Medicare: Hospital inpatient prospective payment systems and 2000 FY rates; correction,

[Federal Register: January 12, 2000 (Volume 65, Number 8)]

[Rules and Regulations]

[Page 1817-1823]

From the Federal Register Online via GPO Access [wais.access.gpo.gov]

[DOCID:fr12ja00-22]

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

42 CFR Parts 412, 413, 483, and 485

[HCFA-1053-CN2]

RIN 0938-AJ50

Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2000 Rates; Corrections

AGENCY: Health Care Financing Administration (HCFA), HHS.

ACTION: Final rule; correction notice.

SUMMARY: In the July 30, 1999 issue of the Federal Register (64 FR 41490), we published a final rule that revised the Medicare hospital inpatient prospective payment systems for operating costs and capital- related costs to implement necessary changes arising from our continuing experience with the system. This document corrects errors made in that document.

EFFECTIVE DATE: October 1, 1999.

FOR FURTHER INFORMATION CONTACT: Linda Hite, (410) 786-4537.

SUPPLEMENTARY INFORMATION: Table 4A of the addendum to the July 30, 1999 final rule (64 FR 41585 through 41593), which lists each urban area's wage index and geographic adjustment factor (GAF), inadvertently listed the incorrect wage index or GAF values for a limited number of areas and omitted the indicator for several large urban areas. The corrected Table 4A is shown below (item number 4). We note that the table as published in the July 30, 1999 Federal Register showed correct figures for the vast majority of urban areas. The revised table corrects a limited number of values to address technical errors in preparing the table for publication in the July 30, 1999 Federal Register. The

[[Page 1818]]

revised values do not reflect changes to wage data or to actual payments.

The July 30, 1999 final rule also contained other technical and typographical errors. Therefore, we are making the following corrections:

1. On page 41520, first column, last two paragraphs, and the second column, first full paragraph, the text beginning with ``Example 1'' and ending with ``residents * 1 year).'' is inaccurate and should be disregarded.

2. On page 41520, second column, second paragraph, line 18, the phrase ``accepts 9 new (PGY 2) residents'' is corrected to read ``accepts 9 new (PGY 1) residents''; and

3. On page 41557, second column, last full paragraph, twenty-third line, the figure ``$36,712'' is corrected to read ``$39,712''.

4. On pages 41585 through 41593, Table 4A--Wage Index and Capital Geographic Adjustment Factor (GAF) for Urban Areas is replaced with the following:

   Table 4a--Wage Index and Capital Geographic Adjustment Factor (GAF) for Urban Areas

   Wage Urban area (constituent counties)

   index GAF

   0040 Abilene, TX: Taylor, TX..................... 0.8179 0.8714 00602 Aguadilla, \2\ PR: Aguada, PR Aguadilla, PR 0.4249 0.5565 Moca, PR......................................... 0080 Akron, OH; Portage, OH; Summit, OH.......... 1.0163 1.0111 0120 Albany, GA: Dougherty, GA; Lee, GA.......... 1.0372 1.0253 0160 Albany-Schenectady-Troy, NY: Albany, NY

   0.8754 0.9129 Montgomery, NY; Rensselaer, NY; Saratoga, NY; Schenectady, NY; Schoharie, NY................... 0200 Albuquerque, NM: Bernalillo, NM; Sandoval, 0.8499 0.8946 NM; Valencia, NM................................. 0220 Alexandria, LA: Rapides, LA................. 0.7910 0.8517 0240 Allentown-Bethlehem-Easton, PA: Carbon, PA; 0.9550 0.9690 Lehigh, PA; Northampton, PA...................... 0280 Altoona, PA: Blair, PA...................... 0.9342 0.9545 0320 Amarillo, TX: Potter, TX; Randall, TX....... 0.8435 0.8900 0380 Anchorage, AK: Anchorage, AK................ 1.3009 1.1974 0440 Ann Arbor, MI: Lenawee, MI; Livingston, MI; 1.1483 1.0993 Washtenaw, MI.................................... 0450 Anniston, AL: Calhoun, AL................... 0.8462 0.8919 0460 Appleton-Oshkosh-Neenah, WI: Calumet, WI;

   0.8913 0.9242 Outagamie, WI; Winnebago, WI..................... 0470 Arecibo, PR: Arecibo, PR; Camuy, PR;

   0.4815 0.6062 Hatillo, PR...................................... 0480 Asheville, NC: Buncombe, NC; Madison, NC.... 0.8884 0.9222 0500 Athens, GA: Clarke, GA; Madison, GA;

   0.9800 0.9863 Oconee,GA........................................ 0520 Atlanta, \1\ GA: Barrow, GA; Bartow, GA;

   1.0050 1.0034 Carroll, GA; Cherokee, GA; Clayton, GA; Cobb, GA; Coweta, GA; DeKalb, GA; Douglas, GA; Fayette, GA; Forsyth, GA; Fulton, GA; Gwinnett, GA; Henry, GA; Newton, GA; Paulding, GA; Pickens, GA; Rockdale, GA; Spalding, GA Walton, GA...................... 0560 Atlantic-Cape May, NJ: Atlantic, NJ; Cape

   1.1050 1.0708 May, NJ.......................................... 0580 Auburn-Opelika, AL: Lee, AL................. 0.7748 0.8397 0600 Augusta-Aiken, GA-SC: Columbia, GA;

   0.9013 0.9313 McDuffie, GA; Richmond, GA; Aiken, SC; Edgefield, SC............................................... 0640 Austin-San Marcos, \1\ TX: Bastrop, TX;

   0.9081 0.9361 Caldwell, TX; Hays, TX; Travis, TX; Williamson, TX............................................... 0680 Bakersfield, \2\ CA: Kern, CA................ 0.9951 0.9966 0720 Baltimore, \1\ MD: Anne Arundel, MD;

   0.9891 0.9925 Baltimore, MD; Baltimore City, MD; Carroll, MD; Harford, MD; Howard, MD; Queen Anne's, MD........ 0733 Bangor, ME: Penobscot, ME................... 0.9609 0.9731 0743 Barnstable-Yarmouth, MA: Barnstable, MA..... 1.3302 1.2158 0760 Baton Rouge, LA: Ascension, LA; East Baton 0.8707 0.9095 Rouge, LA; Livingston, LA; West Baton Rouge, LA.. 0840 Beaumont-Port Arthur, TX: Hardin, TX;

   0.8624 0.9036 Jefferson, TX; Orange, TX........................ 0860 Bellingham, WA: Whatcom, WA................. 1.1394 1.0935 0870 Benton Harbor, \2\ MI: Berrien, MI.......... 0.8831 0.9184 0875 Bergen-Passaic, \1\ NJ: Bergen, NJ; Passaic, 1.1833 1.1222 NJ............................................... 0880 Billings, MT: Yellowstone, MT............... 1.0038 1.0026 0920 Biloxi-Gulfport-Pascagoula, MS: Hancock, MS; 0.7949 0.8545 Harrison, MS; Jackson, MS........................ 0960 Binghamton, NY: Broome, NY; Tioga, NY....... 0.8750 0.9126 1000 Birmingham, AL: Blount, AL; Jefferson, AL; 0.8994 0.9300 St. Clair, AL; Shelby, AL........................ 1010 Bismarck, ND: Burleigh, ND; Morton, ND...... 0.7893 0.8504 1020 Bloomington, IN: Monroe, IN................. 0.8593 0.9014 1040 Bloomington-Normal, IL: McLean, IL.......... 0.8993 0.9299 1080 Boise City, ID: Ada, ID: Canyon, ID......... 0.9086 0.9365 1123 Boston-Worcester-Lawrence-Lowell-Brockton, 1.1369 1.0918 MA-NH (MA Hospitals)\1\ \2\ Bristol, MA; Essex, MA; Middlesex, MA; Norfolk, MA; Plymouth, MA; Suffolk, MA; Worcester, MA; Hillsborough, NH; Merrimack, NH; Rockingham, NH; Strafford, NH..... 1123 Boston-Worcester-Lawrence-Lowell-Brockton, 1.1358 1.0911 MA-NH (NH Hospitals)\1\ Bristol, MA; Essex, MA; Middlesex, MA; Norfolk, MA; Plymouth, MA; Suffolk, MA; Worcester, MA; Hillsborough, NH; Merrimack, NH; Rockingham, NH; Strafford, NH..... 1125 Boulder-Longmont, CO: Boulder, CO........... 0.9944 0.9962 1145 Brazoria, TX: Brazoria, TX.................. 0.8516 0.8958 1150 Bremerton, WA: Kitsap, WA................... 1.1011 1.0682 1240 Brownsville-Harlingen-San Benito, TX:

   0.9212 0.9453 Cameron, TX...................................... 1260 Bryan-College Station, TX: Brazos, TX....... 0.8501 0.8947 1280 Buffalo-Niagara Falls, NY: \1\ Erie, NY;

   0.9604 0.9727 Niagara, NY...................................... 1303 Burlington, VT: Chittenden, VT; Franklin,

   1.0558 1.0379 VT; Grand Isle, VT............................... 1310 Caguas, PR: Caguas, PR; Cayey, PR; Cidra,

   0.4561 0.5842 PR; Gurabo, PR; San Lorenzo, PR.................. 1320 Canton-Massillon, \2\ OH: Carroll, OH;

   0.8649 0.9054 Stark, OH........................................ 1350 Casper, WY: Natrona, WY..................... 0.9199 0.9444 1360 Cedar Rapids, IA: Linn, IA.................. 0.9018 0.9317

   [[Page 1819]]

   1400 Champaign-Urbana, IL: Champaign, IL......... 0.9163 0.9419 1440 Charleston-North Charleston, SC: Berkeley, 0.8988 0.9295 SC; Charleston, SC; Dorchester, SC............... 1480 Charleston, WV: Kanawha, WV; Putnam, WV..... 0.9095 0.9371 1520 Charlotte-Gastonia-Rock Hill, NC-SC: \1\

   0.9433 0.9608 Cabarrus, NC; Gaston, NC; Lincoln, NC; Mecklenburg, NC; Rowan, NC; Stanly, NC; Union, NC; York, SC..................................... 1540 Charlottesville, VA: Albemarle, VA;

   1.0573 1.0389 Charlottesville City, VA; Fluvanna, VA; Greene, VA............................................... 1560 Chattanooga, TN-GA: Catoosa, GA; Dade, GA; 0.9731 0.9815 Walker, GA; Hamilton, TN; Marion, TN............. 1580 Cheyenne, WY: \2\ Laramie, WY............... 0.8859 0.9204 1600 Chicago, IL: \1\ Cook, IL; DeKalb, IL;

   1.0872 1.0589 DuPage, IL; Grundy, IL; Kane, IL; Kendall, IL; Lake, IL; McHenry, IL; Will, IL.................. 1620 Chico-Paradise, CA: Butte, CA............... 1.0390 1.0265 1640 Cincinnati, OH-KY-IN: \1\ Dearborn, IN;

   0.9434 0.9609 Ohio, IN; Boone, KY; Campbell, KY; Gallatin, KY; Grant, KY; Kenton, KY; Pendleton, KY; Brown, OH; Clermont, OH; Hamilton, OH; Warren, OH........... 1660 Clarksville-Hopkinsville, TN-KY: Christian, 0.8283 0.8790 KY; Montgomery, TN............................... 1680 Cleveland-Lorain-Elyria, OH: \1\ Ashtabula, 0.9688 0.9785 OH; Cuyahoga, OH; Geauga, OH; Lake, OH; Lorain, OH; Medina, OH................................... 1720 Colorado Springs, CO: El Paso, CO........... 0.9218 0.9458 1740 Columbia, MO: Boone, MO..................... 0.8904 0.9236 1760 Columbia, SC: Lexington, SC; Richland, SC... 0.9357 0.9555 1800 Columbus, GA-AL: Russell, AL; Chattahoochee, 0.8510 0.8954 GA; Harris, GA; Muscogee, GA..................... 1840 Columbus, OH: \1\ Delaware, OH; Fairfield, 0.9907 0.9936 OH; Franklin, OH; Licking, OH; Madison, OH; Pickaway, OH..................................... 1880 Corpus Christi, TX: Nueces, TX; San

   0.8702 0.9092 Patricio, TX..................................... 1890 Corvallis, OR: Benton, OR................... 1.1087 1.0732 1900 Cumberland, MD-WV (Maryland Hospitals):

   0.8801 0.9163 Allegany, MD; Mineral, WV........................ 1920 Dallas, TX: \1\ Collin, TX; Dallas, TX;

   0.9589 0.9717 Denton, TX; Ellis, TX; Henderson, TX; Hunt, TX; Kaufman, TX; Rockwall, TX........................ 1950 Danville, VA: Danville City, VA;

   0.9061 0.9347 Pittsylvania, VA................................. 1960 Davenport-Moline-Rock Island, IA-IL: Scott, 0.8706 0.9095 IA; Henry, IL; Rock Island, IL................... 2000 Dayton-Springfield, OH: Clark, OH; Greene, 0.9336 0.9540 OH; Miami, OH; Montgomery, OH.................... 2020 Daytona Beach, FL: \2\ Flagler, FL; Volusia, 0.8986 0.9294 FL............................................... 2030 Decatur, AL: Lawrence, AL; Morgan, AL....... 0.8679 0.9075 2040 Decatur, IL: Macon, IL...................... 0.8321 0.8817 2080 Denver, CO: \1\ Adams, CO; Arapahoe, CO;

   1.0197 1.0134 Denver, CO; Douglas, CO; Jefferson, CO........... 2120 Des Moines, IA: Dallas, IA; Polk, IA;

   0.8754 0.9129 Warren, IA....................................... 2160 Detroit, MI: \1\ Lapeer, MI; Macomb, MI;

   1.0421 1.0286 Monroe, MI; Oakland, MI; St. Clair, MI; Wayne, MI 2180 Dothan, AL: Dale, AL; Houston, AL........... 0.7836 0.8462 2190 Dover, DE: Kent, DE......................... 0.9335 0.9540 2200 Dubuque, IA: Dubuque, IA.................... 0.8520 0.8961 2240 Duluth-Superior, MN-WI: St. Louis, MN;

   1.0165 1.0113 Douglas, WI...................................... 2281 Dutchess County, NY: Dutchess, NY........... 0.9872 0.9912 2290 Eau Claire, WI: Chippewa, WI; Eau Claire, WI 0.8957 0.9273 2320 El Paso, TX: El Paso, TX.................... 0.8947 0.9266 2330 Elkhart-Goshen, IN: Elkhart, IN............. 0.9379 0.9570 2335 Elmira, NY: \2\ Chemung, NY................. 0.8636 0.9045 2340 Enid, OK: Garfield, OK...................... 0.7953 0.8548 2360 Erie, PA: Erie, PA.......................... 0.9023 0.9320 2400 Eugene-Springfield, OR: Lane, OR............ 1.0765 1.0518 2440 Evansville-Henderson, IN-KY (IN Hospitals): 0.8396 0.8872 \2\ Posey, IN; Vanderburgh, IN; Warrick, IN; Henderson, KY.................................... 2440 Evansville-Henderson, IN-KY (KY Hospitals): 0.8303 0.8804 Posey, IN; Vanderburgh, IN; Warrick, IN; Henderson, KY.................................... 2520 Fargo-Moorhead, ND-MN: Clay, MN; Cass, ND... 0.8620 0.9033 2560 Fayetteville, NC: Cumberland, NC............ 0.8494 0.8942 2580 Fayetteville-Springdale-Rogers, AR: Benton, 0.7773 0.8415 AR; Washington, AR............................... 2620 Flagstaff, AZ-UT: Coconino, AZ; Kane, UT.... 1.0348 1.0237 2640 Flint, MI: Genesee, MI...................... 1.1020 1.0688 2650 Florence, AL: Colbert, AL; Lauderdale, AL... 0.7927 0.8529 2655 Florence, SC: Florence, SC.................. 0.8618 0.9032 2670 Fort Collins-Loveland, CO: Larimer, CO...... 1.0302 1.0206 2680 Ft. Lauderdale, FL: \1\ Broward, FL......... 1.0172 1.0117 2700 Fort Myers-Cape Coral, FL: \2\ Lee, FL...... 0.8986 0.9294 2710 Fort Pierce-Port St. Lucie, FL: Martin, FL; 1.0109 1.0075 St. Lucie, FL.................................... 2720 Fort Smith, AR-OK: Crawford, AR; Sebastian, 0.7844 0.8468 AR; Sequoyah, OK................................. 2750 Fort Walton Beach, FL: \2\ Okaloosa, FL..... 0.8986 0.9294 2760 Fort Wayne, IN: Adams, IN; Allen, IN; De

   0.9096 0.9372 Kalb, IN; Huntington, IN; Wells, IN; Whitley, IN. 2800 Forth Worth-Arlington, TX: \1\ Hood, TX;

   0.9835 0.9887 Johnson, TX; Parker, TX; Tarrant, TX............. 2840 Fresno, CA: Fresno, CA; Madera, CA.......... 1.0262 1.0179 2880 Gadsden, AL: Etowah, AL..................... 0.8754 0.9129 2900 Gainesville, FL: Alachua, FL................ 1.0102 1.0070 2920 Galveston-Texas City, TX: Galveston, TX..... 0.9732 0.9816 2960 Gary, IN: Lake, IN; Porter, IN.............. 0.9369 0.9563 2975 Glens Falls, NY: 2Warren, NY; Washington, 0.8636 0.9045 NY............................................... 2980 Goldsboro, NC: Wayne, NC.................... 0.8333 0.8826 2985 Grand Forks, ND-MN: Polk, MN; Grand Forks, 0.9097 0.9372 ND............................................... 2995 Grand Junction, CO: Mesa, CO................ 0.9188 0.9437 3000 Grand Rapids-Muskegon-Holland, MI: 11.0135 1.0092 Allegan, MI; Kent, MI; Muskegon, MI; Ottawa, MI..

   [[Page 1820]]

   3040 Great Falls, MT: Cascade, MT................ 1.0459 1.0312 3060 Greeley, CO: Weld, CO....................... 0.9722 0.9809 3080 Green Bay, WI: Brown, WI.................... 0.9215 0.9456 3120 Greensboro-Winston-Salem-High Point, NC: 10.9037 0.9330 Alamance, NC; Davidson, NC; Davie, NC; Forsyth, NC; Guilford, NC; Randolph, NC; Stokes, NC; Yadkin, NC....................................... 3150 Greenville, NC; Pitt, NC.................... 0.9500 0.9655 3160 Greenville-Spartanburg-Anderson, SC:

   0.9188 0.9437 Anderson, SC; Cherokee, SC; Greenville, SC; Pickens, SC; Spartanburg, SC..................... 3180 Hagerstown, MD: Washington, MD.............. 0.8853 0.9200 3200 Hamilton-Middletown, OH: Butler, OH......... 0.8989 0.9296 3240 Harrisburg-Lebanon-Carlisle, PA: Cumberland, 0.9917 0.9943 PA; Dauphin, PA; Lebanon, PA; Perry, PA.......... 3283 Hartford, CT: 1,2Hartford, CT; Litchfield, 1.2413 1.1595 CT; Middlesex, CT; Tolland, CT................... 3285 Hattiesburg, MS: 2Forrest, MS; Lamar, MS... 0.7306 0.8066 3290 Hickory-Morganton-Lenoir, NC: Alexander, NC; 0.9148 0.9408 Burke, NC; Caldwell, NC; Catawba, NC............. 3320 Honolulu, HI: Honolulu, HI.................. 1.1479 1.0991 3350 Houma, LA: Lafourche, LA; Terrebonne, LA.... 0.7837 0.8463 3360 Houston, TX: 1Chambers, TX; Fort Bend, TX; 0.9387 0.9576 Harris, TX; Liberty, TX; Montgomery, TX; Waller, TX............................................... 3400 Huntington-Ashland, WV-KY-OH: Boyd, KY;

   0.9757 0.9833 Carter, KY; Greenup, KY; Lawrence, OH; Cabell, WV; Wayne, WV.................................... 3440 Huntsville, AL: Limestone, AL; Madison, AL.. 0.8822 0.9178 3480 Indianapolis, IN: 1Boone, IN; Hamilton, IN; 0.9792 0.9857 Hancock, IN; Hendricks, IN; Johnson, IN; Madison, IN; Marion, IN; Morgan, IN; Shelby, IN........... 3500 Iowa City, IA: Johnson, IA.................. 0.9607 0.9729 3520 Jackson, MI: Jackson, MI.................... 0.8840 0.9190 3560 Jackson, MS: Hinds, MS; Madison, MS; Rankin, 0.8387 0.8865 MS............................................... 3580 Jackson, TN: Madison, TN; Chester, TN....... 0.8600 0.9019 3600 Jacksonville, FL: 1,2Clay, FL; Duval, FL; 0.8986 0.9294 Nassau, FL; St. Johns, FL........................ 3605 Jacksonville, NC: 2Onslow, NC.............. 0.8290 0.8795 3610 Jamestown, NY: 2Chautauqua, NY............. 0.8636 0.9045 3620 Janesville-Beloit, WI: Rock, WI............. 0.9656 0.9763 3640 Jersey City, NJ: Hudson, NJ................. 1.1674 1.1118 3660 Johnson City-Kingsport-Bristol, TN-VA:

   0.8894 0.9229 Carter, TN; Hawkins, TN; Sullivan, TN; Unicoi, TN; Washington, TN; Bristol City, VA; Scott, VA Washington, VA................................... 3680 Johnstown, PA: 2Cambria, PA; Somerset, PA.. 0.8524 0.8964 3700 Jonesboro, AR: Craighead, AR................ 0.7251 0.8024 3710 Joplin, MO: 2Jasper, MO; Newton, MO........ 0.7723 0.8378 3720 Kalamazoo-Battlecreek, MI: Calhoun, MI;

   0.9981 0.9987 Kalamazoo, MI; Van Buren, MI..................... 3740 Kankakee, IL: Kankakee, IL.................. 0.8598 0.9017 3760 Kansas City, KS-MO: 1Johnson, KS;

   0.9322 0.9531 Leavenworth, KS; Miami, KS; Wyandotte, KS; Cass, MO; Clay, MO; Clinton, MO; Jackson, MO; Lafayette, MO; Platte, MO; Ray, MO............... 3800 Kenosha, WI: Kenosha, WI.................... 0.9033 0.9327 3810 Killeen-Temple, TX: Bell, TX; Coryell, TX... 0.9932 0.9953 3840 Knoxville, TN: Anderson, TN; Blount, TN;

   0.9199 0.9444 Knox, TN; Loudon, TN; Sevier, TN; Union, TN...... 3850 Kokomo, IN: Howard, IN; Tipton, IN.......... 0.8984 0.9293 3870 La Crosse, WI-MN: Houston, MN; La Crosse, WI 0.8933 0.9256 3880 Lafayette, LA: Acadia, LA; Lafayette, LA;

   0.8397 0.8872 St. Landry, LA; St. Martin, LA................... 3920 Lafayette, IN: Clinton, IN; Tippecanoe, IN.. 0.8809 0.9168 3960 Lake Charles, LA: Calcasieu, LA............. 0.7966 0.8558 3980 Lakeland-Winter Haven, FL: 2Polk, FL....... 0.8986 0.9294 4000 Lancaster, PA: Lancaster, PA................ 0.9255 0.9484 4040 Lansing-East Lansing, MI: Clinton, MI;

   0.9977 0.9984 Eaton, MI; Ingham, MI............................ 4080 Laredo, TX: Webb, TX........................ 0.8323 0.8819 4100 Las Cruces, NM: Dona Ana, NM................ 0.8590 0.9012 4120 Las Vegas, NV-AZ: 1Mohave, AZ; Clark, NV; 1.1258 1.0845 Nye, NV.......................................... 4150 Lawrence, KS: Douglas, KS................... 0.8222 0.8745 4200 Lawton, OK: Comanche, OK.................... 0.9532 0.9677 4243 Lewiston-Auburn, ME: Androscoggin, ME....... 0.8899 0.9232 4280 Lexington, KY: Bourbon, KY; Clark, KY;

   0.8552 0.8984 Fayette, KY; Jessamine, KY; Madison, KY; Scott, KY; Woodford, KY................................. 4320 Lima, OH: Allen, OH; Auglaize, OH........... 0.9108 0.9380 4360 Lincoln, NE: Lancaster, NE.................. 0.9670 0.9773 4400 Little Rock-North Little Rock, AR: Faulkner, 0.8614 0.9029 AR; Lonoke, AR; Pulaski, AR; Saline, AR.......... 4420 Longview-Marshall, TX: Gregg, TX; Harrison, 0.8738 0.9118 TX; Upshur, TX................................... 4480 Los Angeles-Long Beach, CA: \1\ Los Angeles, 1.2085 1.1385 CA............................................... 4520 Louisville, KY-IN: Clark, IN; Floyd, IN;

   0.9381 0.9572 Harrison, IN; Scott, IN; Bullitt, KY; Jefferson, KY; Oldham, KY................................... 4600 Lubbock, TX: Lubbock, TX.................... 0.8411 0.8883 4640 Lynchburg, VA: Amherst, VA; Bedford, VA;

   0.8814 0.9172 Bedford City, VA; Campbell, VA; Lynchburg City, VA............................................... 4680 Macon, GA: Bibb, GA; Houston, GA; Jones, GA; 0.8530 0.8968 Peach, GA; Twiggs, GA............................ 4720 Madison, WI: Dane, WI....................... 0.9729 0.9814 4800 Mansfield, OH: \2\ Crawford, OH; Richland, 0.8649 0.9054 OH............................................... 4840 Mayaguez, PR: Anasco, PR; Cabo Rojo, PR;

   0.4674 0.5940 Hormigueros, PR; Mayaguez, PR; Sabana Grande, PR; San German, PR................................... 4880 McAllen-Edinburg-Mission, TX: Hidalgo, TX... 0.8120 0.8671

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   4890 Medford-Ashland, OR: Jackson, OR............ 1.0492 1.0334 4900 Melbourne-Titusville-Palm Bay, FL: Brevard, 0.9296 0.9512 Fl............................................... 4920 Memphis, TN-AR-MS :\1\ Crittenden, AR;

   0.8244 0.8761 DeSoto, MS; Fayette, TN; Shelby, TN; Tipton, TN.. 4940 Merced, CA: Merced, CA...................... 1.0509 1.0346 5000 Miami, FL: \1\ Dade, FL..................... 1.0233 1.0159 5015 Middlesex-Somerset-Hunterdon, NJ: \1\

   1.0876 1.0592 Hunterdon, NJ; Middlesex, NJ; Somerset, NJ....... 5080 Milwaukee-Waukesha, WI: \1\ Milwaukee, WI; 0.9845 0.9894 Ozaukee, WI; Washington, WI; Waukesha, WI........ 5120 Minneapolis-St. Paul, MN-WI: \1\ Anoka, MN; 1.0929 1.0627 Carver, MN; Chisago, MN; Dakota, MN; Hennepin, MN; Isanti, MN; Ramsey, MN; Scott, MN; Sherburne, MN; Washington, MN; Wright, MN; Pierce, WI; St. Croix, WI........................................ 5140 Missoula, MT: Missoula, MT.................. 0.9085 0.9364 5160 Mobile, AL: Baldwin, AL; Mobile, AL......... 0.8267 0.8778 5170 Modesto, CA: Stanislaus, CA................. 1.0111 1.0076 5190 Monmouth-Ocean, NJ: \1\ Monmouth, NJ; Ocean, 1.1258 1.0845 NJ............................................... 5200 Monroe, LA: Ouachita, LA.................... 0.8221 0.8745 5240 Montgomery, AL: Autauga, AL; Elmore, AL;

   0.7724 0.8379 Montgomery, AL................................... 5280 Muncie, IN: Delaware, IN.................... 1.0834 1.0564 5330 Myrtle Beach, SC: Horry, SC................. 0.8529 0.8968 5345 Naples, FL: Collier, FL..................... 0.9839 0.9889 5360 Nashville, TN: \1\ Cheatham, TN; Davidson, 0.9449 0.9619 TN; Dickson, TN; Robertson, TN; Rutherford, TN; Sumner, TN; Williamson, TN; Wilson, TN........... 5380 Nassau-Suffolk, NY: \1\ Nassau, NY; Suffolk, 1.4074 1.2637 NY............................................... 5483 New Haven-Bridgeport-Stamford-Waterbury-

   1.2417 1.1598 Danbury, CT: \1\ Fairfield, CT; New Haven, CT.... 5523 New London-Norwich, CT: New London, CT...... 1.2428 1.1605 5560 New Orleans, LA: \1\ Jefferson, LA; Orleans, 0.9089 0.9367 LA; Plaquemines, LA; St. Bernard, LA; St. Charles, LA; St. James, LA; St. John The Baptist, LA; St. Tammany, LA.............................. 5600 New York, NY: \1\ Bronx, NY; Kings, NY; New 1.4517 1.2908 York, NY; Putnam, NY; Queens, NY; Richmond, NY; Rockland, NY; Westchester, NY.................... 5640 Newark, NJ: \1\ Essex, NJ; Morris, NJ;

   1.0772 1.0522 Sussex, NJ; Union, NJ; Warren, NJ................ 5660 Newburgh, NY-PA: Orange, NY; Pike, PA....... 1.0908 1.0613 5720 Norfolk-Virginia Beach-Newport News, VA-NC: 0.8442 0.8905 \1\ Currituck, NC; Chesapeake City, VA; Gloucester, VA; Hampton City, VA; Isle of Wight, VA; James City, VA; Mathews, VA; Newport News City, VA; Norfolk City, VA; Poquoson City, VA; Portsmouth City, VA; Suffolk City, VA; Virginia Beach City VA; Williamsburg City, VA; York, VA... 5775 Oakland, CA: \1\ Alameda, CA; Contra Costa, 1.5095 1.3258 CA............................................... 5790 Ocala, FL: Marion, FL....................... 0.9615 0.9735 5800 Odessa-Midland, TX: Ector, TX; Midland, TX.. 0.8873 0.9214 5880 Oklahoma City, OK: \1\ Canadian, OK;

   0.8589 0.9011 Cleveland, OK; Logan, OK; McClain, OK; Oklahoma, OK; Pottawatomie, OK............................. 5910 Olympia, WA: Thurston, WA................... 1.0932 1.0629 5920 Omaha, NE-IA: Pottawattamie, IA; Cass, NE; 1.0455 1.0309 Douglas, NE; Sarpy, NE; Washington, NE........... 5945 Orange County, CA: \1\ Orange, CA........... 1.1592 1.1065 5960 Orlando, FL: \1\ Lake, FL; Orange, FL;

   0.9806 0.9867 Osceola, FL; Seminole, FL........................ 5990 Owensboro, KY: Daviess, KY.................. 0.8104 0.8659 6015 Panama City, FL: Bay, FL.................... 0.9169 0.9423 6020 Parkersburg-Marietta, WV-OH (WV Hospitals): 0.8414 0.8885 Washington, OH; Wood, WV......................... 6020 Parkersburg-Marietta, WV-OH (OH Hospitals): 0.8649 0.9054 \2\ Washington, OH; Wood, WV..................... 6080 Pensacola, FL: \2\ Escambia, FL; Santa Rosa, 0.8986 0.9294 FL............................................... 6120 Peoria-Pekin, IL: Peoria, IL; Tazewell, IL; 0.8399 0.8874 Woodford, IL..................................... 6160 Philadelphia, PA-NJ: \1\ Burlington, NJ;

   1.1186 1.0798 Camden, NJ; Gloucester, NJ; Salem, NJ; Bucks, PA; Chester, PA; Delaware, PA; Montgomery, PA; Philadelphia, PA................................. 6200 Phoenix-Mesa, AZ: \1\ Maricopa, AZ; Pinal, 0.9464 0.9630 AZ............................................... 6240 Pine Bluff, AR: Jefferson, AR............... 0.7697 0.8359 6280 Pittsburgh, PA: \1\ Allegheny, PA; Beaver, 0.9634 0.9748 PA; Butler, PA; Fayette, PA; Washington, PA; Westmoreland, PA................................. 6323 Pittsfield, MA: \2\ Berkshire, MA........... 1.1369 1.0918 6340 Pocatello, ID: Bannock, ID.................. 0.8973 0.9285 6360 Ponce, PR: Guayanilla, PR; Juana Diaz, PR; 0.4971 0.6196 Penuelas, PR; Ponce, PR; Villalba, PR; Yauco, PR. 6403 Portland, ME: Cumberland, ME; Sagadahoc, ME; 0.9487 0.9646 York, ME......................................... 6440 Portland-Vancouver, OR-WA: \1\ Clackamas,

   1.0996 1.0672 OR; Columbia, OR; Multnomah, OR; Washington, OR; Yamhill, OR; Clark, WA........................... 6483 Providence-Warwick-Pawtucket, RI: \1\

   1.0690 1.0468 Bristol, RI; Kent, RI; Newport, RI; Providence, RI; Washington, RI............................... 6520 Provo-Orem, UT: Utah, UT.................... 0.9818 0.9875 6560 Pueblo, CO: Pueblo, CO...................... 0.8853 0.9200 6580 Punta Gorda, FL: Charlotte, FL.............. 0.9508 0.9660 6600 Racine, WI: Racine, WI...................... 0.9216 0.9456 6640 Raleigh-Durham-Chapel Hill, NC: \1\ Chatham, 0.9544 0.9685 NC; Durham, NC; Franklin, NC; Johnston, NC; Orange, NC; Wake, NC............................. 6660 Rapid City, SD: Pennington, SD.............. 0.8363 0.8848 6680 Reading, PA: Berks, PA...................... 0.9436 0.9610 6690 Redding, CA: Shasta, CA..................... 1.1263 1.0849 6720 Reno, NV: Washoe, NV........................ 1.0655 1.0444 6740 Richland-Kennewick-Pasco, WA: Benton, WA;

   1.1224 1.0823 Franklin, WA.....................................

   [[Page 1822]]

   6760 Richmond-Petersburg, VA: Charles City

   0.9545 0.9686 County, VA; Chesterfield, VA; Colonial Heights City, VA; Dinwiddie, VA; Goochland, VA; Hanover, VA; Henrico, VA; Hopewell City, VA; New Kent, VA; Petersburg City, VA; Powhatan, VA; Prince George, VA; Richmond City, VA............................ 6780 Riverside-San Bernardino, CA: \1\ Riverside, 1.1061 1.0715 CA; San Bernardino, CA........................... 6800 Roanoke, VA: Botetourt, VA; Roanoke, VA;

   0.8142 0.8687 Roanoke City, VA; Salem City, VA................. 6820 Rochester, MN: Olmsted, MN.................. 1.1429 1.0958 6840 Rochester, NY: \1\ Genesee, NY; Livingston, 0.9184 0.9434 NY; Monroe, NY; Ontario, NY; Orleans, NY; Wayne, NY............................................... 6880 Rockford, IL: Boone, IL; Ogle, IL;

   0.8783 0.9150 Winnebago, IL.................................... 6895 Rocky Mount, NC: Edgecombe, NC; Nash, NC.... 0.8735 0.9115 6920 Sacramento, CA: \1\ El Dorado, CA; Placer, 1.2284 1.1513 CA; Sacramento, CA............................... 6960 Saginaw-Bay City-Midland, MI: Bay, MI;

   0.9294 0.9511 Midland, MI; Saginaw, MI......................... 6980 St. Cloud, MN: Benton, MN; Stearns, MN...... 0.9608 0.9730 7000 St. Joseph, MO: Andrew, MO; Buchanan, MO.... 0.8943 0.9264 7040 St. Louis, MO-IL: \1\ Clinton, IL; Jersey, 0.9052 0.9341 IL; Madison, IL; Monroe, IL; St. Clair, IL; Franklin, MO; Jefferson, MO; Lincoln, MO; St. Charles, MO; St. Louis, MO; St. Louis City, MO; Warren, MO....................................... 7080 Salem, OR: Marion, OR; Polk, OR............. 0.9949 0.9965 7120 Salinas, CA: Monterey, CA................... 1.4710 1.3025 7160 Salt Lake City-Ogden, UT: \1\ Davis, UT;

   0.9854 0.9900 Salt Lake, UT; Weber, UT......................... 7200 San Angelo, TX: Tom Green, TX............... 0.7845 0.8469 7240 San Antonio, TX: \1\ Bexar, TX; Comal, TX; 0.8318 0.8815 Guadalupe, TX; Wilson, TX........................ 7320 San Diego, CA: \1\ San Diego, CA............ 1.1955 1.130 7360 San Francisco, CA: \1\ Marin, CA; San

   1.378 41.2458 Francisco, CA; San Mateo, CA..................... 7400San Jose, CA: \1\ Santa Clara, CA............. 1.3492 1.2277 7440 San Juan-Bayamon, PR: \1\ Aguas Buenas, PR; 0.4657 0.5925 Barceloneta, PR; Bayamon, PR; Canovanas, PR; Carolina, PR; Catano, PR; Ceiba, PR; Comerio, PR; Corozal, PR; Dorado, PR; Fajardo, PR; Florida, PR; Guaynabo, PR; Humacao, PR; Juncos, PR; Los Piedras, PR; Loiza, PR; Luguillo, PR; Manati, PR; Morovis, PR; Naguabo, PR; Naranjito, PR; Rio Grande, PR; San Juan, PR; Toa Alta, PR; Toa Baja, PR; Trujillo Alto, PR; Vega Alta, PR; Vega Baja, PR; Yabucoa, PR.................................. 7460 San Luis Obispo-Atascadero-Paso Robles, CA: 1.0470 1.0320 San Luis Obispo, CA.............................. 7480 Santa Barbara-Santa Maria-Lompoc, CA: Santa 1.0819 1.0554 Barbara, CA...................................... 7485 Santa Cruz-Watsonville, CA: Santa Cruz, CA.. 1.3927 1.2546 7490 Santa Fe, NM: Los Alamos, NM; Santa Fe, NM.. 1.0437 1.0297 7500 Santa Rosa, CA: Sonoma, CA.................. 1.3000 1.1968 7510 Sarasota-Bradenton, FL: Manatee, FL;

   0.9905 0.9935 Sarasota, FL..................................... 7520 Savannah, GA: Bryan, GA; Chatham, GA;

   0.9953 0.9968 Effingham, GA.................................... 7560 Scranton--Wilkes-Barre--Hazleton, PA: \2\

   0.8524 0.8964 Columbia, PA; Lackawanna, PA; Luzerne, PA; Wyoming, PA...................................... 7600 Seattle-Bellevue-Everett, WA: \1\ Island,

   1.1289 1.0866 WA; King, WA; Snohomish, WA...................... 7610 Sharon, PA\2\: Mercer, PA................... 0.8524 0.8964 7620 Sheboygan, WI: \2\ Sheboygan, WI............ 0.8759 0.9133 7640 Sherman-Denison, TX: Grayson, TX............ 0.9329 0.9535 7680 Shreveport-Bossier City, LA: Bossier, LA;

   0.9049 0.9339 Caddo, LA; Webster, LA........................... 7720 Sioux City, IA-NE: Woodbury, IA; Dakota, NE. 0.8549 0.8982 7760 Sioux Falls, SD: Lincoln, SD; Minnehaha, SD. 0.8776 0.9145 7800 South Bend, IN: St. Joseph, IN.............. 0.9793 0.9858 7840 Spokane, WA: Spokane, WA;................... 1.0799 1.0541 7880 Springfield, IL: Menard, IL; Sangamon, IL... 0.8684 0.9079 7920 Springfield, MO: Christian, MO; Greene, MO; 0.7991 0.8576 Webster, MO...................................... 8003 Springfield, MA: \2\ Hampden, MA; Hampshire, 1.1369 1.0918 MA............................................... 8050 State College, PA: Centre, PA............... 0.9138 0.9401 8080 Steubenville-Weirton, OH-WV (OH Hospitals): 0.8649 0.9054 Jefferson, OH; Brooke, WV; Hancock, WV........... 8080 Steubenville-Weirton, OH-WV (WV Hospitals): 0.8614 0.9029 Jefferson, OH; Brooke, WV; Hancock, WV........... 8120 Stockton-Lodi, CA: San Joaquin, CA.......... 1.0518 1.0352 8140 Sumter, SC: \2\ Sumter, SC.................. 0.8264 0.8776 8160 Syracuse, NY: Cayuga, NY; Madison, NY;

   0.9441 0.9614 Onondaga, NY; Oswego, NY......................... 8200 Tacoma, WA: Pierce, WA...................... 1.1631 1.1090 8240 Tallahassee, FL: \2\ Gadsden, FL; Leon, FL.. 0.8986 0.9294 8280 Tampa-St. Petersburg-Clearwater, FL: \1\

   0.9119 0.9388 Hernando, FL; Hillsborough, FL; Pasco, FL; Pinellas, FL..................................... 8320 Terre Haute, IN: Clay, IN; Vermillion, IN; 0.8570 0.8997 Vigo, IN......................................... 8360 Texarkana, AR-Texarkana, TX: Miller, AR;

   0.8174 0.8710 Bowie, TX........................................ 8400 Toledo, OH: Fulton, OH; Lucas, OH; Wood, OH. 0.9593 0.9719 8440 Topeka, KS: Shawnee, KS..................... 0.9326 0.9533 8480 Trenton, NJ: Mercer, NJ..................... 0.9955 0.9969 8520 Tucson, AZ: Pima, AZ........................ 0.8742 0.9120 8560 Tulsa, OK: Creek, OK; Osage, OK; Rogers, OK; 0.8086 0.8646 Tulsa, OK; Wagoner, OK........................... 8600 Tuscaloosa, AL: Tuscaloosa, AL.............. 0.8064 0.8630 8640 Tyler, TX: Smith, TX........................ 0.9369 0.9563 8680 Utica-Rome, NY: \2\ Herkimer, NY; Oneida, NY 0.8636 0.9045 8720 Vallejo-Fairfield-Napa, CA: Napa, CA;

   1.2655 1.1750 Solano, CA....................................... 8735 Ventura, CA: Ventura, CA.................... 1.0952 1.0643 8750 Victoria, TX: Victoria, TX.................. 0.8378 0.8859 8760 Vineland-Millville-Bridgeton, NJ:

   1.0517 1.0351 Cumberland, NJ...................................

   [[Page 1823]]

   8780 Visalia-Tulare-Porterville, CA: Tulare, CA.. 1.0411 1.0280 8800 Waco, TX: McLennan, TX...................... 0.8075 0.8638 8840 Washington, DC-MD-VA-WV: \1\ District of

   1.1053 1.0710 Columbia, DC; Calvert, MD; Charles, MD; Frederick, MD; Montgomery, MD; Prince Georges, MD; Alexandria City, VA; Arlington, VA; Clarke, VA; Culpeper, VA; Fairfax, VA; Fairfax City, VA; Falls Church City, VA; Fauquier, VA; Fredericksburg City, VA; King George, VA; Loudoun, VA; Manassas City, VA; Manassas Park City, VA; Prince William, VA; Spotsylvania, VA; Stafford, VA; Warren, VA; Berkeley, WV; Jefferson, WV.................................... 8920 Waterloo-Cedar Falls, IA: Black Hawk, IA.... 0.8841 0.9191 8940 Wausau, WI: Marathon, WI.................... 0.9445 0.9617 8960 West Palm Beach-Boca Raton, FL: \1\ Palm

   0.9909 0.9938 Beach, FL........................................ 9000 Wheeling, WV-OH (WV Hospitals): \2\ Belmont, 0.8068 0.8633 OH; Marshall, WV; Ohio, WV....................... 9000 Wheeling, WV-OH (OH Hospitals): \2\ Belmont, 0.8649 0.9054 OH; Marshall, WV; Ohio, WV....................... 9040 Wichita, KS: Butler, KS; Harvey, KS;

   0.9421 0.9600 Sedgwick, KS..................................... 9080 Wichita Falls, TX: Archer, TX; Wichita, TX.. 0.7652 0.8325 9140 Williamsport, PA: \2\ Lycoming, PA.......... 0.8524 0.8964 9160Wilmington-Newark, DE-MD: New Castle, DE;

   1.1274 1.0856 Cecil, MD........................................ 9200 Wilmington, NC: New Hanover, NC; Brunswick, 0.9707 0.9798 NC............................................... 9260 Yakima, WA: \2\ Yakima, WA.................. 1.0446 1.0303 9270 Yolo, CA: Yolo, CA.......................... 1.0485 1.0330 9280 York, PA: York, PA.......................... 0.9309 0.9521 9320 Youngstown-Warren, OH: Columbiana, OH;

   0.9996 0.9997 Mahoning, OH; Trumbull, OH....................... 9340 Yuba City, CA: Sutter, CA; Yuba, CA......... 1.0662 1.0449 9360 Yuma, AZ: Yuma, AZ.......................... 0.9924 0.9948

   \1\ Large Urban Area \2\ Hospitals geographically located in the area are assigned the statewide rural wage index for FY 2000.

5. On page 41597, in Table 5--List of Diagnosis Related Groups (DRGs), Relative Weighting Factors, Geometric and Arthmetic Mean Length of Stay, the fourth column (DRG title) is amended as follows:

   1. Line 23, ``Traumatic Stupor & Coma, Coma >1 hr Age 17 w/o cc''; and

   2. Line 24, ``*Traumatic Stupor & Coma, Coma >1 hr Age 0-17'' is corrected to read ``*Traumatic Stupor & Coma, Coma 17 w'' is corrected to read ``Cardiac Congenital & Valvular Disorders Age >17 w''; and

   2. Line 7, ``Cardiac Congenital & Valvular Disorders Age 17 w/o'' is corrected to read ``Cardiac Congenital & Valvular Disorders Age >17 w/o''.

7. On page 41605, in Table 5--List of Diagnosis Related Groups (DRGs), Relative Weighting Factors, Geometric and Arthmetic Mean Length of Stay, 12th line from the bottom is revised as follows:

   Relative Geometric mean Arthimetic weights

   LOS

   mean LOS

   *

   *

   *

   *

   *

   *

   * 480....................... ..................... SURG.................... LIVER TRANSPLANT...........

   10.7834

   17.5

   23.1

   *

   *

   *

   *

   *

   *

   *

   (Catalog of Federal Domestic Assistance Program No. 93.773 Medicare--Hospital Insurance)

   Dated: December 9, 1999. Brian P. Burns, Deputy Assistant Secretary for Information Resource Management.

   [FR Doc. 00-126Filed1-11-00; 8:45 am]

   BILLING CODE 4120-01-P