420
    3000193049340
    3900163949660
    4200684212260
    Start Amendment Part

    c. Deleting the following entries:

    End Amendment Part
    Provider No.Geographic CBSAReclassified CBSALUGAR
    0700040725540
    Start Amendment Part

    19. On page 48138, in Table 9C—Hospitals Redesignated as Rural Under Section 1886(D)(8)(E) of the Act—FY 2008,

    End Amendment Part Start Amendment Part

    a. Adding the following entry:

    End Amendment Part

    Table 9C.—Hospitals Redesignated as Rural Under Section 1886( d )(8)(E) of the Act—FY 2008

    Provider No.Geographic CBSARedesignated rural area
    0700040707
    Start Amendment Part

    b. Deleting the following entries:

    End Amendment Part
    Provider No.Geographic CBSARedesignated rural area
    2501263282025
    3300444654033
    3902013939
    Start Amendment Part

    20. On pages 48139 through 48143, in Table 10—Geometric Mean Plus the Lesser of .75 of the National Adjusted Operating Standardized Payment Amount (Increased to Reflect the Difference Between Costs and Charges) or .75 of One Standard Deviation of Mean Charges By Medicare Severity-Diagnosis-Related Group (MS-DRG) September 2007, the table is corrected to read as follows:

    End Amendment Part

    Table 10.—Geometric Mean Plus the Lesser of .75 of the National Adjusted Operating Standardized Payment Amount (Increased To Reflect the Difference Between Costs and Charges) or .75 of One Standard Deviation of Mean Charges by Medicare Severity—Diagnosis-Related Group (MS-DRG) September 2007 1

    MS-DRGNumber of casesThreshold
    1652$344,965
    2335178,077
    324,400248,253
    421,825149,223
    5634167,698
    629692,300
    7378134,541
    858392,291
    91,38897,033
    1018273,439
    111,29771,629
    121,95651,548
    131,47636,934
    20910138,395
    21566108,059
    2224974,798
    233,56481,017
    242,16857,349
    258,49377,708
    2612,05952,345
    2714,19141,279
    281,62374,162
    293,08945,892
    303,59229,994
    Start Printed Page 57729
    311,06160,319
    323,06435,473
    334,23728,788
    3482158,366
    352,91141,559
    367,45436,536
    374,80351,760
    3816,53132,783
    3953,61923,940
    404,58557,534
    418,00539,475
    425,21634,225
    521,18829,314
    5359021,941
    544,75030,207
    5516,94524,914
    567,80028,293
    5748,66518,154
    5879628,685
    592,67621,475
    604,24016,415
    611,36853,021
    622,32041,994
    631,15036,278
    6456,44833,838
    65115,42326,274
    6691,64419,975
    671,40330,784
    6812,51221,801
    69104,32517,613
    707,16533,363
    7110,28326,043
    725,81119,097
    738,72827,006
    7432,76019,857
    751,22933,940
    7686122,530
    771,11233,089
    781,38623,660
    7989618,688
    802,09524,178
    818,25015,979
    821,66434,222
    832,07028,410
    842,52721,042
    855,38334,770
    8610,92126,131
    8711,82718,483
    8873030,524
    892,83622,350
    903,28516,402
    916,76329,348
    9215,46720,636
    9315,04315,988
    941,53355,249
    951,10141,885
    9674935,508
    971,26650,367
    981,06535,770
    9963729,993
    10016,01228,452
    10157,31217,754
    1021,37324,462
    10315,19915,977
    11359231,352
    11459319,667
    1151,11025,665
    11671523,533
    1171,40615,540
    12160921,777
    12266612,422
    1232,86517,881
    12468424,196
    1254,74215,308
    1291,40138,048
    1301,06327,826
    13189536,601
    13291026,200
    1332,05731,609
    1343,78119,478
    13543034,407
    13650321,916
    13784726,988
    13892617,071
    1391,71019,625
    14669635,189
    1471,45725,199
    14892417,390
    14939,48714,828
    15094525,221
    1516,84012,717
    1522,36322,142
    15316,16714,126
    1541,85728,005
    1554,43120,298
    1564,96914,819
    1571,16428,366
    1583,15819,955
    1592,36514,144
    16313,50278,295
    16418,48447,951
    16514,26737,896
    16620,39857,263
    16721,07439,812
    1685,55530,190
    17512,03233,115
    17640,33025,127
    17757,52635,853
    17872,49729,843
    17926,49523,293
    18022,62833,006
    18132,42526,930
    1826,08521,762
    1831,67929,882
    1844,27921,041
    1852,60714,730
    1868,58631,506
    18710,36225,623
    1884,84019,425
    189105,00928,871
    19057,36127,668
    191126,60822,656
    192193,79817,011
    19388,63729,440
    194274,00223,196
    195142,47616,909
    1965,17330,804
    1977,08725,433
    1984,82219,617
    1993,27933,336
    2008,32123,384
    2013,47016,338
    20232,84919,060
    20340,99013,891
    20426,24416,200
    2055,81626,183
    20622,61517,512
    20746,39481,116
    20879,79741,198
    215154151,759
    2168,437161,665
    2177,940116,686
    2182,96397,861
    21910,112131,295
    22014,30293,766
    2217,64481,206
    2222,862150,230
    2235,774116,590
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    Start Printed Page 57730
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    Start Printed Page 57731
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    Start Printed Page 57732
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    Start Printed Page 57733
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    Start Amendment Part

    21. On pages 48143 in Table 11—FY 2008 MS-LTC-DRGs, Relative Weights, Geometric Average Length of Stay, Short-Stay Outlier Threshold, and IPPS Comparable Threshold, line 13 (MS-LTC-DRG 010) is corrected as follows:

    End Amendment Part
    MS-LTC-DRGMS-DRG titleFY 2006 LTCH casesRelative weight1Geometric average length of stayShort stay outlier threshold 2IPPS comparable threshold 3
    010Pancreas transplant00.00000.00.00.0
    Start Amendment Part

    22. On page 48157, 2nd column, 1st partial paragraph, line 6, the figure “$3.8” is corrected to read “$4.0”.

    End Amendment Part Start Amendment Part

    23. On page 48159, 1st column, 5th full paragraph, line 5, the figure “3.5” is corrected to read “3.7”.

    End Amendment Part Start Amendment Part

    24. On page 48161, in Table I—Impact Analysis of Changes for FY 2008, column 12 and listed footnotes are corrected to read as follows:

    End Amendment Part

    Table I.—Impact Analysis of Changes for FY 2008

    Corrected all FY 2008 changes w/CMI adjustment and estimated growth12 (12)
    All Hospitals3.7
    By Geographic Location:
    Urban hospitals3.9
    Large urban areas4.3
    Other urban areas3.3
    Rural hospitals2.4
    Bed Size (Urban):
    0-99 beds2.2
    100-199 beds3.6
    200-299 beds3.8
    300-499 beds4.2
    500 or more beds4.1
    Bed Size (Rural):
    0-49 beds1.3
    50-99 beds2.4
    100-149 beds2.5
    150-199 beds2.5
    200 or more beds3.1
    Urban by Region:
    New England3.7
    Middle Atlantic3.5
    South Atlantic4
    East North Central3.7
    East South Central3.3
    West North Central3.6
    West South Central3.8
    Mountain3.8
    Pacific5.2
    Puerto Rico4.1
    Rural by Region:
    New England2.4
    Middle Atlantic2.6
    South Atlantic2.8
    East North Central2.7
    East South Central2.1
    West North Central2.6
    West South Central0.9
    Mountain3.2
    Pacific4.2
    By Payment Classification:
    Urban hospitals3.9
    Large urban areas4.3
    Other urban areas3.3
    Rural areas2.5
    Teaching Status:
    Nonteaching3.3
    Fewer than 100 residents3.8
    100 or more residents4.4
    Urban DSH:
    Non-DSH3
    100 or more beds4.1
    Less than 100 beds3.1
    Rural DSH:
    SCH2.9
    RRC2.5
    100 or more beds2.6
    Less than 100 beds1.4
    Urban teaching and DSH:
    Both teaching and DSH4.2
    Teaching and no DSH3.2
    No teaching and DSH3.8
    No teaching and no DSH2.9
    Special Hospital Types:
    RRC2.7
    SCH2.5
    MDH3.2
    SCH and RRC2.9
    MDH and RRC2.6
    Type of Ownership:
    Voluntary3.6
    Proprietary4
    Government3.9
    Medicare Utilization as a Percent of Inpatient Days:
    0-255.5
    25-504.3
    50-653.1
    Over 652.5
    FY 2008 Reclassifications by the Medicare Geographic Classification Review Board:
    All Reclassified Hospitals3.4
    Non-Reclassified Hospitals3.8
    Urban Hospitals Reclassified3.7
    Urban Nonreclassified, FY 20083.9
    All Rural Hospitals Reclassified Full Year FY 20082.8
    Start Printed Page 57734
    Rural Nonreclassified Hospitals Full Year FY 20081.7
    All Section 401 Reclassified Hospitals2.6
    Other Reclassified Hospitals (Section 1886(d)(8)(B))2.8
    Former 508 Hospitals0.6
    Specialty Hospitals:
    Cardiac specialty Hospitals0.8
    6 Shown here are the effects of geographic reclassifications by the Medicare Geographic Classification Review Board (MGCRB). The effects demonstrate the FY 2008 payment impact of going from no reclassifications to the reclassifications scheduled to be in effect for FY 2008. Reclassification for prior years has no bearing on the payment impacts shown here. This column reflects the geographic budget neutrality factor of 0.991290.
    7 This column displays the effects of the changes in the rural floor budget neutrality adjustment applied on the wage index instead of on the standardized amount. The column reflects a rural floor budget neutrality factor of 0.996744.
    Start Amendment Part

    25. On page 48164,

    End Amendment Part Start Amendment Part

    a. First column, 2nd full paragraph, line 40, the figure “0.996563” is corrected to read “0.996383”.

    End Amendment Part Start Amendment Part

    b. Second column,

    End Amendment Part

    (1) First partial paragraph,

    (a) Line 3, the figure “0.9” is corrected to read “0.8”.

    (b) Line 7, the figure“0.9” is corrected to read “0.8”.

    (c) Line 11, the figure “−0.9” is corrected to read “−0.8”.

    (2) Third full paragraph,

    (a) Line 13, the figure “0.8” is corrected to read “1.0”.

    (b) Line 17, the figure “1.2” is corrected to read “1.3”.

    Start Amendment Part

    26. On page 48165,

    End Amendment Part Start Amendment Part

    a. First column, 2nd full paragraph, line 3, the figure “0.996563.” is corrected to read “0.996383”.

    End Amendment Part Start Amendment Part

    b. Second column, 3rd full paragraph, line 13, the figure “1.8” is corrected to read “2.2”.

    End Amendment Part Start Amendment Part

    c. Third column, 1st partial paragraph, line 5, the figure “0.996660 (−0.33 percent)” is corrected to read “0.996744 (−0.33 percent).”

    End Amendment Part Start Amendment Part

    27. On page 48166,

    End Amendment Part Start Amendment Part

    a. Second column, 2nd full paragraph, line 5, the figure “3.5” is corrected to read “3.7”.

    End Amendment Part Start Amendment Part

    b. Third column,

    End Amendment Part

    (1) 1st partial paragraph,

    (a) Line 1 through 3, the phrase “increase by 3.5 percent. Hospitals in urban areas will experience an estimated 3.8 percent increase” is corrected to read “increase by 3.7 percent. Hospitals in urban areas will experience an estimated 3.9 percent increase.”

    (b) Line 7, the figure “3.2” is corrected to read “3.3”.

    (c) Line 10, the figure “1.2” is corrected to read “2.4”.

    (2) 1st full paragraph, line 5, the figure “4.2” is corrected to read “4.1”.

    (3) Second full paragraph,

    (a) Lines 3 and 4, the phrase “an estimated decrease in payments by 0.1 percent” is corrected to read “an estimated increase in payments by 0.9 percent.”

    (b) Line 7, the phrase “among rural regions with 2.5 and 2.0 percent” is corrected to read, “among rural regions with 4.2 and 2.6 percent.”

    (4) Third full paragraph, line 3, the figure “0.2” is corrected to read “2.9”.

    (5) Fourth full paragraph,

    (a) Line 2, the figure “3.6” is corrected to read “3.7”.

    (b) Line 7, the figure “1.8” is corrected to read “2.8”.

    Start Amendment Part

    28. On pages 48167 and 48168, in Table II—Impact Analysis of Changes for FY 2008 Operating Prospective Payment System, the table is corrected to read as follows:

    End Amendment Part

    Table II.—Impact Analysis of Changes for FY 2008 Operating Prospective Payment System

    [Payments per case]

    Number of hospitalsAverage FY 2007 payment per case 1Average FY 2008 payment per case 1All FY 2008 changes
    (1)(2)(3)(4)
    All hospitals3534$8,875$9,2053.7
    By Geographic Location:
    Urban hospitals25399,2839,6423.9
    Large urban areas (populations over 1 million)14069,69710,1174.3
    Other urban areas (populations of 1 million or fewer)11338,7849,0723.3
    Rural hospitals9956,5506,7092.4
    Bed Size (Urban):
    0-99 beds6307,0937,2502.2
    100-199 beds8517,8588,1383.6
    200-299 beds4808,7239,0513.8
    300-499 beds4119,72210,1314.2
    500 or more beds16711,69512,1784.1
    Bed Size (Rural):
    0-49 beds3375,4995,5691.3
    50-99 beds3725,9486,0912.4
    100-149 beds1736,4776,6372.5
    150-199 beds687,2587,4382.5
    200 or more beds458,2438,4963.1
    Urban by Region:
    New England1229,70410,0593.7
    Middle Atlantic35010,17710,5313.5
    South Atlantic3908,7819,1304
    East North Central3958,8669,1893.7
    East South Central1668,4268,7033.3
    West North Central1578,9439,2653.6
    West South Central3558,7889,1243.8
    Mountain1539,2089,5593.8
    Start Printed Page 57735
    Pacific39811,06511,6425.2
    Puerto Rico534,3644,5444.1
    Rural by Region:
    New England238,9249,1372.4
    Middle Atlantic726,7096,8822.6
    South Atlantic1736,3026,4812.8
    East North Central1226,7426,9222.7
    East South Central1776,2226,3562.1
    West North Central1156,8477,0242.6
    West South Central1996,0096,0650.9
    Mountain776,6396,8523.2
    Pacific377,8998,2274.2
    By Payment Classification:
    Urban hospitals25789,2659,6233.9
    Large urban areas (populations over 1 million)14259,68310,1014.3
    Other urban areas (populations of 1 million or fewer)11538,7629,0483.3
    Rural areas9566,5836,7482.5
    Teaching Status:
    Non-teaching24807,4747,7223.3
    Fewer than 100 Residents8158,9829,3213.8
    100 or more Residents23912,93413,4984.4
    Urban DSH:
    Non-DSH8598,0158,2533
    100 or more beds15129,76210,1634.1
    Less than 100 beds3556,5626,7663.1
    Rural DSH:
    SCH3846,0466,2192.9
    RRC2037,2967,4822.5
    100 or more beds466,0136,1722.6
    Less than 100 beds1755,3445,4211.4
    Urban teaching and DSH:
    Both teaching and DSH80710,68811,1394.2
    Teaching and no DSH1868,8019,0793.2
    No teaching and DSH10607,9798,2833.8
    No teaching and no DSH5257,6207,8432.9
    Rural Hospital Types:
    RRC1947,6067,8112.7
    SCH3676,4846,6452.5
    MDH1505,7075,8913.2
    SCH and RRC997,6897,9132.9
    MDH and RRC87,1557,3392.6
    Type of Ownership:
    Voluntary20649,0119,3383.6
    Proprietary8238,0888,4094
    Government5979,0779,4303.9
    Medicare Utilization as a Percent of Inpatient Days:
    0-2523012,61213,3005.5
    25-50128910,08510,5194.3
    50-6514517,7668,0063.1
    Over 654406,9327,1032.5
    Hospitals Reclassified by the Medicare Geographic Classification Review Board: FY 2008 Reclassifications:
    All Reclassified Hospitals FY 20087578,4868,7763.4
    All Non-Reclassified Hospitals FY 200827778,9959,3373.8
    Urban Reclassified Hospitals FY 20083919,2619,6013.7
    Urban Non-reclassified Hospitals FY 200821479,2889,6523.9
    Rural Reclassified Hospitals FY 20083667,0857,2842.8
    Rural Nonreclassified Hospitals FY 20085675,8095,9051.7
    All Section 401 Reclassified Hospitals266,9777,1552.6
    Other Reclassified Hospitals (Section 1886(d)(8)(B))636,3006,4762.8
    Former Section 508 Hospitals1079,6289,6890.6
    Specialty Hospitals
    Cardiac Specialty Hospitals2210,70710,7960.8
    1 These payment amounts per case do not reflect any estimates of annual case-mix increase.
    Start Printed Page 57736 Start Amendment Part

    29. On page 48171,

    End Amendment Part Start Amendment Part

    a. First column, 2nd full paragraph, lines 5 and 6, the phrase “of 0.9997, an outlier adjustment factor of 0.9517, and an exceptions adjustment factor.” is corrected to read, “of 0.9996, an outlier adjustment factor of 0.9513, and an exceptions adjustment factor.”

    End Amendment Part Start Amendment Part

    b. Third column,

    End Amendment Part

    (1) First partial paragraph,

    (a) Lines 4 and 5, the phrase “East North Central urban region, the Middle Atlantic rural region, and Puerto Rico.” is corrected to read “East North Carolina urban region (and 0.1 percent increase in Puerto Rico).”

    (b) Lines 16 and 17, the phrase “Central rural region to a 0.1 percent decrease in the East North Central rural region.” is corrected to read “Central rural region to 0.2 percent decrease in both the East North Central rural and East South Central rural regions.”

    (2) First full paragraph, lines 3 through 6, the phrase “while both proprietary and government hospitals are estimated to experience a 1.2 percent increases in payment.” is corrected to read “while proprietary and government hospitals are estimated to experience a 1.3 percent and 1.2 percent increases in payments, respectively.”

    (3) Third full paragraph, lines 6 and 7, the phrase “payments of 0.4 percent, as compared to the 0.1 percent decrease” is corrected to read “payments of 0.5 percent, as compared to the 0.3 percent decrease.”

    Start Amendment Part

    30. On page 48172 and 48173, in Table III—Comparison of Total Payments Per Case (FY 2007 Payments Compared to FY 2008 Payments), the table is corrected as follows:

    End Amendment Part

    Table III.—Comparison of Total Payments Per Case

    [FY 2007 payments compared to FY 2008 payments]

    Number of hospitalsAverage FY 2007 payments/caseAverage FY 2008 payments/caseChange
    By Geographic Location:
    All hospitals3,5347487520.6
    Large urban areas (populations over 1 million)1,4068308290.0
    Other urban areas (populations of 1 million of fewer)1,1337377481.5
    Rural areas9955205210.3
    Urban hospitals2,5397887930.6
    0-99 beds6306196210.4
    100-199 beds8516746780.6
    200-299 beds4807447480.5
    300-499 beds4118188240.8
    500 or more beds1679839900.7
    Rural hospitals9955205210.3
    0-49 beds337425423−0.5
    50-99 beds3724774770.1
    100-149 beds1735175190.5
    150-199 beds6857557603
    200 or more beds456496540.7
    By Region:
    Urban by Region2,5397887930.6
    New England122838836−0.2
    Middle Atlantic350862857−0.6
    South Atlantic3907477561.1
    East North Central3957737750.3
    East South Central1667117140.4
    West North Central1577717740.5
    West South Central3557377441.0
    Mountain1537888001.6
    Pacific3988999161.9
    Puerto Rico533453450.1
    Rural by Region9955205210.3
    New England23711709−0.3
    Middle Atlantic725295320.5
    South Atlantic1735025070.9
    East North Central122550549−0.2
    East South Central177481480−0.2
    West North Central1155495520.5
    West South Central199473469−0.8
    Mountain775205281.7
    Pacific376276422.4
    By Payment Classification:
    All hospitals3,5347487520.6
    Large urban areas (populations over 1 million)1,4258288280.0
    Other urban areas (populations of 1 million of fewer)1,1537367471.5
    Rural areas9565205220.2
    Teaching Status:
    Non-teaching2,4806326360.7
    Fewer than 100 Residents8157617640.4
    100 or more Residents2391,0761,0830.6
    Urban DSH:
    100 or more beds1,5128128200.9
    Less than 100 beds3555525540.4
    Rural DSH:
    Start Printed Page 57737
    Sole Community (SCH/EACH)3844654670.3
    Referral Center (RRC/EACH)2035735760.5
    Other Rural:
    100 or more beds464854880.6
    Less than 100 beds175431429−0.4
    Urban teaching and DSH:
    Both teaching and DSH8078888950.7
    Teaching and no DSH186798792−0.7
    No teaching and DSH1,0606676751.1
    No teaching and no DSH5256976990.3
    Rural Hospital Types:
    Non special status hospitals2,4527917960.6
    RRC/EACH536987071.3
    SCH/EACH426416430.3
    Medicare-dependent hospitals (MDH)16446440−1.3
    SCH, RRC and EACH157467642.3
    Hospitals Reclassified by the Medicare Geographic Classification Review Board:
    FY2008 Reclassifications:
    All Urban Reclassified3937867900.5
    All Urban Non-Reclassified2,1457887930.7
    All Rural Reclassified3645645680.7
    All Rural Non-Reclassified569455453−0.5
    Other Reclassified Hospitals (Section 1886(d)(8)(B))635165170.3
    Type of Ownership:
    Voluntary2,0647657680.3
    Proprietary8236816891.3
    Government5977327411.2
    Medicare Utilization as a Percent of Inpatient Days:
    0-252309799911.3
    25-501,2898458510.8
    50-651,4516646670.4
    Over 65440597595−0.3
    Start Amendment Part

    31. On page 48173,

    End Amendment Part Start Amendment Part

    a. First column,

    End Amendment Part

    (1) Second full paragraph,

    (a) Line 14, the figure “3.5” is corrected to read “3.7”.

    (b) Line 16, the figure “3.56” is corrected to read “3.69”.

    (c) Line 27, the figure “3.837” is corrected to read “3.97”.

    Start Amendment Part

    b. Second column, in Table IV-Accounting Statement: Classification of Estimated Expenditures from FY 2007 to FY 2008, the table is corrected to read as follows:

    End Amendment Part

    Table IV.—Accounting Statement: Classification of Estimated Expenditures From FY 2007 to FY 2008

    CategoryTransfers
    Annualized Monetized Transfers$3.970 Billion.
    From Whom to WhomFederal Government to IPPS Medicare Providers.
    Total3.970 Billion.

    IV. Waiver of Proposed Rulemaking and Delay in 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 rule take effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we can waive this notice and comment procedure if the Secretary finds, for good cause, that the 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.

    Section 553(d) of the APA ordinarily requires a 30-day delay in effective date of final rules after the date of their publication in the Federal Register. This 30-day delay in effective date can be waived, however, if an agency finds for good cause that the delay is impracticable, unnecessary, or contrary to the public interest, and the agency incorporates a statement of the findings and its reasons in the rule issued.

    Therefore, for reasons noted below, we find good cause to waive proposed rulemaking and the 30 day delayed effective date for the technical corrections in this notice. This notice merely corrects typographical and technical errors in the preamble, regulations text, and addendum of the FY 2008 IPPS final rule with comment period and does not make substantive changes to the policies or payment methodologies that were adopted in the final rule. As a result, this notice is intended to ensure that the FY 2008 IPPS final rule with comment period Start Printed Page 57738accurately reflects the policies adopted in the final rule. Therefore, we find that undertaking further notice and comment procedures to incorporate these corrections into the final rule or delaying the effective date of these changes is unnecessary and contrary to the public interest.

    (Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program)

    Start Signature

    Dated: September 27, 2007.

    Ann C. Agnew,

    Executive Secretary to the Department.

    End Signature End Supplemental Information

    [FR Doc. 07-4875 Filed 9-28-07; 1:26 pm]

    BILLING CODE 4120-01-P

Document Information

Effective Date:
10/1/2007
Published:
10/10/2007
Department:
Centers for Medicare & Medicaid Services
Entry Type:
Rule
Action:
Correction of final rule with comment period.
Document Number:
07-4875
Dates:
This correction is effective October 1, 2007.
Pages:
57633-57738 (106 pages)
Docket Numbers:
CMS-1533-CN2
RINs:
0938-A070
PDF File:
07-4875.pdf
CFR: (4)
42 CFR 411
42 CFR 412
42 CFR 413
42 CFR 489