Thursday, 

August 3, 2006 

Part II 

Department of 

Health and Human 

Services 

Centers for Medicare & Medicaid Services 

42 CFR Parts 414 and 484 

Medicare Program; Home Health 

Prospective Payment System Rate Update 

for Calendar Year 2007 and Deficit 

Reduction Act of 2005 Changes to 

Medicare Payment for Oxygen Equipment 

and Capped Rental Durable Medical 

Equipment; Proposed Rule 


hsrobinson on PROD1PC69 with PROPOSALS2
44082 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

42 CFR Parts 414 and 484 

[CMS–1304–P] 

RIN 0938–AN76 

Medicare Program; Home Health 

Prospective Payment System Rate 

Update for Calendar Year 2007 and 

Deficit Reduction Act of 2005 Changes 

to Medicare Payment for Oxygen 

Equipment and Capped Rental Durable 

Medical Equipment; Proposed Rule 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Proposed rule. 

SUMMARY: This proposed rule would set 

forth an update to the 60-day national 

episode rates and the national per-visit 

amounts under the Medicare 

prospective payment system for home 

health agencies. In addition, this 

proposed rule would set forth policy 

changes related to Medicare payment for 

certain durable medical equipment for 

the purpose of implementing sections 

1834(a)(5) and 1834(a)(7) of the Social 

Security Act, as amended by section 

5101 of the Deficit Reduction Act of 

2005. We are also inviting comments on 

a number of issues including payments 

based on reporting quality data and 

health information technology, as well 

as how to improve data transparency for 

consumers. 

DATES: To be assured consideration, 

comments must be received at one of 

the addresses provided below, no later 

than 5 p.m. on September 25, 2006. 

ADDRESSES: In commenting, please refer 

to file code CMS–1304–P. Because of 

staff and resource limitations, we cannot 

accept comments by facsimile (FAX) 

transmission. 

You may submit comments in one of 

four ways (no duplicates, please): 

1. Electronically. You may submit 

electronic comments on specific issues 

in this regulation to http:// 

www.cms.hhs.gov/eRulemaking. Click 

on the link ‘‘Submit electronic 

comments on CMS regulations with an 

open comment period.’’ (Attachments 

should be in Microsoft Word, 

WordPerfect, or Excel; however, we 

prefer Microsoft Word.) 

2. By regular mail. You may mail 

written comments (one original and two 

copies) to the following address ONLY: 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, Attention: CMS– 

1304–P, P.O. Box 8014, Baltimore, 

MD 21244–8014. 

Please allow sufficient time for mailed 

comments to be received before the 

close of the comment period. 

3. By express or overnight mail. You 

may send written comments (one 

original and two copies) to the following 

address ONLY: 

Centers for Medicare & Medicaid 

Services, Department of Health and 

Human Services, Attention: CMS– 

1304–P, Mail Stop C4–26–05, 7500 

Security Boulevard, Baltimore, MD 

21244–1850. 

4. By hand or courier. If you prefer, 

you may deliver (by hand or courier) 

your written comments (one original 

and two copies) before the close of the 

comment period to one of the following 

addresses. If you intend to deliver your 

comments to the Baltimore address, 

please call telephone number (410) 786– 

7195 in advance to schedule your 

arrival with one of our staff members. 

Room 445–G, Hubert H. Humphrey 

Building, 200 Independence Avenue, 

SW., Washington, DC 20201; or 7500 

Security Boulevard, Baltimore, MD 

21244–1850. 

(Because access to the interior of the 

HHH Building is not readily available to 

persons without Federal Government 

identification, commenters are 

encouraged to leave their comments in 

the CMS drop slots located in the main 

lobby of the building. A stamp-in clock 

is available for persons wishing to retain 

a proof of filing by stamping in and 

retaining an extra copy of the comments 

being filed.) 

Comments mailed to the addresses 

indicated as appropriate for hand or 

courier delivery may be delayed and 

received after the comment period. 

Submission of comments on 

paperwork requirements. You may 

submit comments on this document’s 

paperwork requirements by mailing 

your comments to the addresses 

provided at the end of the ‘‘Collection 

of Information Requirements’’ section in 

this document. 

For information on viewing public 

comments, see the beginning of the 

SUPPLEMENTARY INFORMATION section. 

FOR FURTHER INFORMATION CONTACT: 

Randy Throndset, (410) 786–0131, or 

Sharon Ventura, (410) 786–1985 (for 

issues related to the home health 

prospective payment system). 

Doug Brown, (410) 786–0028 (for 

issues related to reporting quality data). 

Alexis Meholic, (410) 786–2300 (for 

issues related to implementation of 

section 5101 of the Deficit Reduction 

Act of 2005). 

SUPPLEMENTARY INFORMATION: 

Submitting Comments: We welcome 

comments from the public on all issues 

set forth in this rule to assist us in fully 

considering issues and developing 

policies. You can assist us by 

referencing the file code CMS–1304–P 

and the specific ‘‘issue identifier’’ that 

precedes the section on which you 

choose to comment. 

Inspection of Public Comments: All 

comments received before the close of 

the comment period are available for 

viewing by the public, including any 

personally identifiable or confidential 

business information that is included in 

a comment. We post all comments 

received before the close of the 

comment period on the following Web 

site as soon as possible after they have 

been received: http://www.cms.hhs.gov/ 

eRulemaking. Click on the link 

‘‘Electronic Comments on CMS 

Regulations’’ on that Web site to view 

public comments. 

Comments received timely would also 

be available for public inspection as 

they are received, generally beginning 

approximately 3 weeks after publication 

of a document, at the headquarters of 

the Centers for Medicare & Medicaid 

Services, 7500 Security Boulevard, 

Baltimore, Maryland 21244, Monday 

through Friday of each week from 8:30 

a.m. to 4 p.m. To schedule an 

appointment to view public comments, 

phone 1–800–743–3951. 

I. Background 

[If you choose to comment on issues 

in this section, please include the 

caption ‘‘BACKGROUND’’ at the 

beginning of your comments.] 

A. Statutory Background 

The Balanced Budget Act of 1997 

(BBA) (Pub. L. 105–33), enacted on 

August 5, 1997, significantly changed 

the way Medicare pays for Medicare 

home health services. Until the 

implementation of a home health 

prospective payment system (HH PPS) 

on October 1, 2000, home health 

agencies (HHAs) received payment 

under a cost-based reimbursement 

system. Section 4603 of the BBA 

governed the development of the HH 

PPS. 

Section 4603(a) of the BBA provides 

the authority for the development of a 

PPS for all Medicare-covered home 

health services provided under a plan of 

care that were paid on a reasonable cost 

basis by adding section 1895, entitled 

‘‘Prospective Payment For Home Health 

Services,’’ to the Social Security Act 

(the Act). 

Section 1895(b)(1) of the Act requires 

the Secretary to establish a PPS for all 


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costs of home health services paid 

under Medicare. 

Section 1895(b)(3)(A) of the Act 

requires that (1) the computation of a 

standard prospective payment amount 

include all costs of home health services 

covered and paid for on a reasonable 

cost basis and be initially based on the 

most recent audited cost report data 

available to the Secretary, and (2) the 

prospective payment amounts be 

standardized to eliminate the effects of 

case-mix and wage levels among HHAs. 

Section 1895(b)(3)(B) of the Act 

addresses the annual update to the 

standard prospective payment amounts 

by the home health applicable increase 

percentage as specified in the statute. 

Section 1895(b)(4) of the Act governs 

the payment computation. Sections 

1895(b)(4)(A)(i) and (b)(4)(A)(ii) of the 

Act require the standard prospective 

payment amount to be adjusted for casemix and geographic differences in wage 

levels. Section 1895(b)(4)(B) of the Act 

requires the establishment of an 

appropriate case-mix adjustment factor 

that explains a significant amount of the 

variation in cost among different units 

of services. Similarly, section 

1895(b)(4)(C) of the Act requires the 

establishment of wage-adjustment 

factors that reflect the relative level of 

wages and wage-related costs applicable 

to the furnishing of home health 

services in a geographic area compared 

to the national average applicable level. 

These wage-adjustment factors may be 

the factors used by the Secretary for the 

different area wage levels for purposes 

of section 1886(d)(3)(E) of the Act. 

Section 1895(b)(5) of the Act gives the 

Secretary the option to grant additions 

or adjustments to the payment amount 

otherwise made in the case of outliers 

because of unusual variations in the 

type or amount of medically necessary 

care. Total outlier payments in a given 

fiscal year cannot exceed 5 percent of 

total payments projected or estimated. 

On December 8, 2003, the Congress 

enacted the Medicare Prescription Drug, 

Improvement, and Modernization Act 

(MMA) of 2003 (Pub. L. 108–173). This 

legislation affected how we make 

updates to HH payment rates. 

Section 701 of the MMA changed the 

yearly update cycle of the HH PPS rates 

from that of a fiscal year to a calendar 

year update cycle for 2004 and any 

subsequent year. Generally, section 

701(a) of the MMA changed the 

references in the statute to refer to the 

calendar year for 2004 and any 

subsequent year. The changes resulted 

in updates to the HH PPS rates 

described as ‘‘fiscal year’’ updates for 

2002 and 2003 and as ‘‘calendar year’’

updates for 2004 and any subsequent 

year (section 1895(b)(3)(B)(i) of the Act). 

Beginning on January 1, 2005, HH PPS 

would now be updated on a calendar 

year update cycle. 

In addition to changing the update 

cycle for HH PPS rates, section 701 of 

the MMA made adjustments to the 

home health applicable increase 

percentage for 2004, 2005, and 2006. 

Specifically, section 701(a)(2)(D) of the 

MMA left unchanged the home health 

market basket update for the last 

calendar year quarter of 2003 and the 

first calendar year quarter of 2004 

(section 1895(b)(3)(B)(ii)(II) of the Act). 

Furthermore, section 701(b)(4) of the 

MMA set the home health applicable 

percentage increase for the last 3 

quarters of 2004 as the home health 

market basket (3.1 percent) minus 0.8 

percentage point (section 

1895(b)(3)(B)(ii)(III) of the Act). We 

implemented this provision through 

Pub. 100–20, One Time Notification, 

Transmittal 59, issued February 20, 

2004. Section 701(b)(4) of the MMA also 

provided that updates for CY 2005 and 

CY 2006 would equal the applicable 

home health market basket percentage 

increase minus 0.8 percentage point. 

Lastly, section 701(b)(3) of the MMA 

revised the statute to provide that HH 

PPS rates for CY 2007 and any 

subsequent year would be updated by 

that year’s home health market basket 

percentage increase (section 

1895(b)(3)(B)(ii)(IV) of the Act). 

On February 8, 2006, the Congress 

enacted the Deficit Reduction Act (DRA) 

of 2005 (Pub. L. 109–171). This 

legislation made additional changes to 

HH PPS. 

Section 5201 of the DRA changed the 

CY 2006 update from the applicable 

home health market basket percentage 

increase minus 0.8 percentage point to 

a 0 percent update. 

Section 5201 of the DRA amended 

section 421(a) of the MMA. The 

amended section 421(a) of the MMA 

requires for home health services 

furnished in a rural area (as defined in 

section 1886(d)(2)(D) of the Act) on or 

after January 1, 2006 and before January 

1, 2007, that the Secretary increase the 

payment amount otherwise made under 

section 1895 of the Act for those 

services by 5 percent. The statute 

waives budget neutrality for purposes of 

this increase as it specifically requires 

that the Secretary not reduce the 

standard prospective payment amount 

(or amounts) under section 1895 of the 

Act applicable to home health services 

furnished during a period to offset the 

increase in payments resulting in the 

application of this section of the statute. 

The 0 percent update to the payment 

rates and the rural add-on provisions of 

the DRA were implemented through 

Pub. 100–20, One Time Notification, 

Transmittal 211 issued February 10, 

2006. 

In addition, section 5201(c) of the 

DRA amends the statute to add section 

1895(b)(3)(B)(v) to the Act, requiring 

HHAs to submit data for purposes of 

measuring health care quality. This 

requirement is applicable for 2007 and 

each subsequent year. For 2007 and 

each subsequent year, in the case of a 

HHA that does not submit quality data, 

the home health market basket 

percentage increase would be reduced 

by 2 percentage points. 

B. Updates 

On July 3, 2000, we published a final 

rule (65 FR 41128) in the Federal 

Register to implement the HH PPS 

legislation. That final rule established 

requirements for the new PPS for HHAs 

as required by section 4603 of the BBA, 

and as subsequently amended by 

section 5101 of the Omnibus 

Consolidated and Emergency 

Supplemental Appropriations Act 

(OCESAA) for Fiscal Year 1999 (Pub. L. 

105–277), enacted on October 21, 1998; 

and by sections 302, 305, and 306 of the 

Medicare, Medicaid, and SCHIP 

Balanced Budget Refinement Act 

(BBRA) of 1999 (Pub. L. 106–113), 

enacted on November 29, 1999. The 

requirements include the 

implementation of a PPS for HHAs, 

consolidated billing requirements, and a 

number of other related changes. The 

PPS described in that rule replaced the 

retrospective reasonable-cost-based 

system that was used by Medicare for 

the payment of home health services 

under Part A and Part B. 

On November 9, 2005, we published 

a final rule (70 FR 68132), which set 

forth an update to the 60-day national 

episode rates and the national per-visit 

amounts under the Medicare 

prospective payment system for home 

health agencies. As part of that final 

rule, we adopted revised area labor 

market Metropolitan Statistical Area 

designations for CY 2006. In 

implementing the new area labor market 

designations, we allowed for a one-year 

transition period. This transition 

consists of a blend of 50 percent of the 

new area labor market designations’

wage index and 50 percent of the 

previous area labor market designations’

wage index. In addition, we revised the 

fixed dollar loss ratio, which is used in 

the calculation of outlier payments. 

C. System for Payment of Home Health 

Services 

Generally, Medicare makes payment 

under the HH PPS on the basis of a 


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national standardized 60-day episode 

payment, adjusted for case mix and 

wage index. For episodes with four or 

fewer visits, Medicare pays on the basis 

of a national per-visit amount by 

discipline, referred to as a low 

utilization payment adjustment (LUPA). 

Medicare also adjusts the 60-day 

episode payment for certain intervening 

events that give rise to a partial episode 

payment adjustment (PEP adjustment) 

or a significant change in condition 

adjustment (SCIC). For certain cases that 

exceed a specific cost threshold, an 

outlier adjustment may also be 

available. For a complete and full 

description of the HH PPS as required 

by the BBA and as amended by 

OCESAA and BBRA, see the July 3, 

2000 HH PPS final rule (65 FR 41128). 

D. Changes in Payment for Oxygen and 

Oxygen Equipment and Other Durable 

Medical Equipment (Capped Rental 

Items) 

The Medicare payment rules for 

durable medical equipment (DME) are 

set forth in section 1834(a) of the Act 

and 42 CFR part 414, subpart D of our 

regulations. General payment rules for 

DME are set forth in section 1834(a)(1) 

of the Act and § 414.210 of our 

regulations, and § 414.210 also contains 

paragraphs relating to maintenance and 

servicing of items and replacement of 

items. Specific rules for oxygen and 

oxygen equipment are set forth in 

section 1834(a)(5) of the Act and 

§ 414.226 of our regulations, and 

specific rules for capped rental items are 

set forth in section 1834(a)(7) of the Act 

and § 414.229 of our regulations. Rules 

for determining a period of continuous 

use for the rental of DME are set forth 

in § 414.230 of our regulations. The 

Medicare payment basis for DME is 

equal to 80 percent of either the lower 

of the actual charge or the fee schedule 

amount for the item. The beneficiary 

coinsurance is equal to 20 percent of 

either the lower of the actual charge or 

the fee schedule amount for the item. 

In accordance with the rules set forth 

in section 1834(a)(5) of the Act and 

§ 414.226 of our regulations, since 1989, 

suppliers have been paid monthly for 

furnishing oxygen and oxygen 

equipment to Medicare beneficiaries. 

Suppliers have also been paid an addon fee for furnishing portable oxygen 

equipment to patients when medically 

necessary. Before the enactment of the 

DRA, these monthly payments 

continued for the duration of use of the 

equipment, provided that Medicare Part 

B coverage and eligibility criteria were 

met. Medicare covers three types of 

oxygen delivery systems: (1) Stationary 

or portable oxygen concentrators, which 

concentrate oxygen in room air; (2) 

stationary or portable liquid oxygen 

systems, which use oxygen stored as a 

very cold liquid in cylinders and tanks; 

and (3) stationary or portable gaseous 

oxygen systems, which administer 

compressed oxygen directly from 

cylinders. Both liquid and gaseous 

oxygen systems require delivery of 

oxygen contents. 

Medicare payment for furnishing 

oxygen and oxygen equipment is made 

on a monthly basis and the fee schedule 

amounts vary by State. Payment for 

oxygen contents for both stationary and 

portable equipment is included in the 

fee schedule allowances for stationary 

equipment. Medicare fee schedules for 

home oxygen equipment are modality 

neutral; meaning that in a given State, 

there is one fee schedule amount that 

applies to all stationary systems and one 

fee schedule amount that applies to all 

portable systems. 

Effective January 1, 2006, section 

5101(b) of the DRA amended the Act at 

section 1834(a)(5) of the Act, limiting to 

36 months the total number of 

continuous months for which Medicare 

will pay for oxygen equipment on a 

rental basis. At the end of the 36-month 

period, this section mandates that the 

supplier transfer title to the stationary 

and portable oxygen equipment to the 

beneficiary. Section 5101(b) of the DRA 

does not, however, limit the number of 

months for which Medicare will pay for 

oxygen contents for beneficiary-owned 

stationary or portable gaseous or liquid 

systems, and payment will continue to 

be made as long as the oxygen remains 

medically necessary. Section 5101(b) of 

the DRA also provides that payment for 

reasonable and necessary maintenance 

and servicing of beneficiary-owned 

oxygen equipment will be made for 

parts and labor not covered by a 

supplier’s or manufacturer’s warranty. 

In the case of beneficiaries using oxygen 

equipment on December 31, 2005, the 

36-month rental period prescribed by 

the DRA begins on January 1, 2006. 

In accordance with the rules set forth 

in section 1834(a)(7) of the Act and 

§ 414.229 of our regulations, before the 

enactment of the DRA, suppliers of 

capped rental items (that is, other DME 

not described in paragraphs (2) through 

(6) of section 1834(a) of the Act) were 

paid on a rental or purchase option 

basis. Payment for most items in the 

capped rental category was made on a 

monthly rental basis, with rental 

payments being capped at 15 months or 

13 months, depending on whether the 

beneficiary chose to continue renting 

the item or to take over ownership of the 

item through the ‘‘purchase option.’’ For 

all capped rental items, the supplier was 

required to inform the beneficiary of his 

or her purchase option, during the 10th 

rental month, to enter into a purchase 

agreement under which the supplier 

would transfer title to the item to the 

beneficiary on the first day after the 

13th continuous month during which 

payment was made for the rental of the 

item. Therefore, if the beneficiary chose 

the purchase option, rental payments to 

the supplier would continue through 

the 13th month of continuous use of the 

equipment, after which time title to the 

equipment would transfer from the 

supplier to the beneficiary. Medicare 

would also make payment for any 

reasonable and necessary repair or 

maintenance and servicing of the 

equipment following the transfer of title. 

If the beneficiary did not choose the 

purchase option, rental payments would 

continue through the 15th month of 

continuous use. In these cases, suppliers 

would maintain title to the equipment 

but would have to continue furnishing 

the item to the beneficiary as long as 

medically necessity continued. 

Beginning 6 months after the 15th 

month of continuous use in which 

payment was made, Medicare would 

also make semi-annual maintenance and 

servicing payments to suppliers. These 

payments were approximately equal to 

10 percent of the purchase price for the 

equipment as determined by the statute. 

Total Medicare payments made through 

the 13th and 15th months of rental 

equal 105 and 120 percent, respectively, 

of the purchase price for the equipment. 

In the case of power-driven 

wheelchairs, since 1989 payment has 

also been made on a lump-sum 

purchase basis at the time that the item 

is initially furnished to the beneficiary 

if the beneficiary chooses to obtain the 

item in this manner. Most beneficiaries 

choose to obtain power-driven 

wheelchairs via this lump-sum purchase 

option. 

Effective for items for which the first 

rental month occurs on or after January 

1, 2006, section 5101(a) of the DRA of 

2005 amended section 1834(a)(7) of the 

Act, limiting to 13 months the total 

number of continuous months for which 

Medicare will pay for DME in this 

category. After a 13-month period of 

continuous use during which rental 

payments are made, the statute requires 

that the supplier transfer title to the 

equipment to the beneficiary. 

Beneficiaries may still elect to obtain 

power-driven wheelchairs on a lumpsum purchase agreement basis. In all 

cases, payment for reasonable and 

necessary maintenance and servicing of 

beneficiary-owned equipment will be 

made for parts and labor not covered by 


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the supplier’s or manufacturer’s 

warranty. 

II. Provisions of the Proposed 

Regulations 

[If you choose to comment on issues 

in this section, please include the 

caption ‘‘PROVISIONS OF THE 

PROPOSED REGULATIONS’’ at the 

beginning of your comments.] 

A. National Standardized 60-Day 

Episode Rate 

Medicare HH PPS has been effective 

since October 1, 2000. As set forth in the 

final rule published July 3, 2000 in the 

Federal Register (65 FR 41128), the unit 

of payment under Medicare HH PPS is 

a national standardized 60-day episode 

rate. As set forth in § 484.220, we adjust 

the national standardized 60-day 

episode rate by a case mix grouping and 

a wage index value based on the site of 

service for the beneficiary. The 

proposed CY 2007 HH PPS rates use the 

same case-mix methodology and 

application of the wage index 

adjustment to the labor portion of the 

HH PPS rates as set forth in the July 3, 

2000 final rule. In the October 22, 2004 

final rule, we rebased and revised the 

home health market basket, resulting in 

a labor-related share of 76.775 percent 

and a non-labor portion of 23.225 

percent (69 FR 62126). We multiply the 

national 60-day episode rate by the 

patient’s applicable case-mix weight. 

We divide the case-mix adjusted 

amount into a labor and non-labor 

portion. We multiply the labor portion 

by the applicable wage index based on 

the site of service of the beneficiary. 

As required by section 1895(b)(3)(B) 

of the Act, we have updated the HH PPS 

rates annually in a separate Federal 

Register document. Section 484.225 sets 

forth the specific annual percentage 

update. To reflect section 

1895(b)(3)(B)(v) of the Act, as added by 

section 5201 of the DRA, in § 484.225, 

we are proposing to revise paragraph (g) 

as follows: 

(g) For 2007 and subsequent calendar 

years, the unadjusted national rate is equal to 

the rate for the previous calendar year 

increased by the applicable home health 

market basket index amount unless the HHA 

has not submitted quality data in which case 

the unadjusted national rate is equal to the 

rate for the previous calendar year increased 

by the applicable home health market basket 

index amount minus 2 percentage points. 

For CY 2007, we are proposing to use 

again the design and case-mix 

methodology described in section III.G 

of the HH PPS July 3, 2000 final rule (65 

FR 41192 through 41203). For CY 2007, 

we are proposing to base the wage index 

adjustment to the labor portion of the 

PPS rates on the most recent pre-floor 

and pre-reclassified hospital wage index 

as discussed in section II.F. of this 

proposed rule (not including any 

reclassifications under section 

1886(d)(8)(B) of the Act). 

As discussed in the July 3, 2000 HH 

PPS final rule, for episodes with four or 

fewer visits, Medicare pays the national 

per-visit amount by discipline, referred 

to as a LUPA. We update the national 

per-visit amounts by discipline annually 

by the applicable home health market 

basket percentage. We adjust the 

national per-visit amount by the 

appropriate wage index based on the 

site of service for the beneficiary as set 

forth in § 484.230. We propose to adjust 

the labor portion of the updated 

national per-visit amounts by discipline 

used to calculate the LUPA by the most 

recent pre-floor and pre-reclassified 

hospital wage index, as discussed in 

section II.F of this proposed rule. 

Medicare pays the 60-day case-mix 

and wage-adjusted episode payment on 

a split percentage payment approach. 

The split percentage payment approach 

includes an initial percentage payment 

and a final percentage payment as set 

forth in § 484.205(b)(1) and 

§ 484.205(b)(2). We may base the initial 

percentage payment on the submission 

of a request for anticipated payment 

(RAP) and the final percentage payment 

on the submission of the claim for the 

episode, as discussed in § 409.43. The 

claim for the episode that the HHA 

submits for the final percentage 

payment determines the total payment 

amount for the episode and whether we 

make an applicable adjustment to the 

60-day case-mix and wage-adjusted 

episode payment. The end date of the 

60-day episode as reported on the claim 

determines which calendar year rates 

Medicare would use to pay the claim. 

We may also adjust the 60-day casemix and wage-adjusted episode 

payment based on the information 

submitted on the claim to reflect the 

following: 

• A low utilization payment provided 

on a per-visit basis as set forth in 

§ 484.205(c) and § 484.230. 

• A partial episode payment 

adjustment as set forth in § 484.205(d) 

and § 484.235. 

• A significant change in condition 

adjustment as set forth in § 484.205(e) 

and § 484.237. 

• An outlier payment as set forth in 

§ 484.205(f) and § 484.240. 

This proposed rule reflects the 

proposed updated CY 2007 rates that 

would be effective January 1, 2007. 

B. Proposed CY 2007 Update to the 

Home Health Market Basket Index 

Section 1895(b)(3)(B) of the Act, as 

amended by section 5201 of the DRA, 

requires for CY 2007 that the standard 

prospective payment amounts be 

increased by a factor equal to the 

applicable home health market basket 

update. 

• Proposed CY 2007 Adjustments. 

In calculating the annual update for 

the CY 2007 60-day episode rates, we 

are proposing to first look at the CY 

2006 rates as a starting point. The CY 

2006 national 60-day episode rate, as 

modified by section 5201(a)(4) of the 

DRA (and implemented through Pub. 

100–20, One Time Notification, 

Transmittal 211 issued February 10, 

2006) is $2,264.28. 

In order to calculate the CY 2007 

national 60-day episode rate, we are 

proposing to multiply the CY 2006 

national 60-day episode rate ($2,264.28) 

by the proposed estimated home health 

market basket update of 3.1 percent for 

CY 2007. The proposed estimated home 

health market basket percentage 

increase reflects changes over time in 

the prices of an appropriate mix of 

goods and services included in covered 

home health services. The estimated 

home health market basket percentage 

increase is generally used to update the 

HH PPS rates on an annual basis. 

We would increase the 60-day 

episode payment rate for CY 2007 

(episodes ending on or after January 1, 

2007, and before January 1, 2008) by the 

proposed estimated home health market 

basket update (3.1 percent) ($2,264.28 × 

1.031) to yield the proposed updated CY 

2007 national 60-day episode rate 

($2,334.47) (see Table 1 below). 


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44086 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

TABLE 1.—PROPOSED NATIONAL 60-DAY EPISODE AMOUNTS UPDATED BY THE ESTIMATED HOME HEALTH MARKET

BASKET UPDATE FOR CY 2007, BEFORE CASE-MIX ADJUSTMENT

Total CY 2006 prospective payment amount per 60-day episode 

Multiply by the proposed estimated home health market 

basket update 

(3.1 Percent) 1

Proposed CY 2007 updated 

national 60-day episode rate 

$2,264.28 ............................................................................................................. × 1.031 $2,334.47 

1The estimated home health market basket update of 3.1 percent for CY 2007 is based on Global Insight, Inc, 2nd Qtr, 2006 forecast with historical data through 1st Qtr, 2006. 

National Per-visit Amounts Used To Pay 

LUPAs and Compute Imputed Costs 

Used in Outlier Calculations 

As discussed previously in this 

proposed rule, the policies governing 

the LUPAs and outlier calculations set 

forth in the July 3, 2000 HH PPS final 

rule would continue during CY 2007. In 

calculating the annual update for the CY 

2007 national per-visit amounts we use 

to pay LUPAs and to compute the 

imputed costs in outlier calculations, 

we are proposing to look again at the CY 

2006 rates as a starting point. We then 

are proposing to multiply those amounts 

by the proposed estimated home health 

market basket update (3.1 percent) for 

CY 2007 to yield the updated per-visit 

amounts for each home health 

discipline for CY 2007 (episodes ending 

on or after January 1, 2007, and before 

January 1, 2008) (see Table 2 below). 

TABLE 2.—PROPOSED NATIONAL PER-VISIT AMOUNTS FOR LUPAS AND OUTLIER CALCULATIONS UPDATED BY THE

ESTIMATED HOME HEALTH MARKET BASKET UPDATE FOR CY 2007 

Home health discipline type 

Final CY 2006 

per-visit amounts 

per 60-day episode for LUPAs 

Multiply by the 

proposed estimated home 

health market 

basket 

(3.1 percent) 1

Proposed CY 

2007 per-visit payment amount per 

discipline for 

LUPAs 

Home health aide ...................................................................................................... $44.76 × 1.031 $46.15 

Medical social services .............................................................................................. 158.45 × 1.031 163.36 

Occupational therapy ................................................................................................. 108.81 × 1.031 112.18 

Physical therapy ........................................................................................................ 108.08 × 1.031 111.43 

Skilled nursing ........................................................................................................... 98.85 × 1.031 101.91 

Speech-language pathology ...................................................................................... 117.44 × 1.031 121.08 

1The estimated home health market basket update of 3.1 percent for CY 2007 is based on Global Insight, Inc, 2nd Qtr, 2006 forecast with historical data through 1st Qtr, 2006. 

C. Rural Add-On 

As stated above, section 5201(b) of the 

DRA requires, for home health services 

furnished in a rural area (as defined in 

section 1886(d)(2)(D) of the Act) with 

respect to episodes and visits beginning 

on or after January 1, 2006 and before 

January 1, 2007, that the Secretary 

increase by 5 percent the payment 

amount otherwise made under section 

1895 of the Act. The statute waives 

budget neutrality related to this 

provision as it specifically states that 

the Secretary shall not reduce the 

standard prospective payment amount 

(or amounts) under section 1895 of the 

Act applicable to home health services 

furnished during a period to offset the 

increase in payments resulting in the 

application of this section of the statute. 

While the rural add-on would 

primarily affect those episodes paid 

based on CY 2006 rates, it would also 

affect a number of episodes that would 

be paid based on CY 2007 rates. For 

example, an episode that begins on 

December 20, 2006 and ends on 

February 17, 2007, for services 

furnished in a rural area, would be paid 

based on CY 2007 rates because the 

episode ends on or after January 1, 2007 

and before January 1, 2008; and the 

episode would also receive the rural 

add-on because the episode begins on or 

after January 1, 2006 and before January 

1, 2007. 

The applicable case-mix and wage 

index adjustment is subsequently 

applied to the 60-day episode amount 

for the provision of home health 

services where the site of service is the 

non-Metropolitan Statistical Area (MSA) 

of the beneficiary. Similarly, the 

applicable wage index adjustment is 

subsequently applied to the LUPA pervisit amounts adjusted for the provision 

of home health services where the site 

of service for the beneficiary is a nonMSA area. We implemented this 

provision for CY 2006 on February 13, 

2006 through Pub. 100–20, One Time 

Notification, Transmittal 211 issued 

February 10, 2006. The 5 percent rural 

add-on is noted in tables 3 and 4 below. 


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TABLE 3.—PROPOSED PAYMENT AMOUNTS FOR 60-DAY EPISODES BEGINNING IN CY 2006 AND ENDING IN CY 2007 UPDATED BY THE ESTIMATED HOME HEALTH MARKET BASKET UPDATE FOR CY 2007 WITH RURAL ADD-ON, BEFORE

CASE-MIX ADJUSTMENT

Proposed CY 2007 total prospective payment amount per 60-day episode 5 percent rural add-on 

Proposed CY 2007 payment 

amount per 60-day episode 

beginning in CY 2006 and before January 1, 2007 and ending in CY 2007 for a beneficiary who resides in a nonMSA area 

2,334.47 ............................................................................................................... × 1.05 $2,451.20 

TABLE 4.—PROPOSED NATIONAL PER-VISIT AMOUNTS FOR EPISODES BEGINNING IN CY 2006 AND ENDING IN CY 2007 

UPDATED BY THE ESTIMATED HOME HEALTH MARKET BASKET UPDATE FOR CY 2007 WITH RURAL ADD-ON

Home health discipline type 

Proposed CY 

2007 per-visit 

amounts 

Multiply by the 

5 percent rural 

add-on 

Proposed CY 

2007 per-visit payment amount per 

discipline for 60- 

day episodes beginning on or after 

January 1 in CY 

2006 and ending 

in CY 2007 for a 

beneficiary who 

resides in a nonmsa area 

Home health aide ...................................................................................................... $46.15 × 1.05 $48.46 

Medical social services .............................................................................................. 163.36 × 1.05 171.53 

Occupational therapy ................................................................................................. 112.18 × 1.05 117.79 

Physical therapy ........................................................................................................ 111.43 × 1.05 117.00 

Skilled nursing ........................................................................................................... 101.91 × 1.05 107.01 

Speech-language pathology ...................................................................................... 121.08 × 1.05 127.13 

Section 5201(c)(2) of the DRA added 

section 1895(b)(3)(B)(v)(II) to the Act, 

requiring that ‘‘each home health agency 

shall submit to the Secretary such data 

that the Secretary determines are 

appropriate for the measurement of 

health care quality. Such data shall be 

submitted in a form and manner, and at 

a time, specified by the Secretary for 

purposes of this clause.’’ In addition, 

section 1895(b)(3)(B)(v)(I) of the Act, as 

also added by section 5201(c)(2) of the 

DRA, dictates that ‘‘for 2007 and each 

subsequent year, in the case of a home 

health agency that does not submit data 

to the Secretary in accordance with 

subclause (II) with respect to such a 

year, the home health market basket 

percentage increase applicable under 

such clause for such year shall be 

reduced by 2 percentage points.’’

The Omnibus Budget Reconciliation 

Act of 1987 (OBRA 87) required the use 

of a standardized assessment instrument 

for quality oversight of HHAs. A 

standardized assessment instrument 

provides an HHA with a uniform 

mechanism to assess the needs of their 

patients and provide CMS with a 

uniform mechanism to assess the HHA’s 

ability to adequately address those 

needs. To fulfill the OBRA 87 mandate, 

CMS required that, as part of their 

comprehensive assessment process, 

HHAs collect and report Outcome and 

Assessment Information Set (OASIS) 

data and later mandated the submission 

of this data as an HHA condition of 

participation at 42 CFR 484.20 and 

484.55. 

The OASIS data provide consumers 

and HHAs with ten, publicly-reported 

home health quality measures which 

have been endorsed by the National 

Quality Forum (NQF). Reporting this 

quality data has also required the 

development of several supporting 

mechanisms such as the HAVEN 

software used to encode and transmit 

data using a CMS standard electronic 

record layout, edit specifications, and 

data dictionary. The HAVEN software, 

which includes the OASIS, has become 

a standard practice within HHA 

operations. These early investments in 

data infrastructure and supporting 

software that CMS and HHAs have 

made over the past several years in 

order to create this quality reporting 

structure, have made quality reporting 

and measurement an important 

component of the HHA industry. The 

ten measures are: 

(1) Improvement in ambulation/ 

locomotion. 

(2) Improvement in bathing. 

(3) Improvement in transferring. 

(4) Improvement in management of 

oral medications. 

(5) Improvement in pain interfering 

with activity. 

(6) Acute care hospitalization. 

(7) Emergent care. 

(8) Improvement in dyspnea. 

(9) Improvement in urinary 

incontinence. 

(10) Discharge to community. 

We propose to use OASIS data and 

the ten quality measures based on those 

data as the appropriate measure on 

home health quality. Continuing to use 

the OASIS instrument would minimize 

the burden to providers and ensure that 

costs associated with the development 

and testing of a new reporting 

mechanism are not incurred. We believe 

that at this time the noted ten quality 

measures are the most appropriate 

measure of home health quality. 

Accordingly, for the calendar year (CY) 

2007, we propose that the OASIS data, 

specifically, the ten quality measures, be 

submitted by HHAs, to meet the 

requirement that each HHA submit data 

appropriate for the measurement of 

health care quality, as determined by 

the Secretary. 

Additionally, section 

1895(b)(3)(B)(v)(II) of the Act provides 

the Secretary with the discretion to 

submit the required data in a form, 


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manner, and time specified by him. For 

CY 2007, we are proposing to consider 

OASIS data submitted by HHAs to CMS 

for episodes beginning on or after July 

1, 2005 and before July 1, 2006 as 

meeting the reporting requirement. This 

reporting time period will allow a full 

12 months of data and will provide CMS 

the time necessary to analyze and make 

any necessary payment adjustments to 

the CY 2007 payment rates. HHAs that 

meet the reporting requirement would 

be eligible for the full home health 

market basket percentage increase. 

During the next few years, we will be 

pursuing the development of patient 

level process measures for home health 

agencies, as well as continuing to refine 

the current OASIS tool in response to 

recommendations from a Technical 

Expert Panel conducted to review the 

data elements that make up the OASIS 

tool. These process measures will refer 

to specific care practices that are, or are 

not, followed by the home health agency 

for each patient. An example of this 

type of measure may be: the percentage 

of patients at risk of falls for whom 

prevention of falls was addressed in the 

care plan. We expect to introduce these 

additional measures over 2008 and 2009 

so as to complement the existing OASIS 

outcome measures. During the years 

leading to calendar year 2010 payments, 

we will test and refine these measures 

to determine if they can more accurately 

reflect the level of quality care being 

provided at HHAs without being overly 

burdensome with the data collection 

instrument. Some process measures are 

in the very early stages of development. 

To the extent that evidence-based data 

are available on which to determine the 

appropriate measure specifications, and 

adequate risk-adjustments are made, we 

anticipate collecting and reporting these 

measures as part of each agency’s home 

health quality plan. We believe that 

future modifications to the current 

OASIS tool including reducing the 

numbers of questions on the tool, 

refining possible responses, as well as 

adding new process measures will be 

made. In all cases, we anticipate that 

any future quality measures should be 

evidence-based, clearly linked to 

improved outcomes, and able to be 

reliably captured with the least burden 

to the provider. We are also beginning 

work in order to measure patient 

experience (in the form of a patient 

satisfaction survey) of care in the home 

health setting. 

We recognize, however, that the 

conditions of participation (42 CFR part 

484) that require OASIS submission also 

provide for exclusions from this 

requirement. Generally, agencies are not 

subject to the OASIS submission 

requirement, and thus do not receive 

Medicare payments, for patients that are 

not Medicare Beneficiaries or the 

patients are not receiving Medicarecovered home health services. Under 

the conditions of participation, agencies 

are excluded from the OASIS reporting 

requirement on individual patients if: 

• Those patients are receiving only 

non-skilled services, 

• Neither Medicare nor Medicaid is 

paying for home health care (patients 

receiving care under a Medicare or 

Medicaid Managed Care Plan are not 

excluded from the OASIS reporting 

requirement), 

• Those patients are receiving pre- or 

post-partum services, 

• Those patients are under the age of 

18 years. 

We believe that the rationale behind 

the exclusion of these agencies from 

submitting OASIS on patients excluded 

from OASIS submission as a condition 

of participation is equally applicable to 

HHAs for purposes of meeting the DRA 

quality requirement. If an agency is not 

submitting OASIS for patients excluded 

from OASIS submission as a condition 

of participation, we believe that the 

submission of OASIS for quality 

measures for Medicare payment 

purposes is also not necessary. 

Therefore, we propose that HHAs do not 

need to submit quality measures for 

DRA reporting purposes, for those 

patients who are excluded from OASIS 

submission as a condition of 

participation. 

Additionally, we propose that 

agencies newly certified (on or after 

May 31, 2006 for payments to be made 

in CY 2007) be excluded from the DRA 

reporting requirement as data 

submission and analysis will not be 

possible for an agency certified this late 

in the reporting time period. We 

propose that in future years, agencies 

that certify on or after May 31 of the 

preceding year involved be excluded 

from any payment penalty under the 

DRA for the following calendar year. For 

example, if HHA ‘‘X’’ were to enroll in 

the Medicare Program on May 30 2007, 

CMS would expect them to submit the 

required quality data (unless covered by 

another exclusion protocol) on or before 

June 30 2006 (the end of the reporting 

period for payments effectuated in 

calendar year 2007. However, if HHA 

‘‘X’’ were to enroll in the Medicare 

Program on May 31, 2006, CMS would 

automatically exclude them from the 

requirements under the DRA and the 

agency would be entitled to the full 

market basket increase for calendar year 

2007. We note these exclusions only 

affect reporting requirements under the 

DRA and do not affect the agency’s 

OASIS reporting responsibilities under 

the conditions of participation. 

We propose to require that all HHAs, 

unless covered by these specific 

exclusions, meet the reporting 

requirement, or be subject to a 2 percent 

reduction in the home health market 

basket percentage increase in 

accordance with section 

1895(b)(3)(B)(v)(I) of the Act. The 2 

percent reduction would apply to all 

episodes ending on or before December 

31, 2007. We provide the reduced 

payment rates in tables 5, 6, 7, and 8 

below. 

TABLE 5.—FOR HHAS THAT DO NOT SUBMIT THE REQUIRED QUALITY DATA—PROPOSED NATIONAL 60-DAY EPISODE

AMOUNT UPDATED BY THE ESTIMATED HOME HEALTH MARKET BASKET UPDATE FOR CY 2007, MINUS 2 PERCENTAGE POINTS, BEFORE CASE-MIX ADJUSTMENT

Total CY 2006 prospective payment amount per 60-day episode 

Multiply by the proposed estimated home health market 

basket update 

(3.1 percent 1 minus 2 percent) 

Proposed CY 2007 updated 

national 60-day episode rate 

for HHAs that do not submit 

required quality data 

$2,264.28 ............................................................................................................. × 1.011 $2,289.19 

1The estimated home health market basket update of 3.1 percent for CY 2007 is based on Global Insight, Inc, 2nd Qtr, 2006 forecast with historical data through 1st Qtr, 2006. 


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TABLE 6.—FOR HHAS THAT DO NOT SUBMIT THE REQUIRED QUALITY DATA—PROPOSED NATIONAL PER-VISIT AMOUNTS

UPDATED BY THE ESTIMATED HOME HEALTH MARKET BASKET UPDATE FOR CY 2007, MINUS 2 PERCENTAGE POINTS

Home health discipline type 

Final CY 2006 

per-visit amounts 

per 60-day 

episode 

Multiply by the 

proposed estimated home 

health market basket update 

(3.1 percent 1

minus 2 percent) 

Proposed CY 

2007 per-visit payment amount per 

discipline for 

HHAs that do not 

submit required 

quality data 

Home health aide ...................................................................................................... $44.76 × 1.011 $45.25 

Medical social services .............................................................................................. 158.45 × 1.011 160.19 

Occupational therapy ................................................................................................. 108.81 × 1.011 110.01 

Physical therapy ........................................................................................................ 108.08 × 1.011 109.27 

Skilled nursing ........................................................................................................... 98.85 × 1.011 99.94 

Speech-language pathology ...................................................................................... 117.44 × 1.011 118.73 

1The estimated home health market basket update of 3.1 percent for CY 2007 is based on Global Insight, Inc, 2nd Qtr, 2006 forecast with historical data through 1st Qtr, 2006. 

TABLE 7.—FOR HHAS THAT DO NOT SUBMIT THE REQUIRED QUALITY DATA—PROPOSED PAYMENT AMOUNT FOR 60-DAY

EPISODES BEGINNING IN CY 2006 AND ENDING IN CY 2007 UPDATED BY THE ESTIMATED HOME HEALTH MARKET

BASKET FOR CY 2007, MINUS 2 PERCENTAGE POINTS, WITH RURAL ADD-ON, BEFORE CASE-MIX ADJUSTMENT

Proposed CY 2007 updated national 60-day episode rate for HHAs that do not 

submit required quality data 5 percent rural add-on 

Proposed CY 2007 payment 

amount per 60-day episode 

beginning in CY 2006 and 

ending in CY 2007 for a beneficiary who resides in a nonMSA area for HHAs that do 

not submit required quality 

data 

$2,289.19 ............................................................................................................. × 1.05 $2,403.65 

TABLE 8.—FOR HHAS THAT DO NOT SUBMIT THE REQUIRED QUALITY DATA—PROPOSED PER-VISIT PAYMENT AMOUNTS

FOR EPISODES BEGINNING IN CY 2006 AND ENDING IN CY 2007 UPDATED BY THE ESTIMATED HOME HEALTH MARKET BASKET FOR CY 2007, MINUS 2 PERCENTAGE POINTS, WITH RURAL ADD-ON

Home health discipline type 

Proposed CY 

2007 per-visit 

amounts for HHAs 

that do not submit 

required quality 

data 

5 percent rural 

add-on 

Proposed CY 

2007 per-visit payment amounts for 

episodes beginning in CY 2006 

and ending in CY 

2007 for a beneficiary who resides 

in a non-MSA 

area for HHAs 

that do not submit 

required quality 

data 

Home health aide ...................................................................................................... $45.25 × 1.05 $47.51 

Medical social services .............................................................................................. 160.19 × 1.05 168.20 

Occupational therapy ................................................................................................. 110.01 × 1.05 115.51 

Physical therapy ........................................................................................................ 109.27 × 1.05 114.73 

Skilled nursing ........................................................................................................... 99.94 × 1.05 104.93 

Speech-language pathology ...................................................................................... 118.73 × 1.05 124.67 

Section 1895(b)(3)(B)(v)(III) of the Act 

further requires that the ‘‘Secretary shall 

establish procedures for making data 

submitted under subclause (II) available 

to the public.’’ Additionally, the statute 

requires that ‘‘such procedures shall 

ensure that a home health agency has 

the opportunity to review the data that 

is to be made public with respect to the 

agency prior to such data being made 

public.’’ To meet the requirement for 

making such data public, we are 

proposing to continue to use the CMS 

Home Health Compare Web site 

whereby HHAs are listed 

geographically. Currently the 10 

proposed quality measures are posted 

on the CMS Home Health Compare Web 

site. Consumers can search for all 

Medicare-approved home health 

providers that serve their city or zip 

code and then find the agencies offering 

the types of services they need as well 

as the proposed quality measures. See 

http://www.medicare.gov/HHCompare/ 

Home/. HHAs currently have access 

(through the Home Health Compare 

contractor) to their own agency’s quality 

data (updated periodically) and we 

propose to continue this process thus 

enabling each agency to know how it is 

performing before public posting of 

agency quality data on the CMS Home 

Health Compare Web site. 

Currently, the CMS Home Health 

Compare Web site does not publicly 


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report data when agencies have fewer 

than 20 episodes of care within a 

reporting period. In light of the DRA 

requirements we recognize the need to 

provide the required data to the public 

and propose to make these statistics 

available through expansion of the CMS 

Home Health Compare Web site. 

In the July 27, 2005 Medicare 

Payment Advisory Commission 

(MedPAC) testimony before the U.S. 

Senate Committee on Finance, MedPAC 

expressed support for the concept of 

differential payments for Medicare 

providers, which could create 

incentives to improve quality. To 

support this initiative, MedPAC stated 

that ‘‘outcome measures from CMS’

Outcome-based Quality Indicators’’

(currently collected through the OASIS 

instrument) ‘‘could form the starter set.’’

MedPAC further states ‘‘* * * the 

Agency for Healthcare Research and 

Quality concur(s) that a set of these 

measures is reliable and adequately risk 

adjusted.’’

The MedPAC testimony recognizes 

that while the goal of care for many 

home health patients is improving 

health and functioning, for some 

patients the goal of the HHA is to 

simply stabilize their conditions and 

prevent further decline. Additionally, 

the MedPAC testimony reflects that 

measures of structure and process could 

also be considered. 

Various home health outcome 

measures are now in common use and 

have been studied for some time. A 

number of these measures have been 

endorsed by the National Quality Forum 

(NQF) and are evidence-based, well 

accepted, and not unduly burdensome. 

When determining outcome measures 

that would be most appropriate it is 

important to measure aspects of care 

that providers can control and are 

adequately risk-adjusted. Home-based 

care presents particular difficulties for 

provider control because patient 

conditions are compounded by a variety 

of home environment and support 

system issues. 

We are currently pursuing the 

development of patient-level process 

measures for HHAs, as well as refining 

the current OASIS tool in response to 

recommendations from a Technical 

Expert Panel conducted to review the 

data elements that make up the OASIS 

tool. These additional measures would 

complement the existing OASIS 

outcome measures and would assist us 

in identifying processes of care that lead 

to improvements for certain populations 

of patients. These process measures are 

currently in the very early stages of 

development. As we stated previously, 

to the extent that evidence-based data 

are available on which to determine the 

appropriate measure specifications, and 

adequate risk-adjustments are made, we 

anticipate collecting and reporting these 

measures as part of our home health 

quality plan. Possible modifications to 

the current OASIS tool include reducing 

the numbers of questions on the tool, 

refining possible responses, as well as 

adding new process measures. 

We are soliciting comments on how to 

make the outcome measures more 

useful. We would also like comments on 

measures of home health care processes 

for which there is evidence or improved 

care to beneficiaries. In all cases, 

measures should be evidence-based, 

clearly linked to improved outcomes, 

and able to be reliably captured with the 

least burden to the provider. We are also 

considering measures of patient 

experience of care in the home health 

setting, as well as efficiency measures, 

and soliciting comment on the use of 

the measures and their importance in 

the home health setting. We would 

address any changes to the HH PPS 

quality data submission requirement in 

future rulemaking. 

It is also our intent to provide 

guidance on the specifications, 

definitions, and reporting requirements 

of any additional measures through the 

standard protocol for measure 

development. 

We are proposing to revise the 

regulations at 42 CFR § 484.225 to 

reflect these new payment requirements 

which require submission of quality 

data. 

E. Outliers and Fixed Dollar Loss Ratio 

Outlier payments are payments made 

in addition to regular 60-day case-mix 

and wage-adjusted episode payments for 

episodes that incur unusually large 

costs due to patient home health care 

needs. Outlier payments are made for 

episodes for which the estimated cost 

exceeds a threshold amount. The 

episode’s estimated cost is the sum of 

the national wage-adjusted per-visit 

payment amounts for all visits delivered 

during the episode. The outlier 

threshold for each case-mix group, PEP 

adjustment, or total SCIC adjustment is 

defined as the 60-day episode payment 

amount, PEP adjustment, or total SCIC 

adjustment for that group plus a fixed 

dollar loss amount. Both components of 

the outlier threshold are wage-adjusted. 

The wage-adjusted fixed dollar loss 

(FDL) amount represents the amount of 

loss that an agency must bear before an 

episode becomes eligible for outlier 

payments. The FDL is computed by 

multiplying the wage-adjusted 60-day 

episode payment amount by the FDL 

ratio, which is a proportion expressed in 

terms of the national standardized 

episode payment amount. The outlier 

payment is defined to be a proportion of 

the wage-adjusted estimated costs 

beyond the wage-adjusted threshold. 

The proportion of additional costs paid 

as outlier payments is referred to as the 

loss-sharing ratio. 

Section 1895(b)(5) of the Act requires 

that estimated total outlier payments are 

no more than 5 percent of total 

estimated HH PPS payments. In 

response to the concerns about potential 

financial losses that might result from 

unusually expensive cases expressed in 

comments to the October 28, 1999 

proposed rule (64 FR 58133), the July 

2000 final rule set the target for 

estimated outlier payments at the 5 

percent level. The FDL ratio and the 

loss-sharing ratio were then selected so 

that estimated total outlier payments 

would meet the 5 percent target. 

For a given level of outlier payments, 

there is a trade-off between the values 

selected for the FDL ratio and the losssharing ratio. A high FDL ratio reduces 

the number of episodes that can receive 

outlier payments, but makes it possible 

to select a higher loss-sharing ratio and, 

therefore, increase outlier payments for 

outlier episodes. Alternatively, a lower 

FDL ratio means that more episodes can 

qualify for outlier payments, but outlier 

payments per episode must be lower. As 

a result of public comments on the 

October 28, 1999 proposed rule, in our 

July 2000 final rule, we made the 

decision to attempt to cover a relatively 

high proportion of the costs of outlier 

cases for the most expensive episodes 

that would qualify for outlier payments 

within the 5 percent constraint. 

In the July 2000 final rule, we chose 

a value of 0.80 for the loss-sharing ratio, 

which preserves incentives for agencies 

to attempt to provide care efficiently for 

outlier cases. A loss-sharing ratio of 0.80 

was also consistent with the losssharing ratios used in other Medicare 

PPS outlier policies. Furthermore, we 

estimated the value of the FDL ratio that 

would yield estimated total outlier 

payments that were 5 percent of total 

home health PPS payments. The 

resulting value for the FDL ratio, for the 

July 2000 final rule, was 1.13. 

Our CY 2005 update to the HH PPS 

rates (69 FR 62124) changed the FDL 

ratio from the original 1.13 to 0.70 to 

allow more home health episodes to 

qualify for outlier payments and to 

better meet the estimated 5 percent 

target of outlier payments to total HH 

PPS payments. We stated in that CY 

2005 update that we planned to 

continue to monitor the outlier 

expenditures on a yearly basis and to 

make adjustments as necessary (69 FR 


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62129). To do so, we planned on using 

the best Medicare data available at the 

time of publication. For the CY 2005 

update, we used CY 2003 home health 

claims data. 

Our CY 2006 update to the HH PPS 

rates (70 FR 68132) changed the FDL 

ratio from 0.70 to 0.65 to allow even 

more home health episodes to qualify 

for outlier payments and to better meet 

the estimated 5 percent target of outlier 

payments to total HH PPS payments. 

For the CY 2006 update, we used CY 

2004 home health claims data. 

At this time, we do not have sufficient 

data to propose any update to the FDL 

ratio for the CY 2007 update to the HH 

PPS rates. However, depending on the 

availability of more recent data at the 

time of publication of the HH PPS rate 

update for the CY 2007 final rule, we 

may, if necessary, implement an update 

to the FDL ratio for the CY 2007 update 

to the HH PPS rates. If so, we plan on 

using the same methodology performed 

in updating to the current FDL ratio 

described in the June 2, 2004 proposed 

rule using any more recent available 

data. 

F. Hospital Wage Index—Revised OMB 

Definition for Geographical Statistical 

Areas 

Sections 1895(b)(4)(A)(ii) and (b)(4)(C) 

of the Act require the Secretary to 

establish area wage adjustment factors 

that reflect the relative level of wages 

and wage-related costs applicable to the 

furnishing of home health services and 

to provide appropriate adjustments to 

the episode payment amounts under HH 

PPS to account for area wage 

differences. We apply the appropriate 

wage index value to the labor portion 

(76.775 percent; see 60 FR 62126) of the 

HH PPS rates based on the geographic 

area in which the beneficiary received 

home health services as discussed in 

section II.A of this proposed rule. 

Generally, we determine each HHA’s 

labor market area based on definitions 

of Metropolitan Statistical Areas (MSAs) 

issued by the Office of Management and 

Budget (OMB). 

We acknowledged in our October 22, 

2004 final rule that on June 6, 2003, the 

OMB issued an OMB Bulletin (No. 03- 

04) announcing revised definitions for 

MSAs, new definitions for Micropolitan 

Statistical Areas and Combined 

Statistical Areas, and guidance on using 

the statistical definitions. A copy of the 

Bulletin may be obtained at the 

following Internet address: http:// 

www.whitehouse.gov/omb/bulletins/ 

b03-04.html. At that time, we did not 

propose to apply these new definitions 

known as Core-Based Statistical Areas 

(CBSAs). In the November 9, 2005 final 

rule, we adopted the OMB-revised 

definitions to adjust the CY 2006 HH 

PPS payment rates and revised the 

regulations at § 484.202 to reflect this 

proposed change. The Hospital 

Inpatient PPS (IPPS) also applied these 

revised definitions as discussed in the 

August 11, 2004 IPPS final rule (68 FR 

49207). 

1. Background 

As discussed previously and set forth 

in the July 3, 2000 final rule, the statute 

provides that the wage adjustment 

factors may be the factors used by the 

Secretary for purposes of section 

1886(d)(3)(E) of the Act for hospital 

wage adjustment factors. As discussed 

in the July 3, 2000 final rule, we are 

proposing to again use the pre-floor and 

pre-reclassified hospital wage index 

data to adjust the labor portion of the 

HH PPS rates based on the geographic 

area in which the beneficiary receives 

the home health services. We believe 

the use of the pre-floor and prereclassified hospital wage index data 

results in the appropriate adjustment to 

the labor portion of the costs as required 

by statute. For the CY 2007 update to 

the home health payment rates, we 

would continue to use the most recent 

pre-floor and pre-reclassified hospital 

wage index available at the time of 

publication. See Addenda A and B of 

this proposed rule, respectively, for the 

rural and urban hospital wage indices 

using the CBSA designations. For HH 

PPS rates addressed in this proposed 

rule, we use preliminary 2007 pre-floor 

and pre-reclassified hospital wage index 

data. We are proposing to incorporate 

updated hospital wage index data for 

the 2007 pre-floor and pre-reclassified 

hospital wage index for use in the final 

rule for the CY 2007 HH PPS update 

(not including any reclassifications 

under section 1886(d)(8)(B) of the Act). 

As implemented under the HH PPS in 

the July 3, 2000 HH PPS final rule, each 

HHA’s labor market is determined based 

on definitions of MSAs issued by OMB. 

In general, an urban area is defined as 

an MSA or New England County 

Metropolitan Area (NECMA) as defined 

by OMB. Under § 412.62(f)(1)(iii), a 

rural area is defined as any area outside 

of the urban area. The urban and rural 

area geographic classifications are 

defined in § 412.62(f)(1)(ii) and 

§ 412.62(f)(1)(iii), respectively, and have 

been used under HH PPS since it was 

implemented. 

Under the HH PPS, the wage index 

value is based upon the site of service 

(defined by section 1861(m) of the Act 

as the beneficiary’s place of residence) 

for the beneficiary. As has been our 

longstanding practice, any area not 

included in an MSA (urban area) is 

considered to be nonurban 

(§ 412.64(b)(1)(ii)(C)) and receives the 

statewide rural wage index value (see, 

for example, 65 FR 41173). 

2. Current Labor Market Areas Based on 

MSAs, Including CBSAs 

In the August 11, 2004 IPPS final rule 

(69 FR 49206 through 49034), revised 

labor market area definitions were 

adopted at § 412.64(b), which were 

effective October 1, 2004 for acute care 

hospitals. The new definitions, 

including CBSAs, were announced by 

OMB in late 2000 and were also 

discussed in greater detail in the July 

14, 2005 HH PPS proposed rule in 

which we proposed to move from MSAbased to CBSA-based wage area 

designations. For the purposes of this 

proposed rule, the term ‘‘MSA-based’’

refers to wage index values and 

designations based on the previous 

MSA designations. Conversely, the term 

‘‘CBSA-based’’ refers to wage index 

values and designations based on the 

new OMB revised MSA designations 

which now include CBSAs. Recently 

other payment systems such as the 

inpatient rehabilitation facility PPS, the 

skilled nursing facility PPS, and 

Medicare payment for hospice care have 

been updated to use the new revised 

labor market area definitions. 

Based on public comments received 

in response to the July 14, 2005 HH PPS 

proposed rule, we decided to adopt a 1- 

year transition policy consisting of a 50/ 

50 blend of the CBSA-based wage index 

values and the MSA-based wage index 

values. This transition policy is 

discussed in the November 9, 2005 HH 

PPS final rule (70 FR 68132, 68138). In 

the final rule, we also noted that for CY 

2007, the HH PPS wage index 

adjustment would be solely based on a 

CBSA-based wage index. 

3. Proposed Revision to the HH PPS 

Labor Market Areas 

For CY 2007, we are proposing to end 

the 1 year transition policy 

(implemented for CY 2006) of using a 

50/50 blend of MSA-based and CBSAbased wage area designations. For CY 

2007, we are proposing to use 100 

percent of the CBSA-based wage area 

designations for purposes of 

determining the HH PPS wage index 

adjustment. 

In adopting the CBSA designations, 

we identified some geographic areas 

where there were no hospitals, and thus 

no hospital wage data on which to base 

the calculation of the CY 2006 home 

health wage index. For CY 2006, we 

adopted a policy in the HH PPS final 

rule (70 FR 68132) to use the CY 2005 


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pre-floor, pre-reclassified hospital wage 

index value for rural areas when no 

rural hospital wage data is available. We 

also adopted the policy that for urban 

labor markets without an urban hospital 

from which a hospital wage index can 

be derived, all of the urban CBSAs 

within the State would be used to 

calculate a statewide urban average 

wage index to use as a reasonable proxy 

for these areas. As we stated in the CY 

2006 Home Health PPS Final Rule, we 

believe that this approach serves as a 

proxy for hospital wage data and 

provides an appropriate standard that 

accounts for area wage differences. 

For this CY 2007 proposed rule, we 

are again proposing to apply our policy 

to use the CY 2005 pre-floor/prereclassified hospital wage index for 

rural areas where no hospital wage data 

is available. 

We have not received any concerns 

from the industry regarding our policy 

to calculate a statewide urban average 

wage index, using all of the urban 

CBSAs wage index values within the 

State, for urban labor markets without 

an urban hospital from which a hospital 

wage index can be derived. 

Consequently, for this CY 2007 

proposed rule, we again propose to 

apply our policy to calculate a statewide 

urban average wage index for urban 

areas with no hospital wage data 

available. For this CY 2007 proposed 

rule, the following areas will be affected 

by these policies: 

Rural Massachusetts—proposed 

assigned wage index value of 1.0216; 

Rural Puerto Rico—proposed assigned 

wage index value of 0.4047; and 

Hinesville, GA (CBSA 25980)—

proposed assigned wage index value 

of 0.9163. 

We recognize that since the 

publication of the CY 2006 HH PPS final 

rule, representatives of the home health 

industry have expressed concerns with 

the policy we apply for rural areas 

where no hospital wage data is 

available, particularly as applied to 

rural Massachusetts facilities. In 

response to these concerns and in 

recognition that there may be additional 

rural areas in the future similarly 

impacted by a lack of hospital wage data 

on which to derive a hospital wage 

index, we are considering alternative 

methodologies to the methodology 

proposed above, for imputing a rural 

wage index for areas in States where no 

hospital wage data are available. We 

believe that an evaluation of alternative 

methodologies for imputing a rural wage 

index in these areas should adhere to 

four basic policy criteria. First, an 

alternative methodology should retain 

our current longstanding policy to use 

pre-floor, pre-reclassified hospital wage 

data to compute wage index values for 

post acute care facilities, including 

home health agencies. Second, any 

methodology to impute a rural wage 

index should use rural wage data to 

derive the rural wage index value. 

Third, any methodology to impute a 

rural wage index should be easy to 

evaluate. Fourth, any methodology to 

impute a rural wage index would be 

able to update wage data from year-toyear. 

We are specifically considering one 

alternative to the proposal that meets all 

of the above policy criteria. Under this 

alternative, we would impute a rural 

wage index value by using a simple 

average CBSA-based rural wage index 

value at the Census Division level. 

Census Divisions are defined by the U.S. 

Census Bureau and may be found at 

(http://www.census.gov/geo/www/ 

us_regdiv.pdf). As stated above, for CY 

2007, hospital wage data are not 

available to compute a rural wage index 

for HHAs in rural Massachusetts, and 

this alternative methodology could be 

applied in this case. Massachusetts is 

located in Census Division I (New 

England). The states in this Census 

Division, and their respective rural wage 

index values (using hospital cost report 

wage data for FY 2003) include: 

Connecticut (1.1753), Maine (0.8410), 

New Hampshire (1.0800), Vermont 

(0.9944), Rhode Island (all five counties 

classified as urban) and Massachusetts. 

Using this alternative methodology, the 

states in Census Division I for which 

rural wage index values are available, as 

shown above, would be used resulting 

in a simple average rural wage index 

value of 1.0227. Although this 

methodology results in a rural 

Massachusetts wage index that is 

currently greater than the value under 

the current proposed policy (1.0216), we 

believe this methodology may be able to 

accurately reflect future increases and/ 

or decreases of wage data for the States 

within the applicable census division. 

Wage indices are intended to be 

redistributive and should not increase 

total Medicare spending. We believe 

that the alternative methodology could 

be a reasonable proxy as it uses current 

rural wage index values (using rural 

hospital wage data) from States within 

the same census bureau divisions, with 

similar economics. 

As defined by the Census Bureau: 

‘‘Census divisions are grouping of states 

and the District of Columbia that are 

subdivisions of the four census 

regions.’’ The Census Bureau further 

specifically states: ‘‘Puerto Rico and the 

Island Areas are not part of any census 

region or census division.’’ Therefore, 

because the Census Bureau does not 

recognize Puerto Rico as part of any of 

the Census Bureau divisions, we do not 

believe that it is appropriate to compute 

the wage index for rural Puerto Rico 

using the methodology described in the 

alternative described above. 

Consequently, as stated above, we 

propose to continue to apply the CY 

2005 wage index (0.4047) for Puerto 

Rico to payments for home health 

services provided to beneficiaries who 

reside in rural areas of Puerto Rico for 

CY 2007. 

We solicit comments on maintaining 

our current policy for establishing wage 

index values for rural and urban areas 

without hospitals, the alternative 

approach outlined above in developing 

wage index values for rural areas 

without hospitals for CY 2007 and 

subsequent years, as well as suggestions 

for determining the wage index for rural 

Puerto Rico. We note that there are 

sufficient economic differences between 

the hospitals in the United States and 

those in Puerto Rico, and that hospitals 

in Puerto Rico are paid on a blended 

Federal/Commonwealth-specific rates. 

Consequently, any alternative approach/ 

methodology to computing a wage index 

for rural Puerto Rico would need to take 

into account those differences. We will 

also continue to evaluate existing 

hospital wage data and, possibly, wage 

data from other sources, such as the 

Bureau of Labor Statistics, to determine 

if other methodologies of imputing a 

wage index value where hospital wage 

data are not available may be feasible. 

G. Payment for Oxygen, Oxygen 

Equipment and Capped Rental DME 

Items 

This proposed rule would amend our 

regulations at § 414.226 by revising the 

payment rules for oxygen and oxygen 

equipment in paragraph (a), adding a 

new paragraph (f) that provides that the 

beneficiary assumes ownership of 

oxygen equipment on the first day that 

begins after the 36th continuous month 

in which rental payments are made, and 

adding a new paragraph (g) that 

contains new supplier requirements that 

we believe are necessary in light of the 

amendments made to section 1834(a)(5) 

of the Act by section 5101(b) of the 

DRA. This proposed rule would amend 

our regulations at § 414.226 by adding a 

new paragraph (c) that establishes new 

classes and national payment amounts 

for oxygen and oxygen equipment based 

on our authority in section 1834(a)(9)(D) 

of the Act. We are also revising 

paragraph (b) of this section to 

incorporate the special payment rules 

for oxygen equipment mandated by 


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section 1834(a)(21) of the Act. The 

provisions of section 1834(a)(21), which 

we believe are self-implementing, 

resulted in adjustments to Medicare 

payment amounts for oxygen contents 

and stationary oxygen equipment as 

well as portable oxygen equipment in 

2005, which were implemented through 

program instructions. We are now 

seeking to codify these changes to make 

our regulations consistent with the 

payment methodology for these items in 

2005 and 2006, and because the 

payment reductions mandated by 

section 1834(a)(21) are incorporated into 

our proposal, as more fully discussed in 

section I below, to create new payment 

classes for oxygen and oxygen 

equipment. This proposed rule would 

redesignate old paragraph (c) of this 

section as paragraph (d) and would 

amend this paragraph to indicate under 

what situations payments would be 

made for the items and services 

described in new paragraph (c). Finally, 

this proposed rule would redesignate 

old paragraph (d) of this section as 

paragraph (e) and would make technical 

changes to this paragraph so that the 

cross-references are accurate in light of 

the other changes we are proposing to 

make to § 414.226. 

This proposed rule would also amend 

our regulations at § 414.229 by revising 

the payment rules for capped rental 

durable medical equipment (DME) items 

(also called capped rental items) in 

paragraph (a), revising paragraph (f) to 

provide for new payment rules for 

capped rental items furnished beginning 

on or after January 1, 2006, revising 

paragraph (g) to provide for supplier 

requirements that we believe are 

necessary in light of the amendments 

made to section 1834(a)(7)(A) of the Act 

by section 5101(a) of the DRA, and 

adding a new paragraph (h) to address 

the lump-sum purchase option for 

power-driven wheelchairs furnished on 

or after January 1, 2006. The language in 

current paragraphs (f) and (g) of this 

section is obsolete, and therefore, we 

would propose to delete this language. 

This proposed rule would amend our 

regulations at § 414.210 by revising the 

maintenance and servicing rules in 

paragraph (e) and the replacement of 

equipment rules in paragraph (f) to 

further implement the new supplier 

requirements that we are proposing 

below. 

Finally, we are proposing to revise 

§ 414.230(b) to incorporate section 

5101(b)(2)(B) of the DRA, which 

provides that for all beneficiaries 

receiving oxygen equipment paid for 

under section 1834(a) on December 31, 

2005, the period of continuous use 

begins on January 1, 2006. We are also 

proposing to revise § 414.230(f), which 

governs when a new period of 

continuous use begins if a beneficiary 

receives new equipment, to account for 

the fact that oxygen equipment is paid 

on a modality neutral basis. 

Section 5101(a) of the DRA changes 

the Medicare payment methodology for 

capped rental equipment to beneficiary 

ownership after 13 months of 

continuous use, for those beneficiaries 

who need the equipment for more than 

13 months. This section also makes the 

transfer of title for the capped rental 

items a requirement rather than a 

beneficiary option after 13 months of 

continuous use. The changes made by 

this section of the DRA apply to capped 

rental items, including rented powerdriven wheelchairs, for which the first 

rental month occurs on or after January 

1, 2006. We are proposing to update 

§ 414.229 of our regulations to reflect 

these new statutory requirements. 

However, for capped rental items and 

rented power-driven wheelchairs for 

which the first rental month occurred 

before January 1, 2006, the existing rules 

in § 414.229 would continue to apply. In 

addition, as was the case before 

enactment of the DRA, beneficiaries 

may elect to obtain power-driven 

wheelchairs furnished on or after 

January 1, 2006, on a lump-sum 

purchase basis. 

Section 5101(b) of the DRA changes 

the Medicare payment methodology for 

oxygen equipment from continuous 

rental to beneficiary ownership after 36 

months of continuous use, for those 

beneficiaries who medically need the 

oxygen equipment for more than 36 

months. For beneficiaries who were 

receiving oxygen equipment on 

December 31, 2005 for which payment 

was made under section 1834(a) of the 

Act, the 36-month rental period began 

on January 1, 2006. For beneficiaries 

who begin to rent oxygen equipment on 

or after January 1, 2006, the 36-month 

rental period commences at the time 

they begin to rent the equipment. We 

are proposing to update § 414.226 of our 

regulations to incorporate these new 

requirements. 

In light of the changes made by 

sections 5101(a) and (b) of the DRA, we 

believe it is necessary to propose 

additional supplier requirements in 

order to maintain beneficiary 

protections and access to oxygen, 

oxygen equipment, and capped rental 

DME items under section 1834(a) of the 

Act. For both capped rental DME items 

and oxygen equipment, the DRA 

amendments make the transfer of title 

from the supplier to the beneficiary a 

requirement rather than an option after 

the statutorily-prescribed rental period 

ends for each category of items. 

Therefore, suppliers and beneficiaries 

should be aware that title to these items 

will automatically transfer to the 

beneficiary if the medical need for the 

equipment continues for a period of 

continuous use that is longer than 36 

months for oxygen equipment and 13 

months for capped rental items. We are 

concerned that there may be incentives 

for suppliers to avoid having to transfer 

title to equipment to beneficiaries as 

required by the DRA. For example, we 

are aware of cases where a supplier has 

informed beneficiaries that it would 

decline to accept assignment for capped 

rental items and would charge 

beneficiaries who elected the purchase 

option the full retail price for the item 

during the 13th rental month (which 

was right before the supplier would be 

required to transfer title under the 

purchase option). In these cases, the 

beneficiary would become financially 

liable for the total retail price for the 

equipment in the 13th month if they 

elected the purchase option. We are 

making several proposals relating to the 

furnishing of oxygen equipment and 

capped rental items which we believe 

protect beneficiaries from these types of 

abusive practices and which we believe 

are reasonable for a supplier to comply 

with. Our authority to promulgate these 

requirements stems from our authority 

to administer the payment rules at 

section 1834(a)(5) of the Act for oxygen 

equipment and section 1834(a)(7) of the 

Act for capped rental items, as well as 

the general authority provided in 

section 1871 of the Act for prescribing 

regulations necessary for administering 

the Medicare program. Other than the 

length of the rental periods, which the 

DRA made effective beginning on 

January 1, 2006 for all oxygen 

equipment and for capped rental items 

for which the first rental period began 

on or after that date, we are proposing 

that the requirements presented in this 

section of the regulations would be 

effective on January 1, 2007, and would 

apply to suppliers that furnish oxygen 

equipment or capped rental items on a 

rental basis. 

We believe that a supplier of an item 

that is subject to these new payment 

rules that furnishes the item in the first 

month for which a rental payment is 

made has an obligation to continue 

furnishing the item to the beneficiary for 

the entire period of medical need in 

which payments are made, up to and 

including the time when title to the 

equipment transfers to the beneficiary. 

We believe it is reasonable for the 

beneficiary to have an expectation that 

he or she will not be forced to change 


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equipment or suppliers during the 

period of medical need unless he or she 

wants to. Therefore, we are proposing 

that unless an exception applies, the 

supplier that furnishes oxygen 

equipment or a capped rental item for 

the first month of the statutorily 

prescribed rental period must continue 

to furnish the oxygen equipment or the 

capped rental item for as long as the 

equipment remains medically 

necessary, up to and including the last 

month for which a rental payment is 

made by Medicare. We believe that this 

proposal is necessary to ensure 

beneficiary access to equipment during 

a period of medical need, which we 

believe could be jeopardized if suppliers 

have the option to take back the rented 

equipment just before the rental period 

expires in order to retain title to that 

equipment. We propose that this 

requirement would be subject to the 

following exceptions: (1) Cases where 

the item becomes subject to a 

competitive acquisition program 

implemented in accordance with 

section 1847(a) of the Act; (2) cases 

where a beneficiary relocates on either 

a temporary or permanent basis to an 

area that is outside the normal service 

area of the initial supplier; (3) cases 

where the beneficiary chooses to obtain 

equipment from a different supplier; 

and (4) other cases where CMS or the 

carrier determine that an exception is 

warranted. We have proposed rules in 

connection with the first exception in 

our Notice of Proposed Rulemaking for 

Competitive Acquisition for Certain 

Durable Medical Equipment, 

Prosthetics, Orthotics, and Supplies 

(DMEPOS) and Other Issues. These 

proposed rules are addressed beginning 

on page 25662 of the May 1, 2006, 

Federal Register. If the second 

exception applies, we propose that the 

supplier or beneficiary would need to 

arrange for another supplier in the new 

area to furnish the item on either a 

temporary or permanent basis. This 

proposed exception is consistent with 

what currently happens when 

beneficiaries move outside a supplier’s 

service area on either a temporary or 

permanent basis. The third exception is 

intended to protect a beneficiary’s right 

to obtain the equipment from the 

supplier of his or her choice. Finally, we 

are proposing to allow other exceptions 

to this proposed requirement on a caseby-case basis at the discretion of CMS or 

the Medicare contractor. CMS will be 

monitoring the case-by-case 

determinations made by the Medicare 

contractor. 

We are concerned that there might be 

potential incentives for a supplier to 

replace more valuable or newer 

equipment used by the beneficiary with 

less valuable or older equipment from 

its inventory at some point before the 

36th rental month for oxygen equipment 

or 13th rental month for capped rental 

DME expires in order to avoid losing 

title to the more valuable equipment. In 

order to avoid such potential situations, 

we propose that the supplier may not 

provide different equipment from that 

which was initially furnished to the 

beneficiary at any time during the 36- 

month period for oxygen equipment or 

13th rental month for capped rental 

DME unless one of the following 

exceptions applies: (1) The equipment is 

lost, stolen, or irreparably damaged; (2) 

the equipment is being repaired while 

loaner equipment is in use; (3) there is 

a change in the beneficiary’s medical 

condition such that the equipment 

initially furnished is no longer 

appropriate or medically necessary; or 

(4) the carrier determines that a change 

in equipment is warranted. However, 

we are proposing that a change from one 

oxygen equipment modality to another 

without physician documentation that 

such a change is medically necessary for 

the individual would not be considered 

a change in equipment that is warranted 

under the fourth exception stated above 

since there is no medical basis for the 

change. In those cases where the 

equipment is replaced, we propose that 

the replacement item must be 

equipment that is, at minimum, in the 

same condition as the equipment being 

replaced. This proposal is intended to 

safeguard beneficiary access to quality 

oxygen equipment and capped rental 

items throughout the duration of the 

rental period. 

Under Medicare, suppliers who 

furnish items of DME can accept 

assignment on all claims for Medicare 

services or on a claim-by-claim basis. 

Assignment is an agreement between 

the supplier and the beneficiary under 

which the supplier agrees to request 

direct payment from Medicare for the 

item, to accept 80 percent of the 

Medicare allowed payment amount for 

the item from the carrier, and to charge 

the beneficiary not more than the 

remaining 20 percent of the Medicare 

approved payment amount, plus any 

unmet deductible. If a supplier elects 

not to accept assignment, Medicare pays 

the beneficiary 80 percent of the 

Medicare allowed payment amount, 

after subtracting any unmet deductible, 

and there is no limit under Title XVIII 

of the Act on the amount the supplier 

can charge the beneficiary for rental of 

the DME item. The beneficiary, in these 

situations, is financially responsible for 

the difference between 80 percent of the 

Medicare allowed payment amount and 

the amount the supplier charges for the 

rental of the DME item. 

Section 1842(h) allows suppliers to 

sign a participation agreement where 

the supplier agrees voluntarily, before a 

calendar year, to accept assignment for 

all Medicare items and services 

furnished to a beneficiary for the 

following calendar year. Current 

supplier participation agreements are 

renewable annually. However, the 

agreements do not apply for a full 

period of medical need for specific 

beneficiaries in cases where such need 

extends for more than a calendar year. 

Nor do current participation agreements 

apply to periods of medical need where 

such a period overlaps calendar years. 

In the latter case, while a supplier may 

renew its participation agreement 

annually, a beneficiary would not know 

before choosing a supplier whether the 

supplier would be willing to accept 

assignment of all claims during the 13- 

month or 36-month rental period. 

In order for the beneficiary to make an 

informed choice, we propose that before 

furnishing the oxygen equipment or a 

capped rental item, the supplier must 

disclose to the beneficiary its intentions 

regarding whether it will accept 

assignment of all monthly rental claims 

for the equipment during the period of 

medical necessity, up to and including 

the 36th month of continuous use for 

oxygen equipment or the 13th rental 

month of continuous use for capped 

rental DME in which rental payments 

could potentially be made. We believe 

that it is reasonable for the supplier to 

disclose to each beneficiary its 

intentions regarding assignment of 

claims for all months during a rental 

period as this decision has a direct 

financial effect on the beneficiary. A 

supplier’s intentions could be expressed 

in the form of a written agreement 

between the supplier and a beneficiary. 

This proposal would require suppliers 

to give beneficiaries advance notice of 

the possible extent of their financial 

liability during the period of medical 

need in which monthly rental payments 

are made for the equipment, so that they 

can use this information to help select 

a supplier. Additionally, to promote 

informed beneficiary choices, we plan 

to post information on a CMS and/or 

CMS contractor Web site(s) indicating 

supplier specific information on oxygen 

equipment and capped rental items 

such as (1) the percentage of 

beneficiaries for whom each supplier 

accepted assignment during a prior 

period of time (for example, a quarter), 

and/or (2) the percentage of cases in 

which the supplier accepted assignment 


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during the beneficiary’s entire rental 

period. We believe that these proposals 

create reasonable rules for suppliers that 

furnish oxygen equipment and capped 

rental items and ensure that 

beneficiaries have information 

necessary to make informed choices that 

could have significant financial 

consequences for them. 

H. Payment for Oxygen Contents for 

Beneficiary-Owned Oxygen Equipment 

Section 1834(a)(5) of the Act, as 

amended by section 5101(b)(1) of the 

DRA, requires that Medicare continue to 

make monthly payments for the delivery 

and refilling of oxygen contents for the 

period of medical need after 

beneficiaries own their own gaseous or 

liquid oxygen stationary or portable 

equipment. Before the enactment of the 

DRA, Medicare made monthly payments 

for the delivery and refilling of oxygen 

contents for beneficiaries who own their 

own stationary and/or portable 

equipment (equipment they obtained on 

a purchase basis before June 1, 1989, 

out-of-pocket, or before they enrolled in 

Medicare Part B). In accordance with 

the DRA, we propose that after the 

supplier transfers title to the stationary 

and/or portable oxygen equipment to 

the beneficiary, Medicare would 

continue to make separate monthly 

payments for gaseous or liquid oxygen 

contents until medical necessity ends. 

We are also proposing that if the 

beneficiary-owned equipment is 

replaced, and Medicare pays for the 

replacement in accordance with 

proposed revised § 414.210(f) (see 

section K of this proposed rule for a 

more complete discussion of our 

proposed oxygen equipment 

replacement policies), a new 36-month 

rental period start and the payment for 

oxygen contents would be included in 

the monthly rental payments. We are 

proposing that all oxygen content 

payment amounts would be based on 

new rates developed in accordance with 

our proposal to establish new payment 

classes, as discussed in section I below. 

In transferring title to gaseous or 

liquid oxygen equipment used during 

the 36-month rental period, we propose 

that suppliers must transfer title for all 

equipment that will meet the 

beneficiary’s continued medical need, 

including those oxygen cylinders or 

vessels that are refilled at the supplier’s 

place of business. Customary practice by 

suppliers for refilling oxygen contents is 

to deliver to the beneficiary cylinders 

filled with contents and take back the 

empty cylinders to the supplier’s place 

of business to refill the oxygen contents. 

Under our proposal, title would transfer 

for both sets of cylinders, meaning the 

ones that are being used by the 

beneficiary for the month and the ones 

that the supplier refills in its business 

location and delivers for use during the 

next subsequent month. This policy 

would apply to both gaseous and liquid 

oxygen stationary equipment and 

portable systems. Similarly, in those 

cases where the beneficiary uses an 

oxygen equipment system which 

includes a compressor which fills 

portable gaseous cylinders in the 

beneficiary’s home, we propose that 

suppliers must transfer title for this 

equipment to the beneficiary. 

Concerns have been raised regarding 

beneficiary access to, and safety issues 

associated with, the delivery of oxygen 

contents for beneficiary-owned 

stationary and portable gaseous or 

liquid equipment. We believe that these 

concerns are based on the 

misconception that beneficiaries 

become responsible for filling their own 

cylinders. To the contrary, there are 

numerous State and Federal regulations 

governing the safe handling, filling, and 

transport of oxygen and those 

regulations are unaffected by the DRA 

oxygen provisions. We expect that 

suppliers will continue to furnish 

replacement contents for beneficiaryowned gaseous and liquid systems in 

the same way that they have furnished 

replacement contents for beneficiaryowned equipment in the past. For 

example, suppliers that deliver a onemonth supply of gaseous cylinders to a 

beneficiary’s home at the same time that 

they are picking up empty cylinders that 

the beneficiary used during the previous 

month could continue this practice 

under section 5101(b) of the DRA. 

I. Classes of Oxygen and Oxygen 

Equipment 

Based on information from paid 

Medicare claims with dates of service in 

calendar year 2004, distribution of usage 

among the four general categories of 

oxygen systems was: (a) 69 percent of 

beneficiaries used both a stationary 

concentrator (which does not require 

delivery of oxygen contents) and a 

portable system that requires delivery of 

gaseous or liquid oxygen, (b) 5 percent 

of beneficiaries used a stationary system 

that requires delivery of gaseous or 

liquid oxygen and a portable system that 

requires delivery of gaseous or liquid 

oxygen, (c) 24 percent of beneficiaries 

used a stationary concentrator system 

only, and (d) 2 percent of beneficiaries 

used only a stationary system that 

requires delivery of liquid or gaseous 

oxygen. The prevalent use of stationary 

concentrator systems is due, in part, to 

the fact that this system is the most costeffective and dependable of the 

stationary oxygen modalities. The main 

reason that the concentrator system is 

the most cost-effective system is that the 

oxygen is concentrated from room air, 

and therefore, the high cost of delivering 

contents to the beneficiary’s residence is 

removed when this system is used. 

Medicare’s current payment structure 

results in two separate payments for 

beneficiaries using both stationary and 

portable systems, both of which are 

modality neutral, meaning that the 

payment amount does not differ 

depending on the type of oxygen 

delivery system (gaseous, liquid, or 

concentrator) that is furnished. One 

payment, hereinto referred to as the 

‘‘stationary payment,’’ includes 

payment for the rental of stationary 

equipment, delivery of stationary 

oxygen contents (for gaseous or liquid 

systems), and delivery of portable 

oxygen contents (for gaseous or liquid 

systems). A separate add-on payment, 

hereinto referred to as the ‘‘portable 

add-on,’’ is also made in cases where 

the beneficiary is renting portable 

oxygen equipment. As a result of this 

payment methodology which has been 

in place since 1989, suppliers have a 

financial incentive to furnish low cost 

concentrator systems as opposed to 

more expensive gaseous or liquid 

systems because the monthly payment 

is the same regardless of which system 

is used. Finally, in implementing 

section 1834(a)(5) and (9) of the Act, 

monthly payment amounts were 

established through regulations at 

§ 414.226 for (1) stationary and portable 

oxygen contents (for beneficiaries who 

use stationary and, if applicable, 

portable equipment), and (2) portable 

oxygen contents only (for beneficiaries 

who only use portable oxygen 

equipment). 

The current average statewide 

monthly payment amounts are: 

Equipment & contents Oxygen contents only 

Stationary pmt ........................................................................... $199 Stationary & portable ............................................................... $156 

Portable add-on ........................................................................ 32 Portable only ............................................................................ 21 


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Based on our data, 36 percent of 

Medicare beneficiaries continue using 

oxygen equipment for more than three 

years, that is, beyond the 36th month 

after which title for the equipment 

would transfer to the beneficiary in 

accordance with the DRA. 

We have heard concerns about the 

appropriateness of the current payment 

structure for oxygen and oxygen 

equipment in light of changes in the 

technologies for oxygen delivery 

systems that have occurred since 1989, 

and these concerns have been amplified 

in light of the recent changes made by 

the DRA. The specific concerns pertain 

to beneficiary access to (1) portable 

oxygen contents after title to the 

equipment transfers to the beneficiary, 

(2) devices that allow a beneficiary to 

fill portable tanks at home (otherwise 

referred to in the oxygen equipment 

industry as transfilling systems), and (3) 

portable oxygen concentrators. As we 

implement the DRA provisions for 

oxygen equipment and propose to 

promulgate additional supplier 

requirements, we want to ensure that 

the Medicare payment methodology 

results in payments for oxygen and 

oxygen equipment that are accurate, do 

not impede beneficiary access to 

innovations in technology, and do not 

create inappropriate incentives for 

suppliers. 

Some believe that Medicare’s 

stationary payment for equipment and 

contents (average of $199) is ‘‘too high’’

and that Medicare’s payment for 

portable oxygen contents only for 

beneficiary-owned portable equipment 

(average of $21) is ‘‘too low’’. While 

some contend that the overall payment 

(stationary payment plus portable addon) for oxygen and oxygen equipment is 

adequate as long as the beneficiary 

continues to rent the equipment, they 

are concerned about the adequacy of 

Medicare’s $21 monthly payment for 

furnishing oxygen contents for 

beneficiary-owned portable equipment. 

Some believe that Medicare’s current 

average monthly payment of $156 for 

oxygen contents, which includes 

payment for both stationary and 

portable systems, is high enough to 

create an incentive for suppliers to 

furnish stationary oxygen systems that 

require the ongoing delivery of oxygen 

contents, rather than stationary 

concentrator systems that do not require 

delivery of oxygen contents. 

Some technologies provide an 

attachment to a stationary oxygen 

concentrator that allows beneficiaries to 

fill their own portable tanks at home. 

Delivery of portable oxygen contents to 

the beneficiary’s home is, therefore, not 

necessary since this equipment refills 

the beneficiary’s rented or owned 

portable oxygen tanks. This transfilling 

technology eliminates the need for 

frequent and costly trips by a supplier 

to a beneficiary’s home to refill portable 

oxygen tanks and would save the 

Medicare program and beneficiaries 

who use portable equipment the 

expense of paying for delivery of 

portable oxygen contents. We note that 

we are not aware that a similar 

‘‘transfilling’’ technology has been 

developed that would be capable of 

filling stationary tanks in the 

beneficiary’s home. Therefore, there 

remains a need for ongoing delivery of 

gaseous or liquid oxygen contents for 

stationary equipment. In accordance 

with the DRA, after 36 months of 

continuous use, title for the transfilling 

equipment and accompanying portable 

oxygen tanks would transfer to the 

beneficiary who would then own a 

portable equipment system that selfgenerates oxygen in their home. 

However, some are concerned that 

current Medicare payment rules that 

allow payment for oxygen contents for 

stationary equipment creates an 

incentive for suppliers to furnish 

stationary oxygen equipment that 

require liquid or gaseous oxygen 

deliveries, rather than concentrators and 

transfilling equipment that self-generate 

oxygen in the beneficiary’s home. In 

addition, portable oxygen concentrators 

are now available that meet both the 

beneficiary’s stationary and portable 

oxygen needs. Some have raised 

concern about whether the combination 

of the Medicare stationary payment and 

portable add-on payment 

(approximately $231 per month), which 

is what is currently paid for portable 

oxygen concentrators, is sufficient to 

facilitate use of this new technology 

which, like a transfilling system, 

eliminates the need for delivery of 

oxygen contents, but is more expensive 

than a ‘‘standard’’ or ‘‘non-portable’’

concentrator. 

In light of these concerns, we are 

proposing regulatory changes to address 

the Medicare payment rates for oxygen 

and oxygen equipment. We are 

proposing to address these issues by 

using our authority under section 

1834(a)(9)(D) of the Act to establish 

separate classes and monthly payment 

rates for items of oxygen and oxygen 

equipment. Specifically, there are two 

changes we are proposing for oxygen 

and oxygen equipment: 

1. We propose to establish a new class 

and monthly payment amount for 

oxygen generating portable oxygen 

equipment (for example, portable 

concentrators and transfilling systems). 

2. We propose to establish separate 

classes and monthly payment amounts 

for gaseous and liquid oxygen contents 

that must be delivered for beneficiaryowned stationary and portable oxygen 

equipment. 

The first change involves creating a 

new separate class for portable oxygen 

systems that generate their own oxygen 

and therefore eliminate the need for 

delivery of oxygen contents (for 

example, portable concentrator systems 

or transfilling systems). A higher 

monthly payment amount would be 

allowed, as described below, for these 

systems to account for the increased, 

up-front costs to the supplier of 

furnishing these more expensive 

concentrator or transfilling systems, 

which would be partially offset by the 

reduced payments that the supplier 

would receive from the Medicare 

program and beneficiaries due to the 

fact that these systems do not require 

the delivery of oxygen contents. 

The second change involves creating 

two separate classes (stationary contents 

only and portable contents only) and 

monthly payment rates for furnishing 

oxygen contents for beneficiary-owned 

stationary and portable systems. 

Currently, the combined average 

monthly payment amount of $156 for 

furnishing oxygen contents for 

beneficiary-owned stationary and 

portable systems includes payment for 

both stationary contents and portable 

contents. The current fee schedule 

amounts for oxygen contents are based 

on calendar year data from 1986 for the 

combined average Medicare monthly 

payment for both stationary and 

portable contents divided by number of 

rental months for stationary liquid and 

gaseous oxygen equipment. As a result, 

the current combined stationary/ 

portable contents payment results in 

Medicare payments for portable 

contents even in those cases where the 

beneficiary does not use portable 

oxygen equipment. Under our proposal 

to create one payment class for oxygen 

contents used for stationary equipment, 

and a separate class for oxygen contents 

used for portable equipment, new 

national monthly payment amounts for 

stationary contents delivery and 

portable contents delivery would be 

established by splitting the combined 

payment of $156 into two new 

payments as explained below. This 

change would increase the monthly 

payment for furnishing portable oxygen 

contents and would address the 

concerns that the monthly payment rate 

of $21 is too low for the delivery and 

filling of portable tanks after the 

beneficiary assumes ownership of the 

equipment in accordance with the DRA. 


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In order to achieve budget neutrality 

for the new classes of oxygen and 

increase payment amounts for 

furnishing portable contents, we would 

need to reduce other Medicare oxygen 

payment rates. Budget neutrality would 

require that Medicare’s total spending 

for all modalities of stationary and 

portable systems, including contents, be 

the same under the proposed change as 

they would be without the change. 

We would propose to achieve budget 

neutrality by reducing the current 

monthly payment amounts (the 

stationary payment) for stationary 

oxygen equipment and oxygen contents 

(for stationary or portable equipment) 

made during the rental period. This 

reduction in payment is necessary to 

offset increased payments for the 

changes identified above and to meet 

the requirement in section 

1834(a)(9)(D)(ii) that the classes and 

payments be established in a budget 

neutral fashion. In most cases, suppliers 

furnish Medicare beneficiaries with 

stationary oxygen concentrators. These 

devices can be purchased for $1,000 or 

less and the current, average Medicare 

payment of $199 pays suppliers $1,990 

over 10 months. We believe that these 

facts indicate that making a reduction 

(from $199 on average to $177) in 

Medicare payment for this relatively 

inexpensive oxygen equipment in order 

to pay oxygen suppliers adequately for 

furnishing portable oxygen contents and 

more expensive portable oxygen 

equipment technologies is warranted. 

With this approach, the proposed new 

classes, as well as proposed new 

national monthly payment rates, would 

be as follows: 

1. Stationary Payment: $177. 

2. Portable Add-On: $32. 

3. Oxygen Generating Portable 

Equipment Add-On (portable 

concentrators or transfilling systems): 

$64. 

4. Stationary Contents Delivery: $101. 

5. Portable Contents Delivery: $55. 

We provide a detailed discussion of 

the payment rate calculations/ 

adjustments in the paragraphs that 

follow. Under the proposed new oxygen 

and oxygen equipment class structure 

described above, in those cases where 

the beneficiary needs both stationary 

and portable oxygen, monthly payments 

of $241 or $209 (proposed revised 

stationary payment of $177 plus one of 

two proposed portable equipment 

payments, $32 or $64) would be made 

during rental months 1 through 36. The 

stationary payment (which includes 

payment for stationary equipment, as 

well as oxygen contents for stationary 

and portable systems) of $177 would be 

made during rental months 1 through 36 

for beneficiaries who only need 

stationary oxygen and oxygen 

equipment. Monthly payments of $101 

for stationary oxygen contents and/or 

$55 for portable oxygen contents would 

be made in cases where beneficiaries 

own their stationary and/or portable 

oxygen equipment. As explained in 

more detail in the paragraphs that 

follow, the $101 payment is for 

stationary oxygen contents only and is 

derived from the current payment of 

$156, which is made for both stationary 

and portable oxygen contents. The $55 

payment for portable oxygen contents 

only is also derived from the current 

payment of $156 that is made for both 

stationary and portable oxygen contents 

and would replace the current statewide 

portable oxygen contents fees (average 

of $21), which was based on a relatively 

small number of claims and allowed 

services compared to the number of 

claims and allowed services that were 

used in computing the statewide fees 

(average of $156) for a combination of 

stationary and portable oxygen contents. 

As noted above, the proposed national 

payment rates for delivery of oxygen 

contents for beneficiary owned gaseous/ 

liquid equipment were derived from the 

current average payment for a combined 

oxygen contents delivery of $156. We 

propose to establish $101, or 65 percent 

of $156, as the monthly payment rate for 

delivery of larger, heavier, beneficiaryowned stationary gaseous oxygen 

cylinders or liquid oxygen vessels and 

$55, or 35 percent of $156, as the 

monthly payment rate for delivery of 

smaller, lighter, beneficiary-owned 

portable gaseous oxygen cylinders or 

liquid oxygen vessels. The 65/35 split is 

based on our understanding that there 

are higher costs associated with 

delivering stationary tanks (cylinders of 

gaseous oxygen and vessels of liquid 

oxygen) which are approximately twice 

as large as the portable tanks. Such costs 

include supplier overhead costs, 

including the costs to purchase, 

maintain, and dispatch trucks, obtain 

insurance, and purchase fuel. The 65/35 

split is intended to account for the 

difference in costs associated with the 

size of the tanks. Larger tanks take up 

more space on the trucks, take longer to 

fill, are harder to move, and result in 

increased fuel costs. 

We estimate that the increase from 

$21 to $55 in the monthly payment rate 

for delivery of oxygen contents for 

beneficiary-owned portable equipment 

will result in increased expenditures of 

approximately $22 million over a 24 

month period, or $11 million annually. 

This figure is based on current data on 

utilization of portable oxygen by 

Medicare beneficiaries. 

The add-on payment amount of $64 

for the oxygen generating portable 

equipment class was calculated based 

on data indicating long term savings 

generated from use of equipment that 

eliminated the need for payment of $55 

per month for portable oxygen contents. 

The first step in calculating the 

proposed $64 payment for oxygen 

generating portable equipment involves 

the computation of a national, 

enhanced, modality neutral monthly 

payment amount of $241 for new 

technology systems (stationary 

concentrators and transfilling systems, 

as well as portable concentrators), 

which was derived from the sum of the 

current average stationary payment 

($199), the current average portable addon payment ($32), and an additional $10 

to pay suppliers for furnishing more 

expensive equipment that eliminates the 

need for delivery of portable oxygen 

contents. Specifically, we calculated the 

modality neutral increased payment 

(that is, $10 above the current 

combination of the stationary payment 

and portable add-on payment) by 

estimating potential savings that the 

Medicare program would realize as a 

result of not having to pay for delivery 

of oxygen contents for beneficiaryowned portable oxygen systems in the 

fourth and fifth years of use. We 

calculated the increased payment to be 

equal to potential savings from not 

delivering oxygen contents. In 

calculating this increased payment, we 

are only factoring in savings from the 

fourth and fifth years of use since we 

assume that most beneficiaries will elect 

to obtain replacement equipment after 

the 5-year reasonable useful lifetime for 

their equipment has expired. Since our 

data indicates that 35.8 percent of 

beneficiaries will use oxygen equipment 

for more than three years, and that 

approximately 74 percent of these 

beneficiaries use portable equipment, 

the $10 amount is calculated based on 

the following formula, and is rounded to 

the nearest dollar: 

((. $ ) 358 55

36

×× × 24 months) .74

 months

We estimate that the additional $10 

payment per month for oxygen 

generating portable equipment 

(transfilling units and portable 

concentrators) will result in increased 

expenditures of approximately $15 

million over a 36 month period, or $5 

million annually. This figure is based on 

current data on utilization of stationary 

and portable oxygen by Medicare 

beneficiaries over 36 months. 

The second step in calculating the 

proposed $64 add-on payment for the 


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proposed new class of oxygen 

generating portable equipment involves 

subtracting the proposed new stationary 

payment. Therefore, the national 

monthly payment of $241 computed in 

the first step above would be reduced by 

$177, the proposed new adjusted 

stationary payment amount, to arrive at 

the proposed add-on payment of $64 for 

just the oxygen generating portable 

equipment. In addition, to offset the 

increased annual payments of 

approximately $16 million that will 

result from increased payments for 

portable oxygen contents ($11 million) 

and newer technology oxygen 

generating portable equipment ($5 

million), we would propose to decrease 

the current stationary payment by $22 

($199 ¥ $177). We estimate that this 

offset would result in annual Medicare 

savings of approximately $16 million, 

and would therefore offset the increased 

payments for new technology oxygen 

generating portable equipment and 

delivery of oxygen contents for other 

beneficiary-owned portable equipment. 

We are proposing that these fees be 

established on a nationwide basis due to 

the fact that the variation in the current 

statewide fee schedule amounts for 

oxygen and oxygen equipment, as well 

as the portable equipment add-on 

payment, are currently only 3 percent 

and 5 percent, respectively. 

We are proposing that the $64 add-on 

payment would be made for oxygen 

generating portable equipment only if 

the equipment eliminates the need for 

delivery or portable oxygen contents. 

However, if transfilling equipment is 

used in connection with a stationary 

oxygen concentrator (whether as an 

integrated system component or as a 

separate part) to both deliver stationary 

oxygen and fill portable oxygen tanks, 

Medicare would make both a $177 

stationary payment for the stationary 

oxygen concentrator and stationary 

oxygen contents, and a separate $64 

oxygen generating portable equipment 

payment for the portable oxygen 

transfilling equipment. 

There are also portable oxygen 

transfilling products that are not part of 

or used in conjunction with a stationary 

oxygen concentrator. These products are 

only used to fill portable oxygen tanks 

in the beneficiary’s home. If the 

beneficiary is using one of these 

products, Medicare would make a $64 

oxygen generating portable equipment 

payment. If the patient is also renting 

any type of stationary oxygen 

equipment (gaseous, liquid, or 

concentrator), Medicare would make a 

separate, additional $177 stationary 

equipment payment for that equipment. 

If a portable oxygen concentrator is 

furnished, Medicare would make the 

$64 oxygen generating portable 

equipment add-on payment if the 

portable oxygen concentrator is used as 

both the beneficiary’s stationary oxygen 

equipment and portable oxygen 

equipment. In this case, the portable 

oxygen concentrator equipment would 

fall under both the stationary oxygen 

equipment class and the oxygen 

generating portable equipment class. 

Therefore, the $177 stationary payment 

would also be made in this situation, 

since the equipment being furnished 

meets the beneficiary’s needs for both 

stationary and portable oxygen 

equipment. In this case, it would be 

necessary for the supplier to use two 

HCPCS codes to bill for this device 

since it is being used as both the 

stationary and portable oxygen 

equipment for the beneficiary. If the 

beneficiary owns any type of stationary 

equipment (concentrator, liquid, or 

gaseous), and is also furnished with a 

portable oxygen concentrator, only the 

oxygen generating payment of $64 

would be made (that is, the supplier 

would not also receive the $177 

payment) and the portable oxygen 

concentrator equipment would fall 

under the oxygen generating portable 

equipment class because it is only being 

used to meet the beneficiary’s need for 

portable oxygen equipment. Finally, if, 

the beneficiary is renting any type of 

stationary equipment (concentrator, 

liquid, or gaseous), and is also furnished 

with a portable oxygen concentrator, the 

oxygen generating add-on payment of 

$64 would be paid for the portable 

oxygen concentrator and the stationary 

payment of $177 would be paid 

separately for the stationary oxygen 

equipment and contents. 

In summary, we are proposing new 

payment classes for oxygen contents for 

beneficiary-owned stationary 

equipment, oxygen contents for 

beneficiary-owned portable equipment, 

and oxygen generating portable 

equipment. Payments for oxygen 

contents for beneficiary-owned portable 

equipment and oxygen generating 

portable equipment would exceed what 

is currently paid for these items to 

ensure access to portable oxygen 

regardless of the type of equipment 

used. These increased payments would 

be offset by a reduction in the stationary 

payment. The six broad categories of 

oxygen equipment used by beneficiaries 

are as follows: 

A. Concentrator and liquid or gaseous 

portable equipment 

B. Concentrator and/or oxygen 

generating portable equipment 

C. Liquid or gaseous stationary 

equipment and liquid or gaseous 

portable equipment 

D. Liquid or gaseous stationary 

equipment and oxygen generating 

portable equipment 

E. Concentrator only 

F. Liquid or gaseous stationary 

equipment only 

Based on our proposed new payment 

classes, Medicare payment under these 

six categories would be as follows: 

Category Equipment rental and 

contents 

Contents for beneficiaryowned 

equipment 

A ............................................................................................................................................... $209 ($177 + $32) $55 

B ............................................................................................................................................... 241 ($177 + $64) 0 

C .............................................................................................................................................. 209 ($177 + $32) 156 ($101 + $55) 

D .............................................................................................................................................. 241 ($177 + $64) 101 

E ............................................................................................................................................... 177 0 

F ............................................................................................................................................... 177 101 

We are proposing to revise our 

regulations in order to implement these 

new payment classes and payment 

amounts, effective for claims with dates 

of service on or after January 1, 2007. 

J. Payment for Maintenance and 

Servicing of Oxygen and Oxygen 

Equipment and Capped Rental Items 

Immediately following passage of the 

DRA, concerns were raised regarding 

the ability of a beneficiary to obtain 

maintenance and servicing of his or her 

DME once he or she has taken title to 

it. We believe that these concerns are 

largely based on misconceptions that 

the beneficiary will ‘‘be on his or her 

own’’ in terms of maintenance and 


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servicing of equipment and submission 

of claims for payment for these services. 

We believe that these concerns are 

unfounded because Medicare payment 

has traditionally been made for 

reasonable and necessary repair and 

maintenance of beneficiary-owned 

DME. In addition, section 

1834(a)(5)(F)(ii)(II)(bb) of the Act, as 

amended by section 5101(b)(1)(B) of the 

DRA, requires that Medicare continue to 

pay for reasonable and necessary 

maintenance and servicing for parts and 

labor that is not covered under a 

manufacturer’s or supplier’s warranty in 

amounts determined to be appropriate 

by the Secretary. 

Medicare has also traditionally paid 

for loaner equipment used while the 

beneficiary’s equipment is being 

repaired, or in some cases, when the 

beneficiary does not have access to the 

equipment (for example, in cases when 

a natural disaster such as a hurricane 

forces the beneficiary to be evacuated 

from his or her home). We are proposing 

to continue Medicare payment for such 

loaner equipment. 

We are not aware of instances where 

beneficiaries have encountered 

problems in finding suppliers to provide 

maintenance and servicing of 

beneficiary-owned DME. Section 

414.210(e) of our regulations currently 

provides that reasonable and necessary 

charges for maintenance and servicing 

of DME are those charges made for parts 

and labor not otherwise covered under 

a manufacturer’s or supplier’s warranty. 

This definition has been applied in 

paying claims for maintenance and 

servicing of beneficiary-owned DME for 

several years, and the wording of this 

regulatory definition is parallel to that 

used in amended sections 

1834(a)(7)(A)(iv) and (a)(5)(F)(ii)(II)(bb) 

of the Act in describing the 

‘‘maintenance and servicing’’ payments 

that are permitted for capped rental 

DME and oxygen equipment after title 

has transferred to the beneficiary. We 

are proposing to continue use of this 

existing regulatory definition to define 

‘‘maintenance and servicing’’ in section 

5101 of the DRA. We would, however, 

also propose to apply our existing 

policy of not covering certain routine 

maintenance or periodic servicing of 

purchased equipment, such as testing, 

cleaning, regulating, changing filters, 

and general inspection of beneficiaryowned DME that can be done by the 

beneficiary or caregiver, to beneficiaryowned oxygen equipment and to 

continue that policy for beneficiaryowned capped rental equipment. As 

specified in current program 

instructions at section 110.2.B of 

chapter 15 of the Medicare Benefit 

Policy Manual (Pub. 100–02), ‘‘the 

owner [of the equipment] is expected to 

perform such routine maintenance 

rather than a retailer or some other 

person who charges the beneficiary.’’

We expect that the supplier, when 

transferring title to the equipment to the 

beneficiary, would also provide to the 

beneficiary any operating manuals 

published by the manufacturer which 

describe the servicing an owner may 

perform to properly maintain the 

equipment. We also believe that these 

owner manuals are commonly available 

at the various manufacturer Web sites. 

In addition, the Durable Medical 

Equipment, Prosthetics, Orthotics and 

Supplies (DMEPOS) supplier standards 

at § 424.57(c)(12) require suppliers to 

provide the beneficiary with necessary 

information and instructions on how to 

use DME items safely and effectively. 

We believe that after receiving this 

information, and after becoming familiar 

with the equipment during the 13 or 36 

month rental period, the beneficiary 

and/or caregiver should be very 

knowledgeable regarding the routine 

maintenance required for the item. All 

non-routine maintenance of beneficiaryowned oxygen equipment and capped 

rental items which would need to be 

performed by authorized technicians 

would be covered as reasonable and 

necessary maintenance and servicing. 

Examples of the types of maintenance 

that would be covered are currently 

listed in program instructions at section 

110.2.B of chapter 15 of the Medicare 

Benefit Policy Manual (Pub. 100–02) 

and include ‘‘breaking down sealed 

components and performing tests which 

require specialized testing equipment 

not available to the beneficiary.’’

We are proposing that maintenance 

and servicing of beneficiary-owned 

oxygen equipment and capped rental 

items would be reasonable and 

necessary if it is non-routine 

maintenance and servicing necessary to 

make the equipment serviceable. 

Payment is currently made under the 

Medicare program for parts and labor 

associated with repairing beneficiaryowned DME. Medicare allowed 

payment amounts for replacement parts 

are currently paid based on the carrier’s 

individual consideration of the item. 

With regard to replacement parts for 

beneficiary-owned oxygen equipment or 

capped rental equipment, we propose 

that the carrier pay for the parts in a 

lump sum amount based on its 

consideration of the cost of the item, as 

is consistent with what our carriers 

currently do when evaluating 

maintenance and servicing claims for 

other beneficiary-owned DME. 

Currently, payment for labor is based on 

15-minute increments in amounts that 

are established by the carriers and 

updated on an annual basis by the same 

factor specified in section 1834(a)(14) of 

the Act, which is used to update fee 

schedule amounts for DME. We are 

proposing that the carriers use the same 

fee for labor that is currently used in 

paying for labor associated with 

repairing, maintaining, and servicing 

other beneficiary-owned DME, as we are 

not aware of any past problems 

associated with access to these services 

paid at these rates. We believe that the 

current methods and fees used by 

carriers in paying for maintenance and 

servicing of beneficiary-owned DME are 

reasonable given that we are not aware 

of any past problems associated with 

access to these services paid at these 

rates. In most cases, neither the 

Medicare program nor the beneficiary 

actually pays the full amount for 

repairing or maintaining an item since 

manufacturer warranties that cover all 

or part of these costs are widespread. 

For example, some manufacturers of 

commonly used oxygen concentrators 

offer full warranties that cover all parts 

and labor for 5 years. Rules in 

§ 414.210(f) regarding replacement of 

DME that has been in continuous use for 

the equipment’s reasonable useful 

lifetime provide that the beneficiary can 

elect to obtain replacement equipment 

after the reasonable useful lifetime for 

the equipment has expired. Therefore, 

we believe that the beneficiary should 

incur little, if any, expense for repair or 

maintenance of necessary equipment in 

cases where manufacturer warranties 

exist that cover parts and labor 

necessary to repair a new item during a 

5-year period. 

K. Payment for Replacement of 

Beneficiary-Owned Oxygen Equipment, 

Capped Rental Items, and Associated 

Supplies and Accessories 

Medicare has traditionally paid for 

replacement beneficiary-owned DME 

after the expiration of the equipment’s 

useful lifetime (see § 414.210(f) and 

§ 414.229(g) of our regulations), and for 

replacement supplies and accessories 

used in conjunction with beneficiaryowned DME when these supplies and 

accessories are necessary for the 

effective use of the DME (see § 110.3 of 

Chapter 15 of the Medicare Benefit 

Policy Manual (Pub. 100–02)). Examples 

of supplies include drugs and 

administration sets used with infusion 

pumps. Examples of accessories include 

masks and tubing used with respiratory 

equipment. We are proposing to apply 

these policies to beneficiary-owned 

oxygen equipment, as well as the 


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supplies and accessories used in 

conjunction with this equipment, and to 

continue to apply these policies to 

beneficiary-owned capped rental items, 

as well as the supplies and accessories 

used in conjunction with these items. 

Specifically, we are proposing to 

update § 414.210(f) and § 414.229(g) of 

our regulations to reflect that payment 

may be made for the replacement of 

beneficiary-owned oxygen equipment 

and capped rental DME in cases where 

the item is lost, stolen, or irreparably 

damaged, or in cases where the item has 

been in continuous use for its 

reasonable useful lifetime. We propose 

that payment for the replacement be 

made on a rental basis in accordance 

with the payment rules in § 414.226 for 

oxygen equipment and § 414.229 for 

capped rental items. We also propose to 

revise § 414.229 to reflect that these 

proposed changes to the replacement 

policy for beneficiary-owned capped 

rental items only apply to those items 

for which the first rental month occurs 

on or after January 1, 2007 since the 

DRA does not apply to capped rental 

items for which the first rental month 

occurs before January 1, 2006. The 

current rules will remain in place for 

capped rental items to which the DRA 

does not apply. 

We are aware that some manufacturer 

warranties may cover replacement of 

oxygen or capped rental equipment 

within a certain time period after the 

item is furnished. As was our policy 

prior to the enactment of DRA (see 

§ 110.2.C of Chapter 15 of the Medicare 

Benefit Policy Manual (Pub. 100–02)), 

we are proposing that Medicare not pay 

for the replacement of beneficiaryowned oxygen equipment or capped 

rental items covered by a manufacturer’s 

or supplier’s warranty. In cases where 

equipment replacement is not covered 

by a manufacturer’s or supplier’s 

warranty, we propose that the supplier 

must still replace beneficiary-owned 

oxygen equipment or beneficiary-owned 

capped rental items at no cost to the 

beneficiary or to the Medicare program 

if: (1) The total accumulated costs, as 

illustrated in the example below, to 

repair the item after transfer of title to 

the beneficiary exceed 60 percent of the 

replacement cost; and (2) the item has 

been in continuous use for less than its 

reasonable useful lifetime, as 

established in accordance with the 

procedures set forth in proposed revised 

§ 414.210(f). For example, a capped 

rental item that can be replaced for 

$1,000 (total of fee schedule payments 

after 13 rental months) and for which 

title has transferred to the beneficiary in 

accordance with section 

1834(a)(7)(A)(ii) of the Act can be used 

to illustrate what we mean when we use 

the term ‘‘accumulated costs’’ above. In 

this example, if Medicare has paid a 

total of $500 for 3 repairs necessary to 

make the item functional, and a fourth 

repair costing $200 is needed in order 

to make the item functional, the 

accumulated costs for repair in this case 

will equal $700, which exceeds $600 or 

60 percent of the $1,000 cost to replace 

the item. In this case, and therefore the 

supplier would be required to furnish a 

replacement item. The greater than 60 

percent of cost threshold for 

replacement is consistent with the 

threshold repair costs that can result in 

the replacement of prosthetics (artificial 

limbs) in accordance with section 

1834(h)(1)(G) of the Act. We believe this 

threshold should apply to oxygen 

equipment and capped rental items as 

well, because artificial limbs, like these 

items, are built to withstand repeated 

use. 

We propose that the supplier be 

responsible for the cost of the 

replacement equipment because we 

believe that the item in this case did not 

last for the entire reasonable useful 

lifetime. After the beneficiary acquires 

title to the item, the supplier that 

transferred title would be responsible 

for furnishing the replacement item. We 

are proposing this provision to 

safeguard the beneficiary from 

receiving, and the Medicare program 

from paying for, substandard 

equipment, and to avoid creating an 

incentive for suppliers to increase the 

number of claims submitted for repairs 

in an effort to recover revenue lost as a 

result of DRA section 5101. We believe 

that this requirement is not 

unreasonable since suppliers should be 

furnishing items in good working order 

and are otherwise bound by regulations 

at § 424.57(c)(15) to accept returns from 

beneficiaries of substandard items. 

Exceptions to this rule may be granted 

by CMS or the carrier as appropriate (for 

example, the supplier would not be 

responsible for replacing an item in 

need of repair due to beneficiary neglect 

or abuse). 

L. Periods of Continuous Use 

Rules that apply in determining a 

period of continuous use for rental of 

DME are found at § 414.230 of our 

regulations. We are proposing that these 

rules would continue to apply in 

implementing section 5101 of the DRA, 

with one exception. The rules in 

§ 414.230(f) provide that a new period of 

continuous use begins for new or 

additional equipment prescribed by a 

physician and found to be medically 

necessary, even if the new or additional 

equipment is similar to the old 

equipment. 

Medicare payments for stationary and 

portable oxygen and oxygen equipment 

are currently modality neutral, which 

means that the same payment amounts 

apply to the different types of oxygen 

equipment furnished to Medicare 

beneficiaries. Since there is no 

distinction made between oxygen 

equipment modalities for payment 

purposes under the Medicare program, 

we do not believe that it is necessary or 

appropriate to begin a new period of 

continuous use when the beneficiary 

changes from one oxygen equipment 

modality to another. We are proposing 

to revise § 414.230(f) of our regulations 

to designate the existing language in this 

section as paragraph (f)(1) and to add a 

new paragraph (f)(2) to reflect this 

exception, effective for oxygen 

equipment furnished on or after January 

1, 2007. We are also proposing to revise 

§ 414.230(b) to incorporate section 

5101(b)(2)(B) of the DRA, which 

provides that for all beneficiaries 

receiving oxygen equipment paid for 

under section 1834(a) on December 31, 

2005, the period of continuous use 

begins on January 1, 2006. 

M. Health Care Information 

Transparency and Health Information 

Technology 

(If you choose to comment on issues 

in this section, please include the 

caption ‘‘Health Care Information 

Transparency and Health Information 

Technology’’ at the beginning of your 

comment.) 

In the April 25, 2006 Inpatient 

Prospective Payment Systems proposed 

rule (71 FR 23996), we discussed in 

detail the Health Care Information 

Transparency Initiative and our efforts 

to promote effective use of health 

information technology (HIT) as a 

means to help improve health care 

quality and improve efficiency. 

Specifically, with regard to the 

transparency initiative, we discussed 

several potential options for making 

pricing and quality information 

available to the public (71 FR 24120 

through 24121). We solicited comments 

on ways the Department can encourage 

transparency in health care quality and 

pricing whether through its leadership 

on voluntary initiatives or through 

regulatory requirements. We also sought 

comments on the Department’s statutory 

authority to impose such requirements. 

In addition, we discussed the potential 

for HIT to facilitate improvements in the 

quality and efficiency of health care 

services (71 FR 24100 through 24101). 

We solicited comments on our statutory 

authority to encourage the adoption and 


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use of HIT. The 2007 Budget states that 

‘‘the Administration supports the 

adoption of health information 

technology (IT) as a normal cost of 

doing business to ensure patients 

receive high quality care.’’ We also 

sought comments on the appropriate 

role of HIT in potential value-based 

purchasing programs, beyond the 

intrinsic incentives of a PPS to provide 

efficient care, encourage the avoidance 

of unnecessary costs, and increase 

quality of care. In addition, we sought 

comments on promotion of the use of 

effective HIT and how CMS can 

encourage its use in HHAs. 

We intend to consider both the health 

care information transparency initiative 

and the use of HIT as we refine and 

update all Medicare payment systems. 

Therefore, we seek comments on these 

initiatives as applied to HH PPS in this 

proposed rule, including the 

Department’s statutory authority to 

impose any such requirements. We may 

address these initiatives in the final HH 

PPS rule. For example, a HIT proposal 

could include adding a requirement that 

HHAs use HIT that is compliant with 

and certified by the Certification 

Commission for Health Information 

Technology (CCHIT) in the areas in 

which the technology is available. As 

noted previously, we currently collect 

home health quality information and 

propose to collect additional quality 

data and report it on the CMS Home 

Health Compare Web site. We note that 

we are in the process of seeking input 

on these initiatives in various proposed 

Medicare payment rules being issued 

this year. 

III. Collection of Information 

Requirements 

Under the Paperwork Reduction Act 

of 1995, we are required to provide 60- 

day notice in the Federal Register and 

solicit public comment before a 

collection of information requirement is 

submitted to the Office of Management 

and Budget (OMB) for review and 

approval. In order to fairly evaluate 

whether an information collection 

should be approved by OMB, section 

3506(c)(2)(A) of the Paperwork 

Reduction Act of 1995 requires that we 

solicit comment on the following issues: 

• The need for the information 

collection and its usefulness in carrying 

out the proper functions of our agency. 

• The accuracy of our estimate of the 

information collection burden. 

• The quality, utility, and clarity of 

the information to be collected. 

• Recommendations to minimize the 

information collection burden on the 

affected public, including automated 

collection techniques. 

We are soliciting public comment on 

each of these issues for the following 

sections of this document that contain 

information collection requirements: 

Section 414.226—Oxygen and Oxygen 

Equipment 

This section proposes to require a 

supplier to disclose to the beneficiary 

whether or not the supplier will accept 

assignment of all monthly rental claims 

for oxygen equipment for the duration 

of the 36-month rental period. 

The burden associated with this 

requirement is the time and effort put 

forth by the supplier to disclose this 

information. While this information 

collection is subject to the PRA, we 

believe this requirement meets the 

requirements of 5 CFR 1320.3(b)(2), and 

as such, the burden associated with this 

requirement is exempt from the PRA. 

Section 414.229—Other Durable 

Medical Equipment-Capped Rental 

Items 

This section proposes to require a 

supplier to disclose to the beneficiary 

whether or not the supplier will accept 

assignment of all monthly rental claims 

for capped rental DME for the duration 

of the 13-month rental period. 

The burden associated with this 

requirement is the time and effort put 

forth by the supplier to disclose this 

information. While this information 

collection is subject to the PRA, we 

believe this requirement meets the 

requirements of 5 CFR 1320.3(b)(2), and 

as such, the burden associated with this 

requirement is exempt from the PRA. 

We have submitted a copy of this 

proposed rule to OMB for its review of 

the information collection requirements 

described above. These requirements are 

not effective until they have been 

approved by OMB. 

If you comment on these information 

collection and recordkeeping 

requirements, please mail copies 

directly to the following: 

Centers for Medicare & Medicaid 

Services, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attn: Melissa Musotto, [CMS–1304–

P], Room C4–26–05, 7500 Security 

Boulevard, Baltimore, MD 21244–

1850; and 

Office of Information and Regulatory 

Affairs, Office of Management and 

Budget, Room 10235, New Executive 

Office Building, Washington, DC 

20503, Attn: Carolyn Lovette, CMS 

Desk Officer, CMS–1304–P, 

carolyn_lovett@omb.eop.gov. Fax 

(202) 395–6974. 

IV. Response to Comments 

Because of the large number of public 

comments we normally receive on 

Federal Register documents, we are not 

able to acknowledge or respond to them 

individually. We would consider all 

comments we receive by the date and 

time specified in the DATES section of 

this preamble, and, when we proceed 

with a subsequent document, we would 

respond to the comments in the 

preamble to that document. 

V. Regulatory Impact Analysis 

[If you choose to comment on issues 

in this section, please include the 

caption ‘‘REGULATORY IMPACT 

ANALYSIS’’ at the beginning of your 

comments.] 

A. Overall Impact 

We have examined the impacts of this 

rule as required by Executive Order 

12866 (September 1993, Regulatory 

Planning and Review), the Regulatory 

Flexibility Act (RFA) (September 19, 

1980, Pub. L. 96–354), section 1102(b) of 

the Social Security Act, the Unfunded 

Mandates Reform Act of 1995 (Pub. L. 

104–4), and Executive Order 13132. 

Executive Order 12866 (as amended 

by Executive Order 13258, which 

merely reassigns responsibility of 

duties) directs agencies to assess all 

costs and benefits of available regulatory 

alternatives and, if regulation is 

necessary, to select regulatory 

approaches that maximize net benefits 

(including potential economic, 

environmental, public health and safety 

effects, distributive impacts, and 

equity). A regulatory impact analysis 

(RIA) must be prepared for major rules 

with economically significant effects 

($100 million or more in any 1 year). 

This proposed rule would be a major 

rule, as defined in Title 5, United States 

Code, section 804(2), because we 

estimate the impact to the Medicare 

Program, and the annual effects to the 

overall economy, would be more than 

$100 million. The update set forth in 

this proposed rule would apply to 

Medicare payments under HH PPS in 

CY 2007. Accordingly, the following 

analysis describes the impact in CY 

2007 only. We estimate that there would 

be an additional $420 million in CY 

2007 expenditures attributable to the CY 

2007 proposed estimated home health 

market basket update of 3.1 percent. 

The RFA requires agencies to analyze 

options for regulatory relief of small 

businesses. For purposes of the RFA, 

small entities include small businesses, 

nonprofit organizations, and small 

government agencies. Most hospitals 

and most other providers and suppliers 


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are small entities, either by nonprofit 

status or by having revenues of $6 

million to $29 million in any 1 year. For 

purposes of the RFA, approximately 75 

percent of HHAs are considered small 

businesses according to the Small 

Business Administration’s size 

standards with total revenues of $11.5 

million or less in any 1 year. Individuals 

and States are not included in the 

definition of a small entity. As stated 

above, this proposed rule would provide 

an update to all HHAs for CY 2007 as 

required by statute. This proposed rule 

would have a significant positive effect 

upon small entities that are HHAs. 

Based on our analysis of 2003 claims 

data, we also estimate that 

approximately 90 percent of registered 

DME suppliers are considered small 

businesses according to the Small 

Business Administration’s size 

standards. The size standard for NAICS 

code, 532291, Home Health Equipment 

Rental is $6 million. (see http:// 

www.sba.gov/size/sizetable2002.html, 

read May 9, 2005.) This proposed rule 

would reduce payments for oxygen 

equipment and capped rental items; and 

therefore, would have a significant 

negative effect upon small entities that 

are DME suppliers overall. However, as 

explained in detail below, we believe 

that Medicare payments would still be 

adequate for the items affected by this 

rule and that suppliers whose primary 

line of business involves furnishing 

these items will remain profitable. 

In addition, section 1102(b) of the Act 

requires us to prepare a regulatory 

impact analysis if a rule may have a 

significant impact on the operations of 

a substantial number of small rural 

hospitals. This analysis must conform to 

the provisions of section 603 of the 

RFA. For purposes of section 1102(b) of 

the Act, we define a small rural hospital 

as a hospital that is located outside of 

a Metropolitan Statistical Area and has 

fewer than 100 beds. We have 

determined that this proposed rule 

would not have a significant economic 

impact on the operations of a substantial 

number of small rural hospitals. 

Section 202 of the Unfunded 

Mandates Reform Act of 1995 (Pub. L. 

104–4) also requires that agencies assess 

anticipated costs and benefits before 

issuing any rule that may result in 

expenditure in any 1 year by State, 

local, or tribal governments, in the 

aggregate, or by the private sector, of 

$120 million. We believe this proposed 

rule would not mandate expenditures in 

that amount. 

Executive Order 13132 establishes 

certain requirements that an agency 

must meet when it promulgates a 

proposed rule (and subsequent final 

rule) that imposes substantial direct 

requirement costs on State and local 

governments, preempts State law, or 

otherwise has Federalism implications. 

We have reviewed this rule under the 

threshold criteria of Executive Order 

13132, Federalism. We have determined 

that this proposed rule would not have 

substantial direct effects on the rights, 

roles, and responsibilities of States. 

B. Anticipated Effects 

1. Home Health PPS 

This proposed rule would update the 

HH PPS rates contained in Pub. 100–20, 

One Time Notification, Transmittal 211, 

published February 10, 2006. We 

updated the rates in the CY 2006 final 

rule (70 FR 68132, November 9, 2005) 

through Transmittal 211 to take account 

of the DRA changes, specifically the 0 

percent update and the rural add-on. 

The impact analysis of this proposed 

rule presents the projected effects of the 

proposed change from the CY 2006 

transition wage index (50/50 blend of 

MSA-based and CBSA-based 

designations) to the CY 2007 proposed 

CBSA-based designations in 

determining the wage index used to 

calculate the HH PPS rates for CY 2007. 

We estimate the effects by estimating 

payments while holding all other 

payment variables constant. We use the 

best data available, but we do not 

attempt to predict behavioral responses 

to these changes, and we do not make 

adjustments for future changes in such 

variables as days or case-mix. 

This analysis incorporates the latest 

estimates of growth in service use and 

payments under the Medicare home 

health benefit, based on the latest 

available Medicare claims from 2004. 

We note that certain events may 

combine to limit the scope or accuracy 

of our impact analysis, because such an 

analysis is future-oriented and, thus, 

susceptible to forecasting errors due to 

other changes in the forecasted impact 

time period. Some examples of such 

possible events are newly-legislated 

general Medicare program funding 

changes made by the Congress, or 

changes specifically related to HHAs. In 

addition, changes to the Medicare 

program may continue to be made as a 

result of the BBA, the BBRA, the 

Medicare, Medicaid, and SCHIP 

Benefits Improvement and Protection 

Act of 2000, the MMA, the DRA, or new 

statutory provisions. Although these 

changes may not be specific to HH PPS, 

the nature of the Medicare program is 

such that the changes may interact, and 

the complexity of the interaction of 

these changes could make it difficult to 

predict accurately the full scope of the 

impact upon HHAs. 

Our discussion for this proposed rule 

will focus on the impact of changes in 

the wage index, most notably the 

adoption of the full CBSA designations. 

The impacts of the updated wage data 

are shown in Table 9 below. The 

breakdown of the various impacts 

displayed in the table follows. 

The rows display the estimated effect 

of the proposed changes on different 

categories. The first row of figures 

represents the estimated effects on all 

facilities. The next 2 rows show the 

effect on urban and rural facilities. This 

is followed, in the next 4 rows, by 

impacts on urban and rural facilities 

based on whether they are a hospitalbased or freestanding facility. The next 

20 rows show the effect on urban and 

rural facilities based on the census 

region in which they are located. 

The first column shows the 

breakdown of all HHAs by urban or 

rural status, hospital-based or 

freestanding status, and census division. 

The second column in the table shows 

the number of facilities in the impact 

database. A facility is considered urban 

if it is located in a CBSA and, 

conversely, rural if it is not located in 

a CBSA. 

The third column of the table shows 

the effect of the proposed annual update 

to the wage index. This represents the 

effect of using the most recent wage data 

available to determine the proposed 

estimated home health market basket 

update. The total impact of this change 

is ¥0.1 percent; however, there are 

distributional effects of the change. 

The fourth column of the table shows 

the effect of all the changes on the 

proposed CY 2007 payments. The 

proposed estimated market basket 

update of 3.1 percentage points is 

constant for all providers and, though 

not shown individually, is included in 

this column. It is projected that total 

aggregate payments would increase by 

3.0 percent, assuming facilities do not 

change their care delivery and billing 

practices in response. 

As can be seen from this table, the 

combined effects of all of the changes 

would vary by specific types of 

providers and by location. For example, 

HHAs in the rural Pacific show the 

largest estimated increase in payment at 

10.3 percent, while HHAs in the rural 

Mountain census division show the 

smallest increase in payments at 0.5 

percent. Rural HHAs do somewhat 

better than urban HHAs, seeing an 

estimated increase in payments of 3.3 

percent and 2.9 percent respectively. 

Amongst the different type of facility 

categories, freestanding rural HHAs do 


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best, with an estimated increase in 

payments of 3.5 percent. Hospital-based 

urban HHAs are next with an estimated 

increase in payments of 3.2 percent with 

hospital-based rural and freestanding 

urban HHAs with estimated increases of 

3.1 percent and 2.8 percent, 

respectively. 

TABLE 9.—PROJECTED IMPACT OF CY 2007 UPDATE TO THE HH PPS 

Number of 

facilities 

Updated wage 

data 

(percent) 

Total CY 2007 

change 

(percent) 

Total ............................................................................................................................................. 7,370 ¥0.1 3.0 

Urban ........................................................................................................................................... 2,097 ¥0.2 2.9 

Rural ............................................................................................................................................ 5,273 0.2 3.3 

Hospital based urban ................................................................................................................... 1,988 0.1 3.2 

Freestanding urban ...................................................................................................................... 3,285 ¥0.3 2.8 

Hospital based rural ..................................................................................................................... 1,201 0.0 3.1 

Freestanding rural ........................................................................................................................ 896 0.4 3.5 

Urban by region: 

New England ........................................................................................................................ 254 ¥1.1 2.0 

Middle Atlantic ...................................................................................................................... 423 0.0 3.1 

South Atlantic ....................................................................................................................... 913 ¥0.5 2.6 

East North Central ................................................................................................................ 886 0.3 3.5 

East South Central ............................................................................................................... 222 ¥0.4 2.7 

West North Central ............................................................................................................... 304 0.3 3.4 

West South Central .............................................................................................................. 1,300 ¥0.6 2.4 

Mountain ............................................................................................................................... 281 1.7 4.8 

Pacific ................................................................................................................................... 649 0.2 3.3 

Outlying ................................................................................................................................. 41 ¥4.8 ¥1.8 

Rural by region: 

New England ........................................................................................................................ 43 ¥0.7 2.3 

Middle Atlantic ...................................................................................................................... 82 0.3 3.4 

South Atlantic ....................................................................................................................... 239 ¥0.6 2.5 

East North Central ................................................................................................................ 284 1.5 4.6 

East South Central ............................................................................................................... 215 ¥0.3 2.8 

West North Central ............................................................................................................... 488 0.3 3.4 

West South Central .............................................................................................................. 475 ¥0.3 2.8 

Mountain ............................................................................................................................... 173 ¥2.5 0.5 

Pacific ................................................................................................................................... 88 6.9 10.3 

Outlying ................................................................................................................................. 10 7.7 11.1 

The impact of the proposed wage 

index for CY 2007 is shown in 

Addendum C to this document. 

Addendum C to this document shows a 

side-by-side comparison, by State and 

county code, of the CY 2006 transition 

wage index, which was a 50/50 blend of 

MSA-based and CBSA-based pre-floor, 

pre-reclassified hospital wage indexes, 

and the proposed CY 2007 pre-floor, 

pre-reclassified hospital wage index for 

the CY 2007 HH PPS update. In the last 

column of Addendum C to this 

document, we show the percentage 

change in the wage index from CY 2006 

to the proposed wage index for CY 2007. 

We estimate that there would be an 

additional $420 million in CY 2007 

expenditures attributable to the CY 2007 

proposed estimated market basket (3.1 

percent) increase. Thus, the anticipated 

expenditures outlined in this proposed 

rule would exceed the $100 million 

annual threshold for a major rule as 

defined in Title 5, USC, section 804(2). 

This proposed rule would have a 

positive effect on providers of Medicare 

home health services by increasing their 

Medicare payment rates. It is 

anticipated that very few HHAs will not 

submit the quality data required by 

section 1895(b)(3)(B)(v)(II)of the Act 

necessary to receive the full market 

basket percentage increase. Submission 

of OASIS data is a Medicare condition 

of participation for HHAs. Therefore, 

one would expect that no HHA would 

be subject to the 2 percent reduction in 

payments in CY 2007. As indicated in 

the rule, most HHAs that do not report 

OASIS provide pediatric, non-Medicare, 

or personal care only. However, CMS is 

aware of instances of non-compliance 

among a very small portion of HHAs 

with regard to OASIS submission. 

For the purposes of the CY 2007 

impact analysis, we anticipate that less 

than 1 percent of HHAs, involving less 

than 1 percent of total Medicare HH 

payments, would fail to submit quality 

data and hence would be subject to the 

2 percent reduction. This is not enough 

to impact the estimated $420 million in 

additional expenditures. Finally, we do 

not believe there is a differential impact 

due to the aggregate nature of the 

update. We do not anticipate specific 

effects on other providers. 

2. Oxygen and Oxygen Equipment 

Provisions 

As mandated by the DRA of 2005, this 

proposed rule limits to 36 months the 

total number of continuous months for 

which Medicare would pay for oxygen 

equipment, after which the title to the 

oxygen equipment would be transferred 

from the supplier to the beneficiary. 

Since Medicare currently pays for 

oxygen equipment on a monthly basis 

for as long as it is medically necessary, 

this change would result in savings to 

Medicare. In addition, the DRA 

mandates that Medicare continue to 

make monthly payments for furnishing 

contents for beneficiary-owned oxygen 

equipment. 

Close to a million patients now 

receive oxygen therapy. Although 

monthly rental payments already have 

been reduced by 30 percent by section 

4552 of the Balanced Budget Act of 1997 

and approximately 10 percent by 

section 302(c)(2) of the Medicare 

Prescription Drug, Improvement, and 

Modernization Act of 2003, Medicare 

allowed charges rose to $2.78 billion by 

2004, a 71 percent increase since 1998 

that reflects the growing use. Before the 


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amendments to section 1834(a)(5) of the 

Act made by the DRA, Medicare 

continued to make rental payments for 

as long as medical necessity continued, 

even when the total payments greatly 

exceeded the cost of purchasing the 

equipment and the supplier retained 

title to the equipment. We believe the 

DRA amendments to the Act will result 

in a loss of revenue to suppliers that 

will no longer receive payments for 

oxygen equipment after the 36th month 

of continuous use. 

Based on data for items furnished in 

calendar year 2004, oxygen 

concentrators accounted for over 93 

percent of Medicare utilization for 

stationary oxygen systems, in terms of 

both allowed charges and allowed 

services. Since oxygen concentrators 

can typically be purchased for $1,000 or 

less, we believe that 36 months of 

payment at approximately $200 per 

month would ensure the supplier is 

reimbursed for its cost for furnishing the 

equipment. The $200 allowed payment 

amount may be re-adjusted in the future 

to assure that payments are adequate, 

but not excessive. This could be 

accomplished though the competitive 

acquisition programs mandated by 

section 1847 of the Act or in accordance 

with our authority for adjusting fee 

schedule amounts at section 1842(b)(8) 

and (9) of the Act. Based on our data, 

approximately 36 percent of Medicare 

beneficiaries use oxygen equipment for 

more than 3 years and approximately 20 

percent of Medicare beneficiaries use 

oxygen equipment for more than 5 

years. In section K of the ‘‘provisions of 

the proposed regulation section of this 

preamble,’’ we propose to allow 

beneficiaries to obtain replacement 

oxygen equipment in cases where their 

equipment has been in continuous use 

for the reasonable useful lifetime of the 

equipment. Unless CMS or its carriers 

establish a specific reasonable useful 

lifetime for oxygen equipment, the 

default lifetime for DME of 5 years 

would apply. The main effect of this 

rule on suppliers is that they will not be 

able to receive payment for the 

equipment beyond 36 months for 

approximately 36 percent of Medicare 

patients. They will also not be able to 

receive payment for furnishing the same 

item to subsequent patients in these 

cases since they lose title to the 

equipment. In the case of oxygen 

concentrator systems and portable 

oxygen transfilling systems, delivery of 

oxygen contents is not necessary, and 

therefore, payment will not be made for 

the furnishing of contents for these 

types of beneficiary owned equipment. 

Under the old payment rules, payment 

for oxygen concentrators used for 

stationary equipment purposes would 

have continued at approximately $200 

per month for the entire period of 

medical need. Section 5101(b) of the 

DRA mandates that payment for oxygen 

equipment end and that title to the 

equipment transfer after 36 months of 

continuous use. 

In the case of liquid and gaseous 

oxygen systems, suppliers will continue 

to be paid for furnishing oxygen 

contents for beneficiary-owned systems. 

The current statewide monthly payment 

amounts for oxygen and oxygen 

equipment that would be paid during 

the 36-month period of continuous use 

for beneficiaries who only use stationary 

equipment range from $194.48 to 

$200.41, with the average statewide fee 

being $199.36. The current statewide 

monthly payment amount for furnishing 

oxygen contents for beneficiary owned 

equipment range from $137.54 to 

$198.12, with the average statewide fee 

being $156.07. The average decrease in 

Medicare fee schedule amounts that 

may result from the DRA changes for 

liquid and gaseous systems after the 36- 

month period (that is, shift from 

monthly payments for equipment and 

contents to monthly payments for 

contents only), is expected to be $43.29 

($199.36¥$156.07). Therefore, this is 

the level of monthly reimbursement that 

would be lost after the 36-month period 

for suppliers that furnish oxygen and 

oxygen equipment to beneficiaries in 

these situations and who continue to 

furnish contents to these beneficiaries. 

Based on current fee schedule amounts 

for all oxygen and oxygen equipment, 

this equates to an average reduction in 

payment (from $199.36 to $156.07) of 

approximately 22 percent. 

At the current monthly statewide fee 

schedule rates, which range from 

$194.48 to $200.41, suppliers of oxygen 

equipment are expected to be paid from 

$7,001.28 to $7,214.76 over 36 months. 

By comparison, a medical center 

operated by the Department of Veterans 

Affairs (VA) in Tampa, Florida, is the 

largest VA center in terms of number of 

veterans on oxygen therapy and services 

approximately 1,000 patients on oxygen 

by contracting with a locally based 

manufacturer to purchase the oxygen 

concentrators for $895 each. The 

medical center contracts with a local 

supplier for $90 to deliver and set up 

the concentrator to the patient’s home. 

This local supplier also provides service 

and maintenance of the equipment at 

any time throughout the year for $48 per 

service episode. If the equipment needs 

to be replaced, the local supplier will 

furnish another concentrator for a $90 

fee. The VA total payments over 5 years 

for an oxygen concentrator used by a 

veteran in this center plus payment for 

ten episodes of maintenance and 

servicing, assuming servicing every 6 

months, would be $1,435, compared to 

total Medicare allowed charges of 

$7,164, on average, for a Medicare 

beneficiary. Based on this comparison, 

the Medicare payment amounts and 

methodology appear to be more than 

adequate. 

We do not anticipate that transfer of 

ownership for oxygen equipment to the 

beneficiary after 36 months of 

continuous use would be a significant 

financial burden to suppliers because 

the effect is limited to a maximum of 36 

percent of a supplier’s Medicare 

business and because suppliers of 

oxygen equipment primarily furnish 

lower cost oxygen concentrators. We 

also do not anticipate a significant 

change in the rate of assignment of 

claims for oxygen equipment based on 

our belief that suppliers will be 

adequately reimbursed for furnishing 

the oxygen equipment. 

Finally, if new oxygen and oxygen 

equipment classes and payment 

amounts are established in accordance 

with the proposed provisions in section 

I of this rule, there could potentially be 

a shift in utilization between the various 

oxygen equipment modalities, which 

could impact supplier revenues and 

sales volume for certain oxygen 

equipment manufacturers. However, 

since use of the authority to create such 

classes under section 1834(a)(9)(D) of 

the Act requires that these changes be 

budget-neutral, there would not a 

significant impact on overall Medicare 

payments to suppliers. 

3. Capped Rental DME 

This proposed rule, which limits to 13 

months the total number of continuous 

months for which Medicare would pay 

for capped rental DME, after which the 

ownership of the capped rental item 

would be transferred from the supplier 

to the beneficiary, would result in 

significant savings for the Medicare 

program. Savings would be realized 

through: (1) The gradual elimination of 

rental payments for the 14th and 15th 

months of continuous use; and (2) 

changing the semi-annual payment for 

maintenance and servicing to payment 

only when reasonable and necessary 

maintenance and servicing is needed. 

We anticipate that suppliers may lose 

money due to the loss of 1 to 2 months 

rental in cases where beneficiaries need 

the item for more than 13 months and 

would not have otherwise selected the 

purchase option currently described in 

§ 414.229(d). The average of the 2006 fee 

schedule amounts for all capped rental 


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items for months 14 and 15 is 

approximately $152. We do not believe 

suppliers will suffer financially as a 

result of this provision based on data 

which shows that in 2004, 97 percent of 

suppliers accepted assignment for 

beneficiaries who chose the purchase 

option (§ 414.229(d)) in the 11th month 

of a capped rental period. This is an 

indication that suppliers were willing to 

accept the Medicare payment as 

payment in full for the capped rental 

item, even though they had been 

informed that the beneficiary would 

take over ownership of the item after the 

13th month of continuous use. 

Therefore, we do not anticipate that 

transfer of ownership for capped rental 

equipment to the beneficiary after 13 

months of continuous use would be a 

significant financial burden to 

suppliers. 

For items for which the first rental 

payment falls on or after January 1, 

2006, Medicare would only pay for 

maintenance and servicing as necessary. 

In a June 2002 report (OEI–03–00–

00410), the Office of Inspector General 

(OIG) indicated that only 9 percent of 

the capped rental equipment with a 

June 2000 service date actually received 

any servicing between June and 

December 2000. Out of the $7.3 million 

Medicare paid for maintenance services 

from June 2000, we estimate that $6.5 

million was paid for equipment that 

received no actual servicing. The OIG 

recommended to CMS in 2002 that we 

eliminate the semi-annual maintenance 

payment currently allowed for capped 

rental equipment and pay only for 

repairs when needed. 

The combination of these two factors 

provides strong evidence that the 

Medicare rules for paying for 

maintenance and servicing of capped 

rental equipment furnished before 

January 1, 2006, were not cost-effective. 

Impact on Beneficiaries 

The DRA provisions and this 

proposed rule would result in savings 

for Medicare beneficiaries using oxygen 

equipment and capped rental items. For 

capped rental items, Medicare payments 

will be made for 13 continuous months 

and for oxygen equipment, payments 

will be made for 36 continuous months. 

After the rental period for each category 

of equipment expires, ownership of the 

equipment will transfer from the 

suppliers to the beneficiaries. 

Beneficiaries will continue to be 

financially responsible for a 20 percent 

coinsurance payment during the 13 or 

36 month rental periods for capped 

rental items and oxygen equipment, 

respectively. However, beneficiaries 

will no longer have to make a monthly 

20 percent coinsurance payment for the 

equipment after they own it. This will 

result in significant savings to 

beneficiaries. 

For example, before the DRA, 

Medicare and the beneficiary made 

continuous payments for the rental of 

oxygen equipment that totaled about 

$200 per month. Of this amount, the 

beneficiary paid coinsurance of $40 

which would equal $480 for a single 

year’s rental, $1,440 over 36 months, 

and $2,400 over 5 years. After the DRA, 

beneficiaries will only pay a 

coinsurance amount for up to 36 months 

for the rental of oxygen equipment, after 

which time they will own the 

equipment. Thus, the DRA oxygen 

provisions result in savings of 

approximately $480 if beneficiaries use 

the equipment for 4 years, and $960 if 

they use the equipment for 5 years. 

For capped rental items, beneficiaries 

will save coinsurance by not being 

responsible for any equipment payment 

after the 13th rental month or the semiannual maintenance and servicing 

payment that was approximately equal 

to 10 percent of the purchase price for 

the equipment. Before the DRA, 

Medicare and the beneficiary would pay 

up to 15 months for capped rental items, 

and Medicare and the beneficiary would 

also pay for maintenance and servicing 

every six months. Thus, beneficiaries 

will save coinsurance payments related 

to both the equipment itself and the 

maintenance and servicing of that 

equipment. 

The proposed rule would assure 

beneficiaries that suppliers that furnish 

the equipment for the first month would 

continue to furnish the equipment for 

the entire 36-month period of 

continuous use for oxygen equipment or 

the 13-month period of continuous use 

for capped rental. 

Beneficiaries would also be assured 

that their oxygen and capped rental 

equipment would not be impermissibly 

swapped by the supplier at any time 

during the rental period. Under the 

proposed rule, we propose that a 

supplier may not provide different 

rented equipment to the beneficiary at 

any time during the 36 rental months for 

oxygen equipment or the 13 rental 

months for capped rental DME unless 

one of the following exceptions apply: 

The equipment is lost, stolen, or 

irreparably damaged; the equipment is 

being repaired while loaner equipment 

is in use; there is a change in the 

beneficiary’s medical condition; or the 

carrier determines that a change in 

equipment is otherwise warranted. 

We are proposing that suppliers 

inform beneficiaries whether they will 

accept or not accept assignment on all 

monthly rental claims during the 13- 

month rental period for capped rental 

items or the 36-month rental period for 

oxygen equipment in an upfront 

manner. 

The proposed rule would also assure 

beneficiaries that following the transfer 

of title, the supplier would replace the 

item at no cost to the beneficiary in 

cases where the accumulated costs of 

repair exceed 60 percent of the cost of 

replacement, if the reasonable useful 

lifetime of the item (currently a default 

period of 5 years) has not expired. 

C. Accounting Statement 

As required by OMB Circular A–4 

(available at ), http:// 

www.whitehouse.gov/omb/circulars/ 

a004/a-4.pdf) in Table 10 below, we 

have prepared an accounting statement 

showing the classification of the 

expenditures associated with the 

provisions of this proposed rule. This 

table provides our best estimate of the 

increase in Medicare payments under 

the HH PPS as a result of the changes 

presented in this final rule based on the 

data for 7,370 HHAs in our database. All 

expenditures are classified as transfers 

to Medicare providers (that is, HHAs). 

TABLE 10.—ACCOUNTING STATEMENT: 

CLASSIFICATION OF ESTIMATED EXPENDITURES, FROM CY 2006 TO CY 

2007 

[In millions] 

Category Transfers 

Annualized monetized 

transfers.

$420 

From whom to 

whom? 

Federal Government 

to HHAs. 

In Table 11 below, we have prepared 

an accounting statement showing the 

classification of the expenditures 

associated with the DME provisions of 

this final rule. This table provides our 

best estimate of the decrease in 

Medicare payments under the DME 

benefit as a result of the changes 

presented in this final rule based on the 

2004 allowed charge data for oxygen 

and capped rental DME in our database. 

All expenditures are classified as 

transfers to the Medicare program and 

its beneficiaries. 

TABLE 11.—ACCOUNTING STATEMENT: 

CLASSIFICATION OF ESTIMATED EXPENDITURES

[In millions] 

Category Transfers 

Monetized transfers in 

FY 2007.

$80 


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TABLE 11.—ACCOUNTING STATEMENT: 

CLASSIFICATION OF ESTIMATED EXPENDITURES—Continued 

[In millions] 

Category Transfers 

Monetized transfers in 

FY 2008.

130 

Monetized transfers in 

FY 2009.

170 

Monetized transfers in 

FY 2010.

220 

Monetized transfers in 

FY 2011.

280 

From whom to 

whom? 

Suppliers to Federal 

Government and 

beneficiaries. 

In accordance with the provisions of 

Executive Order 12866, this regulation 

was reviewed by the Office of 

Management and Budget. 

List of Subjects 

42 CFR Part 414 

Administrative practice and 

procedure, Health facilities, Health 

professions, Kidney diseases, Medicare, 

Reporting and recordkeeping 

requirements. 

42 CFR Part 484 

Health facilities, Health professions, 

Medicare, Reporting and recordkeeping 

requirements. 

For the reasons set forth in the 

preamble, the Centers for Medicare & 

Medicaid Services would amend 42 CFR 

chapter IV as set forth below: 

PART 414—PAYMENT FOR PART B 

MEDICAL AND OTHER HEALTH 

SERVICES 

Subpart D—Payment for Durable 

Medical Equipment and Prosthetic and 

Orthotic Devices 

1. The authority citation for part 414 

continues to read as follows: 

Authority: Secs. 1102, 1871, and 1881(b)(1) 

of the Social Security Act (42 U.S.C. 1302, 

1395(hh), and 1395rr(b)(1)). 

2. Amend § 414.210 as follows: 

A. Revise paragraph (e). 

B. Revise the introductory text to 

paragraph (f). 

C. Revise paragraph (f)(2) 

D. Add new paragraphs (f)(3) and 

(f)(4). 

The revisions read as follows: 

§ 414.210 General payment rules. 

* * * * * 

(e) Maintenance and servicing.—(1) 

General rule. Except as provided in 

paragraph (e)(2) of this section, the 

carrier pays the reasonable and 

necessary charges for maintenance and 

servicing of beneficiary-owned 

equipment. Reasonable and necessary 

charges are those made for parts and 

labor not otherwise covered under a 

manufacturer’s or supplier’s warranty. 

Payment is made for replacement parts 

in a lump sum based on the carrier’s 

consideration of the item. The carrier 

establishes a reasonable fee for labor 

associated with repairing, maintaining, 

and servicing the item. Payment is not 

made for maintenance and servicing of 

a rented item other than the 

maintenance and servicing fee for other 

durable medical equipment as described 

in § 414.229(e). 

(2) Exception. For items purchased on 

or after June 1, 1989, no payment is 

made under the provisions of paragraph 

(e)(1) of this section for the maintenance 

and servicing of: 

(i) Items requiring frequent and 

substantial servicing, as defined in 

§ 414.222(a); 

(ii) Capped rental items, as defined in 

§ 414.229(a), that are not beneficiaryowned in accordance with § 414.229(d) 

or § 414.229(h); and 

(iii) Oxygen equipment, as described 

in § 414.226, that is not beneficiaryowned in accordance with § 414.226(e). 

(3) Supplier replacement of 

beneficiary-owned equipment based on 

accumulated repair costs. A supplier 

that transfers title to oxygen equipment 

or a capped rental item to a beneficiary 

in accordance with § 414.226(f) or 

§ 414.229(f)(2) is responsible for 

furnishing replacement equipment at no 

cost to the beneficiary or to the 

Medicare program if the total repair 

costs that accumulate for the equipment 

after transfer of title exceed 60 percent 

of the cost to replace the equipment and 

the equipment has been in use for less 

than its reasonable useful lifetime, as 

determined under § 414.210(f)(1). 

(f) Payment for replacement of 

equipment. If a beneficiary-owned item 

of DME or a prosthetic or orthotic 

device paid for under this subpart has 

been in continuous use by the patient 

for the equipment’s reasonable useful 

lifetime or if the carrier determines that 

the item is lost, stolen, or irreparably 

damaged, the patient may elect to obtain 

a new piece of equipment. 

* * * * * 

(2) If the beneficiary elects to obtain 

replacement oxygen equipment, 

payment is made in accordance with 

§ 414.226(a). 

(3) If the beneficiary elects to obtain 

a replacement capped rental item, 

payment is made in accordance with 

§ 414.229(a)(2) or (a)(3). 

(4) For all other beneficiary-owned 

items, if the beneficiary elects to obtain 

replacement equipment, payment is 

made on a purchase basis. 

3. Amend § 414.226 by—

A. Revising paragraph (a) and the 

heading of paragraph (b). 

B. Revising paragraph (b)(3). 

C. Adding paragraphs (b)(4) and 

(b)(5). 

D. Redesignating paragraph (d) as 

paragraph (e). 

E. Redesignating paragraph (c) as 

paragraph (d). 

F. Revising newly redesignated 

paragraph (d). 

G. Adding a new paragraph (c). 

H. Revising newly redesignated 

paragraph (e)(1) introductory text. 

I. Revising newly redesignated 

paragraph (e)(1)(i). 

. Revising newly redesignated 

paragraph (e)(2)(i). 

K. Revising newly redesignated 

paragraph (e)(2)(ii). 

L. Adding new paragraphs (f) and (g). 

The revisions and additions read as 

follows: 

§ 414.226 Oxygen and oxygen equipment. 

(a) Payment rules. (1) Oxygen 

equipment. Payment for rental of 

oxygen equipment is made based on a 

monthly fee schedule amount during 

the period of medical need, but for no 

longer than a period of continuous use 

of 36 months. A period of continuous 

use is determined under the provisions 

in § 414.230. 

(2) Oxygen contents. Payment for 

purchase of oxygen contents is made 

based on a monthly fee schedule 

amount until medical necessity ends. 

(b) Monthly fee schedule amount for 

items furnished prior to 2007. 

* * * * * 

(3) For 1991 through 2006, the fee 

schedule amounts for items described in 

paragraphs (b)(1)(iii) and (iv) of this 

section are determined using the 

methodology contained in § 414.220 (d), 

(e), and (f). 

(4) For 1991 through 2006, the fee 

schedule amounts for items described in 

paragraphs (b)(1)(i) and (ii) of this 

section are determined using the 

methodology contained in § 414.220 (d), 

(e), and (f). 

(5) For 2005 and 2006, the fee 

schedule amounts determined under 

paragraph (b)(4) of this section are 

reduced using the methodology 

described in § 1834(a)(21)(A) of the Act. 

(c) Monthly fee schedule amount for 

items furnished for years after 2006. (1) 

Monthly fee schedule amounts are 

separately calculated for the following 

items: 

(i) Stationary oxygen equipment 

(including stationary concentrators) and 

oxygen contents (stationary and 

portable). 


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(ii) Portable equipment only (gaseous 

or liquid tanks). 

(iii) Oxygen generating portable 

equipment only. 

(iv) Stationary oxygen contents only. 

(v) Portable oxygen contents only. 

(2) The nationwide fee schedule 

amount for items described in paragraph 

(c)(1)(i) of this section is equal to the 

average fee schedule amount established 

under paragraph (b)(5) of this section 

reduced by $22. 

(3) The nationwide fee schedule 

amount for items described in paragraph 

(c)(1)(ii) of this section is equal to the 

average of the fee schedule amounts 

established under paragraph (b)(5) of 

this section. 

(4) The nationwide fee schedule 

amount for items described in paragraph 

(c)(1)(iii) of this section is equal to the 

sum of the average of the fee schedule 

amounts established under paragraph 

(b)(5) of this section for items described 

in paragraph (b)(1)(i) of this section and 

the average of the fee schedule amounts 

established under paragraph (b)(5) of 

this section for items described in 

paragraph (b)(1)(ii) of this section, 

increased by $10, and reduced by the 

nationwide fee schedule amount 

established under paragraph (c)(2) of 

this section. 

(5) The nationwide fee schedule 

amount for items described in paragraph 

(c)(1)(iv) of this section is equal to 65 

percent of the average fee schedule 

amount established under paragraph 

(b)(3) of this section for items described 

in paragraph (b)(1)(iii) of this section. 

(6) The nationwide fee schedule 

amount for items described in paragraph 

(c)(1)(v) of this section is equal to 35 

percent of the average fee schedule 

amount established under paragraph 

(b)(3) of this section for items described 

in paragraph (b)(1)(iii) of this section. 

(d) Application of monthly fee 

schedule amounts. (1) The fee schedule 

amount for items described in paragraph 

(c)(1)(i) of this section is paid when the 

beneficiary rents stationary oxygen 

equipment. 

(2) Subject to the limitation set forth 

in paragraph (e)(2) of this section, the 

fee schedule amount for items described 

in paragraph (c)(1)(ii) and (iii) of this 

section is paid when the beneficiary 

rents portable oxygen equipment. 

(3) The fee schedule amount for items 

described in paragraph (c)(1)(iv) of this 

section is paid when the beneficiary 

owns stationary oxygen equipment that 

requires delivery of gaseous or liquid 

oxygen contents. 

(4) The fee schedule amount for items 

described in paragraph (c)(1)(v) of this 

section is paid when the beneficiary 

owns portable oxygen equipment 

described in paragraph (c)(1)(ii) of this 

section, or rents portable oxygen 

equipment described in paragraph 

(c)(1)(ii) of this section and does not 

rent stationary oxygen equipment. 

(e) Volume adjustments. (1) The fee 

schedule amount for an item described 

in paragraph (c)(1)(i) of this section is 

adjusted as follows: 

(i) If the attending physician 

prescribes an oxygen flow rate 

exceeding four liters per minute, the fee 

schedule amount is increased by 50 

percent, subject to the limit in 

paragraph (e)(2) of this section. 

* * * * * 

(2) * * * 

(i) The sum of the monthly fee 

schedule amount for the items described 

in paragraphs (c)(1)(i) and (ii) or (iii) of 

this section; or 

(ii) The adjusted fee schedule amount 

described in paragraph (e)(1)(i) of this 

section. 

* * * * * 

(f) Ownership of equipment. On the 

first day that begins after the 36th 

continuous month in which payment is 

made for oxygen equipment under 

paragraph (a)(1) of this section, the 

supplier must transfer title to the 

oxygen equipment to the beneficiary. 

(g) Additional supplier requirements 

for rentals that begin on or after January 

1, 2007. (1) The supplier that furnishes 

oxygen equipment for the first month 

during which payment is made under 

this section must continue to furnish the 

equipment until medical necessity ends, 

or the 36-month period of continuous 

use ends, whichever is earlier, unless-(i) 

The item becomes subject to a 

competitive acquisition program 

implemented in accordance with 

section 1847(a) of the Act; 

(ii) The beneficiary relocates to an 

area that is outside the normal service 

area of the supplier that initially 

furnished the equipment; 

(iii) The beneficiary elects to obtain 

oxygen equipment from a different 

supplier prior to the expiration of the 

36-month rental period; or 

(iv) CMS or the carrier determines 

that an exception should apply in an 

individual case based on the 

circumstances. 

(2) Oxygen equipment furnished 

under this section may not be replaced 

by the supplier prior to the expiration 

of the 36-month rental period unless: 

(i) The equipment is lost, stolen, or 

irreparably damaged; 

(ii) The furnishing of loaner 

equipment is necessary while the 

equipment is being repaired; 

(iii) The equipment is no longer 

medically necessary; or 

(iv) The equipment is replaced in 

accordance with § 414.210(e)(3) or (f). 

(3) Before furnishing oxygen 

equipment, the supplier must disclose 

to the beneficiary its intentions 

regarding whether it will accept 

assignment of all monthly rental claims 

for the duration of the rental period. A 

supplier’s intentions could be expressed 

in the form of a written agreement 

between the supplier and the 

beneficiary. 

4. Amend § 414.229 by—

A. Revising paragraphs (a), (f) and (g). 

B. Adding paragraph (h). 

The revisions and additions read as 

follows: 

§ 414.229 Other durable medical 

equipment-capped rental items. 

(a) General payment rule. Payment is 

made for other durable medical 

equipment that is not subject to the 

payment provisions set forth in 

§§ 414.220 through 414.228 as follows: 

(1) For items furnished prior to 

January 1, 2006, payment is made on a 

rental or purchase option basis in 

accordance with the rules set forth in 

paragraphs (b) through (e) of this 

section. 

(2) For items other than power-driven 

wheelchairs furnished on or after 

January 1, 2006, payment is made in 

accordance with the rules set forth in 

paragraph (f) of this section. 

(3) For power-driven wheelchairs 

furnished on or after January 1, 2006, 

payment is made in accordance with the 

rules set forth in paragraphs (f) or (h) of 

this section. 

* * * * * 

(f) Rules for Capped Rental Items 

Furnished Beginning on or after January 

1, 2006. (1) For items furnished on or 

after January 1, 2006, payment is made 

based on a monthly rental fee schedule 

amount during the period of medical 

need, but for no longer than a period of 

continuous use of 13 months. A period 

of continuous use is determined under 

the provisions in § 414.230. 

(2) The supplier must transfer title to 

the item to the beneficiary on the first 

day that begins after the 13th 

continuous month in which payments 

are made under paragraph (f)(1) of this 

section. 

(3) Payment for maintenance and 

servicing of beneficiary-owned 

equipment is made in accordance with 

§ 414.210(e). 

(g) Additional supplier requirements 

for capped rental items that are 

furnished beginning on or after January 

1, 2007. (1) The supplier that furnishes 

an item for the first month during which 

payment is made using the methodology 

described in paragraph (f)(1) of this 


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44108 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

section must continue to furnish the 

equipment until medical necessity ends, 

or the 13-month period of continuous 

use ends, whichever is earlier, unless—

(i) The item becomes subject to a 

competitive acquisition program 

implemented in accordance with 

section 1847(a) of the Act; 

(ii) The beneficiary relocates to an 

area that is outside the normal service 

area of the supplier that initially 

furnished the equipment; 

(iii) The beneficiary elects to obtain 

the equipment from a different supplier 

prior to the expiration of the 13-month 

rental period; or 

(iv) CMS or the carrier determines 

that an exception should apply in an 

individual case based on the 

circumstances. 

(2) A capped rental item furnished 

under this section may not be replaced 

by the supplier prior to the expiration 

of the 13-month rental period unless: 

(i) The item is lost, stolen, or 

irreparably damaged; 

(ii) The furnishing of a loaner item is 

necessary while the item is being 

repaired; 

(iii) The item is no longer medically 

necessary; or 

(iv) The item is replaced in 

accordance with § 414.210(e)(3) or (f). 

(3) Before furnishing a capped rental 

item, the supplier must disclose to the 

beneficiary its intentions regarding 

whether it will accept assignment of all 

monthly rental claims for the duration 

of the rental period. A supplier’s 

intentions could be expressed in the 

form of a written agreement between the 

supplier and the beneficiary. 

(h) Purchase of power-driven 

wheelchairs furnished on or after 

January 1, 2006. Suppliers must offer 

beneficiaries the option to purchase 

power-driven wheelchairs at the time 

the equipment is initially furnished. 

Payment is made on a lump-sum 

purchase basis if the beneficiary chooses 

this option. 

5. Amend § 414.230 by—

A. Revising paragraphs (b)(1) and 

(b)(2). 

B. Revising paragraph (f). 

The revisions read as follows: 

§ 414.230 Determining a period of 

continuous use. 

* * * * * 

(b) Continuous use. (1) A period of 

continuous use begins with the first 

month of medical need and lasts until 

a beneficiary’s medical need for a 

particular item of durable medical 

equipment ends. 

(2) In the case of a beneficiary 

receiving oxygen equipment on 

December 31, 2005, the period of 

continuous use for the equipment 

begins on January 1, 2006. 

* * * * * 

(f) New equipment. (1) If a beneficiary 

changes equipment or requires 

additional equipment based on a 

physician’s prescription, and the new or 

additional equipment is found to be 

necessary, a new period of continuous 

use begins for the new or additional 

equipment. A new period of continuous 

use does not begin for base equipment 

that is modified by an addition. 

(2) A new period of continuous use 

does not begin when a beneficiary 

changes from one oxygen equipment 

modality to another. 

* * * * * 

PART 484—HOME HEALTH SERVICES 

6. The authority citation for part 484 

continues to read as follows: 

Authority: Secs. 1102 and 1871 of the 

Social Security Act (42 U.S.C. 1302 and 

1395(hh)) unless otherwise indicated. 

7. Amend § 484.225 as follows: 

A. Revise paragraph (f). 

B. Redesignate paragraph (g) as 

paragraph (h). 

C. Add new paragraph (g). 

D. Revise newly redesignated 

paragraph (h). 

E. Add new paragraph (i). 

The revisions and additions read as 

follows: 

§ 484.225 Annual update of the unadjusted 

national prospective 60-day episode 

payment rate. 

* * * * * 

(f) For calendar year 2005, the 

unadjusted national prospective 60-day 

episode payment rate is equal to the rate 

from the previous calendar year, 

increased by the applicable home health 

market basket minus 0.8 percentage 

points. 

(g) For calendar year 2006, the 

unadjusted national prospective 60-day 

episode payment rate is equal to the rate 

from calendar year 2005. 

(h) For 2007 and subsequent calendar 

years, in the case of a home health 

agency that submits home health quality 

data, as specified by the Secretary, the 

unadjusted national prospective 60-day 

episode rate is equal to the rate for the 

previous calendar year increased by the 

applicable home health market basket 

index amount. 

(i) For 2007 and subsequent calendar 

years, in the case of a home health 

agency that does not submit home 

health quality data, as specified by the 

Secretary, the unadjusted national 

prospective 60-day episode rate is equal 

to the rate for the previous calendar year 

increased by the applicable home health 

market basket index amount minus 2 

percentage points. Any reduction of the 

percentage change will apply only to the 

calendar year involved and will not be 

taken into account in computing the 

prospective payment amount for a 

subsequent calendar year. 

(Catalog of Federal Domestic Assistance 

Program No. 93.773, Medicare—Hospital 

Insurance; and Program No. 93.774, 

Medicare—Supplementary Medical 

Insurance Program) 

Dated: June 16, 2006. 

Mark B. McClellan, 

Administrator, Centers for Medicare & 

Medicaid Services. 

Approved: July 14, 2006. 

Michael O. Leavitt, 

Secretary. 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44109 

ADDENDUM A.—PROPOSED CY 2007 

WAGE INDEX FOR RURAL AREAS BY

CBSA; APPLICABLE PRE-FLOOR AND

PRE-RECLASSIFIED HOSPITAL WAGE

INDEX

CBSA 

code Nonurban Area Wage index 

01 ........ Alabama ........................ 0.7652 

02 ........ Alaska ........................... 1.0680 

03 ........ Arizona .......................... 0.8924 

04 ........ Arkansas ....................... 0.7335 

05 ........ California ....................... 1.1302 

06 ........ Colorado ....................... 0.9342 

07 ........ Connecticut ................... 1.1753 

08 ........ Delaware ....................... 0.9723 

10 ........ Florida ........................... 0.8595 

11 ........ Georgia ......................... 0.7560 

12 ........ Hawaii ........................... 1.0467 

13 ........ Idaho ............................. 0.8134 

14 ........ Illinois ............................ 0.8327 

15 ........ Indiana .......................... 0.8477 

16 ........ Iowa .............................. 0.8697 

17 ........ Kansas .......................... 0.8000 

18 ........ Kentucky ....................... 0.7780 

19 ........ Louisiana ....................... 0.7450 

20 ........ Maine ............................ 0.8410 

21 ........ Maryland ....................... 0.8942 

ADDENDUM A.—PROPOSED CY 2007 

WAGE INDEX FOR RURAL AREAS BY

CBSA; APPLICABLE PRE-FLOOR AND

PRE-RECLASSIFIED HOSPITAL WAGE

INDEX—Continued 

CBSA 

code Nonurban Area Wage index 

22 ........ Massachusetts1 ............. 1.0216 

23 ........ Michigan ........................ 0.9052 

24 ........ Minnesota ..................... 0.9167 

25 ........ Mississippi ..................... 0.7565 

26 ........ Missouri ......................... 0.7934 

27 ........ Montana ........................ 0.8605 

28 ........ Nebraska ....................... 0.8693 

29 ........ Nevada .......................... 0.8960 

30 ........ New Hampshire ............ 1.0800 

31 ........ New Jersey1 .................. ..............

32 ........ New Mexico .................. 0.8347 

33 ........ New York ...................... 0.8250 

34 ........ North Carolina ............... 0.8599 

35 ........ North Dakota ................. 0.7228 

36 ........ Ohio .............................. 0.8674 

37 ........ Oklahoma ...................... 0.7640 

38 ........ Oregon .......................... 0.9770 

39 ........ Pennsylvania ................. 0.8332 

40 ........ Puerto Rico 1 ................. 0.4047 

41 ........ Rhode Island 1 ............... ..............

ADDENDUM A.—PROPOSED CY 2007 

WAGE INDEX FOR RURAL AREAS BY

CBSA; APPLICABLE PRE-FLOOR AND

PRE-RECLASSIFIED HOSPITAL WAGE

INDEX—Continued 

CBSA 

code Nonurban Area Wage index 

42 ........ South Carolina .............. 0.8583 

43 ........ South Dakota ................ 0.8496 

44 ........ Tennessee .................... 0.7841 

45 ........ Texas ............................ 0.7973 

46 ........ Utah .............................. 0.8154 

47 ........ Vermont ........................ 0.9944 

48 ........ Virgin Islands ................ 0.7615 

49 ........ Virginia .......................... 0.7954 

50 ........ Washington ................... 1.0281 

51 ........ West Virginia ................. 0.7620 

52 ........ Wisconsin ...................... 0.9468 

53 ........ Wyoming ....................... 0.9311 

65 ........ Guam ............................ 0.9611 

1All counties within the State are classified 

as urban, with the exception of 

Massaschusetts and Puerto Pico. Massachusetts and Puerto Rico have areas designated 

as rural, however, no short-term, acute care 

hospitals are located in the area(s) for CY 

2007. 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX

CBSA code Urban area (constituent counties) Wage 

index 

10180 ........................ Abilene, TX .......................................................................................................................................................... 0.8014 

Callahan County, TX.

Jones County, TX.

Taylor County, TX.

10380 ........................ Aguadilla-Isabela-San Sebastia ́n, PR ................................................................................................................. 0.3922 

Aguada Municipio, PR.

Aguadilla Municipio, PR.

An ̃asco Municipio, PR.

Isabela Municipio, PR.

Lares Municipio, PR.

Moca Municipio, PR.

Rinco ́n Municipio, PR.

San Sebastia ́n Municipio, PR.

10420 ........................ Akron, OH ............................................................................................................................................................ 0.8639 

Portage County, OH.

Summit County, OH.

10500 ........................ Albany, GA ........................................................................................................................................................... 0.8962 

Baker County, GA.

Dougherty County, GA.

Lee County, GA.

Terrell County, GA.

Worth County, GA.

10580 ........................ Albany-Schenectady-Troy, NY ............................................................................................................................ 0.8735 

Albany County, NY.

Rensselaer County, NY.

Saratoga County, NY.

Schenectady County, NY.

Schoharie County, NY.

10740 ........................ Albuquerque, NM ................................................................................................................................................. 0.9474 

Bernalillo County, NM.

Sandoval County, NM.

Torrance County, NM.

Valencia County, NM.

10780 ........................ Alexandria, LA ..................................................................................................................................................... 0.8020 

Grant Parish, LA.

Rapides Parish, LA.

10900 ........................ Allentown-Bethlehem-Easton, PA-NJ .................................................................................................................. 0.9910 

Warren County, NJ.

Carbon County, PA.


hsrobinson on PROD1PC69 with PROPOSALS2
44110 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

Lehigh County, PA.

Northampton County, PA.

11020 ........................ Altoona, PA .......................................................................................................................................................... 0.8727 

Blair County, PA.

11100 ........................ Amarillo, TX ......................................................................................................................................................... 0.9177 

Armstrong County, TX.

Carson County, TX.

Potter County, TX.

Randall County, TX.

11180 ........................ Ames, IA .............................................................................................................................................................. 0.9777 

Story County, IA.

11260 ........................ Anchorage, AK ..................................................................................................................................................... 1.2045 

Anchorage Municipality, AK.

Matanuska-Susitna Borough, AK.

11300 ........................ Anderson, IN ........................................................................................................................................................ 0.8790 

Madison County, IN.

11340 ........................ Anderson, SC ...................................................................................................................................................... 0.8959 

Anderson County, SC.

11460 ........................ Ann Arbor, MI ...................................................................................................................................................... 1.0838 

Washtenaw County, MI.

11500 ........................ Anniston-Oxford, AL ............................................................................................................................................ 0.7868 

Calhoun County, AL.

11540 ........................ Appleton, WI ........................................................................................................................................................ 0.9472 

Calumet County, WI.

Outagamie County, WI.

11700 ........................ Asheville, NC ....................................................................................................................................................... 0.9093 

Buncombe County, NC.

Haywood County, NC.

Henderson County, NC.

Madison County, NC.

12020 ........................ Athens-Clarke County, GA .................................................................................................................................. 0.9857 

Clarke County, GA.

Madison County, GA.

Oconee County, GA.

Oglethorpe County, GA.

12060 ........................ Atlanta-Sandy Springs-Marietta, GA ................................................................................................................... 0.9772 

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.

12100 ........................ Atlantic City, NJ ................................................................................................................................................... 1.1751 

Atlantic County, NJ.

12220 ........................ Auburn-Opelika, AL ............................................................................................................................................. 0.8110 

Lee County, AL.

12260 ........................ Augusta-Richmond County, GA-SC .................................................................................................................... 0.9678 

Burke County, GA.


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44111 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

Columbia County, GA.

McDuffie County, GA.

Richmond County, GA.

Aiken County, SC.

Edgefield County, SC.

12420 ........................ Austin-Round Rock, TX ....................................................................................................................................... 0.9360 

Bastrop County, TX.

Caldwell County, TX.

Hays County, TX.

Travis County, TX.

Williamson County, TX.

12540 ........................ Bakersfield, CA .................................................................................................................................................... 1.0605 

Kern County, CA.

12580 ........................ Baltimore-Towson, MD ........................................................................................................................................ 1.0106 

Anne Arundel County, MD.

Baltimore County, MD.

Carroll County, MD.

Harford County, MD.

Howard County, MD.

Queen Anne’s County, MD.

Baltimore City, MD.

12620 ........................ Bangor, ME .......................................................................................................................................................... 0.9719 

Penobscot County, ME.

12700 ........................ Barnstable Town, MA .......................................................................................................................................... 1.2561 

Barnstable County, MA.

12940 ........................ Baton Rouge, LA ................................................................................................................................................. 0.8099 

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.

12980 ........................ Battle Creek, MI ................................................................................................................................................... 0.9746 

Calhoun County, MI.

13020 ........................ Bay City, MI ......................................................................................................................................................... 0.9271 

Bay County, MI.

13140 ........................ Beaumont-Port Arthur, TX ................................................................................................................................... 0.8610 

Hardin County, TX.

Jefferson County, TX.

Orange County, TX.

13380 ........................ Bellingham, WA ................................................................................................................................................... 1.1124 

Whatcom County, WA.

13460 ........................ Bend, OR ............................................................................................................................................................. 1.0762 

Deschutes County, OR.

13644 ........................ Bethesda-Frederick-Gaithersburg, MD ................................................................................................................ 1.0923 

Frederick County, MD.

Montgomery County, MD.

13740 ........................ Billings, MT .......................................................................................................................................................... 0.8728 

Carbon County, MT.

Yellowstone County, MT.

13780 ........................ Binghamton, NY ................................................................................................................................................... 0.8798 

Broome County, NY.

Tioga County, NY.

13820 ........................ Birmingham-Hoover, AL ...................................................................................................................................... 0.8919 

Bibb County, AL.

Blount County, AL.

Chilton County, AL.

Jefferson County, AL.

St. Clair County, AL.

Shelby County, AL.

Walker County, AL.

13900 ........................ Bismarck, ND ....................................................................................................................................................... 0.7253 

Burleigh County, ND.

Morton County, ND.

13980 ........................ Blacksburg-Christiansburg-Radford, VA .............................................................................................................. 0.8227 

Giles County, VA.

Montgomery County, VA.


hsrobinson on PROD1PC69 with PROPOSALS2
44112 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

Pulaski County, VA.

Radford City, VA.

14020 ........................ Bloomington, IN ................................................................................................................................................... 0.8548 

Greene County, IN.

Monroe County, IN.

Owen County, IN.

14060 ........................ Bloomington-Normal, IL ....................................................................................................................................... 0.8960 

McLean County, IL.

14260 ........................ Boise City-Nampa, ID .......................................................................................................................................... 0.9417 

Ada County, ID.

Boise County, ID.

Canyon County, ID.

Gem County, ID.

Owyhee County, ID.

14484 ........................ Boston-Quincy, MA .............................................................................................................................................. 1.1693 

Norfolk County, MA.

Plymouth County, MA.

Suffolk County, MA.

14500 ........................ Boulder, CO ......................................................................................................................................................... 1.0368 

Boulder County, CO.

14540 ........................ Bowling Green, KY .............................................................................................................................................. 0.8162 

Edmonson County, KY.

Warren County, KY.

14740 ........................ Bremerton-Silverdale, WA ................................................................................................................................... 1.0932 

Kitsap County, WA.

14860 ........................ Bridgeport-Stamford-Norwalk, CT ....................................................................................................................... 1.2681 

Fairfield County, CT.

15180 ........................ Brownsville-Harlingen, TX ................................................................................................................................... 0.9446 

Cameron County, TX.

15260 ........................ Brunswick, GA ..................................................................................................................................................... 1.0097 

Brantley County, GA.

Glynn County, GA.

McIntosh County, GA.

15380 ........................ Buffalo-Niagara Falls, NY .................................................................................................................................... 0.9483 

Erie County, NY.

Niagara County, NY.

15500 ........................ Burlington, NC ..................................................................................................................................................... 0.8689 

Alamance County, NC.

15540 ........................ Burlington-South Burlington, VT .......................................................................................................................... 0.9491 

Chittenden County, VT.

Franklin County, VT.

Grand Isle County, VT.

15764 ........................ Cambridge-Newton-Framingham, MA ................................................................................................................. 1.0918 

Middlesex County, MA.

15804 ........................ Camden, NJ ......................................................................................................................................................... 1.0411 

Burlington County, NJ.

Camden County, NJ.

Gloucester County, NJ.

15940 ........................ Canton-Massillon, OH .......................................................................................................................................... 0.9047 

Carroll County, OH.

Stark County, OH.

15980 ........................ Cape Coral-Fort Myers, FL .................................................................................................................................. 0.9359 

Lee County, FL.

16180 ........................ Carson City, NV ................................................................................................................................................... 1.0043 

Carson City, NV.

16220 ........................ Casper, WY ......................................................................................................................................................... 0.9161 

Natrona County, WY.

16300 ........................ Cedar Rapids, IA ................................................................................................................................................. 0.8903 

Benton County, IA.

Jones County, IA.

Linn County, IA.

16580 ........................ Champaign-Urbana, IL ........................................................................................................................................ 0.9661 

Champaign County, IL.

Ford County, IL.

Piatt County, IL.

16620 ........................ Charleston, WV .................................................................................................................................................... 0.8558 

Boone County, WV.

Clay County, WV.

Kanawha County, WV.

Lincoln County, WV.


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44113 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

Putnam County, WV.

16700 ........................ Charleston-North Charleston, SC ........................................................................................................................ 0.9156 

Berkeley County, SC.

Charleston County, SC.

Dorchester County, SC.

16740 ........................ Charlotte-Gastonia-Concord, NC-SC .................................................................................................................. 0.9564 

Anson County, NC.

Cabarrus County, NC.

Gaston County, NC.

Mecklenburg County, NC.

Union County, NC.

York County, SC.

16820 ........................ Charlottesville, VA ............................................................................................................................................... 1.0143 

Albemarle County, VA.

Fluvanna County, VA.

Greene County, VA.

Nelson County, VA.

Charlottesville City, VA.

16860 ........................ Chattanooga, TN-GA ........................................................................................................................................... 0.8963 

Catoosa County, GA.

Dade County, GA.

Walker County, GA.

Hamilton County, TN.

Marion County, TN.

Sequatchie County, TN.

16940 ........................ Cheyenne, WY ..................................................................................................................................................... 0.9076 

Laramie County, WY.

16974 ........................ Chicago-Naperville-Joliet, IL ................................................................................................................................ 1.0745 

Cook County, IL.

DeKalb County, IL.

DuPage County, IL.

Grundy County, IL.

Kane County, IL.

Kendall County, IL.

McHenry County, IL.

Will County, IL.

17020 ........................ Chico, CA ............................................................................................................................................................. 1.1073 

Butte County, CA.

17140 ........................ Cincinnati-Middletown, OH-KY-IN ....................................................................................................................... 0.9617 

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.

17300 ........................ Clarksville, TN-KY ................................................................................................................................................ 0.8451 

Christian County, KY.

Trigg County, KY.

Montgomery County, TN.

Stewart County, TN.

17420 ........................ Cleveland, TN ...................................................................................................................................................... 0.8124 

Bradley County, TN.

Polk County, TN.

17460 ........................ Cleveland-Elyria-Mentor, OH ............................................................................................................................... 0.9385 

Cuyahoga County, OH.

Geauga County, OH.

Lake County, OH.

Lorain County, OH.

Medina County, OH.

17660 ........................ Coeur d’Alene, ID ................................................................................................................................................ 0.9360 

Kootenai County, ID.


hsrobinson on PROD1PC69 with PROPOSALS2
44114 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

17780 ........................ College Station-Bryan, TX ................................................................................................................................... 0.9061 

Brazos County, TX.

Burleson County, TX.

Robertson County, TX.

17820 ........................ Colorado Springs, CO ......................................................................................................................................... 0.9718 

El Paso County, CO.

Teller County, CO.

17860 ........................ Columbia, MO ...................................................................................................................................................... 0.8557 

Boone County, MO.

Howard County, MO.

17900 ........................ Columbia, SC ....................................................................................................................................................... 0.8028 

Calhoun County, SC.

Fairfield County, SC.

Kershaw County, SC.

Lexington County, SC.

Richland County, SC.

Saluda County, SC.

17980 ........................ Columbus, GA-AL ................................................................................................................................................ 0.8254 

Russell County, AL.

Chattahoochee County, GA.

Harris County, GA.

Marion County, GA.

Muscogee County, GA.

18020 ........................ Columbus, IN ....................................................................................................................................................... 0.9334 

Bartholomew County, IN.

18140 ........................ Columbus, OH ..................................................................................................................................................... 1.0122 

Delaware County, OH.

Fairfield County, OH.

Franklin County, OH.

Licking County, OH.

Madison County, OH.

Morrow County, OH.

Pickaway County, OH.

Union County, OH.

18580 ........................ Corpus Christi, TX ............................................................................................................................................... 0.8579 

Aransas County, TX.

Nueces County, TX.

San Patricio County, TX.

18700 ........................ Corvallis, OR ........................................................................................................................................................ 1.1566 

Benton County, OR.

19060 ........................ Cumberland, MD-WV ........................................................................................................................................... 0.8859 

Allegany County, MD.

Mineral County, WV.

19124 ........................ Dallas-Plano-Irving, TX ........................................................................................................................................ 1.0093 

Collin County, TX.

Dallas County, TX.

Delta County, TX.

Denton County, TX.

Ellis County, TX.

Hunt County, TX.

Kaufman County, TX.

Rockwall County, TX.

19140 ........................ Dalton, GA ........................................................................................................................................................... 0.9061 

Murray County, GA.

Whitfield County, GA.

19180 ........................ Danville, IL ........................................................................................................................................................... 0.9283 

Vermilion County, IL.

19260 ........................ Danville, VA ......................................................................................................................................................... 0.8466 

Pittsylvania County, VA.

Danville City, VA.

19340 ........................ Davenport-Moline-Rock Island, IA-IL ................................................................................................................... 0.8557 

Henry County, IL.

Mercer County, IL.

Rock Island County, IL.

Scott County, IA.

19380 ........................ Dayton, OH .......................................................................................................................................................... 0.9053 

Greene County, OH.

Miami County, OH.

Montgomery County, OH.

Preble County, OH.


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44115 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

19460 ........................ Decatur, AL .......................................................................................................................................................... 0.8220 

Lawrence County, AL.

Morgan County, AL.

19500 ........................ Decatur, IL ........................................................................................................................................................... 0.8187 

Macon County, IL.

19660 ........................ Deltona-Daytona Beach-Ormond Beach, FL ....................................................................................................... 0.9280 

Volusia County, FL.

19740 ........................ Denver-Aurora, CO .............................................................................................................................................. 1.0947 

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.

19780 ........................ Des Moines, IA .................................................................................................................................................... 0.9136 

Dallas County, IA.

Guthrie County, IA.

Madison County, IA.

Polk County, IA.

Warren County, IA.

19804 ........................ Detroit-Livonia-Dearborn, MI ............................................................................................................................... 1.0223 

Wayne County, MI.

20020 ........................ Dothan, AL ........................................................................................................................................................... 0.7438 

Geneva County, AL.

Henry County, AL.

Houston County, AL.

20100 ........................ Dover, DE ............................................................................................................................................................ 0.9865 

Kent County, DE.

20220 ........................ Dubuque, IA ......................................................................................................................................................... 0.9150 

Dubuque County, IA.

20260 ........................ Duluth, MN-WI ..................................................................................................................................................... 1.0070 

Carlton County, MN.

St. Louis County, MN.

Douglas County, WI.

20500 ........................ Durham, NC ......................................................................................................................................................... 0.9843 

Chatham County, NC.

Durham County, NC.

Orange County, NC.

Person County, NC.

20740 ........................ Eau Claire, WI ..................................................................................................................................................... 0.9647 

Chippewa County, WI.

Eau Claire County, WI.

20764 ........................ Edison, NJ ........................................................................................................................................................... 1.1207 

Middlesex County, NJ.

Monmouth County, NJ.

Ocean County, NJ.

Somerset County, NJ.

20940 ........................ El Centro, CA ....................................................................................................................................................... 0.9092 

Imperial County, CA.

21060 ........................ Elizabethtown, KY ................................................................................................................................................ 0.8713 

Hardin County, KY.

Larue County, KY.

21140 ........................ Elkhart-Goshen, IN .............................................................................................................................................. 0.9442 

Elkhart County, IN.

21300 ........................ Elmira, NY ............................................................................................................................................................ 0.8213 

Chemung County, NY.

21340 ........................ El Paso, TX .......................................................................................................................................................... 0.9069 

El Paso County, TX.

21500 ........................ Erie, PA ................................................................................................................................................................ 0.8704 

Erie County, PA.

21604 ........................ Essex County, MA ............................................................................................................................................... 1.0437 

Essex County, MA.

21660 ........................ Eugene-Springfield, OR ....................................................................................................................................... 1.0896 

Lane County, OR.

21780 ........................ Evansville, IN-KY ................................................................................................................................................. 0.8830 

Gibson County, IN.


hsrobinson on PROD1PC69 with PROPOSALS2
44116 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

Posey County, IN.

Vanderburgh County, IN.

Warrick County, IN.

Henderson County, KY.

Webster County, KY.

21820 ........................ Fairbanks, AK ...................................................................................................................................................... 1.1079 

Fairbanks North Star Borough, AK.

21940 ........................ Fajardo, PR .......................................................................................................................................................... 0.4044 

Ceiba Municipio, PR.

Fajardo Municipio, PR.

Luquillo Municipio, PR.

22020 ........................ Fargo, ND-MN ..................................................................................................................................................... 0.8265 

Cass County, ND.

Clay County, MN.

22140 ........................ Farmington, NM ................................................................................................................................................... 0.8604 

San Juan County, NM.

22180 ........................ Fayetteville, NC ................................................................................................................................................... 0.8961 

Cumberland County, NC.

Hoke County, NC.

22220 ........................ Fayetteville-Springdale-Rogers, AR-MO ............................................................................................................. 0.8761 

Benton County, AR.

Madison County, AR.

Washington County, AR.

McDonald County, MO.

22380 ........................ Flagstaff, AZ ........................................................................................................................................................ 1.1621 

Coconino County, AZ.

22420 ........................ Flint, MI ................................................................................................................................................................ 1.0988 

Genesee County, MI.

22500 ........................ Florence, SC ........................................................................................................................................................ 0.8421 

Darlington County, SC.

Florence County, SC.

22520 ........................ Florence-Muscle Shoals, AL ................................................................................................................................ 0.7967 

Colbert County, AL.

Lauderdale County, AL.

22540 ........................ Fond du Lac, WI .................................................................................................................................................. 1.0081 

Fond du Lac County, WI.

22660 ........................ Fort Collins-Loveland, CO ................................................................................................................................... 0.9561 

Larimer County, CO.

22744 ........................ Fort Lauderdale-Pompano Beach-Deerfield ........................................................................................................ 1.0151 

Beach, FL.

Broward County, FL.

22900 ........................ Fort Smith, AR-OK ............................................................................................................................................... 0.7745 

Crawford County, AR.

Franklin County, AR.

Sebastian County, AR.

Le Flore County, OK.

Sequoyah County, OK.

23020 ........................ Fort Walton Beach-Crestview-Destin, FL ............................................................................................................ 0.8658 

Okaloosa County, FL.

23060 ........................ Fort Wayne, IN .................................................................................................................................................... 0.9504 

Allen County, IN.

Wells County, IN.

Whitley County, IN.

23104 ........................ Fort Worth-Arlington, TX ...................................................................................................................................... 0.9587 

Johnson County, TX.

Parker County, TX.

Tarrant County, TX.

Wise County, TX.

23420 ........................ Fresno, CA ........................................................................................................................................................... 1.0965 

Fresno County, CA.

23460 ........................ Gadsden, AL ........................................................................................................................................................ 0.8080 

Etowah County, AL.

23540 ........................ Gainesville, FL ..................................................................................................................................................... 0.9312 

Alachua County, FL.

Gilchrist County, FL.

23580 ........................ Gainesville, GA .................................................................................................................................................... 0.8974 

Hall County, GA.

23844 ........................ Gary, IN ............................................................................................................................................................... 0.9281 

Jasper County, IN.

Lake County, IN.


hsrobinson on PROD1PC69 with PROPOSALS2
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ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

Newton County, IN.

Porter County, IN.

24020 ........................ Glens Falls, NY .................................................................................................................................................... 0.8339 

Warren County, NY.

Washington County, NY.

24140 ........................ Goldsboro, NC ..................................................................................................................................................... 0.9187 

Wayne County, NC.

24220 ........................ Grand Forks, ND-MN ........................................................................................................................................... 0.7963 

Polk County, MN.

Grand Forks County, ND.

24300 ........................ Grand Junction, CO ............................................................................................................................................. 0.9685 

Mesa County, CO.

24340 ........................ Grand Rapids-Wyoming, MI ................................................................................................................................ 0.9470 

Barry County, MI.

Ionia County, MI.

Kent County, MI.

Newaygo County, MI.

24500 ........................ Great Falls, MT .................................................................................................................................................... 0.8613 

Cascade County, MT.

24540 ........................ Greeley, CO ......................................................................................................................................................... 0.9619 

Weld County, CO.

24580 ........................ Green Bay, WI ..................................................................................................................................................... 0.9804 

Brown County, WI.

Kewaunee County, WI.

Oconto County, WI.

24660 ........................ Greensboro-High Point, NC ................................................................................................................................. 0.8735 

Guilford County, NC.

Randolph County, NC.

Rockingham County, NC.

24780 ........................ Greenville, NC ..................................................................................................................................................... 0.9449 

Greene County, NC.

Pitt County, NC.

24860 ........................ Greenville, SC ...................................................................................................................................................... 0.9733 

Greenville County, SC.

Laurens County, SC.

Pickens County, SC.

25020 ........................ Guayama, PR ...................................................................................................................................................... 0.3241 

Arroyo Municipio, PR.

Guayama Municipio, PR.

Patillas Municipio, PR.

25060 ........................ Gulfport-Biloxi, MS ............................................................................................................................................... 0.8931 

Hancock County, MS.

Harrison County, MS.

Stone County, MS.

25180 ........................ Hagerstown-Martinsburg, MD-WV ....................................................................................................................... 0.9054 

Washington County, MD.

Berkeley County, WV.

Morgan County, WV.

25260 ........................ Hanford-Corcoran, CA ......................................................................................................................................... 1.0142 

Kings County, CA.

25420 ........................ Harrisburg-Carlisle, PA ........................................................................................................................................ 0.9419 

Cumberland County, PA.

Dauphin County, PA.

Perry County, PA.

25500 ........................ Harrisonburg, VA ................................................................................................................................................. 0.9090 

Rockingham County, VA.

Harrisonburg City, VA.

25540 ........................ Hartford-West Hartford-East Hartford, CT ........................................................................................................... 1.0916 

Hartford County, CT.

Litchfield County, CT.

Middlesex County, CT.

Tolland County, CT.

25620 ........................ Hattiesburg, MS ................................................................................................................................................... 0.7443 

Forrest County, MS.

Lamar County, MS.

Perry County, MS.

25860 ........................ Hickory-Lenoir-Morganton, NC ............................................................................................................................ 0.9021 

Alexander County, NC.

Burke County, NC.

Caldwell County, NC.


hsrobinson on PROD1PC69 with PROPOSALS2
44118 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

Catawba County, NC.

25980 ...................... Hinesville-Fort Stewart, GA .............................................................................................................................. 0.9163 

Liberty County, GA.

Long County, GA.

26100 ........................ Holland-Grand Haven, MI .................................................................................................................................... 0.9205 

Ottawa County, MI.

26180 ........................ Honolulu, HI ......................................................................................................................................................... 1.1067 

Honolulu County, HI.

26300 ........................ Hot Springs, AR ................................................................................................................................................... 0.8797 

Garland County, AR.

26380 ........................ Houma-Bayou Cane-Thibodaux, LA .................................................................................................................... 0.8003 

Lafourche Parish, LA.

Terrebonne Parish, LA.

26420 ........................ Houston-Baytown-Sugar Land, TX ...................................................................................................................... 1.0026 

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.

Waller County, TX.

26580 ........................ Huntington-Ashland, WV-KY-OH ......................................................................................................................... 0.9013 

Boyd County, KY.

Greenup County, KY.

Lawrence County, OH.

Cabell County, WV.

Wayne County, WV.

26620 ........................ Huntsville, AL ....................................................................................................................................................... 0.9051 

Limestone County, AL.

Madison County, AL.

26820 ........................ Idaho Falls, ID ..................................................................................................................................................... 0.9104 

Bonneville County, ID.

Jefferson County, ID.

26900 ........................ Indianapolis, IN .................................................................................................................................................... 0.9766 

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.

26980 ........................ Iowa City, IA ........................................................................................................................................................ 0.9731 

Johnson County, IA.

Washington County, IA.

27060 ........................ Ithaca, NY ............................................................................................................................................................ 0.9831 

Tompkins County, NY.

27100 ........................ Jackson, MI .......................................................................................................................................................... 0.9577 

Jackson County, MI.

27140 ........................ Jackson, MS ........................................................................................................................................................ 0.8286 

Copiah County, MS.

Hinds County, MS.

Madison County, MS.

Rankin County, MS.

Simpson County, MS.

27180 ........................ Jackson, TN ......................................................................................................................................................... 0.8869 

Chester County, TN.

Madison County, TN.

27260 ........................ Jacksonville, FL ................................................................................................................................................... 0.9042 

Baker County, FL.

Clay County, FL.

Duval County, FL.

Nassau County, FL.

St. Johns County, FL.

27340 ........................ Jacksonville, NC .................................................................................................................................................. 0.8245 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44119 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

Onslow County, NC.

27500 ........................ Janesville, WI ....................................................................................................................................................... 0.9672 

Rock County, WI.

27620 ........................ Jefferson City, MO ............................................................................................................................................... 0.8347 

Callaway County, MO.

Cole County, MO.

Moniteau County, MO.

Osage County, MO.

27740 ........................ Johnson City, TN ................................................................................................................................................. 0.8057 

Carter County, TN.

Unicoi County, TN.

Washington County, TN.

27780 ........................ Johnstown, PA ..................................................................................................................................................... 0.8635 

Cambria County, PA.

27860 ........................ Jonesboro, AR ..................................................................................................................................................... 0.7609 

Craighead County, AR.

Poinsett County, AR.

27900 ........................ Joplin, MO ............................................................................................................................................................ 0.8620 

Jasper County, MO.

Newton County, MO.

28020 ........................ Kalamazoo-Portage, MI ....................................................................................................................................... 1.0723 

Kalamazoo County, MI.

Van Buren County, MI.

28100 ........................ Kankakee-Bradley, IL .......................................................................................................................................... 0.9990 

Kankakee County, IL.

28140 ........................ Kansas City, MO-KS ............................................................................................................................................ 0.9514 

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.

28420 ........................ Kennewick-Richland-Pasco, WA ......................................................................................................................... 1.0361 

Benton County, WA.

Franklin County, WA.

28660 ........................ Killeen-Temple-Fort Hood, TX ............................................................................................................................. 0.9098 

Bell County, TX.

Coryell County, TX.

Lampasas County, TX.

28700 ........................ Kingsport-Bristol-Bristol, TN-VA .......................................................................................................................... 0.7975 

Hawkins County, TN.

Sullivan County, TN.

Bristol City, VA.

Scott County, VA.

Washington County, VA.

28740 ........................ Kingston, NY ........................................................................................................................................................ 0.9383 

Ulster County, NY.

28940 ........................ Knoxville, TN ........................................................................................................................................................ 0.8263 

Anderson County, TN.

Blount County, TN.

Knox County, TN.

Loudon County, TN.

Union County, TN.

29020 ........................ Kokomo, IN .......................................................................................................................................................... 0.9460 

Howard County, IN.

Tipton County, IN.

29100 ........................ La Crosse, WI-MN ............................................................................................................................................... 0.9442 

Houston County, MN.

La Crosse County, WI.

29140 ........................ Lafayette, IN ........................................................................................................................................................ 0.8972 

Benton County, IN.


hsrobinson on PROD1PC69 with PROPOSALS2
44120 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

Carroll County, IN.

Tippecanoe County, IN.

29180 ........................ Lafayette, LA ........................................................................................................................................................ 0.8293 

Lafayette Parish, LA.

St. Martin Parish, LA.

29340 ........................ Lake Charles, LA ................................................................................................................................................. 0.7928 

Calcasieu Parish, LA.

Cameron Parish, LA.

29404 ........................ Lake County-Kenosha County, IL-WI .................................................................................................................. 1.0406 

Lake County, IL.

Kenosha County, WI.

29460 ........................ Lakeland, FL ........................................................................................................................................................ 0.8895 

Polk County, FL.

29540 ........................ Lancaster, PA ...................................................................................................................................................... 0.9644 

Lancaster County, PA.

29620 ........................ Lansing-East Lansing, MI .................................................................................................................................... 1.0102 

Clinton County, MI.

Eaton County, MI.

Ingham County, MI.

29700 ........................ Laredo, TX ........................................................................................................................................................... 0.7825 

Webb County, TX.

29740 ........................ Las Cruces, NM ................................................................................................................................................... 0.9290 

Dona Ana County, NM.

29820 ........................ Las Vegas-Paradise, NV ..................................................................................................................................... 1.1450 

Clark County, NV.

29940 ........................ Lawrence, KS ...................................................................................................................................................... 0.8353 

Douglas County, KS.

30020 ........................ Lawton, OK .......................................................................................................................................................... 0.8080 

Comanche County, OK.

30140 ........................ Lebanon, PA ........................................................................................................................................................ 0.8695 

Lebanon County, PA.

30300 ........................ Lewiston, ID-WA .................................................................................................................................................. 0.9871 

Nez Perce County, ID.

Asotin County, WA.

30340 ........................ Lewiston-Auburn, ME .......................................................................................................................................... 0.9148 

Androscoggin County, ME.

30460 ........................ Lexington-Fayette, KY ......................................................................................................................................... 0.9191 

Bourbon County, KY.

Clark County, KY.

Fayette County, KY.

Jessamine County, KY.

Scott County, KY.

Woodford County, KY.

30620 ........................ Lima, OH .............................................................................................................................................................. 0.9058 

Allen County, OH.

30700 ........................ Lincoln, NE .......................................................................................................................................................... 1.0110 

Lancaster County, NE.

Seward County, NE.

30780 ........................ Little Rock-North Little Rock, AR ......................................................................................................................... 0.8906 

Faulkner County, AR.

Grant County, AR.

Lonoke County, AR.

Perry County, AR.

Pulaski County, AR.

Saline County, AR.

30860 ........................ Logan, UT-ID ....................................................................................................................................................... 0.9038 

Franklin County, ID.

Cache County, UT.

30980 ........................ Longview, TX ....................................................................................................................................................... 0.8803 

Gregg County, TX.

Rusk County, TX.

Upshur County, TX.

31020 ........................ Longview, WA ...................................................................................................................................................... 1.0029 

Cowlitz County, WA.

31084 ........................ Los Angeles-Long Beach-Glendale, CA .............................................................................................................. 1.1752 

Los Angeles County, CA.

31140 ........................ Louisville, KY-IN .................................................................................................................................................. 0.9135 

Clark County, IN.

Floyd County, IN.

Harrison County, IN.


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44121 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

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.

31180 ........................ Lubbock, TX ......................................................................................................................................................... 0.8628 

Crosby County, TX.

Lubbock County, TX.

31340 ........................ Lynchburg, VA ..................................................................................................................................................... 0.8710 

Amherst County, VA.

Appomattox County, VA.

Bedford County, VA.

Campbell County, VA.

Bedford City, VA.

Lynchburg City, VA.

31420 ........................ Macon, GA ........................................................................................................................................................... 0.9518 

Bibb County, GA.

Crawford County, GA.

Jones County, GA.

Monroe County, GA.

Twiggs County, GA.

31460 ........................ Madera, CA .......................................................................................................................................................... 0.8169 

Madera County, CA.

31540 ........................ Madison, WI ......................................................................................................................................................... 1.0736 

Columbia County, WI.

Dane County, WI.

Iowa County, WI.

31700 ........................ Manchester-Nashua, NH ..................................................................................................................................... 1.0261 

Hillsborough County, NH.

Merrimack County, NH.

31900 ........................ Mansfield, OH ...................................................................................................................................................... 0.9287 

Richland County, OH.

32420 ........................ Mayagu ̈ez, PR ..................................................................................................................................................... 0.3857 

Hormigueros Municipio, PR.

Mayagu ̈ez Municipio, PR.

32580 ........................ McAllen-Edinburg-Pharr, TX ................................................................................................................................ 0.8788 

Hidalgo County, TX.

32780 ........................ Medford, OR ........................................................................................................................................................ 1.0837 

Jackson County, OR.

32820 ........................ Memphis, TN-MS-AR ........................................................................................................................................... 0.9361 

Crittenden County, AR.

DeSoto County, MS.

Marshall County, MS.

Tate County, MS.

Tunica County, MS.

Fayette County, TN.

Shelby County, TN.

Tipton County, TN.

32900 ........................ Merced, CA .......................................................................................................................................................... 1.1415 

Merced County, CA.

33124 ........................ Miami-Miami Beach-Kendall, FL .......................................................................................................................... 0.9830 

Miami-Dade County, FL.

33140 ........................ Michigan City-La Porte, IN .................................................................................................................................. 0.9093 

LaPorte County, IN.

33260 ........................ Midland, TX .......................................................................................................................................................... 0.9803 

Midland County, TX.

33340 ........................ Milwaukee-Waukesha-West Allis, WI .................................................................................................................. 1.0236 

Milwaukee County, WI.

Ozaukee County, WI.

Washington County, WI.

Waukesha County, WI.

33460 ........................ Minneapolis-St. Paul-Bloomington, MN-WI ......................................................................................................... 1.0965 

Anoka County, MN.

Carver County, MN.

Chisago County, MN.


hsrobinson on PROD1PC69 with PROPOSALS2
44122 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

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.

33540 ........................ Missoula, MT ....................................................................................................................................................... 0.8944 

Missoula County, MT.

33660 ........................ Mobile, AL ............................................................................................................................................................ 0.7947 

Mobile County, AL.

33700 ........................ Modesto, CA ........................................................................................................................................................ 1.1590 

Stanislaus County, CA.

33740 ........................ Monroe, LA .......................................................................................................................................................... 0.8011 

Ouachita Parish, LA.

Union Parish, LA.

33780 ........................ Monroe, MI ........................................................................................................................................................... 0.9725 

Monroe County, MI.

33860 ........................ Montgomery, AL .................................................................................................................................................. 0.8023 

Autauga County, AL.

Elmore County, AL.

Lowndes County, AL.

Montgomery County, AL.

34060 ........................ Morgantown, WV ................................................................................................................................................. 0.8438 

Monongalia County, WV.

Preston County, WV.

34100 ........................ Morristown, TN .................................................................................................................................................... 0.7944 

Grainger County, TN.

Hamblen County, TN.

Jefferson County, TN.

34580 ........................ Mount Vernon-Anacortes, WA ............................................................................................................................. 1.0536 

Skagit County, WA.

34620 ........................ Muncie, IN ............................................................................................................................................................ 0.8299 

Delaware County, IN.

34740 ........................ Muskegon-Norton Shores, MI .............................................................................................................................. 0.9957 

Muskegon County, MI.

34820 ........................ Myrtle Beach-Conway-North Myrtle Beach, SC .................................................................................................. 0.8824 

Horry County, SC.

34900 ........................ Napa, CA ............................................................................................................................................................. 1.3496 

Napa County, CA.

34940 ........................ Naples-Marco Island, FL ..................................................................................................................................... 0.9959 

Collier County, FL.

34980 ........................ Nashville-Davidson--Murfreesboro, TN ............................................................................................................... 0.9862 

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.

35004 ........................ Nassau-Suffolk, NY ............................................................................................................................................. 1.2681 

Nassau County, NY.

Suffolk County, NY.

35084 ........................ Newark-Union, NJ-PA .......................................................................................................................................... 1.1890 

Essex County, NJ.

Hunterdon County, NJ.

Morris County, NJ.

Sussex County, NJ.

Union County, NJ.

Pike County, PA.

35300 ........................ New Haven-Milford, CT ....................................................................................................................................... 1.1974 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44123 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

New Haven County, CT.

35380 ........................ New Orleans-Metairie-Kenner, LA ....................................................................................................................... 0.8858 

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.

35644 ........................ New York-Wayne-White Plains, NY-NJ ............................................................................................................... 1.3208 

Bergen County, NJ.

Hudson County, NJ.

Passaic County, NJ.

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.

35660 ........................ Niles-Benton Harbor, MI ...................................................................................................................................... 0.8931 

Berrien County, MI.

35980 ........................ Norwich-New London, CT ................................................................................................................................... 1.1953 

New London County, CT.

36084 ........................ Oakland-Fremont-Hayward, CA .......................................................................................................................... 1.5420 

Alameda County, CA.

Contra Costa County, CA.

36100 ........................ Ocala, FL ............................................................................................................................................................. 0.8883 

Marion County, FL.

36140 ........................ Ocean City, NJ .................................................................................................................................................... 1.0490 

Cape May County, NJ.

36220 ........................ Odessa, TX .......................................................................................................................................................... 1.0119 

Ector County, TX.

36260 ........................ Ogden-Clearfield, UT ........................................................................................................................................... 0.9011 

Davis County, UT.

Morgan County, UT.

Weber County, UT.

36420 ........................ Oklahoma City, OK .............................................................................................................................................. 0.8853 

Canadian County, OK.

Cleveland County, OK.

Grady County, OK.

Lincoln County, OK.

Logan County, OK.

McClain County, OK.

Oklahoma County, OK.

36500 ........................ Olympia, WA ........................................................................................................................................................ 1.1100 

Thurston County, WA.

36540 ........................ Omaha-Council Bluffs, NE-IA .............................................................................................................................. 0.9467 

Harrison County, IA.

Mills County, IA.

Pottawattamie County, IA.

Cass County, NE.

Douglas County, NE.

Sarpy County, NE.

Saunders County, NE.

Washington County, NE.

36740 ........................ Orlando, FL .......................................................................................................................................................... 0.9422 

Lake County, FL.

Orange County, FL.

Osceola County, FL.

Seminole County, FL.

36780 ........................ Oshkosh-Neenah, WI .......................................................................................................................................... 0.9332 

Winnebago County, WI.

36980 ........................ Owensboro, KY .................................................................................................................................................... 0.8763 

Daviess County, KY.

Hancock County, KY.

McLean County, KY.

37100 ........................ Oxnard-Thousand Oaks-Ventura, CA ................................................................................................................. 1.1591 

Ventura County, CA.


hsrobinson on PROD1PC69 with PROPOSALS2
44124 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

37340 ........................ Palm Bay-Melbourne-Titusville, FL ...................................................................................................................... 0.9448 

Brevard County, FL.

37460 ........................ Panama City-Lynn Haven, FL ............................................................................................................................. 0.8087 

Bay County, FL.

37620 ........................ Parkersburg-Marietta, WV-OH ............................................................................................................................. 0.7940 

Washington County, OH.

Pleasants County, WV.

Wirt County, WV.

Wood County, WV.

37700 ........................ Pascagoula, MS ................................................................................................................................................... 0.8230 

George County, MS.

Jackson County, MS.

37860 ........................ Pensacola-Ferry Pass-Brent, FL ......................................................................................................................... 0.8014 

Escambia County, FL.

Santa Rosa County, FL.

37900 ........................ Peoria, IL ............................................................................................................................................................. 0.8998 

Marshall County, IL.

Peoria County, IL.

Stark County, IL.

Tazewell County, IL.

Woodford County, IL.

37964 ........................ Philadelphia, PA .................................................................................................................................................. 1.1018 

Bucks County, PA.

Chester County, PA.

Delaware County, PA.

Montgomery County, PA.

Philadelphia County, PA.

38060 ........................ Phoenix-Mesa-Scottsdale, AZ ............................................................................................................................. 1.0305 

Maricopa County, AZ.

Pinal County, AZ.

38220 ........................ Pine Bluff, AR ...................................................................................................................................................... 0.8398 

Cleveland County, AR.

Jefferson County, AR.

Lincoln County, AR.

38300 ........................ Pittsburgh, PA ...................................................................................................................................................... 0.8685 

Allegheny County, PA.

Armstrong County, PA.

Beaver County, PA.

Butler County, PA.

Fayette County, PA.

Washington County, PA.

Westmoreland County, PA.

38340 ........................ Pittsfield, MA ........................................................................................................................................................ 1.0284 

Berkshire County, MA.

38540 ........................ Pocatello, ID ........................................................................................................................................................ 0.9417 

Bannock County, ID.

Power County, ID.

38660 ........................ Ponce, PR ............................................................................................................................................................ 0.4851 

Juana Dı ́az Municipio, PR.

Ponce Municipio, PR.

Villalba Municipio, PR.

38860 ........................ Portland-South Portland-Biddeford, ME .............................................................................................................. 0.9926 

Cumberland County, ME.

Sagadahoc County, ME.

York County, ME.

38900 ........................ Portland-Vancouver-Beaverton, OR-WA ............................................................................................................. 1.1436 

Clackamas County, OR.

Columbia County, OR.

Multnomah County, OR.

Washington County, OR.

Yamhill County, OR.

Clark County, WA.

Skamania County, WA.

38940 ........................ Port St. Lucie-Fort Pierce, FL .............................................................................................................................. 0.9851 

Martin County, FL.

St. Lucie County, FL.

39100 ........................ Poughkeepsie-Newburgh-Middletown, NY .......................................................................................................... 1.0913 

Dutchess County, NY.

Orange County, NY.

39140 ........................ Prescott, AZ ......................................................................................................................................................... 0.9853 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44125 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

Yavapai County, AZ.

39300 ........................ Providence-New Bedford-Fall River, RI-MA ........................................................................................................ 1.0804 

Bristol County, MA.

Bristol County, RI.

Kent County, RI.

Newport County, RI.

Providence County, RI.

Washington County, RI.

39340 ........................ Provo-Orem, UT .................................................................................................................................................. 0.9554 

Juab County, UT.

Utah County, UT.

39380 ........................ Pueblo, CO .......................................................................................................................................................... 0.8552 

Pueblo County, CO.

39460 ........................ Punta Gorda, FL .................................................................................................................................................. 0.9421 

Charlotte County, FL.

39540 ........................ Racine, WI ........................................................................................................................................................... 0.9192 

Racine County, WI.

39580 ........................ Raleigh-Cary, NC ................................................................................................................................................. 0.9879 

Franklin County, NC.

Johnston County, NC.

Wake County, NC.

39660 ........................ Rapid City, SD ..................................................................................................................................................... 1.0351 

Meade County, SD.

Pennington County, SD.

39740 ........................ Reading, PA ......................................................................................................................................................... 0.9639 

Berks County, PA.

39820 ........................ Redding, CA ........................................................................................................................................................ 1.3221 

Shasta County, CA.

39900 ........................ Reno-Sparks, NV ................................................................................................................................................. 1.1984 

Storey County, NV.

Washoe County, NV.

40060 ........................ Richmond, VA ...................................................................................................................................................... 0.9193 

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.

40140 ........................ Riverside-San Bernardino-Ontario, CA ............................................................................................................... 1.0934 

Riverside County, CA.

San Bernardino County, CA.

40220 ........................ Roanoke, VA ........................................................................................................................................................ 0.8662 

Botetourt County, VA.

Craig County, VA.

Franklin County, VA.

Roanoke County, VA.

Roanoke City, VA.

Salem City, VA.

40340 ........................ Rochester, MN ..................................................................................................................................................... 1.1260 

Dodge County, MN.

Olmsted County, MN.

Wabasha County, MN.

40380 ........................ Rochester, NY ..................................................................................................................................................... 0.9005 

Livingston County, NY.

Monroe County, NY.

Ontario County, NY.


hsrobinson on PROD1PC69 with PROPOSALS2
44126 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

Orleans County, NY.

Wayne County, NY.

40420 ........................ Rockford, IL ......................................................................................................................................................... 1.0007 

Boone County, IL.

Winnebago County, IL.

40484 ........................ Rockingham County-Strafford County, NH ......................................................................................................... 1.0177 

Rockingham County, NH.

Strafford County, NH.

40580 ........................ Rocky Mount, NC ................................................................................................................................................ 0.8869 

Edgecombe County, NC.

Nash County, NC.

40660 ........................ Rome, GA ............................................................................................................................................................ 0.9316 

Floyd County, GA.

40900 ........................ Sacramento-Arden-Arcade-Roseville, CA ........................................................................................................... 1.3373 

El Dorado County, CA.

Placer County, CA.

Sacramento County, CA.

Yolo County, CA.

40980 ........................ Saginaw-Saginaw Township North, MI ............................................................................................................... 0.8889 

Saginaw County, MI.

41060 ........................ St. Cloud, MN ...................................................................................................................................................... 1.0380 

Benton County, MN.

Stearns County, MN.

41100 ........................ St. George, UT .................................................................................................................................................... 0.9281 

Washington County, UT.

41140 ........................ St. Joseph, MO-KS .............................................................................................................................................. 1.0136 

Doniphan County, KS.

Andrew County, MO.

Buchanan County, MO.

DeKalb County, MO.

41180 ........................ St. Louis, MO-IL ................................................................................................................................................... 0.9013 

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.

41420 ........................ Salem, OR ........................................................................................................................................................... 1.0457 

Marion County, OR.

Polk County, OR.

41500 ........................ Salinas, CA .......................................................................................................................................................... 1.4459 

Monterey County, CA.

41540 ........................ Salisbury, MD ...................................................................................................................................................... 0.8969 

Somerset County, MD.

Wicomico County, MD.

41620 ........................ Salt Lake City, UT ............................................................................................................................................... 0.9418 

Salt Lake County, UT.

Summit County, UT.

Tooele County, UT.

41660 ........................ San Angelo, TX ................................................................................................................................................... 0.8377 

Irion County, TX.

Tom Green County, TX.

41700 ........................ San Antonio, TX .................................................................................................................................................. 0.8860 

Atascosa County, TX.

Bandera County, TX.

Bexar County, TX.

Comal County, TX.

Guadalupe County, TX.

Kendall County, TX.


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44127 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

Medina County, TX.

Wilson County, TX.

41740 ........................ San Diego-Carlsbad-San Marcos, CA ................................................................................................................. 1.1374 

San Diego County, CA.

41780 ........................ Sandusky, OH ...................................................................................................................................................... 0.9319 

Erie County, OH.

41884 ........................ San Francisco-San Mateo-Redwood City, CA .................................................................................................... 1.5071 

Marin County, CA.

San Francisco County, CA.

San Mateo County, CA.

41900 ........................ San Germa ́n-Cabo Rojo, PR ............................................................................................................................... 0.4893 

Cabo Rojo Municipio, PR.

Lajas Municipio, PR.

Sabana Grande Municipio, PR.

San Germa ́n Municipio, PR.

41940 ........................ San Jose-Sunnyvale-Santa Clara, CA ................................................................................................................ 1.5293 

San Benito County, CA.

Santa Clara County, CA.

41980 ........................ San Juan-Caguas-Guaynabo, PR ....................................................................................................................... 0.4397 

Aguas Buenas Municipio, PR.

Aibonito Municipio, PR.

Arecibo Municipio, PR.

Barceloneta Municipio, PR.

Barranquitas Municipio, PR.

Bayamo ́n Municipio, PR.

Caguas Municipio, PR.

Camuy Municipio, PR.

Cano ́vanas Municipio, PR.

Carolina Municipio, PR.

Catan ̃o Municipio, PR.

Cayey Municipio, PR.

Ciales Municipio, PR.

Cidra Municipio, PR.

Comer ́ıo 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.

Lo ́ıza Municipio, PR.

Manat ́ı Municipio, PR.

Maunabo Municipio, PR.

Morovis Municipio, PR.

Naguabo Municipio, PR.

Naranjito Municipio, PR.

Orocovis Municipio, PR.

Quebradillas Municipio, PR.

R ́ıo 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.

42020 ........................ San Luis Obispo-Paso Robles, CA ..................................................................................................................... 1.1619 

San Luis Obispo County, CA.

42044 ........................ Santa Ana-Anaheim-Irvine, CA ........................................................................................................................... 1.1294 

Orange County, CA.

42060 ........................ Santa Barbara-Santa Maria-Goleta, CA .............................................................................................................. 1.1075 

Santa Barbara County, CA.

42100 ........................ Santa Cruz-Watsonville, CA ................................................................................................................................ 1.5531 

Santa Cruz County, CA.

42140 ........................ Santa Fe, NM ...................................................................................................................................................... 1.0843 

Santa Fe County, NM.


hsrobinson on PROD1PC69 with PROPOSALS2
44128 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

42220 ........................ Santa Rosa-Petaluma, CA .................................................................................................................................. 1.4489 

Sonoma County, CA.

42260 ........................ Sarasota-Bradenton-Venice, FL .......................................................................................................................... 0.9885 

Manatee County, FL.

Sarasota County, FL.

42340 ........................ Savannah, GA ..................................................................................................................................................... 0.9087 

Bryan County, GA.

Chatham County, GA.

Effingham County, GA.

42540 ........................ Scranton--Wilkes-Barre, PA ................................................................................................................................. 0.8521 

Lackawanna County, PA.

Luzerne County, PA.

Wyoming County, PA.

42644 ........................ Seattle-Bellevue-Everett, WA .............................................................................................................................. 1.1454 

King County, WA.

Snohomish County, WA.

42680 ........................ Sebastian-Vero Beach, FL .................................................................................................................................. 0.9590 

43100 ........................ Sheboygan, WI .................................................................................................................................................... 0.9042 

Sheboygan County, WI.

43300 ........................ Sherman-Denison, TX ......................................................................................................................................... 0.8517 

Grayson County, TX.

43340 ........................ Shreveport-Bossier City, LA ................................................................................................................................ 0.8881 

Bossier Parish, LA.

Caddo Parish, LA.

De Soto Parish, LA.

43580 ........................ Sioux City, IA-NE-SD ........................................................................................................................................... 0.9217 

Woodbury County, IA.

Dakota County, NE.

Dixon County, NE.

Union County, SD.

43620 ........................ Sioux Falls, SD .................................................................................................................................................... 0.9587 

Lincoln County, SD.

McCook County, SD.

Minnehaha County, SD.

Turner County, SD.

43780 ........................ South Bend-Mishawaka, IN-MI ............................................................................................................................ 0.9690 

St. Joseph County, IN.

Cass County, MI.

43900 ........................ Spartanburg, SC .................................................................................................................................................. 0.9190 

Spartanburg County, SC.

44060 ........................ Spokane, WA ....................................................................................................................................................... 1.0465 

Spokane County, WA.

44100 ........................ Springfield, IL ....................................................................................................................................................... 0.8905 

Menard County, IL.

Sangamon County, IL.

44140 ........................ Springfield, MA .................................................................................................................................................... 1.0080 

Franklin County, MA.

Hampden County, MA.

Hampshire County, MA.

44180 ........................ Springfield, MO .................................................................................................................................................... 0.8484 

Christian County, MO.

Dallas County, MO.

Greene County, MO.

Polk County, MO.

Webster County, MO.

44220 ........................ Springfield, OH .................................................................................................................................................... 0.8462 

Clark County, OH.

44300 ........................ State College, PA ................................................................................................................................................ 0.8799 

Centre County, PA.

44700 ........................ Stockton, CA ........................................................................................................................................................ 1.1462 

San Joaquin County, CA.

44940 ........................ Sumter, SC .......................................................................................................................................................... 0.8098 

Sumter County, SC.

45060 ........................ Syracuse, NY ....................................................................................................................................................... 0.9709 

Madison County, NY.

Onondaga County, NY.

Oswego County, NY.

45104 ........................ Tacoma, WA ........................................................................................................................................................ 1.0808 

Pierce County, WA.

45220 ........................ Tallahassee, FL ................................................................................................................................................... 0.9299 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44129 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

Gadsden County, FL.

Jefferson County, FL.

Leon County, FL.

Wakulla County, FL.

45300 ........................ Tampa-St. Petersburg-Clearwater, FL ................................................................................................................ 0.9160 

Hernando County, FL.

Hillsborough County, FL.

Pasco County, FL.

Pinellas County, FL.

45460 ........................ Terre Haute, IN .................................................................................................................................................... 0.8661 

Clay County, IN.

Sullivan County, IN.

Vermillion County, IN.

Vigo County, IN.

45500 ........................ Texarkana, TX-Texarkana, AR ............................................................................................................................ 0.8118 

Miller County, AR.

Bowie County, TX.

45780 ........................ Toledo, OH .......................................................................................................................................................... 0.9599 

Fulton County, OH.

Lucas County, OH.

Ottawa County, OH.

Wood County, OH.

45820 ........................ Topeka, KS .......................................................................................................................................................... 0.8746 

Jackson County, KS.

Jefferson County, KS.

Osage County, KS.

Shawnee County, KS.

Wabaunsee County, KS.

45940 ........................ Trenton-Ewing, NJ ............................................................................................................................................... 1.0877 

Mercer County, NJ.

46060 ........................ Tucson, AZ .......................................................................................................................................................... 0.9219 

Pima County, AZ.

46140 ........................ Tulsa, OK ............................................................................................................................................................. 0.8104 

Creek County, OK.

Okmulgee County, OK.

Osage County, OK.

Pawnee County, OK.

Rogers County, OK.

Tulsa County, OK.

Wagoner County, OK.

46220 ........................ Tuscaloosa, AL .................................................................................................................................................... 0.8641 

Greene County, AL.

Hale County, AL.

Tuscaloosa County, AL.

46340 ........................ Tyler, TX .............................................................................................................................................................. 0.8827 

Smith County, TX.

46540 ........................ Utica-Rome, NY ................................................................................................................................................... 0.8402 

Herkimer County, NY.

Oneida County, NY.

46660 ........................ Valdosta, GA ........................................................................................................................................................ 0.8344 

Brooks County, GA.

Echols County, GA.

Lanier County, GA.

Lowndes County, GA.

46700 ........................ Vallejo-Fairfield, CA ............................................................................................................................................. 1.5164 

Solano County, CA.

47020 ........................ Victoria, TX .......................................................................................................................................................... 0.8575 

Calhoun County, TX.

Goliad County, TX.

Victoria County, TX.

47220 ........................ Vineland-Millville-Bridgeton, NJ ........................................................................................................................... 0.9849 

Cumberland County, NJ.

47260 ........................ Virginia Beach-Norfolk-Newport News, VA-NC ................................................................................................... 0.8805 

Currituck County, NC.

Gloucester County, VA.

Isle of Wight County, VA.

James City County, VA.

Mathews County, VA.

Surry County, VA.

York County, VA.


hsrobinson on PROD1PC69 with PROPOSALS2
44130 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

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.

47300 ........................ Visalia-Porterville, CA .......................................................................................................................................... 0.9986 

Tulare County, CA.

47380 ........................ Waco, TX ............................................................................................................................................................. 0.8648 

McLennan County, TX.

47580 ........................ Warner Robins, GA ............................................................................................................................................. 0.8394 

Houston County, GA.

47644 ........................ Warren-Farmington Hills-Troy, MI ....................................................................................................................... 1.0126 

Lapeer County, MI.

Livingston County, MI.

Macomb County, MI.

Oakland County, MI.

St. Clair County, MI.

47894 ........................ Washington-Arlington-Alexandria, DC-VA-MD-WV ............................................................................................. 1.1074 

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.

47940 ........................ Waterloo-Cedar Falls, IA ..................................................................................................................................... 0.8422 

Black Hawk County, IA.

Bremer County, IA.

Grundy County, IA.

48140 ........................ Wausau, WI ......................................................................................................................................................... 0.9740 

Marathon County, WI.

48260 ........................ Weirton-Steubenville, WV-OH ............................................................................................................................. 0.8078 

Jefferson County, OH.

Brooke County, WV.

Hancock County, WV.

48300 ........................ Wenatchee, WA ................................................................................................................................................... 1.0365 

Chelan County, WA.

Douglas County, WA.

48424 ........................ West Palm Beach-Boca Raton-Boynton Beach, FL ............................................................................................ 0.9657 

Palm Beach County, FL.

48540 ........................ Wheeling, WV-OH ............................................................................................................................................... 0.7022 

Belmont County, OH.

Marshall County, WV.

Ohio County, WV.

48620 ........................ Wichita, KS .......................................................................................................................................................... 0.9079 

Butler County, KS.

Harvey County, KS.

Sedgwick County, KS.

Sumner County, KS.

48660 ........................ Wichita Falls, TX .................................................................................................................................................. 0.8326 

Archer County, TX.

Clay County, TX.

Wichita County, TX.


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44131 

ADDENDUM B.—PROPOSED CY 2007 WAGE INDEX FOR URBAN AREAS BY CBSA; APPLICABLE PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX—Continued 

CBSA code Urban area (constituent counties) Wage 

index 

48700 ........................ Williamsport, PA .................................................................................................................................................. 0.8126 

Lycoming County, PA.

48864 ........................ Wilmington, DE-MD-NJ ........................................................................................................................................ 1.0703 

New Castle County, DE.

Cecil County, MD.

Salem County, NJ.

48900 ........................ Wilmington, NC .................................................................................................................................................... 0.9853 

Brunswick County, NC.

New Hanover County, NC.

Pender County, NC.

49020 ........................ Winchester, VA-WV ............................................................................................................................................. 1.0109 

Frederick County, VA.

Winchester City, VA.

Hampshire County, WV.

49180 ........................ Winston-Salem, NC ............................................................................................................................................. 0.9293 

Davie County, NC.

Forsyth County, NC.

Stokes County, NC.

Yadkin County, NC.

49340 ........................ Worcester, MA ..................................................................................................................................................... 1.0741 

Worcester County, MA.

49420 ........................ Yakima, WA ......................................................................................................................................................... 0.9865 

Yakima County, WA.

49500 ........................ Yauco, PR ............................................................................................................................................................ 0.3861 

Gua ́nica Municipio, PR.

Guayanilla Municipio, PR.

Pen ̃uelas Municipio, PR.

Yauco Municipio, PR.

49620 ........................ York-Hanover, PA ................................................................................................................................................ 0.9414 

York County, PA.

49660 ........................ Youngstown-Warren-Boardman, OH-PA ............................................................................................................. 0.8817 

Mahoning County, OH.

Trumbull County, OH.

Mercer County, PA.

49700 ........................ Yuba City, CA ...................................................................................................................................................... 1.0749 

Sutter County, CA.

Yuba County, CA.

49740 ........................ Yuma, AZ ............................................................................................................................................................. 0.9125 

Yuma County, AZ.

2At this time, there are no hospitals in these urban areas on which to base a wage index. Therefore, the urban wage index value is based on 

the average wage index of all urban areas within the State. 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

01000 ....... Autauga County, Alabama ........................................................................ 33860 0.8618 0.8023 -6.90 

01010 ....... Baldwin County, Alabama ......................................................................... 99901 0.7654 0.7652 -0.03 

01020 ....... Barbour County, Alabama ......................................................................... 99901 0.7439 0.7652 2.86 

01030 ....... Bibb County, Alabama .............................................................................. 13820 0.8196 0.8919 8.82 

01040 ....... Blount County, Alabama ........................................................................... 13820 0.8980 0.8919 -0.68 

01050 ....... Bullock County, Alabama .......................................................................... 99901 0.7439 0.7652 2.86 

01060 ....... Butler County, Alabama ............................................................................ 99901 0.7439 0.7652 2.86 

01070 ....... Calhoun County, Alabama ........................................................................ 11500 0.7682 0.7868 2.42 

01080 ....... Chambers County, Alabama ..................................................................... 99901 0.7439 0.7652 2.86 

01090 ....... Cherokee County, Alabama ...................................................................... 99901 0.7439 0.7652 2.86 

01100 ....... Chilton County, Alabama .......................................................................... 13820 0.8196 0.8919 8.82 

01110 ....... Choctaw County, Alabama ........................................................................ 99901 0.7439 0.7652 2.86 

01120 ....... Clarke County, Alabama ........................................................................... 99901 0.7439 0.7652 2.86 

01130 ....... Clay County, Alabama .............................................................................. 99901 0.7439 0.7652 2.86 

01140 ....... Cleburne County, Alabama ....................................................................... 99901 0.7439 0.7652 2.86 

01150 ....... Coffee County, Alabama ........................................................................... 99901 0.7439 0.7652 2.86 

01160 ....... Colbert County, Alabama .......................................................................... 22520 0.8272 0.7967 -3.69 

01170 ....... Conecuh County, Alabama ....................................................................... 99901 0.7439 0.7652 2.86 


hsrobinson on PROD1PC69 with PROPOSALS2
44132 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

01180 ....... Coosa County, Alabama ........................................................................... 99901 0.7439 0.7652 2.86 

01190 ....... Covington County, Alabama ..................................................................... 99901 0.7439 0.7652 2.86 

01200 ....... Crenshaw County, Alabama ..................................................................... 99901 0.7439 0.7652 2.86 

01210 ....... Cullman County, Alabama ........................................................................ 99901 0.7439 0.7652 2.86 

01220 ....... Dale County, Alabama .............................................................................. 99901 0.7574 0.7652 1.03 

01230 ....... Dallas County, Alabama ............................................................................ 99901 0.7439 0.7652 2.86 

01240 ....... De Kalb County, Alabama ......................................................................... 99901 0.7439 0.7652 2.86 

01250 ....... Elmore County, Alabama .......................................................................... 33860 0.8618 0.8023 -6.90 

01260 ....... Escambia County, Alabama ...................................................................... 99901 0.7439 0.7652 2.86 

01270 ....... Etowah County, Alabama .......................................................................... 23460 0.7938 0.8080 1.79 

01280 ....... Fayette County, Alabama .......................................................................... 99901 0.7439 0.7652 2.86 

01290 ....... Franklin County, Alabama ......................................................................... 99901 0.7439 0.7652 2.86 

01300 ....... Geneva County, Alabama ......................................................................... 20020 0.7577 0.7438 -1.83 

01310 ....... Greene County, Alabama .......................................................................... 46220 0.8039 0.8641 7.49 

01320 ....... Hale County, Alabama .............................................................................. 46220 0.8039 0.8641 7.49 

01330 ....... Henry County, Alabama ............................................................................ 20020 0.7577 0.7438 -1.83 

01340 ....... Houston County, Alabama ........................................................................ 20020 0.7711 0.7438 -3.54 

01350 ....... Jackson County, Alabama ........................................................................ 99901 0.7439 0.7652 2.86 

01360 ....... Jefferson County, Alabama ....................................................................... 13820 0.8980 0.8919 -0.68 

01370 ....... Lamar County, Alabama ........................................................................... 99901 0.7439 0.7652 2.86 

01380 ....... Lauderdale County, Alabama .................................................................... 22520 0.8272 0.7967 -3.69 

01390 ....... Lawrence County, Alabama ...................................................................... 19460 0.8469 0.8220 -2.94 

01400 ....... Lee County, Alabama ................................................................................ 12220 0.8100 0.8110 0.12 

01410 ....... Limestone County, Alabama ..................................................................... 26620 0.9146 0.9051 -1.04 

01420 ....... Lowndes County, Alabama ....................................................................... 33860 0.8025 0.8023 -0.02 

01430 ....... Macon County, Alabama ........................................................................... 99901 0.7439 0.7652 2.86 

01440 ....... Madison County, Alabama ........................................................................ 26620 0.9146 0.9051 -1.04 

01450 ....... Marengo County, Alabama ....................................................................... 99901 0.7439 0.7652 2.86 

01460 ....... Marion County, Alabama ........................................................................... 99901 0.7439 0.7652 2.86 

01470 ....... Marshall County, Alabama ........................................................................ 99901 0.7439 0.7652 2.86 

01480 ....... Mobile County, Alabama ........................................................................... 33660 0.7876 0.7947 0.90 

01490 ....... Monroe County, Alabama ......................................................................... 99901 0.7439 0.7652 2.86 

01500 ....... Montgomery County, Alabama .................................................................. 33860 0.8618 0.8023 -6.90 

01510 ....... Morgan County, Alabama ......................................................................... 19460 0.8469 0.8220 -2.94 

01520 ....... Perry County, Alabama ............................................................................. 99901 0.7439 0.7652 2.86 

01530 ....... Pickens County, Alabama ......................................................................... 99901 0.7439 0.7652 2.86 

01540 ....... Pike County, Alabama ............................................................................... 99901 0.7439 0.7652 2.86 

01550 ....... Randolph County, Alabama ...................................................................... 99901 0.7439 0.7652 2.86 

01560 ....... Russell County, Alabama .......................................................................... 17980 0.8560 0.8254 -3.57 

01570 ....... St Clair County, Alabama .......................................................................... 13820 0.8980 0.8919 -0.68 

01580 ....... Shelby County, Alabama ........................................................................... 13820 0.8980 0.8919 -0.68 

01590 ....... Sumter County, Alabama .......................................................................... 99901 0.7439 0.7652 2.86 

01600 ....... Talladega County, Alabama ...................................................................... 99901 0.7439 0.7652 2.86 

01610 ....... Tallapoosa County, Alabama .................................................................... 99901 0.7439 0.7652 2.86 

01620 ....... Tuscaloosa County, Alabama ................................................................... 46220 0.8705 0.8641 -0.74 

01630 ....... Walker County, Alabama .......................................................................... 13820 0.8196 0.8919 8.82 

01640 ....... Washington County, Alabama ................................................................... 99901 0.7439 0.7652 2.86 

01650 ....... Wilcox County, Alabama ........................................................................... 99901 0.7439 0.7652 2.86 

01660 ....... Winston County, Alabama ......................................................................... 99901 0.7439 0.7652 2.86 

02013 ....... Aleutians County East, Alaska .................................................................. 99902 1.1933 1.0680 -10.50 

02016 ....... Aleutians County West, Alaska ................................................................. 99902 1.1933 1.0680 -10.50 

02020 ....... Anchorage County, Alaska ........................................................................ 11260 1.1840 1.2045 1.73 

02030 ....... Angoon County, Alaska ............................................................................. 99902 1.1933 1.0680 -10.50 

02040 ....... Barrow-North Slope County, Alaska ......................................................... 99902 1.1933 1.0680 -10.50 

02050 ....... Bethel County, Alaska ............................................................................... 99902 1.1933 1.0680 -10.50 

02060 ....... Bristol Bay Borough County, Alaska ......................................................... 99902 1.1933 1.0680 -10.50 

02068 ....... Denali County, Alaska ............................................................................... 99902 1.1933 1.0680 -10.50 

02070 ....... Bristol Bay County, Alaska ........................................................................ 99902 1.1933 1.0680 -10.50 

02080 ....... Cordova-Mc Carthy County, Alaska .......................................................... 99902 1.1933 1.0680 -10.50 

02090 ....... Fairbanks County, Alaska ......................................................................... 21820 1.1648 1.1079 -4.88 

02100 ....... Haines County, Alaska .............................................................................. 99902 1.1933 1.0680 -10.50 

02110 ....... Juneau County, Alaska ............................................................................. 99902 1.1933 1.0680 -10.50 

02120 ....... Kenai-Cook Inlet County, Alaska .............................................................. 99902 1.1933 1.0680 -10.50 

02122 ....... Kenai Peninsula Borough, Alaska ............................................................. 99902 1.1933 1.0680 -10.50 

02130 ....... Ketchikan County, Alaska ......................................................................... 99902 1.1933 1.0680 -10.50 

02140 ....... Kobuk County, Alaska ............................................................................... 99902 1.1933 1.0680 -10.50 

02150 ....... Kodiak County, Alaska .............................................................................. 99902 1.1933 1.0680 -10.50 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44133 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

02160 ....... Kuskokwin County, Alaska ........................................................................ 99902 1.1933 1.0680 -10.50 

02164 ....... Lake and Peninsula Borough, Alaska ....................................................... 99902 1.1933 1.0680 -10.50

02170 ....... Matanuska County, Alaska ....................................................................... 11260 1.1892 1.2045 1.29 

02180 ....... Nome County, Alaska ............................................................................... 99902 1.1933 1.0680 -10.50 

02185 ....... North Slope Borough, Alaska .................................................................... 99902 1.1933 1.0680 -10.50 

02188 ....... Northwest Arctic Borough, Alaska ............................................................ 99902 1.1933 1.0680 -10.50 

02190 ....... Outer Ketchikan County, Alaska ............................................................... 99902 1.1933 1.0680 -10.50 

02200 ....... Prince Of Wales County, Alaska ............................................................... 99902 1.1933 1.0680 -10.50 

02201 ....... Prince of Wales-Outer Ketchikan Census Area,AK .................................. 99902 1.1933 1.0680 -10.50 

02210 ....... Seward County, Alaska ............................................................................. 99902 1.1933 1.0680 -10.50 

02220 ....... Sitka County, Alaska ................................................................................. 99902 1.1933 1.0680 -10.50 

02230 ....... Skagway-Yakutat County, Alaska ............................................................. 99902 1.1933 1.0680 -10.50 

02231 ....... Skagway-Yakutat-Angoon Census Area, Alaska ...................................... 99902 1.1933 1.0680 -10.50 

02232 ....... Skagway-Hoonah-Angoon Census Area, Alaska ..................................... 99902 1.1933 1.0680 -10.50 

02240 ....... Southeast Fairbanks County, Alaska ........................................................ 99902 1.1933 1.0680 -10.50 

02250 ....... Upper Yukon County, Alaska .................................................................... 99902 1.1933 1.0680 -10.50 

02260 ....... Valdz-Chitna-Whitier County, Alaska ........................................................ 99902 1.1933 1.0680 -10.50 

02261 ....... Valdex-Cordove Census Area, Alaska ...................................................... 99902 1.1933 1.0680 -10.50 

02270 ....... Wade Hampton County, Alaska ................................................................ 99902 1.1933 1.0680 -10.50 

02280 ....... Wrangell-Petersburg County, Alaska ........................................................ 99902 1.1933 1.0680 -10.50 

02282 ....... Yakutat Borough, Alaska ........................................................................... 99902 1.1933 1.0680 -10.50 

02290 ....... Yukon-Koyukuk County, Alaska ................................................................ 99902 1.1933 1.0680 -10.50 

03000 ....... Apache County, Arizona ........................................................................... 99903 0.8907 0.8924 0.19 

03010 ....... Cochise County, Arizona ........................................................................... 99903 0.8907 0.8924 0.19 

03020 ....... Coconino County, Arizona ........................................................................ 22380 1.1969 1.1621 -2.91 

03030 ....... Gila County, Arizona ................................................................................. 99903 0.8907 0.8924 0.19 

03040 ....... Graham County, Arizona ........................................................................... 99903 0.8907 0.8924 0.19 

03050 ....... Greenlee County, Arizona ......................................................................... 99903 0.8907 0.8924 0.19 

03055 ....... La Paz County, Arizona ............................................................................ 99903 0.8907 0.8924 0.19 

03060 ....... Maricopa County, Arizona ......................................................................... 38060 1.0127 1.0305 1.76 

03070 ....... Mohave County, Arizona ........................................................................... 99903 0.9962 0.8924 -10.42 

03080 ....... Navajo County, Arizona ............................................................................ 99903 0.8907 0.8924 0.19 

03090 ....... Pima County, Arizona ............................................................................... 46060 0.9007 0.9219 2.35 

03100 ....... Pinal County, Arizona ................................................................................ 38060 1.0127 1.0305 1.76 

03110 ....... Santa Cruz County, Arizona ..................................................................... 99903 0.8907 0.8924 0.19 

03120 ....... Yavapai County, Arizona ........................................................................... 39140 0.9457 0.9853 4.19 

03130 ....... Yuma County, Arizona .............................................................................. 49740 0.9126 0.9125 -0.01 

04000 ....... Arkansas County, Arkansas ...................................................................... 99904 0.7605 0.7335 -3.55 

04010 ....... Ashley County, Arkansas .......................................................................... 99904 0.7605 0.7335 -3.55 

04020 ....... Baxter County, Arkansas .......................................................................... 99904 0.7605 0.7335 -3.55 

04030 ....... Benton County, Arkansas ......................................................................... 22220 0.8661 0.8761 1.15 

04040 ....... Boone County, Arkansas .......................................................................... 99904 0.7605 0.7335 -3.55 

04050 ....... Bradley County, Arkansas ......................................................................... 99904 0.7605 0.7335 -3.55 

04060 ....... Calhoun County, Arkansas ....................................................................... 99904 0.7605 0.7335 -3.55 

04070 ....... Carroll County, Arkansas .......................................................................... 99904 0.7605 0.7335 -3.55 

04080 ....... Chicot County, Arkansas ........................................................................... 99904 0.7605 0.7335 -3.55 

04090 ....... Clark County, Arkansas ............................................................................ 99904 0.7605 0.7335 -3.55 

04100 ....... Clay County, Arkansas .............................................................................. 99904 0.7605 0.7335 -3.55 

04110 ....... Cleburne County, Arkansas ...................................................................... 99904 0.7605 0.7335 -3.55 

04120 ....... Cleveland County, Arkansas ..................................................................... 38220 0.8212 0.8398 2.26 

04130 ....... Columbia County, Arkansas ...................................................................... 99904 0.7605 0.7335 -3.55 

04140 ....... Conway County, Arkansas ........................................................................ 99904 0.7605 0.7335 -3.55 

04150 ....... Craighead County, Arkansas .................................................................... 27860 0.7911 0.7609 -3.82 

04160 ....... Crawford County, Arkansas ...................................................................... 22900 0.8238 0.7745 -5.98 

04170 ....... Crittenden County, Arkansas .................................................................... 32820 0.9407 0.9361 -0.49 

04180 ....... Cross County, Arkansas ........................................................................... 99904 0.7605 0.7335 -3.55 

04190 ....... Dallas County, Arkansas ........................................................................... 99904 0.7605 0.7335 -3.55 

04200 ....... Desha County, Arkansas .......................................................................... 99904 0.7605 0.7335 -3.55 

04210 ....... Drew County, Arkansas ............................................................................ 99904 0.7605 0.7335 -3.55 

04220 ....... Faulkner County, Arkansas ....................................................................... 30780 0.8747 0.8906 1.82 

04230 ....... Franklin County, Arkansas ........................................................................ 22900 0.7987 0.7745 -3.03 

04240 ....... Fulton County, Arkansas ........................................................................... 99904 0.7605 0.7335 -3.55 

04250 ....... Garland County, Arkansas ........................................................................ 26300 0.8375 0.8797 5.04 

04260 ....... Grant County, Arkansas ............................................................................ 30780 0.8246 0.8906 8.00 

04270 ....... Greene County, Arkansas ......................................................................... 99904 0.7605 0.7335 -3.55 

04280 ....... Hempstead County, Arkansas .................................................................. 99904 0.7605 0.7335 -3.55 

04290 ....... Hot Spring County, Arkansas .................................................................... 99904 0.7605 0.7335 -3.55 


hsrobinson on PROD1PC69 with PROPOSALS2
44134 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

04300 ....... Howard County, Arkansas ........................................................................ 99904 0.7605 0.7335 -3.55 

04310 ....... Independence County, Arkansas .............................................................. 99904 0.7605 0.7335 -3.55 

04320 ....... Izard County, Arkansas ............................................................................. 99904 0.7605 0.7335 -3.55 

04330 ....... Jackson County, Arkansas ........................................................................ 99904 0.7605 0.7335 -3.55 

04340 ....... Jefferson County, Arkansas ...................................................................... 38220 0.8680 0.8398 -3.25 

04350 ....... Johnson County, Arkansas ....................................................................... 99904 0.7605 0.7335 -3.55 

04360 ....... Lafayette County, Arkansas ...................................................................... 99904 0.7605 0.7335 -3.55 

04370 ....... Lawrence County, Arkansas ..................................................................... 99904 0.7605 0.7335 -3.55 

04380 ....... Lee County, Arkansas ............................................................................... 99904 0.7605 0.7335 -3.55 

04390 ....... Lincoln County, Arkansas ......................................................................... 38220 0.8212 0.8398 2.26 

04400 ....... Little River County, Arkansas .................................................................... 99904 0.7605 0.7335 -3.55 

04410 ....... Logan County, Arkansas ........................................................................... 99904 0.7605 0.7335 -3.55 

04420 ....... Lonoke County, Arkansas ......................................................................... 30780 0.8747 0.8906 1.82 

04430 ....... Madison County, Arkansas ....................................................................... 22220 0.8203 0.8761 6.80 

04440 ....... Marion County, Arkansas .......................................................................... 99904 0.7605 0.7335 -3.55 

04450 ....... Miller County, Arkansas ............................................................................ 45500 0.8283 0.8118 -1.99 

04460 ....... Mississippi County, Arkansas ................................................................... 99904 0.7605 0.7335 -3.55 

04470 ....... Monroe County, Arkansas ......................................................................... 99904 0.7605 0.7335 -3.55 

04480 ....... Montgomery County, Arkansas ................................................................. 99904 0.7605 0.7335 -3.55 

04490 ....... Nevada County, Arkansas ........................................................................ 99904 0.7605 0.7335 -3.55 

04500 ....... Newton County, Arkansas ......................................................................... 99904 0.7605 0.7335 -3.55 

04510 ....... Ouachita County, Arkansas ...................................................................... 99904 0.7605 0.7335 -3.55 

04520 ....... Perry County, Arkansas ............................................................................ 30780 0.8246 0.8906 8.00 

04530 ....... Phillips County, Arkansas ......................................................................... 99904 0.7605 0.7335 -3.55 

04540 ....... Pike County, Arkansas .............................................................................. 99904 0.7605 0.7335 -3.55 

04550 ....... Poinsett County, Arkansas ........................................................................ 27860 0.7828 0.7609 -2.80 

04560 ....... Polk County, Arkansas .............................................................................. 99904 0.7605 0.7335 -3.55 

04570 ....... Pope County, Arkansas ............................................................................ 99904 0.7605 0.7335 -3.55 

04580 ....... Prairie County, Arkansas .......................................................................... 99904 0.7605 0.7335 -3.55 

04590 ....... Pulaski County, Arkansas ......................................................................... 30780 0.8747 0.8906 1.82 

04600 ....... Randolph County, Arkansas ..................................................................... 99904 0.7605 0.7335 -3.55 

04610 ....... St Francis County, Arkansas .................................................................... 99904 0.7605 0.7335 -3.55 

04620 ....... Saline County, Arkansas ........................................................................... 30780 0.8747 0.8906 1.82 

04630 ....... Scott County, Arkansas ............................................................................. 99904 0.7605 0.7335 -3.55 

04640 ....... Searcy County, Arkansas .......................................................................... 99904 0.7605 0.7335 -3.55 

04650 ....... Sebastian County, Arkansas ..................................................................... 22900 0.8238 0.7745 -5.98 

04660 ....... Sevier County, Arkansas ........................................................................... 99904 0.7605 0.7335 -3.55 

04670 ....... Sharp County, Arkansas ........................................................................... 99904 0.7605 0.7335 -3.55 

04680 ....... Stone County, Arkansas ........................................................................... 99904 0.7605 0.7335 -3.55 

04690 ....... Union County, Arkansas ........................................................................... 99904 0.7605 0.7335 -3.55 

04700 ....... Van Buren County, Arkansas .................................................................... 99904 0.7605 0.7335 -3.55 

04710 ....... Washington County, Arkansas .................................................................. 22220 0.8661 0.8761 1.15 

04720 ....... White County, Arkansas ............................................................................ 99904 0.7605 0.7335 -3.55 

04730 ....... Woodruff County, Arkansas ...................................................................... 99904 0.7605 0.7335 -3.55 

04740 ....... Yell County, Arkansas ............................................................................... 99904 0.7605 0.7335 -3.55 

05000 ....... Alameda County, California ...................................................................... 36084 1.5346 1.5420 0.48 

05010 ....... Alpine County, California ........................................................................... 99905 1.0915 1.1302 3.55 

05020 ....... Amador County, California ........................................................................ 99905 1.0915 1.1302 3.55 

05030 ....... Butte County, California ............................................................................ 17020 1.0511 1.1073 5.35 

05040 ....... Calaveras County, California .................................................................... 99905 1.0915 1.1302 3.55 

05050 ....... Colusa County, California ......................................................................... 99905 1.0915 1.1302 3.55 

05060 ....... Contra Costa County, California ............................................................... 36084 1.5346 1.5420 0.48 

05070 ....... Del Norte County, California ..................................................................... 99905 1.0915 1.1302 3.55 

05080 ....... Eldorado County, California ...................................................................... 40900 1.3056 1.3373 2.43 

05090 ....... Fresno County, California ......................................................................... 23420 1.0483 1.0965 4.60 

05100 ....... Glenn County, California ........................................................................... 99905 1.0915 1.1302 3.55 

05110 ....... Humboldt County, California ..................................................................... 99905 1.0915 1.1302 3.55 

05120 ....... Imperial County, California ........................................................................ 20940 0.9841 0.9092 -7.61 

05130 ....... Inyo County, California .............................................................................. 99905 1.0915 1.1302 3.55 

05140 ....... Kern County, California ............................................................................. 12540 1.0470 1.0605 1.29 

05150 ....... Kings County, California ............................................................................ 25260 1.0406 1.0142 -2.54 

05160 ....... Lake County, California ............................................................................. 99905 1.0915 1.1302 3.55 

05170 ....... Lassen County, California ......................................................................... 99905 1.0915 1.1302 3.55 

05200 ....... Los Angeles County, California ................................................................. 31084 1.1783 1.1752 -0.26 

05210 ....... Los Angeles County, California ................................................................. 31084 1.1783 1.1752 -0.26 

05300 ....... Madera County, California ........................................................................ 31460 0.9571 0.8169 -14.65 

05310 ....... Marin County, California ............................................................................ 41884 1.4994 1.5071 0.51 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44135 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

05320 ....... Mariposa County, California ...................................................................... 99905 1.0915 1.1302 3.55 

05330 ....... Mendocino County, California ................................................................... 99905 1.0915 1.1302 3.55 

05340 ....... Merced County, California ......................................................................... 32900 1.1109 1.1415 2.75 

05350 ....... Modoc County, California .......................................................................... 99905 1.0915 1.1302 3.55 

05360 ....... Mono County, California ............................................................................ 99905 1.0915 1.1302 3.55 

05370 ....... Monterey County, California ...................................................................... 41500 1.4128 1.4459 2.34 

05380 ....... Napa County, California ............................................................................ 34900 1.3313 1.3496 1.37 

05390 ....... Nevada County, California ........................................................................ 99905 1.0915 1.1302 3.55 

05400 ....... Orange County, California ......................................................................... 42044 1.1559 1.1294 -2.29 

05410 ....... Placer County, California .......................................................................... 40900 1.3056 1.3373 2.43 

05420 ....... Plumas County, California ......................................................................... 99905 1.0915 1.1302 3.55 

05430 ....... Riverside County, California ...................................................................... 40140 1.1027 1.0934 -0.84 

05440 ....... Sacramento County, California ................................................................. 40900 1.3056 1.3373 2.43 

05450 ....... San Benito County, California ................................................................... 41940 1.2937 1.5293 18.21 

05460 ....... San Bernardino County, California ........................................................... 40140 1.1027 1.0934 -0.84 

05470 ....... San Diego County, California .................................................................... 41740 1.1413 1.1374 -0.34 

05480 ....... San Francisco County, California ............................................................. 41884 1.4994 1.5071 0.51 

05490 ....... San Joaquin County, California ................................................................ 44700 1.1307 1.1462 1.37 

05500 ....... San Luis Obispo County, California .......................................................... 42020 1.1349 1.1619 2.38 

05510 ....... San Mateo County, California ................................................................... 41884 1.4994 1.5071 0.51 

05520 ....... Santa Barbara County, California ............................................................. 42060 1.1694 1.1075 -5.29 

05530 ....... Santa Clara County, California ................................................................. 41940 1.5109 1.5293 1.22 

05540 ....... Santa Cruz County, California .................................................................. 42100 1.5166 1.5531 2.41 

05550 ....... Shasta County, California ......................................................................... 39820 1.2203 1.3221 8.34 

05560 ....... Sierra County, California ........................................................................... 99905 1.0915 1.1302 3.55 

05570 ....... Siskiyou County, California ....................................................................... 99905 1.0915 1.1302 3.55 

05580 ....... Solano County, California ......................................................................... 46700 1.4460 1.5164 4.87 

05590 ....... Sonoma County, California ....................................................................... 42220 1.3493 1.4489 7.38 

05600 ....... Stanislaus County, California .................................................................... 33700 1.1885 1.1590 -2.48 

05610 ....... Sutter County, California ........................................................................... 49700 1.0921 1.0749 -1.57 

05620 ....... Tehama County, California ....................................................................... 99905 1.0915 1.1302 3.55 

05630 ....... Trinity County, California ........................................................................... 99905 1.0915 1.1302 3.55 

05640 ....... Tulare County, California .......................................................................... 47300 1.0123 0.9986 -1.35 

05650 ....... Tuolumne County, California ..................................................................... 99905 1.0915 1.1302 3.55 

05660 ....... Ventura County, California ........................................................................ 37100 1.1622 1.1591 -0.27 

05670 ....... Yolo County, California ............................................................................. 40900 1.1460 1.3373 16.69 

05680 ....... Yuba County, California ............................................................................ 49700 1.0921 1.0749 -1.57 

06000 ....... Adams County, Colorado .......................................................................... 19740 1.0723 1.0947 2.09 

06010 ....... Alamosa County, Colorado ....................................................................... 99906 0.9380 0.9342 -0.41 

06020 ....... Arapahoe County, Colorado ...................................................................... 19740 1.0723 1.0947 2.09 

06030 ....... Archuleta County, Colorado ...................................................................... 99906 0.9380 0.9342 -0.41 

06040 ....... Baca County, Colorado ............................................................................. 99906 0.9380 0.9342 -0.41 

06050 ....... Bent County, Colorado .............................................................................. 99906 0.9380 0.9342 -0.41 

06060 ....... Boulder County, Colorado ......................................................................... 14500 0.9734 1.0368 6.51 

06070 ....... Chaffee County, Colorado ......................................................................... 99906 0.9380 0.9342 -0.41 

06080 ....... Cheyenne County, Colorado ..................................................................... 99906 0.9380 0.9342 -0.41 

06090 ....... Clear Creek County, Colorado .................................................................. 19740 1.0052 1.0947 8.90 

06100 ....... Conejos County, Colorado ........................................................................ 99906 0.9380 0.9342 -0.41 

06110 ....... Costilla County, Colorado ......................................................................... 99906 0.9380 0.9342 -0.41 

06120 ....... Crowley County, Colorado ........................................................................ 99906 0.9380 0.9342 -0.41 

06130 ....... Custer County, Colorado ........................................................................... 99906 0.9380 0.9342 -0.41 

06140 ....... Delta County, Colorado ............................................................................. 99906 0.9380 0.9342 -0.41 

06150 ....... Denver County, Colorado .......................................................................... 19740 1.0723 1.0947 2.09 

06160 ....... Dolores County, Colorado ......................................................................... 99906 0.9380 0.9342 -0.41 

06170 ....... Douglas County, Colorado ........................................................................ 19740 1.0723 1.0947 2.09 

06180 ....... Eagle County, Colorado ............................................................................ 99906 0.9380 0.9342 -0.41 

06190 ....... Elbert County, Colorado ............................................................................ 19740 1.0052 1.0947 8.90 

06200 ....... El Paso County, Colorado ......................................................................... 17820 0.9468 0.9718 2.64 

06210 ....... Fremont County, Colorado ........................................................................ 99906 0.9380 0.9342 -0.41 

06220 ....... Garfield County, Colorado ......................................................................... 99906 0.9380 0.9342 -0.41 

06230 ....... Gilpin County, Colorado ............................................................................ 19740 1.0052 1.0947 8.90 

06240 ....... Grand County, Colorado ........................................................................... 99906 0.9380 0.9342 -0.41 

06250 ....... Gunnison County, Colorado ...................................................................... 99906 0.9380 0.9342 -0.41 

06260 ....... Hinsdale County, Colorado ....................................................................... 99906 0.9380 0.9342 -0.41 

06270 ....... Huerfano County, Colorado ...................................................................... 99906 0.9380 0.9342 -0.41 

06280 ....... Jackson County, Colorado ........................................................................ 99906 0.9380 0.9342 -0.41 

06290 ....... Jefferson County, Colorado ...................................................................... 19740 1.0723 1.0947 2.09 


hsrobinson on PROD1PC69 with PROPOSALS2
44136 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

06300 ....... Kiowa County, Colorado ........................................................................... 99906 0.9380 0.9342 -0.41 

06310 ....... Kit Carson County, Colorado .................................................................... 99906 0.9380 0.9342 -0.41 

06320 ....... Lake County, Colorado ............................................................................. 99906 0.9380 0.9342 -0.41 

06330 ....... La Plata County, Colorado ........................................................................ 99906 0.9380 0.9342 -0.41 

06340 ....... Larimer County, Colorado ......................................................................... 22660 1.0122 0.9561 -5.54 

06350 ....... Las Animas County, Colorado .................................................................. 99906 0.9380 0.9342 -0.41 

06360 ....... Lincoln County, Colorado .......................................................................... 99906 0.9380 0.9342 -0.41 

06370 ....... Logan County, Colorado ........................................................................... 99906 0.9380 0.9342 -0.41 

06380 ....... Mesa County, Colorado ............................................................................ 24300 0.9550 0.9685 1.41 

06390 ....... Mineral County, Colorado ......................................................................... 99906 0.9380 0.9342 -0.41 

06400 ....... Moffat County, Colorado ........................................................................... 99906 0.9380 0.9342 -0.41 

06410 ....... Montezuma County, Colorado .................................................................. 99906 0.9380 0.9342 -0.41 

06420 ....... Montrose County, Colorado ...................................................................... 99906 0.9380 0.9342 -0.41 

06430 ....... Morgan County, Colorado ......................................................................... 99906 0.9380 0.9342 -0.41 

06440 ....... Otero County, Colorado ............................................................................ 99906 0.9380 0.9342 -0.41 

06450 ....... Ouray County, Colorado ........................................................................... 99906 0.9380 0.9342 -0.41 

06460 ....... Park County, Colorado .............................................................................. 19740 1.0052 1.0947 8.90 

06470 ....... Phillips County, Colorado .......................................................................... 99906 0.9380 0.9342 -0.41 

06480 ....... Pitkin County, Colorado ............................................................................ 99906 0.9380 0.9342 -0.41 

06490 ....... Prowers County, Colorado ........................................................................ 99906 0.9380 0.9342 -0.41 

06500 ....... Pueblo County, Colorado .......................................................................... 39380 0.8623 0.8552 -0.82 

06510 ....... Rio Blanco County, Colorado .................................................................... 99906 0.9380 0.9342 -0.41 

06520 ....... Rio Grande County, Colorado ................................................................... 99906 0.9380 0.9342 -0.41 

06530 ....... Routt County, Colorado ............................................................................. 99906 0.9380 0.9342 -0.41 

06540 ....... Saguache County, Colorado ..................................................................... 99906 0.9380 0.9342 -0.41 

06550 ....... San Juan County, Colorado ...................................................................... 99906 0.9380 0.9342 -0.41 

06560 ....... San Miguel County, Colorado ................................................................... 99906 0.9380 0.9342 -0.41 

06570 ....... Sedgwick County, Colorado ...................................................................... 99906 0.9380 0.9342 -0.41 

06580 ....... Summit County, Colorado ......................................................................... 99906 0.9380 0.9342 -0.41 

06590 ....... Teller County, Colorado ............................................................................ 17820 0.9424 0.9718 3.12 

06600 ....... Washington County, Colorado .................................................................. 99906 0.9380 0.9342 -0.41 

06610 ....... Weld County, Colorado ............................................................................. 24540 0.9570 0.9619 0.51 

06620 ....... Yuma County, Colorado ............................................................................ 99906 0.9380 0.9342 -0.41 

06630 ....... Broomfield County, Colorado .................................................................... 19740 1.0723 1.0947 2.09 

07000 ....... Fairfield County, Connecticut .................................................................... 14860 1.2394 1.2681 2.32 

07010 ....... Hartford County, Connecticut .................................................................... 25540 1.1073 1.0916 -1.42 

07020 ....... Litchfield County, Connecticut ................................................................... 25540 1.1073 1.0916 -1.42 

07030 ....... Middlesex County, Connecticut ................................................................. 25540 1.1073 1.0916 -1.42 

07040 ....... New Haven County, Connecticut .............................................................. 35300 1.2042 1.1974 -0.56 

07050 ....... New London County, Connecticut ............................................................ 35980 1.1345 1.1953 5.36 

07060 ....... Tolland County, Connecticut ..................................................................... 25540 1.1073 1.0916 -1.42 

07070 ....... Windham County, Connecticut .................................................................. 99907 1.1730 1.1753 0.20 

08000 ....... Kent County, Delaware ............................................................................. 20100 0.9776 0.9865 0.91 

08010 ....... New Castle County, Delaware .................................................................. 48864 1.0499 1.0703 1.94 

08020 ....... Sussex County, Delaware ......................................................................... 99908 0.9579 0.9723 1.50 

09000 ....... Washington Dc County, Dist Of Col ......................................................... 47894 1.0951 1.1074 1.12 

10000 ....... Alachua County, Florida ............................................................................ 23540 0.9388 0.9312 -0.81 

10010 ....... Baker County, Florida ............................................................................... 27260 0.8984 0.9042 0.65 

10020 ....... Bay County, Florida ................................................................................... 37460 0.8005 0.8087 1.02 

10030 ....... Bradford County, Florida ........................................................................... 99910 0.8623 0.8595 -0.32 

10040 ....... Brevard County, Florida ............................................................................ 37340 0.9839 0.9448 -3.97 

10050 ....... Broward County, Florida ........................................................................... 22744 1.0432 1.0151 -2.69 

10060 ....... Calhoun County, Florida ........................................................................... 99910 0.8623 0.8595 -0.32 

10070 ....... Charlotte County, Florida .......................................................................... 39460 0.9255 0.9421 1.79 

10080 ....... Citrus County, Florida ............................................................................... 99910 0.8623 0.8595 -0.32 

10090 ....... Clay County, Florida .................................................................................. 27260 0.9295 0.9042 -2.72 

10100 ....... Collier County, Florida ............................................................................... 34940 1.0139 0.9959 -1.78 

10110 ....... Columbia County, Florida .......................................................................... 99910 0.8623 0.8595 -0.32 

10120 ....... Dade County, Florida ................................................................................ 33124 0.9750 0.9830 0.82 

10130 ....... De Soto County, Florida ............................................................................ 99910 0.8623 0.8595 -0.32 

10140 ....... Dixie County, Florida ................................................................................. 99910 0.8623 0.8595 -0.32 

10150 ....... Duval County, Florida ................................................................................ 27260 0.9295 0.9042 -2.72 

10160 ....... Escambia County, Florida ......................................................................... 37860 0.8096 0.8014 -1.01 

10170 ....... Flagler County, Florida .............................................................................. 99910 0.8947 0.8595 -3.93 

10180 ....... Franklin County, Florida ............................................................................ 99910 0.8623 0.8595 -0.32 

10190 ....... Gadsden County, Florida .......................................................................... 45220 0.8688 0.9299 7.03 

10200 ....... Gilchrist County, Florida ............................................................................ 23540 0.9033 0.9312 3.09 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44137 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

10210 ....... Glades County, Florida ............................................................................. 99910 0.8623 0.8595 -0.32 

10220 ....... Gulf County, Florida .................................................................................. 99910 0.8623 0.8595 -0.32 

10230 ....... Hamilton County, Florida ........................................................................... 99910 0.8623 0.8595 -0.32 

10240 ....... Hardee County, Florida ............................................................................. 99910 0.8623 0.8595 -0.32 

10250 ....... Hendry County, Florida ............................................................................. 99910 0.8623 0.8595 -0.32 

10260 ....... Hernando County, Florida ......................................................................... 45300 0.9233 0.9160 -0.79 

10270 ....... Highlands County, Florida ......................................................................... 99910 0.8623 0.8595 -0.32 

10280 ....... Hillsborough County, Florida ..................................................................... 45300 0.9233 0.9160 -0.79 

10290 ....... Holmes County, Florida ............................................................................. 99910 0.8623 0.8595 -0.32 

10300 ....... Indian River County, Florida ..................................................................... 42680 0.9056 0.9590 5.90 

10310 ....... Jackson County, Florida ............................................................................ 99910 0.8623 0.8595 -0.32 

10320 ....... Jefferson County, Florida .......................................................................... 45220 0.8683 0.9299 7.09 

10330 ....... Lafayette County, Florida .......................................................................... 99910 0.8623 0.8595 -0.32 

10340 ....... Lake County, Florida ................................................................................. 36740 0.9464 0.9422 -0.44 

10350 ....... Lee County, Florida ................................................................................... 15980 0.9356 0.9359 0.03 

10360 ....... Leon County, Florida ................................................................................. 45220 0.8688 0.9299 7.03 

10370 ....... Levy County, Florida ................................................................................. 99910 0.8623 0.8595 -0.32 

10380 ....... Liberty County, Florida .............................................................................. 99910 0.8623 0.8595 -0.32 

10390 ....... Madison County, Florida ........................................................................... 99910 0.8623 0.8595 -0.32 

10400 ....... Manatee County, Florida ........................................................................... 42260 0.9639 0.9885 2.55 

10410 ....... Marion County, Florida .............................................................................. 36100 0.8925 0.8883 -0.47 

10420 ....... Martin County, Florida ............................................................................... 38940 1.0123 0.9851 -2.69 

10430 ....... Monroe County, Florida ............................................................................. 99910 0.8623 0.8595 -0.32 

10440 ....... Nassau County, Florida ............................................................................. 27260 0.9295 0.9042 -2.72 

10450 ....... Okaloosa County, Florida .......................................................................... 23020 0.8872 0.8658 -2.41 

10460 ....... Okeechobee County, Florida .................................................................... 99910 0.8623 0.8595 -0.32 

10470 ....... Orange County, Florida ............................................................................. 36740 0.9464 0.9422 -0.44 

10480 ....... Osceola County, Florida ............................................................................ 36740 0.9464 0.9422 -0.44 

10490 ....... Palm Beach County, Florida ..................................................................... 48424 1.0067 0.9657 -4.07 

10500 ....... Pasco County, Florida ............................................................................... 45300 0.9233 0.9160 -0.79 

10510 ....... Pinellas County, Florida ............................................................................ 45300 0.9233 0.9160 -0.79 

10520 ....... Polk County, Florida .................................................................................. 29460 0.8912 0.8895 -0.19 

10530 ....... Putnam County, Florida ............................................................................ 99910 0.8623 0.8595 -0.32 

10540 ....... Johns County, Florida ............................................................................... 27260 0.9295 0.9042 -2.72 

10550 ....... St Lucie County, Florida ............................................................................ 38940 1.0123 0.9851 -2.69 

10560 ....... Santa Rosa County, Florida ...................................................................... 37860 0.8096 0.8014 -1.01 

10570 ....... Sarasota County, Florida .......................................................................... 42260 0.9639 0.9885 2.55 

10580 ....... Seminole County, Florida .......................................................................... 36740 0.9464 0.9422 -0.44 

10590 ....... Sumter County, Florida ............................................................................. 99910 0.8623 0.8595 -0.32 

10600 ....... Suwannee County, Florida ........................................................................ 99910 0.8623 0.8595 -0.32 

10610 ....... Taylor County, Florida ............................................................................... 99910 0.8623 0.8595 -0.32 

10620 ....... Union County, Florida ............................................................................... 99910 0.8623 0.8595 -0.32 

10630 ....... Volusia County, Florida ............................................................................. 19660 0.9312 0.9280 -0.34 

10640 ....... Wakulla County, Florida ............................................................................ 45220 0.8683 0.9299 7.09 

10650 ....... Walton County, Florida .............................................................................. 99910 0.8623 0.8595 -0.32 

10660 ....... Washington County, Florida ...................................................................... 99910 0.8623 0.8595 -0.32 

11000 ....... Appling County, Georgia ........................................................................... 99911 0.7914 0.7560 -4.47 

11010 ....... Atkinson County, Georgia ......................................................................... 99911 0.7914 0.7560 -4.47 

11011 ....... Bacon County, Georgia ............................................................................. 99911 0.7914 0.7560 -4.47 

11020 ....... Baker County, Georgia .............................................................................. 10500 0.8397 0.8962 6.73 

11030 ....... Baldwin County, Georgia .......................................................................... 99911 0.7914 0.7560 -4.47 

11040 ....... Banks County, Georgia ............................................................................. 99911 0.7914 0.7560 -4.47 

11050 ....... Barrow County, Georgia ............................................................................ 12060 0.9793 0.9772 -0.21 

11060 ....... Bartow County, Georgia ............................................................................ 12060 0.9793 0.9772 -0.21 

11070 ....... Ben Hill County, Georgia .......................................................................... 99911 0.7914 0.7560 -4.47 

11080 ....... Berrien County, Georgia ........................................................................... 99911 0.7914 0.7560 -4.47 

11090 ....... Bibb County, Georgia ................................................................................ 31420 0.9360 0.9518 1.69 

11100 ....... Bleckley County, Georgia .......................................................................... 99911 0.7914 0.7560 -4.47 

11110 ....... Brantley County, Georgia .......................................................................... 15260 0.8739 1.0097 15.54 

11120 ....... Brooks County, Georgia ............................................................................ 46660 0.8516 0.8344 -2.02 

11130 ....... Bryan County, Georgia .............................................................................. 42340 0.9461 0.9087 -3.95 

11140 ....... Bulloch County, Georgia ........................................................................... 99911 0.7914 0.7560 -4.47 

11150 ....... Burke County, Georgia .............................................................................. 12260 0.8957 0.9678 8.05 

11160 ....... Butts County, Georgia ............................................................................... 12060 0.8980 0.9772 8.82 

11161 ....... Calhoun County, Georgia .......................................................................... 99911 0.7914 0.7560 -4.47 

11170 ....... Camden County, Georgia ......................................................................... 99911 0.7914 0.7560 -4.47 

11180 ....... Candler County, Georgia .......................................................................... 99911 0.7914 0.7560 -4.47 


hsrobinson on PROD1PC69 with PROPOSALS2
44138 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

11190 ....... Carroll County, Georgia ............................................................................ 12060 0.9793 0.9772 -0.21 

11200 ....... Catoosa County, Georgia .......................................................................... 16860 0.9088 0.8963 -1.38 

11210 ....... Charlton County, Georgia ......................................................................... 99911 0.7914 0.7560 -4.47 

11220 ....... Chatham County, Georgia ........................................................................ 42340 0.9461 0.9087 -3.95 

11230 ....... Chattahoochee County, Georgia ............................................................... 17980 0.8560 0.8254 -3.57 

11240 ....... Chattooga County, Georgia ...................................................................... 99911 0.7914 0.7560 -4.47 

11250 ....... Cherokee County, Georgia ....................................................................... 12060 0.9793 0.9772 -0.21 

11260 ....... Clarke County, Georgia ............................................................................. 12020 0.9855 0.9857 0.02 

11270 ....... Clay County, Georgia ................................................................................ 99911 0.7914 0.7560 -4.47 

11280 ....... Clayton County, Georgia ........................................................................... 12060 0.9793 0.9772 -0.21 

11281 ....... Clinch County, Georgia ............................................................................. 99911 0.7914 0.7560 -4.47 

11290 ....... Cobb County, Georgia .............................................................................. 12060 0.9793 0.9772 -0.21 

11291 ....... Coffee County, Georgia ............................................................................ 99911 0.7914 0.7560 -4.47 

11300 ....... Colquitt County, Georgia ........................................................................... 99911 0.7914 0.7560 -4.47 

11310 ....... Columbia County, Georgia ........................................................................ 12260 0.9778 0.9678 -1.02 

11311 ....... Cook County, Georgia ............................................................................... 99911 0.7914 0.7560 -4.47 

11320 ....... Coweta County, Georgia ........................................................................... 12060 0.9793 0.9772 -0.21 

11330 ....... Crawford County, Georgia ........................................................................ 31420 0.8805 0.9518 8.10 

11340 ....... Crisp County, Georgia ............................................................................... 99911 0.7914 0.7560 -4.47 

11341 ....... Dade County, Georgia .............................................................................. 16860 0.9088 0.8963 -1.38 

11350 ....... Dawson County, Georgia .......................................................................... 12060 0.8980 0.9772 8.82 

11360 ....... Decatur County, Georgia .......................................................................... 99911 0.7914 0.7560 -4.47 

11370 ....... De Kalb County, Georgia .......................................................................... 12060 0.9793 0.9772 -0.21 

11380 ....... Dodge County, Georgia ............................................................................ 99911 0.7914 0.7560 -4.47 

11381 ....... Dooly County, Georgia .............................................................................. 99911 0.7914 0.7560 -4.47 

11390 ....... Dougherty County, Georgia ...................................................................... 10500 0.8628 0.8962 3.87 

11400 ....... Douglas County, Georgia .......................................................................... 12060 0.9793 0.9772 -0.21 

11410 ....... Early County, Georgia ............................................................................... 99911 0.7914 0.7560 -4.47 

11420 ....... Echols County, Georgia ............................................................................ 46660 0.8516 0.8344 -2.02 

11421 ....... Effingham County, Georgia ....................................................................... 42340 0.9461 0.9087 -3.95 

11430 ....... Elbert County, Georgia .............................................................................. 99911 0.7914 0.7560 -4.47 

11440 ....... Emanuel County, Georgia ......................................................................... 99911 0.7914 0.7560 -4.47 

11441 ....... Evans County, Georgia ............................................................................. 99911 0.7914 0.7560 -4.47 

11450 ....... Fannin County, Georgia ............................................................................ 99911 0.7914 0.7560 -4.47 

11451 ....... Fayette County, Georgia ........................................................................... 12060 0.9793 0.9772 -0.21 

11460 ....... Floyd County, Georgia .............................................................................. 40660 0.8790 0.9316 5.98 

11461 ....... Forsyth County, Georgia ........................................................................... 12060 0.9793 0.9772 -0.21 

11462 ....... Franklin County, Georgia .......................................................................... 99911 0.7914 0.7560 -4.47 

11470 ....... Fulton County, Georgia ............................................................................. 12060 0.9793 0.9772 -0.21 

11471 ....... Gilmer County, Georgia ............................................................................ 99911 0.7914 0.7560 -4.47 

11480 ....... Glascock County, Georgia ........................................................................ 99911 0.7914 0.7560 -4.47 

11490 ....... Glynn County, Georgia .............................................................................. 15260 0.8739 1.0097 15.54 

11500 ....... Gordon County, Georgia ........................................................................... 99911 0.7914 0.7560 -4.47 

11510 ....... Grady County, Georgia ............................................................................. 99911 0.7914 0.7560 -4.47 

11520 ....... Greene County, Georgia ........................................................................... 99911 0.7914 0.7560 -4.47 

11530 ....... Gwinnett County, Georgia ......................................................................... 12060 0.9793 0.9772 -0.21 

11540 ....... Habersham County, Georgia .................................................................... 99911 0.7914 0.7560 -4.47 

11550 ....... Hall County, Georgia ................................................................................. 23580 0.8520 0.8974 5.33 

11560 ....... Hancock County, Georgia ......................................................................... 99911 0.7914 0.7560 -4.47 

11570 ....... Haralson County, Georgia ......................................................................... 12060 0.8980 0.9772 8.82 

11580 ....... Harris County, Georgia ............................................................................. 17980 0.8560 0.8254 -3.57 

11581 ....... Hart County, Georgia ................................................................................ 99911 0.7914 0.7560 -4.47 

11590 ....... Heard County, Georgia ............................................................................. 12060 0.8980 0.9772 8.82 

11591 ....... Henry County, Georgia ............................................................................. 12060 0.9793 0.9772 -0.21 

11600 ....... Houston County, Georgia .......................................................................... 47580 0.8961 0.8394 -6.33 

11601 ....... Irwin County, Georgia ............................................................................... 99911 0.7914 0.7560 -4.47 

11610 ....... Jackson County, Georgia .......................................................................... 99911 0.7914 0.7560 -4.47 

11611 ....... Jasper County, Georgia ............................................................................ 12060 0.8980 0.9772 8.82 

11612 ....... Jeff Davis County, Georgia ....................................................................... 99911 0.7914 0.7560 -4.47 

11620 ....... Jefferson County, Georgia ........................................................................ 99911 0.7914 0.7560 -4.47 

11630 ....... Jenkins County, Georgia ........................................................................... 99911 0.7914 0.7560 -4.47 

11640 ....... Johnson County, Georgia ......................................................................... 99911 0.7914 0.7560 -4.47 

11650 ....... Jones County, Georgia ............................................................................. 31420 0.9360 0.9518 1.69 

11651 ....... Lamar County, Georgia ............................................................................. 12060 0.8980 0.9772 8.82 

11652 ....... Lanier County, Georgia ............................................................................. 46660 0.8516 0.8344 -2.02 

11660 ....... Laurens County, Georgia .......................................................................... 99911 0.7914 0.7560 -4.47 

11670 ....... Lee County, Georgia ................................................................................. 10500 0.8628 0.8962 3.87 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44139 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

11680 ....... Liberty County, Georgia ............................................................................ 25980 0.8973 0.9163 2.12 

11690 ....... Lincoln County, Georgia ............................................................................ 99911 0.7914 0.7560 -4.47 

11691 ....... Long County, Georgia ............................................................................... 25980 0.8973 0.9163 2.12 

11700 ....... Lowndes County, Georgia ......................................................................... 46660 0.8516 0.8344 -2.02 

11701 ....... Lumpkin County, Georgia ......................................................................... 99911 0.7914 0.7560 -4.47 

11702 ....... Mc Duffie County, Georgia ........................................................................ 12260 0.9778 0.9678 -1.02 

11703 ....... Mc Intosh County, Georgia ....................................................................... 15260 0.8739 1.0097 15.54 

11710 ....... Macon County, Georgia ............................................................................ 99911 0.7914 0.7560 -4.47 

11720 ....... Madison County, Georgia ......................................................................... 12020 0.9855 0.9857 0.02 

11730 ....... Marion County, Georgia ............................................................................ 17980 0.8363 0.8254 -1.30 

11740 ....... Meriwether County, Georgia ..................................................................... 12060 0.8980 0.9772 8.82 

11741 ....... Miller County, Georgia .............................................................................. 99911 0.7914 0.7560 -4.47 

11750 ....... Mitchell County, Georgia ........................................................................... 99911 0.7914 0.7560 -4.47 

11760 ....... Monroe County, Georgia ........................................................................... 31420 0.8805 0.9518 8.10 

11770 ....... Montgomery County, Georgia ................................................................... 99911 0.7914 0.7560 -4.47 

11771 ....... Morgan County, Georgia ........................................................................... 99911 0.7914 0.7560 -4.47 

11772 ....... Murray County, Georgia ............................................................................ 19140 0.8623 0.9061 5.08 

11780 ....... Muscogee County, Georgia ...................................................................... 17980 0.8560 0.8254 -3.57 

11790 ....... Newton County, Georgia ........................................................................... 12060 0.9793 0.9772 -0.21 

11800 ....... Oconee County, Georgia .......................................................................... 12020 0.9855 0.9857 0.02 

11801 ....... Oglethorpe County, Georgia ..................................................................... 12020 0.9011 0.9857 9.39 

11810 ....... Paulding County, Georgia ......................................................................... 12060 0.9793 0.9772 -0.21 

11811 ....... Peach County, Georgia ............................................................................. 99911 0.8470 0.7560 -10.74 

11812 ....... Pickens County, Georgia .......................................................................... 12060 0.9793 0.9772 -0.21 

11820 ....... Pierce County, Georgia ............................................................................. 99911 0.7914 0.7560 -4.47 

11821 ....... Pike County, Georgia ................................................................................ 12060 0.8980 0.9772 8.82 

11830 ....... Polk County, Georgia ................................................................................ 99911 0.7914 0.7560 -4.47 

11831 ....... Pulaski County, Georgia ........................................................................... 99911 0.7914 0.7560 -4.47 

11832 ....... Putnam County, Georgia ........................................................................... 99911 0.7914 0.7560 -4.47 

11833 ....... Quitman County, Georgia ......................................................................... 99911 0.7914 0.7560 -4.47 

11834 ....... Rabun County, Georgia ............................................................................ 99911 0.7914 0.7560 -4.47 

11835 ....... Randolph County, Georgia ........................................................................ 99911 0.7914 0.7560 -4.47 

11840 ....... Richmond County, Georgia ....................................................................... 12260 0.9778 0.9678 -1.02 

11841 ....... Rockdale County, Georgia ........................................................................ 12060 0.9793 0.9772 -0.21 

11842 ....... Schley County, Georgia ............................................................................ 99911 0.7914 0.7560 -4.47 

11850 ....... Screven County, Georgia .......................................................................... 99911 0.7914 0.7560 -4.47 

11851 ....... Seminole County, Georgia ........................................................................ 99911 0.7914 0.7560 -4.47 

11860 ....... Spalding County, Georgia ......................................................................... 12060 0.9793 0.9772 -0.21 

11861 ....... Stephens County, Georgia ........................................................................ 99911 0.7914 0.7560 -4.47 

11862 ....... Stewart County, Georgia ........................................................................... 99911 0.7914 0.7560 -4.47 

11870 ....... Sumter County, Georgia ........................................................................... 99911 0.7914 0.7560 -4.47 

11880 ....... Talbot County, Georgia ............................................................................. 99911 0.7914 0.7560 -4.47 

11881 ....... Taliaferro County, Georgia ........................................................................ 99911 0.7914 0.7560 -4.47 

11882 ....... Tattnall County, Georgia ........................................................................... 99911 0.7914 0.7560 -4.47 

11883 ....... Taylor County, Georgia ............................................................................. 99911 0.7914 0.7560 -4.47 

11884 ....... Telfair County, Georgia ............................................................................. 99911 0.7914 0.7560 -4.47 

11885 ....... Terrell County, Georgia ............................................................................. 10500 0.8397 0.8962 6.73 

11890 ....... Thomas County, Georgia .......................................................................... 99911 0.7914 0.7560 -4.47 

11900 ....... Tift County, Georgia .................................................................................. 99911 0.7914 0.7560 -4.47 

11901 ....... Toombs County, Georgia .......................................................................... 99911 0.7914 0.7560 -4.47 

11902 ....... Towns County, Georgia ............................................................................ 99911 0.7914 0.7560 -4.47 

11903 ....... Treutlen County, Georgia .......................................................................... 99911 0.7914 0.7560 -4.47 

11910 ....... Troup County, Georgia .............................................................................. 99911 0.7914 0.7560 -4.47 

11911 ....... Turner County, Georgia ............................................................................ 99911 0.7914 0.7560 -4.47 

11912 ....... Twiggs County, Georgia ............................................................................ 31420 0.9360 0.9518 1.69 

11913 ....... Union County, Georgia .............................................................................. 99911 0.7914 0.7560 -4.47 

11920 ....... Upson County, Georgia ............................................................................. 99911 0.7914 0.7560 -4.47 

11921 ....... Walker County, Georgia ............................................................................ 16860 0.9088 0.8963 -1.38 

11930 ....... Walton County, Georgia ............................................................................ 12060 0.9793 0.9772 -0.21 

11940 ....... Ware County, Georgia .............................................................................. 99911 0.7914 0.7560 -4.47 

11941 ....... Warren County, Georgia ........................................................................... 99911 0.7914 0.7560 -4.47 

11950 ....... Washington County, Georgia .................................................................... 99911 0.7914 0.7560 -4.47 

11960 ....... Wayne County, Georgia ............................................................................ 99911 0.7914 0.7560 -4.47 

11961 ....... Webster County, Georgia .......................................................................... 99911 0.7914 0.7560 -4.47 

11962 ....... Wheeler County, Georgia .......................................................................... 99911 0.7914 0.7560 -4.47 

11963 ....... White County, Georgia .............................................................................. 99911 0.7914 0.7560 -4.47 

11970 ....... Whitfield County, Georgia ......................................................................... 19140 0.8623 0.9061 5.08 


hsrobinson on PROD1PC69 with PROPOSALS2
44140 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

11971 ....... Wilcox County, Georgia ............................................................................ 99911 0.7914 0.7560 -4.47 

11972 ....... Wilkes County, Georgia ............................................................................ 99911 0.7914 0.7560 -4.47 

11973 ....... Wilkinson County, Georgia ........................................................................ 99911 0.7914 0.7560 -4.47 

11980 ....... Worth County, Georgia ............................................................................. 10500 0.8397 0.8962 6.73 

12005 ....... Kalawao County, Hawaii ........................................................................... 99912 1.0551 1.0467 -0.80 

12010 ....... Hawaii County, Hawaii .............................................................................. 99912 1.0551 1.0467 -0.80 

12020 ....... Honolulu County, Hawaii ........................................................................... 26180 1.1214 1.1067 -1.31 

12040 ....... Kauai County, Hawaii ................................................................................ 99912 1.0551 1.0467 -0.80 

12050 ....... Maui County, Hawaii ................................................................................. 99912 1.0551 1.0467 -0.80 

13000 ....... Ada County, Idaho .................................................................................... 14260 0.9052 0.9417 4.03 

13010 ....... Adams County, Idaho ................................................................................ 99913 0.8567 0.8134 -5.05 

13020 ....... Bannock County, Idaho ............................................................................. 38540 0.9351 0.9417 0.71 

13030 ....... Bear Lake County, Idaho .......................................................................... 99913 0.8567 0.8134 -5.05 

13040 ....... Benewah County, Idaho ............................................................................ 99913 0.8567 0.8134 -5.05 

13050 ....... Bingham County, Idaho ............................................................................. 99913 0.8567 0.8134 -5.05 

13060 ....... Blaine County, Idaho ................................................................................. 99913 0.8567 0.8134 -5.05 

13070 ....... Boise County, Idaho .................................................................................. 14260 0.9075 0.9417 3.77 

13080 ....... Bonner County, Idaho ............................................................................... 99913 0.8567 0.8134 -5.05 

13090 ....... Bonneville County, Idaho .......................................................................... 26820 0.9259 0.9104 -1.67 

13100 ....... Boundary County, Idaho ........................................................................... 99913 0.8567 0.8134 -5.05 

13110 ....... Butte County, Idaho .................................................................................. 99913 0.8567 0.8134 -5.05 

13120 ....... Camas County, Idaho ............................................................................... 99913 0.8567 0.8134 -5.05 

13130 ....... Canyon County, Idaho .............................................................................. 14260 0.9052 0.9417 4.03 

13140 ....... Caribou County, Idaho .............................................................................. 99913 0.8567 0.8134 -5.05 

13150 ....... Cassia County, Idaho ................................................................................ 99913 0.8567 0.8134 -5.05 

13160 ....... Clark County, Idaho .................................................................................. 99913 0.8567 0.8134 -5.05 

13170 ....... Clearwater County, Idaho ......................................................................... 99913 0.8567 0.8134 -5.05 

13180 ....... Custer County, Idaho ................................................................................ 99913 0.8567 0.8134 -5.05 

13190 ....... Elmore County, Idaho ............................................................................... 99913 0.8567 0.8134 -5.05 

13200 ....... Franklin County, Idaho .............................................................................. 30860 0.9131 0.9038 -1.02 

13210 ....... Fremont County, Idaho ............................................................................. 99913 0.8567 0.8134 -5.05 

13220 ....... Gem County, Idaho ................................................................................... 14260 0.9075 0.9417 3.77 

13230 ....... Gooding County, Idaho ............................................................................. 99913 0.8567 0.8134 -5.05 

13240 ....... Idaho County, Idaho .................................................................................. 99913 0.8567 0.8134 -5.05 

13250 ....... Jefferson County, Idaho ............................................................................ 26820 0.9259 0.9104 -1.67 

13260 ....... Jerome County, Idaho ............................................................................... 99913 0.8567 0.8134 -5.05 

13270 ....... Kootenai County, Idaho ............................................................................. 17660 0.9372 0.9360 -0.13 

13280 ....... Latah County, Idaho .................................................................................. 99913 0.8567 0.8134 -5.05 

13290 ....... Lemhi County, Idaho ................................................................................. 99913 0.8567 0.8134 -5.05 

13300 ....... Lewis County, Idaho .................................................................................. 99913 0.8567 0.8134 -5.05 

13310 ....... Lincoln County, Idaho ............................................................................... 99913 0.8567 0.8134 -5.05 

13320 ....... Madison County, Idaho ............................................................................. 99913 0.8567 0.8134 -5.05 

13330 ....... Minidoka County, Idaho ............................................................................ 99913 0.8567 0.8134 -5.05 

13340 ....... Nez Perce County, Idaho .......................................................................... 30300 0.9492 0.9871 3.99 

13350 ....... Oneida County, Idaho ............................................................................... 99913 0.8567 0.8134 -5.05 

13360 ....... Owyhee County, Idaho .............................................................................. 14260 0.9075 0.9417 3.77 

13370 ....... Payette County, Idaho ............................................................................... 99913 0.8567 0.8134 -5.05 

13380 ....... Power County, Idaho ................................................................................. 38540 0.9224 0.9417 2.09 

13390 ....... Shoshone County, Idaho ........................................................................... 99913 0.8567 0.8134 -5.05 

13400 ....... Teton County, Idaho .................................................................................. 99913 0.8567 0.8134 -5.05 

13410 ....... Twin Falls County, Idaho .......................................................................... 99913 0.8567 0.8134 -5.05 

13420 ....... Valley County, Idaho ................................................................................. 99913 0.8567 0.8134 -5.05 

13430 ....... Washington County, Idaho ........................................................................ 99913 0.8567 0.8134 -5.05 

14000 ....... Adams County, Illinois ............................................................................... 99914 0.8286 0.8327 0.49 

14010 ....... Alexander County, Illinois .......................................................................... 99914 0.8286 0.8327 0.49 

14020 ....... Bond County, Illinois ................................................................................. 41180 0.8628 0.9013 4.46 

14030 ....... Boone County, Illinois ............................................................................... 40420 0.9984 1.0007 0.23 

14040 ....... Brown County, Illinois ................................................................................ 99914 0.8286 0.8327 0.49 

14050 ....... Bureau County, Illinois .............................................................................. 99914 0.8286 0.8327 0.49 

14060 ....... Calhoun County, Illinois ............................................................................ 41180 0.8628 0.9013 4.46 

14070 ....... Carroll County, Illinois ............................................................................... 99914 0.8286 0.8327 0.49 

14080 ....... Cass County, Illinois .................................................................................. 99914 0.8286 0.8327 0.49 

14090 ....... Champaign County, Illinois ....................................................................... 16580 0.9594 0.9661 0.70 

14100 ....... Christian County, Illinois ............................................................................ 99914 0.8286 0.8327 0.49 

14110 ....... Clark County, Illinois ................................................................................. 99914 0.8286 0.8327 0.49 

14120 ....... Clay County, Illinois ................................................................................... 99914 0.8286 0.8327 0.49 

14130 ....... Clinton County, Illinois ............................................................................... 41180 0.8958 0.9013 0.61 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44141 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

14140 ....... Coles County, Illinois ................................................................................. 99914 0.8286 0.8327 0.49 

14141 ....... Cook County, Illinois ................................................................................. 16974 1.0787 1.0745 -0.39 

14150 ....... Crawford County, Illinois ........................................................................... 99914 0.8286 0.8327 0.49 

14160 ....... Cumberland County, Illinois ...................................................................... 99914 0.8286 0.8327 0.49 

14170 ....... De Kalb County, Illinois ............................................................................. 16974 1.0787 1.0745 -0.39 

14180 ....... De Witt County, Illinois .............................................................................. 99914 0.8286 0.8327 0.49 

14190 ....... Douglas County, Illinois ............................................................................. 99914 0.8286 0.8327 0.49 

14250 ....... Du Page County, Illinois ............................................................................ 16974 1.0787 1.0745 -0.39 

14310 ....... Edgar County, Illinois ................................................................................ 99914 0.8286 0.8327 0.49 

14320 ....... Edwards County, Illinois ............................................................................ 99914 0.8286 0.8327 0.49 

14330 ....... Effingham County, Illinois .......................................................................... 99914 0.8286 0.8327 0.49 

14340 ....... Fayette County, Illinois .............................................................................. 99914 0.8286 0.8327 0.49 

14350 ....... Ford County, Illinois .................................................................................. 16580 0.8948 0.9661 7.97 

14360 ....... Franklin County, Illinois ............................................................................. 99914 0.8286 0.8327 0.49 

14370 ....... Fulton County, Illinois ................................................................................ 99914 0.8286 0.8327 0.49 

14380 ....... Gallatin County, Illinois .............................................................................. 99914 0.8286 0.8327 0.49 

14390 ....... Greene County, Illinois .............................................................................. 99914 0.8286 0.8327 0.49 

14400 ....... Grundy County, Illinois .............................................................................. 16974 1.0787 1.0745 -0.39 

14410 ....... Hamilton County, Illinois ............................................................................ 99914 0.8286 0.8327 0.49 

14420 ....... Hancock County, Illinois ............................................................................ 99914 0.8286 0.8327 0.49 

14421 ....... Hardin County, Illinois ............................................................................... 99914 0.8286 0.8327 0.49 

14440 ....... Henderson County, Illinois ........................................................................ 99914 0.8286 0.8327 0.49 

14450 ....... Henry County, Illinois ................................................................................ 19340 0.8724 0.8557 -1.91 

14460 ....... Iroquois County, Illinois ............................................................................. 99914 0.8286 0.8327 0.49 

14470 ....... Jackson County, Illinois ............................................................................. 99914 0.8286 0.8327 0.49 

14480 ....... Jasper County, Illinois ............................................................................... 99914 0.8286 0.8327 0.49 

14490 ....... Jefferson County, Illinois ........................................................................... 99914 0.8286 0.8327 0.49 

14500 ....... Jersey County, Illinois ............................................................................... 41180 0.8958 0.9013 0.61 

14510 ....... Jo Daviess County, Illinois ........................................................................ 99914 0.8286 0.8327 0.49 

14520 ....... Johnson County, Illinois ............................................................................ 99914 0.8286 0.8327 0.49 

14530 ....... Kane County, Illinois ................................................................................. 16974 1.0787 1.0745 -0.39 

14540 ....... Kankakee County, Illinois .......................................................................... 28100 1.0721 0.9990 -6.82 

14550 ....... Kendall County, Illinois .............................................................................. 16974 1.0787 1.0745 -0.39 

14560 ....... Knox County, Illinois .................................................................................. 99914 0.8286 0.8327 0.49 

14570 ....... Lake County, Illinois .................................................................................. 29404 1.0606 1.0406 -1.89 

14580 ....... La Salle County, Illinois ............................................................................. 99914 0.8286 0.8327 0.49 

14590 ....... Lawrence County, Illinois .......................................................................... 99914 0.8286 0.8327 0.49 

14600 ....... Lee County, Illinois .................................................................................... 99914 0.8286 0.8327 0.49 

14610 ....... Livingston County, Illinois .......................................................................... 99914 0.8286 0.8327 0.49 

14620 ....... Logan County, Illinois ................................................................................ 99914 0.8286 0.8327 0.49 

14630 ....... Mc Donough County, Illinois ..................................................................... 99914 0.8286 0.8327 0.49 

14640 ....... Mc Henry County, Illinois .......................................................................... 16974 1.0787 1.0745 -0.39 

14650 ....... Mclean County, Illinois .............................................................................. 14060 0.9075 0.8960 -1.27 

14660 ....... Macon County, Illinois ............................................................................... 19500 0.8067 0.8187 1.49 

14670 ....... Macoupin County, Illinois .......................................................................... 41180 0.8628 0.9013 4.46 

14680 ....... Madison County, Illinois ............................................................................ 41180 0.8958 0.9013 0.61 

14690 ....... Marion County, Illinois ............................................................................... 99914 0.8286 0.8327 0.49 

14700 ....... Marshall County, Illinois ............................................................................ 37900 0.8586 0.8998 4.80 

14710 ....... Mason County, Illinois ............................................................................... 99914 0.8286 0.8327 0.49 

14720 ....... Massac County, Illinois ............................................................................. 99914 0.8286 0.8327 0.49 

14730 ....... Menard County, Illinois .............................................................................. 44100 0.8792 0.8905 1.29 

14740 ....... Mercer County, Illinois ............................................................................... 19340 0.8513 0.8557 0.52 

14750 ....... Monroe County, Illinois .............................................................................. 41180 0.8958 0.9013 0.61 

14760 ....... Montgomery County, Illinois ...................................................................... 99914 0.8286 0.8327 0.49 

14770 ....... Morgan County, Illinois .............................................................................. 99914 0.8286 0.8327 0.49 

14780 ....... Moultrie County, Illinois ............................................................................. 99914 0.8286 0.8327 0.49 

14790 ....... Ogle County, Illinois .................................................................................. 99914 0.9128 0.8327 -8.78 

14800 ....... Peoria County, Illinois ............................................................................... 37900 0.8870 0.8998 1.44 

14810 ....... Perry County, Illinois ................................................................................. 99914 0.8286 0.8327 0.49 

14820 ....... Piatt County, Illinois ................................................................................... 16580 0.8948 0.9661 7.97 

14830 ....... Pike County, Illinois ................................................................................... 99914 0.8286 0.8327 0.49 

14831 ....... Pope County, Illinois ................................................................................. 99914 0.8286 0.8327 0.49 

14850 ....... Pulaski County, Illinois .............................................................................. 99914 0.8286 0.8327 0.49 

14860 ....... Putnam County, Illinois ............................................................................. 99914 0.8286 0.8327 0.49 

14870 ....... Randolph County, Illinois .......................................................................... 99914 0.8286 0.8327 0.49 

14880 ....... Richland County, Illinois ............................................................................ 99914 0.8286 0.8327 0.49 

14890 ....... Rock Island County, Illinois ....................................................................... 19340 0.8724 0.8557 -1.91 


hsrobinson on PROD1PC69 with PROPOSALS2
44142 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

14900 ....... St Clair County, Illinois .............................................................................. 41180 0.8958 0.9013 0.61 

14910 ....... Saline County, Illinois ................................................................................ 99914 0.8286 0.8327 0.49 

14920 ....... Sangamon County, Illinois ........................................................................ 44100 0.8792 0.8905 1.29 

14921 ....... Schuyler County, Illinois ............................................................................ 99914 0.8286 0.8327 0.49 

14940 ....... Scott County, Illinois .................................................................................. 99914 0.8286 0.8327 0.49 

14950 ....... Shelby County, Illinois ............................................................................... 99914 0.8286 0.8327 0.49 

14960 ....... Stark County, Illinois ................................................................................. 37900 0.8586 0.8998 4.80 

14970 ....... Stephenson County, Illinois ....................................................................... 99914 0.8286 0.8327 0.49 

14980 ....... Tazewell County, Illinois ............................................................................ 37900 0.8870 0.8998 1.44 

14981 ....... Union County, Illinois ................................................................................ 99914 0.8286 0.8327 0.49 

14982 ....... Vermilion County, Illinois ........................................................................... 19180 0.8665 0.9283 7.13 

14983 ....... Wabash County, Illinois ............................................................................. 99914 0.8286 0.8327 0.49 

14984 ....... Warren County, Illinois .............................................................................. 99914 0.8286 0.8327 0.49 

14985 ....... Washington County, Illinois ....................................................................... 99914 0.8286 0.8327 0.49 

14986 ....... Wayne County, Illinois ............................................................................... 99914 0.8286 0.8327 0.49 

14987 ....... White County, Illinois ................................................................................. 99914 0.8286 0.8327 0.49 

14988 ....... Whiteside County, Illinois .......................................................................... 99914 0.8286 0.8327 0.49 

14989 ....... Will County, Illinois .................................................................................... 16974 1.0787 1.0745 -0.39 

14990 ....... Williamson County, Illinois ........................................................................ 99914 0.8286 0.8327 0.49 

14991 ....... Winnebago County, Illinois ........................................................................ 40420 0.9984 1.0007 0.23 

14992 ....... Woodford County, Illinois .......................................................................... 37900 0.8870 0.8998 1.44 

15000 ....... Adams County, Indiana ............................................................................. 99915 0.9165 0.8477 -7.51 

15010 ....... Allen County, Indiana ................................................................................ 23060 0.9750 0.9504 -2.52 

15020 ....... Bartholomew County, Indiana ................................................................... 18020 0.9164 0.9334 1.86 

15030 ....... Benton County, Indiana ............................................................................. 29140 0.8738 0.8972 2.68 

15040 ....... Blackford County, Indiana ......................................................................... 99915 0.8682 0.8477 -2.36 

15050 ....... Boone County, Indiana .............................................................................. 26900 0.9893 0.9766 -1.28 

15060 ....... Brown County, Indiana .............................................................................. 26900 0.9330 0.9766 4.67 

15070 ....... Carroll County, Indiana ............................................................................. 29140 0.8738 0.8972 2.68 

15080 ....... Cass County, Indiana ................................................................................ 99915 0.8682 0.8477 -2.36 

15090 ....... Clark County, Indiana ................................................................................ 31140 0.9272 0.9135 -1.48 

15100 ....... Clay County, Indiana ................................................................................. 45460 0.8321 0.8661 4.09 

15110 ....... Clinton County, Indiana ............................................................................. 99915 0.8680 0.8477 -2.34 

15120 ....... Crawford County, Indiana ......................................................................... 99915 0.8682 0.8477 -2.36 

15130 ....... Daviess County, Indiana ........................................................................... 99915 0.8682 0.8477 -2.36 

15140 ....... Dearborn County, Indiana ......................................................................... 17140 0.9675 0.9617 -0.60 

15150 ....... Decatur County, Indiana ........................................................................... 99915 0.8682 0.8477 -2.36 

15160 ....... De Kalb County, Indiana ........................................................................... 99915 0.9165 0.8477 -7.51 

15170 ....... Delaware County, Indiana ......................................................................... 34620 0.8930 0.8299 -7.07 

15180 ....... Dubois County, Indiana ............................................................................. 99915 0.8682 0.8477 -2.36 

15190 ....... Elkhart County, Indiana ............................................................................. 21140 0.9627 0.9442 -1.92 

15200 ....... Fayette County, Indiana ............................................................................ 99915 0.8682 0.8477 -2.36 

15210 ....... Floyd County, Indiana ............................................................................... 31140 0.9272 0.9135 -1.48 

15220 ....... Fountain County, Indiana .......................................................................... 99915 0.8682 0.8477 -2.36 

15230 ....... Franklin County, Indiana ........................................................................... 17140 0.9177 0.9617 4.79 

15240 ....... Fulton County, Indiana .............................................................................. 99915 0.8682 0.8477 -2.36 

15250 ....... Gibson County, Indiana ............................................................................. 21780 0.8726 0.8830 1.19 

15260 ....... Grant County, Indiana ............................................................................... 99915 0.8682 0.8477 -2.36 

15270 ....... Greene County, Indiana ............................................................................ 14020 0.8593 0.8548 -0.52 

15280 ....... Hamilton County, Indiana .......................................................................... 26900 0.9893 0.9766 -1.28 

15290 ....... Hancock County, Indiana .......................................................................... 26900 0.9893 0.9766 -1.28 

15300 ....... Harrison County, Indiana .......................................................................... 31140 0.9272 0.9135 -1.48 

15310 ....... Hendricks County, Indiana ........................................................................ 26900 0.9893 0.9766 -1.28 

15320 ....... Henry County, Indiana .............................................................................. 99915 0.8682 0.8477 -2.36 

15330 ....... Howard County, Indiana ............................................................................ 29020 0.9508 0.9460 -0.50 

15340 ....... Huntington County, Indiana ....................................................................... 99915 0.9165 0.8477 -7.51 

15350 ....... Jackson County, Indiana ........................................................................... 99915 0.8682 0.8477 -2.36 

15360 ....... Jasper County, Indiana ............................................................................. 23844 0.9067 0.9281 2.36 

15370 ....... Jay County, Indiana .................................................................................. 99915 0.8682 0.8477 -2.36 

15380 ....... Jefferson County, Indiana ......................................................................... 99915 0.8682 0.8477 -2.36 

15390 ....... Jennings County, Indiana .......................................................................... 99915 0.8682 0.8477 -2.36 

15400 ....... Johnson County, Indiana .......................................................................... 26900 0.9893 0.9766 -1.28 

15410 ....... Knox County, Indiana ................................................................................ 99915 0.8682 0.8477 -2.36 

15420 ....... Kosciusko County, Indiana ........................................................................ 99915 0.8682 0.8477 -2.36 

15430 ....... Lagrange County, Indiana ......................................................................... 99915 0.8682 0.8477 -2.36 

15440 ....... Lake County, Indiana ................................................................................ 23844 0.9395 0.9281 -1.21 

15450 ....... La Porte County, Indiana .......................................................................... 33140 0.9069 0.9093 0.26 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44143 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

15460 ....... Lawrence County, Indiana ........................................................................ 99915 0.8682 0.8477 -2.36 

15470 ....... Madison County, Indiana .......................................................................... 11300 0.9226 0.8790 -4.73 

15480 ....... Marion County, Indiana ............................................................................. 26900 0.9893 0.9766 -1.28 

15490 ....... Marshall County, Indiana .......................................................................... 99915 0.8682 0.8477 -2.36 

15500 ....... Martin County, Indiana .............................................................................. 99915 0.8682 0.8477 -2.36 

15510 ....... Miami County, Indiana .............................................................................. 99915 0.8682 0.8477 -2.36 

15520 ....... Monroe County, Indiana ............................................................................ 14020 0.8447 0.8548 1.20 

15530 ....... Montgomery County, Indiana .................................................................... 99915 0.8682 0.8477 -2.36 

15540 ....... Morgan County, Indiana ............................................................................ 26900 0.9893 0.9766 -1.28 

15550 ....... Newton County, Indiana ............................................................................ 23844 0.9067 0.9281 2.36 

15560 ....... Noble County, Indiana ............................................................................... 99915 0.8682 0.8477 -2.36 

15570 ....... Ohio County, Indiana ................................................................................ 17140 0.9675 0.9617 -0.60 

15580 ....... Orange County, Indiana ............................................................................ 99915 0.8682 0.8477 -2.36 

15590 ....... Owen County, Indiana ............................................................................... 14020 0.8593 0.8548 -0.52 

15600 ....... Parke County, Indiana ............................................................................... 99915 0.8682 0.8477 -2.36 

15610 ....... Perry County, Indiana ............................................................................... 99915 0.8682 0.8477 -2.36 

15620 ....... Pike County, Indiana ................................................................................. 99915 0.8682 0.8477 -2.36 

15630 ....... Porter County, Indiana .............................................................................. 23844 0.9395 0.9281 -1.21 

15640 ....... Posey County, Indiana .............................................................................. 21780 0.8713 0.8830 1.34 

15650 ....... Pulaski County, Indiana ............................................................................ 99915 0.8682 0.8477 -2.36 

15660 ....... Putnam County, Indiana ............................................................................ 26900 0.9330 0.9766 4.67 

15670 ....... Randolph County, Indiana ......................................................................... 99915 0.8682 0.8477 -2.36 

15680 ....... Ripley County, Indiana .............................................................................. 99915 0.8682 0.8477 -2.36 

15690 ....... Rush County, Indiana ................................................................................ 99915 0.8682 0.8477 -2.36 

15700 ....... St Joseph County, Indiana ........................................................................ 43780 0.9788 0.9690 -1.00 

15710 ....... Scott County, Indiana ................................................................................ 99915 0.8959 0.8477 -5.38 

15720 ....... Shelby County, Indiana ............................................................................. 26900 0.9893 0.9766 -1.28 

15730 ....... Spencer County, Indiana ........................................................................... 99915 0.8682 0.8477 -2.36 

15740 ....... Starke County, Indiana .............................................................................. 99915 0.8682 0.8477 -2.36 

15750 ....... Steuben County, Indiana ........................................................................... 99915 0.8682 0.8477 -2.36 

15760 ....... Sullivan County, Indiana ........................................................................... 45460 0.8522 0.8661 1.63 

15770 ....... Switzerland County, Indiana ..................................................................... 99915 0.8682 0.8477 -2.36 

15780 ....... Tippecanoe County, Indiana ..................................................................... 29140 0.8736 0.8972 2.70 

15790 ....... Tipton County, Indiana .............................................................................. 29020 0.9508 0.9460 -0.50 

15800 ....... Union County, Indiana ............................................................................... 99915 0.8682 0.8477 -2.36 

15810 ....... Vanderburgh County, Indiana ................................................................... 21780 0.8713 0.8830 1.34 

15820 ....... Vermillion County, Indiana ........................................................................ 45460 0.8321 0.8661 4.09 

15830 ....... Vigo County, Indiana ................................................................................. 45460 0.8321 0.8661 4.09 

15840 ....... Wabash County, Indiana ........................................................................... 99915 0.8682 0.8477 -2.36 

15850 ....... Warren County, Indiana ............................................................................ 99915 0.8682 0.8477 -2.36 

15860 ....... Warrick County, Indiana ............................................................................ 21780 0.8713 0.8830 1.34 

15870 ....... Washington County, Indiana ..................................................................... 31140 0.8995 0.9135 1.56 

15880 ....... Wayne County, Indiana ............................................................................. 99915 0.8682 0.8477 -2.36 

15890 ....... Wells County, Indiana ............................................................................... 23060 0.9750 0.9504 -2.52 

15900 ....... White County, Indiana ............................................................................... 99915 0.8682 0.8477 -2.36 

15910 ....... Whitley County, Indiana ............................................................................ 23060 0.9750 0.9504 -2.52 

16000 ....... Adair County, Iowa .................................................................................... 99916 0.8552 0.8697 1.70 

16010 ....... Adams County, Iowa ................................................................................. 99916 0.8552 0.8697 1.70 

16020 ....... Allamakee County, Iowa ........................................................................... 99916 0.8552 0.8697 1.70 

16030 ....... Appanoose County, Iowa .......................................................................... 99916 0.8552 0.8697 1.70 

16040 ....... Audubon County, Iowa .............................................................................. 99916 0.8552 0.8697 1.70 

16050 ....... Benton County, Iowa ................................................................................. 16300 0.8710 0.8903 2.22 

16060 ....... Black Hawk County, Iowa ......................................................................... 47940 0.8557 0.8422 -1.58 

16070 ....... Boone County, Iowa .................................................................................. 99916 0.8552 0.8697 1.70 

16080 ....... Bremer County, Iowa ................................................................................ 47940 0.8576 0.8422 -1.80 

16090 ....... Buchanan County, Iowa ............................................................................ 99916 0.8552 0.8697 1.70 

16100 ....... Buena Vista County, Iowa ......................................................................... 99916 0.8552 0.8697 1.70 

16110 ....... Butler County, Iowa ................................................................................... 99916 0.8552 0.8697 1.70 

16120 ....... Calhoun County, Iowa ............................................................................... 99916 0.8552 0.8697 1.70 

16130 ....... Carroll County, Iowa .................................................................................. 99916 0.8552 0.8697 1.70 

16140 ....... Cass County, Iowa .................................................................................... 99916 0.8552 0.8697 1.70 

16150 ....... Cedar County, Iowa .................................................................................. 99916 0.8552 0.8697 1.70 

16160 ....... Cerro Gordo County, Iowa ........................................................................ 99916 0.8552 0.8697 1.70 

16170 ....... Cherokee County, Iowa ............................................................................. 99916 0.8552 0.8697 1.70 

16180 ....... Chickasaw County, Iowa ........................................................................... 99916 0.8552 0.8697 1.70 

16190 ....... Clarke County, Iowa .................................................................................. 99916 0.8552 0.8697 1.70 

16200 ....... Clay County, Iowa ..................................................................................... 99916 0.8552 0.8697 1.70 


hsrobinson on PROD1PC69 with PROPOSALS2
44144 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

16210 ....... Clayton County, Iowa ................................................................................ 99916 0.8552 0.8697 1.70 

16220 ....... Clinton County, Iowa ................................................................................. 99916 0.8552 0.8697 1.70 

16230 ....... Crawford County, Iowa .............................................................................. 99916 0.8552 0.8697 1.70 

16240 ....... Dallas County, Iowa .................................................................................. 19780 0.9669 0.9136 -5.51 

16250 ....... Davis County, Iowa ................................................................................... 99916 0.8552 0.8697 1.70 

16260 ....... Decatur County, Iowa ................................................................................ 99916 0.8552 0.8697 1.70 

16270 ....... Delaware County, Iowa ............................................................................. 99916 0.8552 0.8697 1.70 

16280 ....... Des Moines County, Iowa ......................................................................... 99916 0.8552 0.8697 1.70 

16290 ....... Dickinson County, Iowa ............................................................................. 99916 0.8552 0.8697 1.70 

16300 ....... Dubuque County, Iowa .............................................................................. 20220 0.9024 0.9150 1.40 

16310 ....... Emmet County, Iowa ................................................................................. 99916 0.8552 0.8697 1.70 

16320 ....... Fayette County, Iowa ................................................................................ 99916 0.8552 0.8697 1.70 

16330 ....... Floyd County, Iowa ................................................................................... 99916 0.8552 0.8697 1.70 

16340 ....... Franklin County, Iowa ............................................................................... 99916 0.8552 0.8697 1.70 

16350 ....... Fremont County, Iowa ............................................................................... 99916 0.8552 0.8697 1.70 

16360 ....... Greene County, Iowa ................................................................................ 99916 0.8552 0.8697 1.70 

16370 ....... Grundy County, Iowa ................................................................................ 47940 0.8576 0.8422 -1.80 

16380 ....... Guthrie County, Iowa ................................................................................ 19780 0.9132 0.9136 0.04 

16390 ....... Hamilton County, Iowa .............................................................................. 99916 0.8552 0.8697 1.70 

16400 ....... Hancock County, Iowa .............................................................................. 99916 0.8552 0.8697 1.70 

16410 ....... Hardin County, Iowa .................................................................................. 99916 0.8552 0.8697 1.70 

16420 ....... Harrison County, Iowa ............................................................................... 36540 0.9077 0.9467 4.30 

16430 ....... Henry County, Iowa ................................................................................... 99916 0.8552 0.8697 1.70 

16440 ....... Howard County, Iowa ................................................................................ 99916 0.8552 0.8697 1.70 

16450 ....... Humboldt County, Iowa ............................................................................. 99916 0.8552 0.8697 1.70 

16460 ....... Ida County, Iowa ....................................................................................... 99916 0.8552 0.8697 1.70 

16470 ....... Iowa County, Iowa ..................................................................................... 99916 0.8552 0.8697 1.70 

16480 ....... Jackson County, Iowa ............................................................................... 99916 0.8552 0.8697 1.70 

16490 ....... Jasper County, Iowa ................................................................................. 99916 0.8552 0.8697 1.70 

16500 ....... Jefferson County, Iowa ............................................................................. 99916 0.8552 0.8697 1.70 

16510 ....... Johnson County, Iowa ............................................................................... 26980 0.9747 0.9731 -0.16 

16520 ....... Jones County, Iowa ................................................................................... 16300 0.8710 0.8903 2.22 

16530 ....... Keokuk County, Iowa ................................................................................ 99916 0.8552 0.8697 1.70 

16540 ....... Kossuth County, Iowa ............................................................................... 99916 0.8552 0.8697 1.70 

16550 ....... Lee County, Iowa ...................................................................................... 99916 0.8552 0.8697 1.70 

16560 ....... Linn County, Iowa ..................................................................................... 16300 0.8825 0.8903 0.88 

16570 ....... Louisa County, Iowa .................................................................................. 99916 0.8552 0.8697 1.70 

16580 ....... Lucas County, Iowa ................................................................................... 99916 0.8552 0.8697 1.70 

16590 ....... Lyon County, Iowa .................................................................................... 99916 0.8552 0.8697 1.70 

16600 ....... Madison County, Iowa ............................................................................... 19780 0.9132 0.9136 0.04 

16610 ....... Mahaska County, Iowa .............................................................................. 99916 0.8552 0.8697 1.70 

16620 ....... Marion County, Iowa ................................................................................. 99916 0.8552 0.8697 1.70 

16630 ....... Marshall County, Iowa ............................................................................... 99916 0.8552 0.8697 1.70 

16640 ....... Mills County, Iowa ..................................................................................... 36540 0.9077 0.9467 4.30 

16650 ....... Mitchell County, Iowa ................................................................................ 99916 0.8552 0.8697 1.70 

16660 ....... Monona County, Iowa ............................................................................... 99916 0.8552 0.8697 1.70 

16670 ....... Monroe County, Iowa ................................................................................ 99916 0.8552 0.8697 1.70 

16680 ....... Montgomery County, Iowa ........................................................................ 99916 0.8552 0.8697 1.70 

16690 ....... Muscatine County, Iowa ............................................................................ 99916 0.8552 0.8697 1.70 

16700 ....... O Brien County, Iowa ................................................................................ 99916 0.8552 0.8697 1.70 

16710 ....... Osceola County, Iowa ............................................................................... 99916 0.8552 0.8697 1.70 

16720 ....... Page County, Iowa .................................................................................... 99916 0.8552 0.8697 1.70 

16730 ....... Palo Alto County, Iowa .............................................................................. 99916 0.8552 0.8697 1.70 

16740 ....... Plymouth County, Iowa ............................................................................. 99916 0.8552 0.8697 1.70 

16750 ....... Pocahontas County, Iowa ......................................................................... 99916 0.8552 0.8697 1.70 

16760 ....... Polk County, Iowa ..................................................................................... 19780 0.9669 0.9136 -5.51 

16770 ....... Pottawattamie County, Iowa ..................................................................... 36540 0.9560 0.9467 -0.97 

16780 ....... Poweshiek County, Iowa ........................................................................... 99916 0.8552 0.8697 1.70 

16790 ....... Ringgold County, Iowa .............................................................................. 99916 0.8552 0.8697 1.70 

16800 ....... Sac County, Iowa ...................................................................................... 99916 0.8552 0.8697 1.70 

16810 ....... Scott County, Iowa .................................................................................... 19340 0.8724 0.8557 -1.91 

16820 ....... Shelby County, Iowa ................................................................................. 99916 0.8552 0.8697 1.70 

16830 ....... Sioux County, Iowa ................................................................................... 99916 0.8552 0.8697 1.70 

16840 ....... Story County, Iowa .................................................................................... 11180 0.9065 0.9777 7.85 

16850 ....... Tama County, Iowa ................................................................................... 99916 0.8552 0.8697 1.70 

16860 ....... Taylor County, Iowa .................................................................................. 99916 0.8552 0.8697 1.70 

16870 ....... Union County, Iowa ................................................................................... 99916 0.8552 0.8697 1.70 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44145 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

16880 ....... Van Buren County, Iowa ........................................................................... 99916 0.8552 0.8697 1.70 

16890 ....... Wapello County, Iowa ............................................................................... 99916 0.8552 0.8697 1.70 

16900 ....... Warren County, Iowa ................................................................................ 19780 0.9669 0.9136 -5.51 

16910 ....... Washington County, Iowa ......................................................................... 26980 0.9171 0.9731 6.11 

16920 ....... Wayne County, Iowa ................................................................................. 99916 0.8552 0.8697 1.70 

16930 ....... Webster County, Iowa ............................................................................... 99916 0.8552 0.8697 1.70 

16940 ....... Winnebago County, Iowa .......................................................................... 99916 0.8552 0.8697 1.70 

16950 ....... Winneshiek County, Iowa .......................................................................... 99916 0.8552 0.8697 1.70 

16960 ....... Woodbury County, Iowa ............................................................................ 43580 0.9399 0.9217 -1.94 

16970 ....... Worth County, Iowa ................................................................................... 99916 0.8552 0.8697 1.70 

16980 ....... Wright County, Iowa .................................................................................. 99916 0.8552 0.8697 1.70 

17000 ....... Allen County, Kansas ................................................................................ 99917 0.8038 0.8000 -0.47 

17010 ....... Anderson County, Kansas ........................................................................ 99917 0.8038 0.8000 -0.47 

17020 ....... Atchison County, Kansas .......................................................................... 99917 0.8038 0.8000 -0.47 

17030 ....... Barber County, Kansas ............................................................................. 99917 0.8038 0.8000 -0.47 

17040 ....... Barton County, Kansas ............................................................................. 99917 0.8038 0.8000 -0.47 

17050 ....... Bourbon County, Kansas .......................................................................... 99917 0.8038 0.8000 -0.47 

17060 ....... Brown County, Kansas .............................................................................. 99917 0.8038 0.8000 -0.47 

17070 ....... Butler County, Kansas .............................................................................. 48620 0.9164 0.9079 -0.93 

17080 ....... Chase County, Kansas ............................................................................. 99917 0.8038 0.8000 -0.47 

17090 ....... Chautauqua County, Kansas .................................................................... 99917 0.8038 0.8000 -0.47 

17100 ....... Cherokee County, Kansas ........................................................................ 99917 0.8038 0.8000 -0.47 

17110 ....... Cheyenne County, Kansas ....................................................................... 99917 0.8038 0.8000 -0.47 

17120 ....... Clark County, Kansas ............................................................................... 99917 0.8038 0.8000 -0.47 

17130 ....... Clay County, Kansas ................................................................................. 99917 0.8038 0.8000 -0.47 

17140 ....... Cloud County, Kansas .............................................................................. 99917 0.8038 0.8000 -0.47 

17150 ....... Coffey County, Kansas ............................................................................. 99917 0.8038 0.8000 -0.47 

17160 ....... Comanche County, Kansas ...................................................................... 99917 0.8038 0.8000 -0.47 

17170 ....... Cowley County, Kansas ............................................................................ 99917 0.8038 0.8000 -0.47 

17180 ....... Crawford County, Kansas ......................................................................... 99917 0.8038 0.8000 -0.47 

17190 ....... Decatur County, Kansas ........................................................................... 99917 0.8038 0.8000 -0.47 

17200 ....... Dickinson County, Kansas ........................................................................ 99917 0.8038 0.8000 -0.47 

17210 ....... Doniphan County, Kansas ........................................................................ 41140 0.8780 1.0136 15.44 

17220 ....... Douglas County, Kansas ........................................................................... 29940 0.8537 0.8353 -2.16 

17230 ....... Edwards County, Kansas .......................................................................... 99917 0.8038 0.8000 -0.47 

17240 ....... Elk County, Kansas ................................................................................... 99917 0.8038 0.8000 -0.47 

17250 ....... Ellis County, Kansas ................................................................................. 99917 0.8038 0.8000 -0.47 

17260 ....... Ellsworth County, Kansas ......................................................................... 99917 0.8038 0.8000 -0.47 

17270 ....... Finney County, Kansas ............................................................................. 99917 0.8038 0.8000 -0.47 

17280 ....... Ford County, Kansas ................................................................................ 99917 0.8038 0.8000 -0.47 

17290 ....... Franklin County, Kansas ........................................................................... 28140 0.8758 0.9514 8.63 

17300 ....... Geary County, Kansas .............................................................................. 99917 0.8038 0.8000 -0.47 

17310 ....... Gove County, Kansas ............................................................................... 99917 0.8038 0.8000 -0.47 

17320 ....... Graham County, Kansas ........................................................................... 99917 0.8038 0.8000 -0.47 

17330 ....... Grant County, Kansas ............................................................................... 99917 0.8038 0.8000 -0.47 

17340 ....... Gray County, Kansas ................................................................................ 99917 0.8038 0.8000 -0.47 

17350 ....... Greeley County, Kansas ........................................................................... 99917 0.8038 0.8000 -0.47 

17360 ....... Greenwood County, Kansas ..................................................................... 99917 0.8038 0.8000 -0.47 

17370 ....... Hamilton County, Kansas .......................................................................... 99917 0.8038 0.8000 -0.47 

17380 ....... Harper County, Kansas ............................................................................. 99917 0.8038 0.8000 -0.47 

17390 ....... Harvey County, Kansas ............................................................................ 48620 0.9164 0.9079 -0.93 

17391 ....... Haskell County, Kansas ............................................................................ 99917 0.8038 0.8000 -0.47 

17410 ....... Hodgeman County, Kansas ...................................................................... 99917 0.8038 0.8000 -0.47 

17420 ....... Jackson County, Kansas ........................................................................... 45820 0.8480 0.8746 3.14 

17430 ....... Jefferson County, Kansas ......................................................................... 45820 0.8480 0.8746 3.14 

17440 ....... Jewell County, Kansas .............................................................................. 99917 0.8038 0.8000 -0.47 

17450 ....... Johnson County, Kansas .......................................................................... 28140 0.9483 0.9514 0.33 

17451 ....... Kearny County, Kansas ............................................................................ 99917 0.8038 0.8000 -0.47 

17470 ....... Kingman County, Kansas .......................................................................... 99917 0.8038 0.8000 -0.47 

17480 ....... Kiowa County, Kansas .............................................................................. 99917 0.8038 0.8000 -0.47 

17490 ....... Labette County, Kansas ............................................................................ 99917 0.8038 0.8000 -0.47 

17500 ....... Lane County, Kansas ................................................................................ 99917 0.8038 0.8000 -0.47 

17510 ....... Leavenworth County, Kansas ................................................................... 28140 0.9483 0.9514 0.33 

17520 ....... Lincoln County, Kansas ............................................................................ 99917 0.8038 0.8000 -0.47 

17530 ....... Linn County, Kansas ................................................................................. 28140 0.8758 0.9514 8.63 

17540 ....... Logan County, Kansas .............................................................................. 99917 0.8038 0.8000 -0.47 

17550 ....... Lyon County, Kansas ................................................................................ 99917 0.8038 0.8000 -0.47 


hsrobinson on PROD1PC69 with PROPOSALS2
44146 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

17560 ....... Mc Pherson County, Kansas .................................................................... 99917 0.8038 0.8000 -0.47 

17570 ....... Marion County, Kansas ............................................................................. 99917 0.8038 0.8000 -0.47 

17580 ....... Marshall County, Kansas .......................................................................... 99917 0.8038 0.8000 -0.47 

17590 ....... Meade County, Kansas ............................................................................. 99917 0.8038 0.8000 -0.47 

17600 ....... Miami County, Kansas .............................................................................. 28140 0.9483 0.9514 0.33 

17610 ....... Mitchell County, Kansas ............................................................................ 99917 0.8038 0.8000 -0.47 

17620 ....... Montgomery County, Kansas .................................................................... 99917 0.8038 0.8000 -0.47 

17630 ....... Morris County, Kansas .............................................................................. 99917 0.8038 0.8000 -0.47 

17640 ....... Morton County, Kansas ............................................................................. 99917 0.8038 0.8000 -0.47 

17650 ....... Nemaha County, Kansas .......................................................................... 99917 0.8038 0.8000 -0.47 

17660 ....... Neosho County, Kansas ........................................................................... 99917 0.8038 0.8000 -0.47 

17670 ....... Ness County, Kansas ................................................................................ 99917 0.8038 0.8000 -0.47 

17680 ....... Norton County, Kansas ............................................................................. 99917 0.8038 0.8000 -0.47 

17690 ....... Osage County, Kansas ............................................................................. 45820 0.8480 0.8746 3.14 

17700 ....... Osborne County, Kansas .......................................................................... 99917 0.8038 0.8000 -0.47 

17710 ....... Ottawa County, Kansas ............................................................................ 99917 0.8038 0.8000 -0.47 

17720 ....... Pawnee County, Kansas ........................................................................... 99917 0.8038 0.8000 -0.47 

17730 ....... Phillips County, Kansas ............................................................................ 99917 0.8038 0.8000 -0.47 

17740 ....... Pottawatomie County, Kansas .................................................................. 99917 0.8038 0.8000 -0.47 

17750 ....... Pratt County, Kansas ................................................................................ 99917 0.8038 0.8000 -0.47 

17760 ....... Rawlins County, Kansas ........................................................................... 99917 0.8038 0.8000 -0.47 

17770 ....... Reno County, Kansas ............................................................................... 99917 0.8038 0.8000 -0.47 

17780 ....... Republic County, Kansas .......................................................................... 99917 0.8038 0.8000 -0.47 

17790 ....... Rice County, Kansas ................................................................................. 99917 0.8038 0.8000 -0.47 

17800 ....... Riley County, Kansas ................................................................................ 99917 0.8038 0.8000 -0.47 

17810 ....... Rooks County, Kansas .............................................................................. 99917 0.8038 0.8000 -0.47 

17820 ....... Rush County, Kansas ............................................................................... 99917 0.8038 0.8000 -0.47 

17830 ....... Russell County, Kansas ............................................................................ 99917 0.8038 0.8000 -0.47 

17840 ....... Saline County, Kansas .............................................................................. 99917 0.8038 0.8000 -0.47 

17841 ....... Scott County, Kansas ................................................................................ 99917 0.8038 0.8000 -0.47 

17860 ....... Sedgwick County, Kansas ........................................................................ 48620 0.9164 0.9079 -0.93 

17870 ....... Seward County, Kansas ............................................................................ 99917 0.8038 0.8000 -0.47 

17880 ....... Shawnee County, Kansas ......................................................................... 45820 0.8920 0.8746 -1.95 

17890 ....... Sheridan County, Kansas ......................................................................... 99917 0.8038 0.8000 -0.47 

17900 ....... Sherman County, Kansas ......................................................................... 99917 0.8038 0.8000 -0.47 

17910 ....... Smith County, Kansas ............................................................................... 99917 0.8038 0.8000 -0.47 

17920 ....... Stafford County, Kansas ........................................................................... 99917 0.8038 0.8000 -0.47 

17921 ....... Stanton County, Kansas ........................................................................... 99917 0.8038 0.8000 -0.47 

17940 ....... Stevens County, Kansas ........................................................................... 99917 0.8038 0.8000 -0.47 

17950 ....... Sumner County, Kansas ........................................................................... 48620 0.8597 0.9079 5.61 

17960 ....... Thomas County, Kansas ........................................................................... 99917 0.8038 0.8000 -0.47 

17970 ....... Trego County, Kansas .............................................................................. 99917 0.8038 0.8000 -0.47 

17980 ....... Wabaunsee County, Kansas ..................................................................... 45820 0.8480 0.8746 3.14 

17981 ....... Wallace County, Kansas ........................................................................... 99917 0.8038 0.8000 -0.47 

17982 ....... Washington County, Kansas ..................................................................... 99917 0.8038 0.8000 -0.47 

17983 ....... Wichita County, Kansas ............................................................................ 99917 0.8038 0.8000 -0.47 

17984 ....... Wilson County, Kansas ............................................................................. 99917 0.8038 0.8000 -0.47 

17985 ....... Woodson County, Kansas ......................................................................... 99917 0.8038 0.8000 -0.47 

17986 ....... Wyandotte County, Kansas ....................................................................... 28140 0.9483 0.9514 0.33 

18000 ....... Adair County, Kentucky ............................................................................. 99918 0.7812 0.7780 -0.41 

18010 ....... Allen County, Kentucky ............................................................................. 99918 0.7812 0.7780 -0.41 

18020 ....... Anderson County, Kentucky ...................................................................... 99918 0.7812 0.7780 -0.41 

18030 ....... Ballard County, Kentucky .......................................................................... 99918 0.7812 0.7780 -0.41 

18040 ....... Barren County, Kentucky .......................................................................... 99918 0.7812 0.7780 -0.41 

18050 ....... Bath County, Kentucky .............................................................................. 99918 0.7812 0.7780 -0.41 

18060 ....... Bell County, Kentucky ............................................................................... 99918 0.7812 0.7780 -0.41 

18070 ....... Boone County, Kentucky ........................................................................... 17140 0.9675 0.9617 -0.60 

18080 ....... Bourbon County, Kentucky ....................................................................... 30460 0.9032 0.9191 1.76 

18090 ....... Boyd County, Kentucky ............................................................................. 26580 0.9477 0.9013 -4.90 

18100 ....... Boyle County, Kentucky ............................................................................ 99918 0.7812 0.7780 -0.41 

18110 ....... Bracken County, Kentucky ........................................................................ 17140 0.8737 0.9617 10.07 

18120 ....... Breathitt County, Kentucky ........................................................................ 99918 0.7812 0.7780 -0.41 

18130 ....... Breckinridge County, Kentucky ................................................................. 99918 0.7812 0.7780 -0.41 

18140 ....... Bullitt County, Kentucky ............................................................................ 31140 0.9272 0.9135 -1.48 

18150 ....... Butler County, Kentucky ............................................................................ 99918 0.7812 0.7780 -0.41 

18160 ....... Caldwell County, Kentucky ....................................................................... 99918 0.7812 0.7780 -0.41 

18170 ....... Calloway County, Kentucky ...................................................................... 99918 0.7812 0.7780 -0.41 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44147 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

18180 ....... Campbell County, Kentucky ...................................................................... 17140 0.9675 0.9617 -0.60 

18190 ....... Carlisle County, Kentucky ......................................................................... 99918 0.7812 0.7780 -0.41 

18191 ....... Carroll County, Kentucky .......................................................................... 99918 0.7812 0.7780 -0.41 

18210 ....... Carter County, Kentucky ........................................................................... 99918 0.8622 0.7780 -9.77 

18220 ....... Casey County, Kentucky ........................................................................... 99918 0.7812 0.7780 -0.41 

18230 ....... Christian County, Kentucky ....................................................................... 17300 0.8284 0.8451 2.02 

18240 ....... Clark County, Kentucky ............................................................................. 30460 0.9032 0.9191 1.76 

18250 ....... Clay County, Kentucky .............................................................................. 99918 0.7812 0.7780 -0.41 

18260 ....... Clinton County, Kentucky .......................................................................... 99918 0.7812 0.7780 -0.41 

18270 ....... Crittenden County, Kentucky .................................................................... 99918 0.7812 0.7780 -0.41 

18271 ....... Cumberland County, Kentucky ................................................................. 99918 0.7812 0.7780 -0.41 

18290 ....... Daviess County, Kentucky ........................................................................ 36980 0.8780 0.8763 -0.19 

18291 ....... Edmonson County, Kentucky .................................................................... 14540 0.8035 0.8162 1.58 

18310 ....... Elliott County, Kentucky ............................................................................ 99918 0.7812 0.7780 -0.41 

18320 ....... Estill County, Kentucky ............................................................................. 99918 0.7812 0.7780 -0.41 

18330 ....... Fayette County, Kentucky ......................................................................... 30460 0.9032 0.9191 1.76 

18340 ....... Fleming County, Kentucky ........................................................................ 99918 0.7812 0.7780 -0.41 

18350 ....... Floyd County, Kentucky ............................................................................ 99918 0.7812 0.7780 -0.41 

18360 ....... Franklin County, Kentucky ........................................................................ 99918 0.7812 0.7780 -0.41 

18361 ....... Fulton County, Kentucky ........................................................................... 99918 0.7812 0.7780 -0.41 

18362 ....... Gallatin County, Kentucky ......................................................................... 17140 0.9675 0.9617 -0.60 

18390 ....... Garrard County, Kentucky ......................................................................... 99918 0.7812 0.7780 -0.41 

18400 ....... Grant County, Kentucky ............................................................................ 17140 0.9675 0.9617 -0.60 

18410 ....... Graves County, Kentucky ......................................................................... 99918 0.7812 0.7780 -0.41 

18420 ....... Grayson County, Kentucky ....................................................................... 99918 0.7812 0.7780 -0.41 

18421 ....... Green County, Kentucky ........................................................................... 99918 0.7812 0.7780 -0.41 

18440 ....... Greenup County, Kentucky ....................................................................... 26580 0.9477 0.9013 -4.90 

18450 ....... Hancock County, Kentucky ....................................................................... 36980 0.8319 0.8763 5.34 

18460 ....... Hardin County, Kentucky .......................................................................... 21060 0.8330 0.8713 4.60 

18470 ....... Harlan County, Kentucky .......................................................................... 99918 0.7812 0.7780 -0.41 

18480 ....... Harrison County, Kentucky ....................................................................... 99918 0.7812 0.7780 -0.41 

18490 ....... Hart County, Kentucky .............................................................................. 99918 0.7812 0.7780 -0.41 

18500 ....... Henderson County, Kentucky ................................................................... 21780 0.8713 0.8830 1.34 

18510 ....... Henry County, Kentucky ........................................................................... 31140 0.8555 0.9135 6.78 

18511 ....... Hickman County, Kentucky ....................................................................... 99918 0.7812 0.7780 -0.41 

18530 ....... Hopkins County, Kentucky ........................................................................ 99918 0.7812 0.7780 -0.41 

18540 ....... Jackson County, Kentucky ........................................................................ 99918 0.7812 0.7780 -0.41 

18550 ....... Jefferson County, Kentucky ...................................................................... 31140 0.9272 0.9135 -1.48 

18560 ....... Jessamine County, Kentucky .................................................................... 30460 0.9032 0.9191 1.76 

18570 ....... Johnson County, Kentucky ....................................................................... 99918 0.7812 0.7780 -0.41 

18580 ....... Kenton County, Kentucky .......................................................................... 17140 0.9675 0.9617 -0.60 

18590 ....... Knott County, Kentucky ............................................................................. 99918 0.7812 0.7780 -0.41 

18600 ....... Knox County, Kentucky ............................................................................. 99918 0.7812 0.7780 -0.41 

18610 ....... Larue County, Kentucky ............................................................................ 21060 0.8330 0.8713 4.60 

18620 ....... Laurel County, Kentucky ........................................................................... 99918 0.7812 0.7780 -0.41 

18630 ....... Lawrence County, Kentucky ..................................................................... 99918 0.7812 0.7780 -0.41 

18640 ....... Lee County, Kentucky ............................................................................... 99918 0.7812 0.7780 -0.41 

18650 ....... Leslie County, Kentucky ............................................................................ 99918 0.7812 0.7780 -0.41 

18660 ....... Letcher County, Kentucky ......................................................................... 99918 0.7812 0.7780 -0.41 

18670 ....... Lewis County, Kentucky ............................................................................ 99918 0.7812 0.7780 -0.41 

18680 ....... Lincoln County, Kentucky .......................................................................... 99918 0.7812 0.7780 -0.41 

18690 ....... Livingston County, Kentucky ..................................................................... 99918 0.7812 0.7780 -0.41 

18700 ....... Logan County, Kentucky ........................................................................... 99918 0.7812 0.7780 -0.41 

18710 ....... Lyon County, Kentucky ............................................................................. 99918 0.7812 0.7780 -0.41 

18720 ....... Mc Cracken County, Kentucky .................................................................. 99918 0.7812 0.7780 -0.41 

18730 ....... Mc Creary County, Kentucky .................................................................... 99918 0.7812 0.7780 -0.41 

18740 ....... Mc Lean County, Kentucky ....................................................................... 36980 0.8319 0.8763 5.34 

18750 ....... Madison County, Kentucky ....................................................................... 99918 0.8377 0.7780 -7.13 

18760 ....... Magoffin County, Kentucky ....................................................................... 99918 0.7812 0.7780 -0.41 

18770 ....... Marion County, Kentucky .......................................................................... 99918 0.7812 0.7780 -0.41 

18780 ....... Marshall County, Kentucky ....................................................................... 99918 0.7812 0.7780 -0.41 

18790 ....... Martin County, Kentucky ........................................................................... 99918 0.7812 0.7780 -0.41 

18800 ....... Mason County, Kentucky .......................................................................... 99918 0.7812 0.7780 -0.41 

18801 ....... Meade County, Kentucky .......................................................................... 31140 0.8555 0.9135 6.78 

18802 ....... Menifee County, Kentucky ........................................................................ 99918 0.7812 0.7780 -0.41 

18830 ....... Mercer County, Kentucky .......................................................................... 99918 0.7812 0.7780 -0.41 

18831 ....... Metcalfe County, Kentucky ....................................................................... 99918 0.7812 0.7780 -0.41 


hsrobinson on PROD1PC69 with PROPOSALS2
44148 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

18850 ....... Monroe County, Kentucky ......................................................................... 99918 0.7812 0.7780 -0.41 

18860 ....... Montgomery County, Kentucky ................................................................. 99918 0.7812 0.7780 -0.41 

18861 ....... Morgan County, Kentucky ......................................................................... 99918 0.7812 0.7780 -0.41 

18880 ....... Muhlenberg County, Kentucky .................................................................. 99918 0.7812 0.7780 -0.41 

18890 ....... Nelson County, Kentucky .......................................................................... 31140 0.8555 0.9135 6.78 

18900 ....... Nicholas County, Kentucky ....................................................................... 99918 0.7812 0.7780 -0.41 

18910 ....... Ohio County, Kentucky ............................................................................. 99918 0.7812 0.7780 -0.41 

18920 ....... Oldham County, Kentucky ........................................................................ 31140 0.9272 0.9135 -1.48 

18930 ....... Owen County, Kentucky ............................................................................ 99918 0.7812 0.7780 -0.41 

18931 ....... Owsley County, Kentucky ......................................................................... 99918 0.7812 0.7780 -0.41 

18932 ....... Pendleton County, Kentucky ..................................................................... 17140 0.9675 0.9617 -0.60 

18960 ....... Perry County, Kentucky ............................................................................ 99918 0.7812 0.7780 -0.41 

18970 ....... Pike County, Kentucky .............................................................................. 99918 0.7812 0.7780 -0.41 

18971 ....... Powell County, Kentucky .......................................................................... 99918 0.7812 0.7780 -0.41 

18972 ....... Pulaski County, Kentucky ......................................................................... 99918 0.7812 0.7780 -0.41 

18973 ....... Robertson County, Kentucky .................................................................... 99918 0.7812 0.7780 -0.41 

18974 ....... Rockcastle County, Kentucky ................................................................... 99918 0.7812 0.7780 -0.41 

18975 ....... Rowan County, Kentucky .......................................................................... 99918 0.7812 0.7780 -0.41 

18976 ....... Russell County, Kentucky ......................................................................... 99918 0.7812 0.7780 -0.41 

18977 ....... Scott County, Kentucky ............................................................................. 30460 0.9032 0.9191 1.76 

18978 ....... Shelby County, Kentucky .......................................................................... 31140 0.8555 0.9135 6.78 

18979 ....... Simpson County, Kentucky ....................................................................... 99918 0.7812 0.7780 -0.41 

18980 ....... Spencer County, Kentucky ........................................................................ 31140 0.8555 0.9135 6.78 

18981 ....... Taylor County, Kentucky ........................................................................... 99918 0.7812 0.7780 -0.41 

18982 ....... Todd County, Kentucky ............................................................................. 99918 0.7812 0.7780 -0.41 

18983 ....... Trigg County, Kentucky ............................................................................. 17300 0.8071 0.8451 4.71 

18984 ....... Trimble County, Kentucky ......................................................................... 31140 0.8555 0.9135 6.78 

18985 ....... Union County, Kentucky ............................................................................ 99918 0.7812 0.7780 -0.41 

18986 ....... Warren County, Kentucky ......................................................................... 14540 0.8035 0.8162 1.58 

18987 ....... Washington County, Kentucky .................................................................. 99918 0.7812 0.7780 -0.41 

18988 ....... Wayne County, Kentucky .......................................................................... 99918 0.7812 0.7780 -0.41 

18989 ....... Webster County, Kentucky ........................................................................ 21780 0.8286 0.8830 6.57 

18990 ....... Whitley County, Kentucky ......................................................................... 99918 0.7812 0.7780 -0.41 

18991 ....... Wolfe County, Kentucky ............................................................................ 99918 0.7812 0.7780 -0.41 

18992 ....... Woodford County, Kentucky ..................................................................... 30460 0.9032 0.9191 1.76 

19000 ....... Acadia County, Louisiana ......................................................................... 99919 0.7831 0.7450 -4.87 

19010 ....... Allen County, Louisiana ............................................................................ 99919 0.7376 0.7450 1.00 

19020 ....... Ascension County, Louisiana .................................................................... 12940 0.8618 0.8099 -6.02 

19030 ....... Assumption County, Louisiana .................................................................. 99919 0.7376 0.7450 1.00 

19040 ....... Avoyelles County, Louisiana ..................................................................... 99919 0.7376 0.7450 1.00 

19050 ....... Beauregard County, Louisiana .................................................................. 99919 0.7376 0.7450 1.00 

19060 ....... Bienville County, Louisiana ....................................................................... 99919 0.7376 0.7450 1.00 

19070 ....... Bossier County, Louisiana ........................................................................ 43340 0.8749 0.8881 1.51 

19080 ....... Caddo County, Louisiana .......................................................................... 43340 0.8749 0.8881 1.51 

19090 ....... Calcasieu County, Louisiana ..................................................................... 29340 0.7846 0.7928 1.05 

19100 ....... Caldwell County, Louisiana ....................................................................... 99919 0.7376 0.7450 1.00 

19110 ....... Cameron County, Louisiana ...................................................................... 29340 0.7587 0.7928 4.49 

19120 ....... Catahoula County, Louisiana .................................................................... 99919 0.7376 0.7450 1.00 

19130 ....... Claiborne County, Louisiana ..................................................................... 99919 0.7376 0.7450 1.00 

19140 ....... Concordia County, Louisiana .................................................................... 99919 0.7376 0.7450 1.00 

19150 ....... De Soto County, Louisiana ....................................................................... 43340 0.8050 0.8881 10.32 

19160 ....... East Baton Rouge County, Louisiana ....................................................... 12940 0.8618 0.8099 -6.02 

19170 ....... East Carroll County, Louisiana ................................................................. 99919 0.7376 0.7450 1.00 

19180 ....... East Feliciana County, Louisiana .............................................................. 12940 0.7967 0.8099 1.66 

19190 ....... Evangeline County, Louisiana ................................................................... 99919 0.7376 0.7450 1.00 

19200 ....... Franklin County, Louisiana ........................................................................ 99919 0.7376 0.7450 1.00 

19210 ....... Grant County, Louisiana ........................................................................... 10780 0.7687 0.8020 4.33 

19220 ....... Iberia County, Louisiana ........................................................................... 99919 0.7376 0.7450 1.00 

19230 ....... Iberville County, Louisiana ........................................................................ 12940 0.7967 0.8099 1.66 

19240 ....... Jackson County, Louisiana ....................................................................... 99919 0.7376 0.7450 1.00 

19250 ....... Jefferson County, Louisiana ...................................................................... 35380 0.8995 0.8858 -1.52 

19260 ....... Jefferson Davis County, Louisiana ........................................................... 99919 0.7376 0.7450 1.00 

19270 ....... Lafayette County, Louisiana ...................................................................... 29180 0.8340 0.8293 -0.56 

19280 ....... Lafourche County, Louisiana .................................................................... 26380 0.7894 0.8003 1.38 

19290 ....... La Salle County, Louisiana ....................................................................... 99919 0.7376 0.7450 1.00 

19300 ....... Lincoln County, Louisiana ......................................................................... 99919 0.7376 0.7450 1.00 

19310 ....... Livingston County, Louisiana .................................................................... 12940 0.8618 0.8099 -6.02 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44149 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

19320 ....... Madison County, Louisiana ....................................................................... 99919 0.7376 0.7450 1.00 

19330 ....... Morehouse County, Louisiana .................................................................. 99919 0.7376 0.7450 1.00 

19340 ....... Natchitoches County, Louisiana ................................................................ 99919 0.7376 0.7450 1.00 

19350 ....... Orleans County, Louisiana ........................................................................ 35380 0.8995 0.8858 -1.52 

19360 ....... Ouachita County, Louisiana ...................................................................... 33740 0.8038 0.8011 -0.34 

19370 ....... Plaquemines County, Louisiana ................................................................ 35380 0.8995 0.8858 -1.52 

19380 ....... Pointe Coupee County, Louisiana ............................................................ 12940 0.7967 0.8099 1.66

19390 ....... Rapides County, Louisiana ....................................................................... 10780 0.8033 0.8020 -0.16 

19400 ....... Red River County, Louisiana .................................................................... 99919 0.7376 0.7450 1.00 

19410 ....... Richland County, Louisiana ...................................................................... 99919 0.7376 0.7450 1.00 

19420 ....... Sabine County, Louisiana ......................................................................... 99919 0.7376 0.7450 1.00 

19430 ....... St Bernard County, Louisiana ................................................................... 35380 0.8995 0.8858 -1.52 

19440 ....... St Charles County, Louisiana ................................................................... 35380 0.8995 0.8858 -1.52 

19450 ....... St Helena County, Louisiana .................................................................... 12940 0.7967 0.8099 1.66 

19460 ....... St James County, Louisiana ..................................................................... 99919 0.8203 0.7450 -9.18 

19470 ....... St John Baptist County, Louisiana ............................................................ 35380 0.8995 0.8858 -1.52 

19480 ....... St Landry County, Louisiana ..................................................................... 99919 0.7831 0.7450 -4.87 

19490 ....... St Martin County, Louisiana ...................................................................... 29180 0.8340 0.8293 -0.56 

19500 ....... St Mary County, Louisiana ........................................................................ 99919 0.7376 0.7450 1.00 

19510 ....... St Tammany County, Louisiana ................................................................ 35380 0.8995 0.8858 -1.52 

19520 ....... Tangipahoa County, Louisiana ................................................................. 99919 0.7376 0.7450 1.00 

19530 ....... Tensas County, Louisiana ......................................................................... 99919 0.7376 0.7450 1.00 

19540 ....... Terrebonne County, Louisiana .................................................................. 26380 0.7894 0.8003 1.38 

19550 ....... Union County, Louisiana ........................................................................... 33740 0.7686 0.8011 4.23 

19560 ....... Vermilion County, Louisiana ..................................................................... 99919 0.7376 0.7450 1.00 

19570 ....... Vernon County, Louisiana ......................................................................... 99919 0.7376 0.7450 1.00 

19580 ....... Washington County, Louisiana ................................................................. 99919 0.7376 0.7450 1.00 

19590 ....... Webster County, Louisiana ....................................................................... 99919 0.8074 0.7450 -7.73 

19600 ....... West Baton Rouge County, Louisiana ...................................................... 12940 0.8618 0.8099 -6.02 

19610 ....... West Carroll County, Louisiana ................................................................ 99919 0.7376 0.7450 1.00 

19620 ....... West Feliciana County, Louisiana ............................................................. 12940 0.7967 0.8099 1.66 

19630 ....... Winn County, Louisiana ............................................................................ 99919 0.7376 0.7450 1.00 

20000 ....... Androscoggin County, Maine .................................................................... 30340 0.9331 0.9148 -1.96 

20010 ....... Aroostook County, Maine .......................................................................... 99920 0.8843 0.8410 -4.90 

20020 ....... Cumberland County, Maine ...................................................................... 38860 1.0382 0.9926 -4.39 

20030 ....... Franklin County, Maine ............................................................................. 99920 0.8843 0.8410 -4.90 

20040 ....... Hancock County, Maine ............................................................................ 99920 0.8843 0.8410 -4.90 

20050 ....... Kennebec County, Maine .......................................................................... 99920 0.8843 0.8410 -4.90 

20060 ....... Knox County, Maine .................................................................................. 99920 0.8843 0.8410 -4.90 

20070 ....... Lincoln County, Maine ............................................................................... 99920 0.8843 0.8410 -4.90 

20080 ....... Oxford County, Maine ............................................................................... 99920 0.8843 0.8410 -4.90 

20090 ....... Penobscot County, Maine ......................................................................... 12620 0.9993 0.9719 -2.74 

20100 ....... Piscataquis County, Maine ........................................................................ 99920 0.8843 0.8410 -4.90 

20110 ....... Sagadahoc County, Maine ........................................................................ 38860 1.0382 0.9926 -4.39 

20120 ....... Somerset County, Maine ........................................................................... 99920 0.8843 0.8410 -4.90 

20130 ....... Waldo County, Maine ................................................................................ 99920 0.8843 0.8410 -4.90 

20140 ....... Washington County, Maine ....................................................................... 99920 0.8843 0.8410 -4.90 

20150 ....... York County, Maine ................................................................................... 38860 1.0382 0.9926 -4.39 

21000 ....... Allegany County, Maryland ....................................................................... 19060 0.9317 0.8859 -4.92 

21010 ....... Anne Arundel County, Maryland ............................................................... 12580 0.9897 1.0106 2.11 

21020 ....... Baltimore County, Maryland ...................................................................... 12580 0.9897 1.0106 2.11 

21030 ....... Baltimore City County, Maryland .............................................................. 12580 0.9897 1.0106 2.11 

21040 ....... Calvert County, Maryland .......................................................................... 47894 1.0951 1.1074 1.12 

21050 ....... Caroline County, Maryland ........................................................................ 99921 0.9292 0.8942 -3.77 

21060 ....... Carroll County, Maryland .......................................................................... 12580 0.9897 1.0106 2.11 

21070 ....... Cecil County, Maryland ............................................................................. 48864 1.0499 1.0703 1.94 

21080 ....... Charles County, Maryland ......................................................................... 47894 1.0951 1.1074 1.12 

21090 ....... Dorchester County, Maryland ................................................................... 99921 0.9292 0.8942 -3.77 

21100 ....... Frederick County, Maryland ...................................................................... 13644 1.1230 1.0923 -2.73 

21110 ....... Garrett County, Maryland .......................................................................... 99921 0.9292 0.8942 -3.77 

21120 ....... Harford County, Maryland ......................................................................... 12580 0.9897 1.0106 2.11 

21130 ....... Howard County, Maryland ......................................................................... 12580 0.9897 1.0106 2.11 

21140 ....... Kent County, Maryland .............................................................................. 99921 0.9292 0.8942 -3.77 

21150 ....... Montgomery County, Maryland ................................................................. 13644 1.1230 1.0923 -2.73 

21160 ....... Prince Georges County, Maryland ............................................................ 47894 1.0951 1.1074 1.12

21170 ....... Queen Annes County, Maryland ............................................................... 12580 0.9897 1.0106 2.11

21180 ....... St Marys County, Maryland ....................................................................... 99921 0.9292 0.8942 -3.77 


hsrobinson on PROD1PC69 with PROPOSALS2
44150 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

21190 ....... Somerset County, Maryland ...................................................................... 41540 0.9147 0.8969 -1.95 

21200 ....... Talbot County, Maryland ........................................................................... 99921 0.9292 0.8942 -3.77 

21210 ....... Washington County, Maryland .................................................................. 25180 0.9679 0.9054 -6.46 

21220 ....... Wicomico County, Maryland ..................................................................... 41540 0.9147 0.8969 -1.95 

21230 ....... Worcester County, Maryland ..................................................................... 99921 0.9292 0.8942 -3.77 

22000 ....... Barnstable County, Massachusetts ........................................................... 12700 1.2600 1.2561 -0.31 

22010 ....... Berkshire County, Massachusetts ............................................................. 38340 1.0181 1.0284 1.01 

22020 ....... Bristol County, Massachusetts .................................................................. 39300 1.1072 1.0804 -2.42 

22030 ....... Dukes County, Massachusetts .................................................................. 99922 1.0216 1.0216 0.00 

22040 ....... Essex County, Massachusetts .................................................................. 21604 1.0858 1.0437 -3.88 

22060 ....... Franklin County, Massachusetts ............................................................... 44140 1.0232 1.0080 -0.63 

22070 ....... Hampden County, Massachusetts ............................................................ 44140 1.0256 1.0080 -1.72 

22080 ....... Hampshire County, Massachusetts .......................................................... 44140 1.0256 1.0080 -1.72 

22090 ....... Middlesex County, Massachusetts ............................................................ 15764 1.1175 1.0918 -2.30 

22120 ....... Nantucket County, Massachusetts ............................................................ 99922 1.0216 1.0216 0.00

22130 ....... Norfolk County, Massachusetts ................................................................ 14484 1.1368 1.1693 2.86 

22150 ....... Plymouth County, Massachusetts ............................................................. 14484 1.1368 1.1693 2.86

22160 ....... Suffolk County, Massachusetts ................................................................. 14484 1.1368 1.1693 2.86 

22170 ....... Worcester County, Massachusetts ........................................................... 49340 1.1103 1.0741 -3.26

23000 ....... Alcona County, Michigan .......................................................................... 99923 0.8860 0.9052 2.17 

23010 ....... Alger County, Michigan ............................................................................. 99923 0.8860 0.9052 2.17 

23020 ....... Allegan County, Michigan ......................................................................... 99923 0.9170 0.9052 -1.29 

23030 ....... Alpena County, Michigan .......................................................................... 99923 0.8860 0.9052 2.17 

23040 ....... Antrim County, Michigan ........................................................................... 99923 0.8860 0.9052 2.17 

23050 ....... Arenac County, Michigan .......................................................................... 99923 0.8860 0.9052 2.17 

23060 ....... Baraga County, Michigan .......................................................................... 99923 0.8860 0.9052 2.17 

23070 ....... Barry County, Michigan ............................................................................. 24340 0.9107 0.9470 3.99 

23080 ....... Bay County, Michigan ............................................................................... 13020 0.9292 0.9271 -0.23 

23090 ....... Benzie County, Michigan .......................................................................... 99923 0.8860 0.9052 2.17 

23100 ....... Berrien County, Michigan .......................................................................... 35660 0.8879 0.8931 0.59 

23110 ....... Branch County, Michigan .......................................................................... 99923 0.8860 0.9052 2.17 

23120 ....... Calhoun County, Michigan ........................................................................ 12980 0.9826 0.9746 -0.81 

23130 ....... Cass County, Michigan ............................................................................. 43780 0.9306 0.9690 4.13 

23140 ....... Charlevoix County, Michigan .................................................................... 99923 0.8860 0.9052 2.17 

23150 ....... Cheboygan County, Michigan ................................................................... 99923 0.8860 0.9052 2.17 

23160 ....... Chippewa County, Michigan ..................................................................... 99923 0.8860 0.9052 2.17 

23170 ....... Clare County, Michigan ............................................................................. 99923 0.8860 0.9052 2.17 

23180 ....... Clinton County, Michigan .......................................................................... 29620 0.9794 1.0102 3.14 

23190 ....... Crawford County, Michigan ....................................................................... 99923 0.8860 0.9052 2.17 

23200 ....... Delta County, Michigan ............................................................................. 99923 0.8860 0.9052 2.17 

23210 ....... Dickinson County, Michigan ...................................................................... 99923 0.8860 0.9052 2.17 

23220 ....... Eaton County, Michigan ............................................................................ 29620 0.9794 1.0102 3.14 

23230 ....... Emmet County, Michigan .......................................................................... 99923 0.8860 0.9052 2.17 

23240 ....... Genesee County, Michigan ....................................................................... 22420 1.0655 1.0988 3.13 

23250 ....... Gladwin County, Michigan ........................................................................ 99923 0.8860 0.9052 2.17 

23260 ....... Gogebic County, Michigan ........................................................................ 99923 0.8860 0.9052 2.17 

23270 ....... Grand Traverse County, Michigan ............................................................ 99923 0.8860 0.9052 2.17

23280 ....... Gratiot County, Michigan ........................................................................... 99923 0.8860 0.9052 2.17 

23290 ....... Hillsdale County, Michigan ........................................................................ 99923 0.8860 0.9052 2.17 

23300 ....... Houghton County, Michigan ...................................................................... 99923 0.8860 0.9052 2.17 

23310 ....... Huron County, Michigan ............................................................................ 99923 0.8860 0.9052 2.17 

23320 ....... Ingham County, Michigan ......................................................................... 29620 0.9794 1.0102 3.14 

23330 ....... Ionia County, Michigan .............................................................................. 24340 0.9107 0.9470 3.99 

23340 ....... Iosco County, Michigan ............................................................................. 99923 0.8860 0.9052 2.17 

23350 ....... Iron County, Michigan ............................................................................... 99923 0.8860 0.9052 2.17 

23360 ....... Isabella County, Michigan ......................................................................... 99923 0.8860 0.9052 2.17 

23370 ....... Jackson County, Michigan ........................................................................ 27100 0.9304 0.9577 2.93 

23380 ....... Kalamazoo County, Michigan ................................................................... 28020 1.0262 1.0723 4.49 

23390 ....... Kalkaska County, Michigan ....................................................................... 99923 0.8860 0.9052 2.17 

23400 ....... Kent County, Michigan .............................................................................. 24340 0.9418 0.9470 0.55 

23410 ....... Keweenaw County, Michigan .................................................................... 99923 0.8860 0.9052 2.17 

23420 ....... Lake County, Michigan .............................................................................. 99923 0.8860 0.9052 2.17 

23430 ....... Lapeer County, Michigan .......................................................................... 47644 1.0009 1.0126 1.17 

23440 ....... Leelanau County, Michigan ....................................................................... 99923 0.8860 0.9052 2.17 

23450 ....... Lenawee County, Michigan ....................................................................... 99923 0.9801 0.9052 -7.64 

23460 ....... Livingston County, Michigan ..................................................................... 47644 1.0289 1.0126 -1.58 

23470 ....... Luce County, Michigan .............................................................................. 99923 0.8860 0.9052 2.17 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44151 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

23480 ....... Mackinac County, Michigan ...................................................................... 99923 0.8860 0.9052 2.17 

23490 ....... Macomb County, Michigan ........................................................................ 47644 1.0009 1.0126 1.17 

23500 ....... Manistee County, Michigan ....................................................................... 99923 0.8860 0.9052 2.17 

23510 ....... Marquette County, Michigan ..................................................................... 99923 0.8860 0.9052 2.17 

23520 ....... Mason County, Michigan ........................................................................... 99923 0.8860 0.9052 2.17 

23530 ....... Mecosta County, Michigan ........................................................................ 99923 0.8860 0.9052 2.17 

23540 ....... Menominee County, Michigan ................................................................... 99923 0.8860 0.9052 2.17 

23550 ....... Midland County, Michigan ......................................................................... 99923 0.9068 0.9052 -0.18 

23560 ....... Missaukee County, Michigan .................................................................... 99923 0.8860 0.9052 2.17 

23570 ....... Monroe County, Michigan ......................................................................... 33780 0.9808 0.9725 -0.85 

23580 ....... Montcalm County, Michigan ...................................................................... 99923 0.8860 0.9052 2.17 

23590 ....... Montmorency County, Michigan ................................................................ 99923 0.8860 0.9052 2.17 

23600 ....... Muskegon County, Michigan ..................................................................... 34740 0.9555 0.9957 4.21 

23610 ....... Newaygo County, Michigan ...................................................................... 24340 0.9107 0.9470 3.99 

23620 ....... Oakland County, Michigan ........................................................................ 47644 1.0009 1.0126 1.17 

23630 ....... Oceana County, Michigan ......................................................................... 99923 0.8860 0.9052 2.17 

23640 ....... Ogemaw County, Michigan ....................................................................... 99923 0.8860 0.9052 2.17 

23650 ....... Ontonagon County, Michigan .................................................................... 99923 0.8860 0.9052 2.17 

23660 ....... Osceola County, Michigan ........................................................................ 99923 0.8860 0.9052 2.17 

23670 ....... Oscoda County, Michigan ......................................................................... 99923 0.8860 0.9052 2.17 

23680 ....... Otsego County, Michigan .......................................................................... 99923 0.8860 0.9052 2.17 

23690 ....... Ottawa County, Michigan .......................................................................... 26100 0.9250 0.9205 -0.49 

23700 ....... Presque Isle County, Michigan ................................................................. 99923 0.8860 0.9052 2.17 

23710 ....... Roscommon County, Michigan ................................................................. 99923 0.8860 0.9052 2.17

23720 ....... Saginaw County, Michigan ........................................................................ 40980 0.9165 0.8889 -3.01 

23730 ....... St Clair County, Michigan ......................................................................... 47644 1.0009 1.0126 1.17 

23740 ....... St Joseph County, Michigan ..................................................................... 99923 0.8860 0.9052 2.17 

23750 ....... Sanilac County, Michigan .......................................................................... 99923 0.8860 0.9052 2.17 

23760 ....... Schoolcraft County, Michigan ................................................................... 99923 0.8860 0.9052 2.17 

23770 ....... Shiawassee County, Michigan .................................................................. 99923 0.8860 0.9052 2.17 

23780 ....... Tuscola County, Michigan ......................................................................... 99923 0.8860 0.9052 2.17 

23790 ....... Van Buren County, Michigan .................................................................... 28020 1.0262 1.0723 4.49 

23800 ....... Washtenaw County, Michigan ................................................................... 11460 1.0783 1.0838 0.51 

23810 ....... Wayne County, Michigan .......................................................................... 19804 1.0286 1.0223 -0.61 

23830 ....... Wexford County, Michigan ........................................................................ 99923 0.8860 0.9052 2.17 

24000 ....... Aitkin County, Minnesota .......................................................................... 99924 0.9132 0.9167 0.38 

24010 ....... Anoka County, Minnesota ......................................................................... 33460 1.1075 1.0965 -0.99 

24020 ....... Becker County, Minnesota ........................................................................ 99924 0.9132 0.9167 0.38 

24030 ....... Beltrami County, Minnesota ...................................................................... 99924 0.9132 0.9167 0.38 

24040 ....... Benton County, Minnesota ........................................................................ 41060 0.9965 1.0380 4.16 

24050 ....... Big Stone County, Minnesota ................................................................... 99924 0.9132 0.9167 0.38 

24060 ....... Blue Earth County, Minnesota .................................................................. 99924 0.9132 0.9167 0.38 

24070 ....... Brown County, Minnesota ......................................................................... 99924 0.9132 0.9167 0.38 

24080 ....... Carlton County, Minnesota ........................................................................ 20260 0.9673 1.0070 4.10 

24090 ....... Carver County, Minnesota ........................................................................ 33460 1.1075 1.0965 -0.99 

24100 ....... Cass County, Minnesota ........................................................................... 99924 0.9132 0.9167 0.38 

24110 ....... Chippewa County, Minnesota ................................................................... 99924 0.9132 0.9167 0.38 

24120 ....... Chisago County, Minnesota ...................................................................... 33460 1.1075 1.0965 -0.99 

24130 ....... Clay County, Minnesota ............................................................................ 22020 0.8486 0.8265 -2.60 

24140 ....... Clearwater County, Minnesota .................................................................. 99924 0.9132 0.9167 0.38 

24150 ....... Cook County, Minnesota ........................................................................... 99924 0.9132 0.9167 0.38 

24160 ....... Cottonwood County, Minnesota ................................................................ 99924 0.9132 0.9167 0.38 

24170 ....... Crow Wing County, Minnesota ................................................................. 99924 0.9132 0.9167 0.38 

24180 ....... Dakota County, Minnesota ........................................................................ 33460 1.1075 1.0965 -0.99 

24190 ....... Dodge County, Minnesota ......................................................................... 40340 1.0132 1.1260 11.13 

24200 ....... Douglas County, Minnesota ...................................................................... 99924 0.9132 0.9167 0.38 

24210 ....... Faribault County, Minnesota ..................................................................... 99924 0.9132 0.9167 0.38 

24220 ....... Fillmore County, Minnesota ...................................................................... 99924 0.9132 0.9167 0.38 

24230 ....... Freeborn County, Minnesota ..................................................................... 99924 0.9132 0.9167 0.38 

24240 ....... Goodhue County, Minnesota .................................................................... 99924 0.9132 0.9167 0.38 

24250 ....... Grant County, Minnesota .......................................................................... 99924 0.9132 0.9167 0.38 

24260 ....... Hennepin County, Minnesota .................................................................... 33460 1.1075 1.0965 -0.99 

24270 ....... Houston County, Minnesota ...................................................................... 29100 0.9564 0.9442 -1.28 

24280 ....... Hubbard County, Minnesota ..................................................................... 99924 0.9132 0.9167 0.38 

24290 ....... Isanti County, Minnesota ........................................................................... 33460 1.1075 1.0965 -0.99 

24300 ....... Itasca County, Minnesota .......................................................................... 99924 0.9132 0.9167 0.38 

24310 ....... Jackson County, Minnesota ...................................................................... 99924 0.9132 0.9167 0.38 


hsrobinson on PROD1PC69 with PROPOSALS2
44152 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

24320 ....... Kanabec County, Minnesota ..................................................................... 99924 0.9132 0.9167 0.38 

24330 ....... Kandiyohi County, Minnesota ................................................................... 99924 0.9132 0.9167 0.38 

24340 ....... Kittson County, Minnesota ........................................................................ 99924 0.9132 0.9167 0.38 

24350 ....... Koochiching County, Minnesota ................................................................ 99924 0.9132 0.9167 0.38 

24360 ....... Lac Qui Parle County, Minnesota ............................................................. 99924 0.9132 0.9167 0.38 

24370 ....... Lake County, Minnesota ........................................................................... 99924 0.9132 0.9167 0.38 

24380 ....... Lake Of Woods County, Minnesota .......................................................... 99924 0.9132 0.9167 0.38 

24390 ....... Le Sueur County, Minnesota .................................................................... 99924 0.9132 0.9167 0.38 

24400 ....... Lincoln County, Minnesota ........................................................................ 99924 0.9132 0.9167 0.38 

24410 ....... Lyon County, Minnesota ........................................................................... 99924 0.9132 0.9167 0.38 

24420 ....... Mc Leod County, Minnesota ..................................................................... 99924 0.9132 0.9167 0.38 

24430 ....... Mahnomen County, Minnesota ................................................................. 99924 0.9132 0.9167 0.38

24440 ....... Marshall County, Minnesota ...................................................................... 99924 0.9132 0.9167 0.38 

24450 ....... Martin County, Minnesota ......................................................................... 99924 0.9132 0.9167 0.38 

24460 ....... Meeker County, Minnesota ....................................................................... 99924 0.9132 0.9167 0.38 

24470 ....... Mille Lacs County, Minnesota ................................................................... 99924 0.9132 0.9167 0.38 

24480 ....... Morrison County, Minnesota ..................................................................... 99924 0.9132 0.9167 0.38 

24490 ....... Mower County, Minnesota ........................................................................ 99924 0.9132 0.9167 0.38 

24500 ....... Murray County, Minnesota ........................................................................ 99924 0.9132 0.9167 0.38 

24510 ....... Nicollet County, Minnesota ....................................................................... 99924 0.9132 0.9167 0.38 

24520 ....... Nobles County, Minnesota ........................................................................ 99924 0.9132 0.9167 0.38 

24530 ....... Norman County, Minnesota ...................................................................... 99924 0.9132 0.9167 0.38 

24540 ....... Olmsted County, Minnesota ...................................................................... 40340 1.1131 1.1260 1.16 

24550 ....... Otter Tail County, Minnesota .................................................................... 99924 0.9132 0.9167 0.38 

24560 ....... Pennington County, Minnesota ................................................................. 99924 0.9132 0.9167 0.38 

24570 ....... Pine County, Minnesota ............................................................................ 99924 0.9132 0.9167 0.38 

24580 ....... Pipestone County, Minnesota ................................................................... 99924 0.9132 0.9167 0.38 

24590 ....... Polk County, Minnesota ............................................................................ 24220 0.7901 0.7963 0.78 

24600 ....... Pope County, Minnesota ........................................................................... 99924 0.9132 0.9167 0.38 

24610 ....... Ramsey County, Minnesota ...................................................................... 33460 1.1075 1.0965 -0.99 

24620 ....... Red Lake County, Minnesota .................................................................... 99924 0.9132 0.9167 0.38 

24630 ....... Redwood County, Minnesota .................................................................... 99924 0.9132 0.9167 0.38 

24640 ....... Renville County, Minnesota ...................................................................... 99924 0.9132 0.9167 0.38 

24650 ....... Rice County, Minnesota ............................................................................ 99924 0.9132 0.9167 0.38 

24660 ....... Rock County, Minnesota ........................................................................... 99924 0.9132 0.9167 0.38 

24670 ....... Roseau County, Minnesota ....................................................................... 99924 0.9132 0.9167 0.38 

24680 ....... St Louis County, Minnesota ...................................................................... 20260 1.0213 1.0070 -1.40 

24690 ....... Scott County, Minnesota ........................................................................... 33460 1.1075 1.0965 -0.99 

24700 ....... Sherburne County, Minnesota .................................................................. 33460 1.1075 1.0965 -0.99 

24710 ....... Sibley County, Minnesota ......................................................................... 99924 0.9132 0.9167 0.38 

24720 ....... Stearns County, Minnesota ....................................................................... 41060 0.9965 1.0380 4.16 

24730 ....... Steele County, Minnesota ......................................................................... 99924 0.9132 0.9167 0.38 

24740 ....... Stevens County, Minnesota ...................................................................... 99924 0.9132 0.9167 0.38 

24750 ....... Swift County, Minnesota ........................................................................... 99924 0.9132 0.9167 0.38 

24760 ....... Todd County, Minnesota ........................................................................... 99924 0.9132 0.9167 0.38 

24770 ....... Traverse County, Minnesota ..................................................................... 99924 0.9132 0.9167 0.38 

24780 ....... Wabasha County, Minnesota .................................................................... 40340 1.0132 1.1260 11.13 

24790 ....... Wadena County, Minnesota ...................................................................... 99924 0.9132 0.9167 0.38 

24800 ....... Waseca County, Minnesota ...................................................................... 99924 0.9132 0.9167 0.38 

24810 ....... Washington County, Minnesota ................................................................ 33460 1.1075 1.0965 -0.99 

24820 ....... Watonwan County, Minnesota .................................................................. 99924 0.9132 0.9167 0.38 

24830 ....... Wilkin County, Minnesota .......................................................................... 99924 0.9132 0.9167 0.38 

24840 ....... Winona County, Minnesota ....................................................................... 99924 0.9132 0.9167 0.38 

24850 ....... Wright County, Minnesota ......................................................................... 33460 1.1075 1.0965 -0.99 

24860 ....... Yellow Medicine County, Minnesota ......................................................... 99924 0.9132 0.9167 0.38 

25000 ....... Adams County, Mississippi ....................................................................... 99925 0.7654 0.7565 -1.16 

25010 ....... Alcorn County, Mississippi ........................................................................ 99925 0.7654 0.7565 -1.16 

25020 ....... Amite County, Mississippi ......................................................................... 99925 0.7654 0.7565 -1.16 

25030 ....... Attala County, Mississippi ......................................................................... 99925 0.7654 0.7565 -1.16 

25040 ....... Benton County, Mississippi ....................................................................... 99925 0.7654 0.7565 -1.16 

25050 ....... Bolivar County, Mississippi ....................................................................... 99925 0.7654 0.7565 -1.16 

25060 ....... Calhoun County, Mississippi ..................................................................... 99925 0.7654 0.7565 -1.16 

25070 ....... Carroll County, Mississippi ........................................................................ 99925 0.7654 0.7565 -1.16 

25080 ....... Chickasaw County, Mississippi ................................................................. 99925 0.7654 0.7565 -1.16 

25090 ....... Choctaw County, Mississippi .................................................................... 99925 0.7654 0.7565 -1.16 

25100 ....... Claiborne County, Mississippi ................................................................... 99925 0.7654 0.7565 -1.16 

25110 ....... Clarke County, Mississippi ........................................................................ 99925 0.7654 0.7565 -1.16 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44153 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

25120 ....... Clay County, Mississippi ........................................................................... 99925 0.7654 0.7565 -1.16 

25130 ....... Coahoma County, Mississippi ................................................................... 99925 0.7654 0.7565 -1.16 

25140 ....... Copiah County, Mississippi ....................................................................... 27140 0.7973 0.8286 3.93 

25150 ....... Covington County, Mississippi .................................................................. 99925 0.7654 0.7565 -1.16 

25160 ....... Desoto County, Mississippi ....................................................................... 32820 0.9407 0.9361 -0.49 

25170 ....... Forrest County, Mississippi ....................................................................... 25620 0.7601 0.7443 -2.08 

25180 ....... Franklin County, Mississippi ...................................................................... 99925 0.7654 0.7565 -1.16 

25190 ....... George County, Mississippi ...................................................................... 37700 0.7895 0.8230 4.24 

25200 ....... Greene County, Mississippi ...................................................................... 99925 0.7654 0.7565 -1.16 

25210 ....... Grenada County, Mississippi .................................................................... 99925 0.7654 0.7565 -1.16 

25220 ....... Hancock County, Mississippi .................................................................... 25060 0.8818 0.8931 1.28 

25230 ....... Harrison County, Mississippi ..................................................................... 25060 0.8818 0.8931 1.28 

25240 ....... Hinds County, Mississippi ......................................................................... 27140 0.8347 0.8286 -0.73 

25250 ....... Holmes County, Mississippi ...................................................................... 99925 0.7654 0.7565 -1.16 

25260 ....... Humphreys County, Mississippi ................................................................ 99925 0.7654 0.7565 -1.16 

25270 ....... Issaquena County, Mississippi .................................................................. 99925 0.7654 0.7565 -1.16 

25280 ....... Itawamba County, Mississippi ................................................................... 99925 0.7654 0.7565 -1.16 

25290 ....... Jackson County, Mississippi ..................................................................... 37700 0.8431 0.8230 -2.38 

25300 ....... Jasper County, Mississippi ........................................................................ 99925 0.7654 0.7565 -1.16 

25310 ....... Jefferson County, Mississippi .................................................................... 99925 0.7654 0.7565 -1.16 

25320 ....... Jefferson Davis County, Mississippi ......................................................... 99925 0.7654 0.7565 -1.16 

25330 ....... Jones County, Mississippi ......................................................................... 99925 0.7654 0.7565 -1.16 

25340 ....... Kemper County, Mississippi ...................................................................... 99925 0.7654 0.7565 -1.16 

25350 ....... Lafayette County, Mississippi .................................................................... 99925 0.7654 0.7565 -1.16 

25360 ....... Lamar County, Mississippi ........................................................................ 25620 0.7601 0.7443 -2.08 

25370 ....... Lauderdale County, Mississippi ................................................................ 99925 0.7654 0.7565 -1.16 

25380 ....... Lawrence County, Mississippi ................................................................... 99925 0.7654 0.7565 -1.16 

25390 ....... Leake County, Mississippi ......................................................................... 99925 0.7654 0.7565 -1.16 

25400 ....... Lee County, Mississippi ............................................................................ 99925 0.7654 0.7565 -1.16 

25410 ....... Leflore County, Mississippi ....................................................................... 99925 0.7654 0.7565 -1.16 

25420 ....... Lincoln County, Mississippi ....................................................................... 99925 0.7654 0.7565 -1.16 

25430 ....... Lowndes County, Mississippi .................................................................... 99925 0.7654 0.7565 -1.16 

25440 ....... Madison County, Mississippi ..................................................................... 27140 0.8347 0.8286 -0.73 

25450 ....... Marion County, Mississippi ....................................................................... 99925 0.7654 0.7565 -1.16 

25460 ....... Marshall County, Mississippi ..................................................................... 32820 0.8516 0.9361 9.92 

25470 ....... Monroe County, Mississippi ...................................................................... 99925 0.7654 0.7565 -1.16 

25480 ....... Montgomery County, Mississippi .............................................................. 99925 0.7654 0.7565 -1.16 

25490 ....... Neshoba County, Mississippi .................................................................... 99925 0.7654 0.7565 -1.16 

25500 ....... Newton County, Mississippi ...................................................................... 99925 0.7654 0.7565 -1.16 

25510 ....... Noxubee County, Mississippi .................................................................... 99925 0.7654 0.7565 -1.16 

25520 ....... Oktibbeha County, Mississippi .................................................................. 99925 0.7654 0.7565 -1.16 

25530 ....... Panola County, Mississippi ....................................................................... 99925 0.7654 0.7565 -1.16 

25540 ....... Pearl River County, Mississippi ................................................................ 99925 0.7654 0.7565 -1.16 

25550 ....... Perry County, Mississippi .......................................................................... 25620 0.7618 0.7443 -2.30 

25560 ....... Pike County, Mississippi ........................................................................... 99925 0.7654 0.7565 -1.16 

25570 ....... Pontotoc County, Mississippi .................................................................... 99925 0.7654 0.7565 -1.16 

25580 ....... Prentiss County, Mississippi ..................................................................... 99925 0.7654 0.7565 -1.16 

25590 ....... Quitman County, Mississippi ..................................................................... 99925 0.7654 0.7565 -1.16 

25600 ....... Rankin County, Mississippi ....................................................................... 27140 0.8347 0.8286 -0.73 

25610 ....... Scott County, Mississippi .......................................................................... 99925 0.7654 0.7565 -1.16 

25620 ....... Sharkey County, Mississippi ..................................................................... 99925 0.7654 0.7565 -1.16 

25630 ....... Simpson County, Mississippi .................................................................... 27140 0.7973 0.8286 3.93 

25640 ....... Smith County, Mississippi ......................................................................... 99925 0.7654 0.7565 -1.16 

25650 ....... Stone County, Mississippi ......................................................................... 25060 0.8282 0.8931 7.84 

25660 ....... Sunflower County, Mississippi .................................................................. 99925 0.7654 0.7565 -1.16 

25670 ....... Tallahatchie County, Mississippi ............................................................... 99925 0.7654 0.7565 -1.16 

25680 ....... Tate County, Mississippi ........................................................................... 32820 0.8516 0.9361 9.92 

25690 ....... Tippah County, Mississippi ....................................................................... 99925 0.7654 0.7565 -1.16 

25700 ....... Tishomingo County, Mississippi ................................................................ 99925 0.7654 0.7565 -1.16 

25710 ....... Tunica County, Mississippi ........................................................................ 32820 0.8516 0.9361 9.92 

25720 ....... Union County, Mississippi ......................................................................... 99925 0.7654 0.7565 -1.16 

25730 ....... Walthall County, Mississippi ...................................................................... 99925 0.7654 0.7565 -1.16 

25740 ....... Warren County, Mississippi ....................................................................... 99925 0.7654 0.7565 -1.16 

25750 ....... Washington County, Mississippi ............................................................... 99925 0.7654 0.7565 -1.16 

25760 ....... Wayne County, Mississippi ....................................................................... 99925 0.7654 0.7565 -1.16 

25770 ....... Webster County, Mississippi ..................................................................... 99925 0.7654 0.7565 -1.16 

25780 ....... Wilkinson County, Mississippi ................................................................... 99925 0.7654 0.7565 -1.16 


hsrobinson on PROD1PC69 with PROPOSALS2
44154 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

25790 ....... Winston County, Mississippi ..................................................................... 99925 0.7654 0.7565 -1.16 

25800 ....... Yalobusha County, Mississippi ................................................................. 99925 0.7654 0.7565 -1.16 

25810 ....... Yazoo County, Mississippi ........................................................................ 99925 0.7654 0.7565 -1.16 

26000 ....... Adair County, Missouri .............................................................................. 99926 0.7930 0.7934 0.05 

26010 ....... Andrew County, Missouri .......................................................................... 41140 0.9519 1.0136 6.48 

26020 ....... Atchison County, Missouri ......................................................................... 99926 0.7930 0.7934 0.05 

26030 ....... Audrain County, Missouri .......................................................................... 99926 0.7930 0.7934 0.05 

26040 ....... Barry County, Missouri .............................................................................. 99926 0.7930 0.7934 0.05 

26050 ....... Barton County, Missouri ............................................................................ 99926 0.7930 0.7934 0.05 

26060 ....... Bates County, Missouri ............................................................................. 28140 0.8718 0.9514 9.13 

26070 ....... Benton County, Missouri ........................................................................... 99926 0.7930 0.7934 0.05 

26080 ....... Bollinger County, Missouri ........................................................................ 99926 0.7930 0.7934 0.05 

26090 ....... Boone County, Missouri ............................................................................ 17860 0.8345 0.8557 2.54 

26100 ....... Buchanan County, Missouri ...................................................................... 41140 0.9519 1.0136 6.48 

26110 ....... Butler County, Missouri ............................................................................. 99926 0.7930 0.7934 0.05 

26120 ....... Caldwell County, Missouri ......................................................................... 28140 0.8718 0.9514 9.13 

26130 ....... Callaway County, Missouri ........................................................................ 27620 0.8173 0.8347 2.13 

26140 ....... Camden County, Missouri ......................................................................... 99926 0.7930 0.7934 0.05 

26150 ....... Cape Girardeau County, Missouri ............................................................. 99926 0.7930 0.7934 0.05 

26160 ....... Carroll County, Missouri ............................................................................ 99926 0.7930 0.7934 0.05 

26170 ....... Carter County, Missouri ............................................................................ 99926 0.7930 0.7934 0.05 

26180 ....... Cass County, Missouri .............................................................................. 28140 0.9483 0.9514 0.33 

26190 ....... Cedar County, Missouri ............................................................................. 99926 0.7930 0.7934 0.05 

26200 ....... Chariton County, Missouri ......................................................................... 99926 0.7930 0.7934 0.05 

26210 ....... Christian County, Missouri ........................................................................ 44180 0.8244 0.8484 2.91 

26220 ....... Clark County, Missouri .............................................................................. 99926 0.7930 0.7934 0.05 

26230 ....... Clay County, Missouri ............................................................................... 28140 0.9483 0.9514 0.33 

26240 ....... Clinton County, Missouri ........................................................................... 28140 0.9483 0.9514 0.33 

26250 ....... Cole County, Missouri ............................................................................... 27620 0.8173 0.8347 2.13 

26260 ....... Cooper County, Missouri ........................................................................... 99926 0.7930 0.7934 0.05 

26270 ....... Crawford County, Missouri ........................................................................ 41180 0.8457 0.9013 6.57 

26280 ....... Dade County, Missouri .............................................................................. 99926 0.7930 0.7934 0.05 

26290 ....... Dallas County, Missouri ............................................................................ 44180 0.8098 0.8484 4.77 

26300 ....... Daviess County, Missouri .......................................................................... 99926 0.7930 0.7934 0.05 

26310 ....... De Kalb County, Missouri ......................................................................... 41140 0.8739 1.0136 15.99 

26320 ....... Dent County, Missouri ............................................................................... 99926 0.7930 0.7934 0.05 

26330 ....... Douglas County, Missouri ......................................................................... 99926 0.7930 0.7934 0.05 

26340 ....... Dunklin County, Missouri .......................................................................... 99926 0.7930 0.7934 0.05 

26350 ....... Franklin County, Missouri .......................................................................... 41180 0.8958 0.9013 0.61 

26360 ....... Gasconade County, Missouri .................................................................... 99926 0.7930 0.7934 0.05 

26370 ....... Gentry County, Missouri ............................................................................ 99926 0.7930 0.7934 0.05 

26380 ....... Greene County, Missouri .......................................................................... 44180 0.8244 0.8484 2.91 

26390 ....... Grundy County, Missouri ........................................................................... 99926 0.7930 0.7934 0.05 

26400 ....... Harrison County, Missouri ......................................................................... 99926 0.7930 0.7934 0.05 

26410 ....... Henry County, Missouri ............................................................................. 99926 0.7930 0.7934 0.05 

26411 ....... Hickory County, Missouri .......................................................................... 99926 0.7930 0.7934 0.05 

26412 ....... Holt County, Missouri ................................................................................ 99926 0.7930 0.7934 0.05 

26440 ....... Howard County, Missouri .......................................................................... 17860 0.8152 0.8557 4.97 

26450 ....... Howell County, Missouri ............................................................................ 99926 0.7930 0.7934 0.05 

26460 ....... Iron County, Missouri ................................................................................ 99926 0.7930 0.7934 0.05 

26470 ....... Jackson County, Missouri ......................................................................... 28140 0.9483 0.9514 0.33 

26480 ....... Jasper County, Missouri ............................................................................ 27900 0.8582 0.8620 0.44 

26490 ....... Jefferson County, Missouri ........................................................................ 41180 0.8958 0.9013 0.61 

26500 ....... Johnson County, Missouri ......................................................................... 99926 0.7930 0.7934 0.05 

26510 ....... Knox County, Missouri .............................................................................. 99926 0.7930 0.7934 0.05 

26520 ....... Laclede County, Missouri .......................................................................... 99926 0.7930 0.7934 0.05 

26530 ....... Lafayette County, Missouri ........................................................................ 28140 0.9483 0.9514 0.33 

26540 ....... Lawrence County, Missouri ....................................................................... 99926 0.7930 0.7934 0.05 

26541 ....... Lewis County, Missouri ............................................................................. 99926 0.7930 0.7934 0.05 

26560 ....... Lincoln County, Missouri ........................................................................... 41180 0.8958 0.9013 0.61 

26570 ....... Linn County, Missouri ................................................................................ 99926 0.7930 0.7934 0.05 

26580 ....... Livingston County, Missouri ...................................................................... 99926 0.7930 0.7934 0.05 

26590 ....... Mc Donald County, Missouri ..................................................................... 22220 0.8310 0.8761 5.43 

26600 ....... Macon County, Missouri ............................................................................ 99926 0.7930 0.7934 0.05 

26601 ....... Madison County, Missouri ......................................................................... 99926 0.7930 0.7934 0.05 

26620 ....... Maries County, Missouri ............................................................................ 99926 0.7930 0.7934 0.05 

26630 ....... Marion County, Missouri ........................................................................... 99926 0.7930 0.7934 0.05 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44155 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

26631 ....... Mercer County, Missouri ........................................................................... 99926 0.7930 0.7934 0.05 

26650 ....... Miller County, Missouri .............................................................................. 99926 0.7930 0.7934 0.05 

26660 ....... Mississippi County, Missouri ..................................................................... 99926 0.7930 0.7934 0.05 

26670 ....... Moniteau County, Missouri ........................................................................ 27620 0.8173 0.8347 2.13 

26680 ....... Monroe County, Missouri .......................................................................... 99926 0.7930 0.7934 0.05 

26690 ....... Montgomery County, Missouri .................................................................. 99926 0.7930 0.7934 0.05 

26700 ....... Morgan County, Missouri .......................................................................... 99926 0.7930 0.7934 0.05 

26710 ....... New Madrid County, Missouri ................................................................... 99926 0.7930 0.7934 0.05 

26720 ....... Newton County, Missouri .......................................................................... 27900 0.8582 0.8620 0.44 

26730 ....... Nodaway County, Missouri ....................................................................... 99926 0.7930 0.7934 0.05 

26740 ....... Oregon County, Missouri .......................................................................... 99926 0.7930 0.7934 0.05 

26750 ....... Osage County, Missouri ............................................................................ 27620 0.8173 0.8347 2.13 

26751 ....... Ozark County, Missouri ............................................................................. 99926 0.7930 0.7934 0.05 

26770 ....... Pemiscot County, Missouri ........................................................................ 99926 0.7930 0.7934 0.05 

26780 ....... Perry County, Missouri .............................................................................. 99926 0.7930 0.7934 0.05 

26790 ....... Pettis County, Missouri ............................................................................. 99926 0.7930 0.7934 0.05 

26800 ....... Phelps County, Missouri ........................................................................... 99926 0.7930 0.7934 0.05 

26810 ....... Pike County, Missouri ............................................................................... 99926 0.7930 0.7934 0.05 

26820 ....... Platte County, Missouri ............................................................................. 28140 0.9483 0.9514 0.33 

26821 ....... Polk County, Missouri ............................................................................... 44180 0.8098 0.8484 4.77 

26840 ....... Pulaski County, Missouri ........................................................................... 99926 0.7930 0.7934 0.05 

26850 ....... Putnam County, Missouri .......................................................................... 99926 0.7930 0.7934 0.05 

26860 ....... Ralls County, Missouri .............................................................................. 99926 0.7930 0.7934 0.05 

26870 ....... Randolph County, Missouri ....................................................................... 99926 0.7930 0.7934 0.05 

26880 ....... Ray County, Missouri ................................................................................ 28140 0.9483 0.9514 0.33 

26881 ....... Reynolds County, Missouri ....................................................................... 99926 0.7930 0.7934 0.05 

26900 ....... Ripley County, Missouri ............................................................................ 99926 0.7930 0.7934 0.05 

26910 ....... St Charles County, Missouri ..................................................................... 41180 0.8958 0.9013 0.61 

26911 ....... St Clair County, Missouri .......................................................................... 99926 0.7930 0.7934 0.05 

26930 ....... St Francois County, Missouri .................................................................... 99926 0.7930 0.7934 0.05 

26940 ....... St Louis County, Missouri ......................................................................... 41180 0.8958 0.9013 0.61 

26950 ....... St Louis City County, Missouri .................................................................. 41180 0.8958 0.9013 0.61 

26960 ....... Ste Genevieve County, Missouri ............................................................... 99926 0.7930 0.7934 0.05 

26970 ....... Saline County, Missouri ............................................................................ 99926 0.7930 0.7934 0.05 

26980 ....... Schuyler County, Missouri ........................................................................ 99926 0.7930 0.7934 0.05 

26981 ....... Scotland County, Missouri ........................................................................ 99926 0.7930 0.7934 0.05 

26982 ....... Scott County, Missouri .............................................................................. 99926 0.7930 0.7934 0.05 

26983 ....... Shannon County, Missouri ........................................................................ 99926 0.7930 0.7934 0.05 

26984 ....... Shelby County, Missouri ........................................................................... 99926 0.7930 0.7934 0.05 

26985 ....... Stoddard County, Missouri ........................................................................ 99926 0.7930 0.7934 0.05 

26986 ....... Stone County, Missouri ............................................................................. 99926 0.7930 0.7934 0.05 

26987 ....... Sullivan County, Missouri .......................................................................... 99926 0.7930 0.7934 0.05 

26988 ....... Taney County, Missouri ............................................................................ 99926 0.7930 0.7934 0.05 

26989 ....... Texas County, Missouri ............................................................................. 99926 0.7930 0.7934 0.05 

26990 ....... Vernon County, Missouri ........................................................................... 99926 0.7930 0.7934 0.05 

26991 ....... Warren County, Missouri ........................................................................... 41180 0.8958 0.9013 0.61 

26992 ....... Washington County, Missouri ................................................................... 41180 0.8457 0.9013 6.57 

26993 ....... Wayne County, Missouri ........................................................................... 99926 0.7930 0.7934 0.05 

26994 ....... Webster County, Missouri ......................................................................... 44180 0.8244 0.8484 2.91 

26995 ....... Worth County, Missouri ............................................................................. 99926 0.7930 0.7934 0.05 

26996 ....... Wright County, Missouri ............................................................................ 99926 0.7930 0.7934 0.05 

27000 ....... Beaverhead County, Montana .................................................................. 99927 0.8762 0.8605 -1.79 

27010 ....... Big Horn County, Montana ........................................................................ 99927 0.8762 0.8605 -1.79 

27020 ....... Blaine County, Montana ............................................................................ 99927 0.8762 0.8605 -1.79 

27030 ....... Broadwater County, Montana ................................................................... 99927 0.8762 0.8605 -1.79 

27040 ....... Carbon County, Montana .......................................................................... 13740 0.8798 0.8728 -0.80 

27050 ....... Carter County, Montana ............................................................................ 99927 0.8762 0.8605 -1.79 

27060 ....... Cascade County, Montana ........................................................................ 24500 0.9052 0.8613 -4.85 

27070 ....... Chouteau County, Montana ...................................................................... 99927 0.8762 0.8605 -1.79 

27080 ....... Custer County, Montana ........................................................................... 99927 0.8762 0.8605 -1.79 

27090 ....... Daniels County, Montana .......................................................................... 99927 0.8762 0.8605 -1.79 

27100 ....... Dawson County, Montana ......................................................................... 99927 0.8762 0.8605 -1.79 

27110 ....... Deer Lodge County, Montana ................................................................... 99927 0.8762 0.8605 -1.79 

27113 ....... Yellowstone National Park, Montana ........................................................ 99927 0.8762 0.8605 -1.79

27120 ....... Fallon County, Montana ............................................................................ 99927 0.8762 0.8605 -1.79 

27130 ....... Fergus County, Montana ........................................................................... 99927 0.8762 0.8605 -1.79 

27140 ....... Flathead County, Montana ........................................................................ 99927 0.8762 0.8605 -1.79 


hsrobinson on PROD1PC69 with PROPOSALS2
44156 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

27150 ....... Gallatin County, Montana .......................................................................... 99927 0.8762 0.8605 -1.79 

27160 ....... Garfield County, Montana ......................................................................... 99927 0.8762 0.8605 -1.79 

27170 ....... Glacier County, Montana .......................................................................... 99927 0.8762 0.8605 -1.79 

27180 ....... Golden Valley County, Montana ............................................................... 99927 0.8762 0.8605 -1.79 

27190 ....... Granite County, Montana .......................................................................... 99927 0.8762 0.8605 -1.79 

27200 ....... Hill County, Montana ................................................................................. 99927 0.8762 0.8605 -1.79 

27210 ....... Jefferson County, Montana ....................................................................... 99927 0.8762 0.8605 -1.79 

27220 ....... Judith Basin County, Montana .................................................................. 99927 0.8762 0.8605 -1.79 

27230 ....... Lake County, Montana .............................................................................. 99927 0.8762 0.8605 -1.79 

27240 ....... Lewis And Clark County, Montana ........................................................... 99927 0.8762 0.8605 -1.79

27250 ....... Liberty County, Montana ........................................................................... 99927 0.8762 0.8605 -1.79 

27260 ....... Lincoln County, Montana .......................................................................... 99927 0.8762 0.8605 -1.79 

27270 ....... Mc Cone County, Montana ....................................................................... 99927 0.8762 0.8605 -1.79 

27280 ....... Madison County, Montana ........................................................................ 99927 0.8762 0.8605 -1.79 

27290 ....... Meagher County, Montana ........................................................................ 99927 0.8762 0.8605 -1.79 

27300 ....... Mineral County, Montana .......................................................................... 99927 0.8762 0.8605 -1.79 

27310 ....... Missoula County, Montana ........................................................................ 33540 0.9473 0.8944 -5.58 

27320 ....... Musselshell County, Montana ................................................................... 99927 0.8762 0.8605 -1.79 

27330 ....... Park County, Montana .............................................................................. 99927 0.8762 0.8605 -1.79 

27340 ....... Petroleum County, Montana ..................................................................... 99927 0.8762 0.8605 -1.79 

27350 ....... Phillips County, Montana .......................................................................... 99927 0.8762 0.8605 -1.79 

27360 ....... Pondera County, Montana ........................................................................ 99927 0.8762 0.8605 -1.79 

27370 ....... Powder River County, Montana ................................................................ 99927 0.8762 0.8605 -1.79 

27380 ....... Powell County, Montana ........................................................................... 99927 0.8762 0.8605 -1.79 

27390 ....... Prairie County, Montana ........................................................................... 99927 0.8762 0.8605 -1.79 

27400 ....... Ravalli County, Montana ........................................................................... 99927 0.8762 0.8605 -1.79 

27410 ....... Richland County, Montana ........................................................................ 99927 0.8762 0.8605 -1.79 

27420 ....... Roosevelt County, Montana ...................................................................... 99927 0.8762 0.8605 -1.79 

27430 ....... Rosebud County, Montana ....................................................................... 99927 0.8762 0.8605 -1.79 

27440 ....... Sanders County, Montana ........................................................................ 99927 0.8762 0.8605 -1.79 

27450 ....... Sheridan County, Montana ....................................................................... 99927 0.8762 0.8605 -1.79 

27460 ....... Silver Bow County, Montana ..................................................................... 99927 0.8762 0.8605 -1.79 

27470 ....... Stillwater County, Montana ....................................................................... 99927 0.8762 0.8605 -1.79 

27480 ....... Sweet Grass County, Montana ................................................................. 99927 0.8762 0.8605 -1.79 

27490 ....... Teton County, Montana ............................................................................. 99927 0.8762 0.8605 -1.79 

27500 ....... Toole County, Montana ............................................................................. 99927 0.8762 0.8605 -1.79 

27510 ....... Treasure County, Montana ....................................................................... 99927 0.8762 0.8605 -1.79 

27520 ....... Valley County, Montana ............................................................................ 99927 0.8762 0.8605 -1.79 

27530 ....... Wheatland County, Montana ..................................................................... 99927 0.8762 0.8605 -1.79 

27540 ....... Wibaux County, Montana .......................................................................... 99927 0.8762 0.8605 -1.79 

27550 ....... Yellowstone County, Montana .................................................................. 13740 0.8834 0.8728 -1.20 

28000 ....... Adams County, Nebraska ......................................................................... 99928 0.8657 0.8693 0.42 

28010 ....... Antelope County, Nebraska ...................................................................... 99928 0.8657 0.8693 0.42 

28020 ....... Arthur County, Nebraska ........................................................................... 99928 0.8657 0.8693 0.42 

28030 ....... Banner County, Nebraska ......................................................................... 99928 0.8657 0.8693 0.42 

28040 ....... Blaine County, Nebraska .......................................................................... 99928 0.8657 0.8693 0.42 

28050 ....... Boone County, Nebraska .......................................................................... 99928 0.8657 0.8693 0.42 

28060 ....... Box Butte County, Nebraska ..................................................................... 99928 0.8657 0.8693 0.42 

28070 ....... Boyd County, Nebraska ............................................................................ 99928 0.8657 0.8693 0.42 

28080 ....... Brown County, Nebraska .......................................................................... 99928 0.8657 0.8693 0.42 

28090 ....... Buffalo County, Nebraska ......................................................................... 99928 0.8657 0.8693 0.42 

28100 ....... Burt County, Nebraska .............................................................................. 99928 0.8657 0.8693 0.42 

28110 ....... Butler County, Nebraska ........................................................................... 99928 0.8657 0.8693 0.42 

28120 ....... Cass County, Nebraska ............................................................................ 36540 0.9560 0.9467 -0.97 

28130 ....... Cedar County, Nebraska ........................................................................... 99928 0.8657 0.8693 0.42 

28140 ....... Chase County, Nebraska .......................................................................... 99928 0.8657 0.8693 0.42 

28150 ....... Cherry County, Nebraska .......................................................................... 99928 0.8657 0.8693 0.42 

28160 ....... Cheyenne County, Nebraska .................................................................... 99928 0.8657 0.8693 0.42 

28170 ....... Clay County, Nebraska ............................................................................. 99928 0.8657 0.8693 0.42 

28180 ....... Colfax County, Nebraska .......................................................................... 99928 0.8657 0.8693 0.42 

28190 ....... Cuming County, Nebraska ........................................................................ 99928 0.8657 0.8693 0.42 

28200 ....... Custer County, Nebraska .......................................................................... 99928 0.8657 0.8693 0.42 

28210 ....... Dakota County, Nebraska ......................................................................... 43580 0.9399 0.9217 -1.94 

28220 ....... Dawes County, Nebraska ......................................................................... 99928 0.8657 0.8693 0.42 

28230 ....... Dawson County, Nebraska ....................................................................... 99928 0.8657 0.8693 0.42 

28240 ....... Deuel County, Nebraska ........................................................................... 99928 0.8657 0.8693 0.42 

28250 ....... Dixon County, Nebraska ........................................................................... 43580 0.9019 0.9217 2.20 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44157 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

28260 ....... Dodge County, Nebraska .......................................................................... 99928 0.8657 0.8693 0.42 

28270 ....... Douglas County, Nebraska ....................................................................... 36540 0.9560 0.9467 -0.97 

28280 ....... Dundy County, Nebraska .......................................................................... 99928 0.8657 0.8693 0.42 

28290 ....... Fillmore County, Nebraska ........................................................................ 99928 0.8657 0.8693 0.42 

28300 ....... Franklin County, Nebraska ........................................................................ 99928 0.8657 0.8693 0.42 

28310 ....... Frontier County, Nebraska ........................................................................ 99928 0.8657 0.8693 0.42 

28320 ....... Furnas County, Nebraska ......................................................................... 99928 0.8657 0.8693 0.42 

28330 ....... Gage County, Nebraska ............................................................................ 99928 0.8657 0.8693 0.42 

28340 ....... Garden County, Nebraska ........................................................................ 99928 0.8657 0.8693 0.42 

28350 ....... Garfield County, Nebraska ........................................................................ 99928 0.8657 0.8693 0.42 

28360 ....... Gosper County, Nebraska ......................................................................... 99928 0.8657 0.8693 0.42 

28370 ....... Grant County, Nebraska ........................................................................... 99928 0.8657 0.8693 0.42 

28380 ....... Greeley County, Nebraska ........................................................................ 99928 0.8657 0.8693 0.42 

28390 ....... Hall County, Nebraska .............................................................................. 99928 0.8657 0.8693 0.42 

28400 ....... Hamilton County, Nebraska ...................................................................... 99928 0.8657 0.8693 0.42 

28410 ....... Harlan County, Nebraska .......................................................................... 99928 0.8657 0.8693 0.42 

28420 ....... Hayes County, Nebraska .......................................................................... 99928 0.8657 0.8693 0.42 

28430 ....... Hitchcock County, Nebraska ..................................................................... 99928 0.8657 0.8693 0.42 

28440 ....... Holt County, Nebraska .............................................................................. 99928 0.8657 0.8693 0.42 

28450 ....... Hooker County, Nebraska ......................................................................... 99928 0.8657 0.8693 0.42 

28460 ....... Howard County, Nebraska ........................................................................ 99928 0.8657 0.8693 0.42 

28470 ....... Jefferson County, Nebraska ...................................................................... 99928 0.8657 0.8693 0.42 

28480 ....... Johnson County, Nebraska ....................................................................... 99928 0.8657 0.8693 0.42 

28490 ....... Kearney County, Nebraska ....................................................................... 99928 0.8657 0.8693 0.42 

28500 ....... Keith County, Nebraska ............................................................................ 99928 0.8657 0.8693 0.42 

28510 ....... Keya Paha County, Nebraska ................................................................... 99928 0.8657 0.8693 0.42 

28520 ....... Kimball County, Nebraska ......................................................................... 99928 0.8657 0.8693 0.42 

28530 ....... Knox County, Nebraska ............................................................................ 99928 0.8657 0.8693 0.42 

28540 ....... Lancaster County, Nebraska ..................................................................... 30700 1.0214 1.0110 -1.02 

28550 ....... Lincoln County, Nebraska ......................................................................... 99928 0.8657 0.8693 0.42 

28560 ....... Logan County, Nebraska .......................................................................... 99928 0.8657 0.8693 0.42 

28570 ....... Loup County, Nebraska ............................................................................ 99928 0.8657 0.8693 0.42 

28580 ....... Mc Pherson County, Nebraska ................................................................. 99928 0.8657 0.8693 0.42 

28590 ....... Madison County, Nebraska ....................................................................... 99928 0.8657 0.8693 0.42 

28600 ....... Merrick County, Nebraska ......................................................................... 99928 0.8657 0.8693 0.42 

28610 ....... Morrill County, Nebraska ........................................................................... 99928 0.8657 0.8693 0.42 

28620 ....... Nance County, Nebraska .......................................................................... 99928 0.8657 0.8693 0.42 

28630 ....... Nemaha County, Nebraska ....................................................................... 99928 0.8657 0.8693 0.42 

28640 ....... Nuckolls County, Nebraska ....................................................................... 99928 0.8657 0.8693 0.42 

28650 ....... Otoe County, Nebraska ............................................................................. 99928 0.8657 0.8693 0.42 

28660 ....... Pawnee County, Nebraska ....................................................................... 99928 0.8657 0.8693 0.42 

28670 ....... Perkins County, Nebraska ........................................................................ 99928 0.8657 0.8693 0.42 

28680 ....... Phelps County, Nebraska ......................................................................... 99928 0.8657 0.8693 0.42 

28690 ....... Pierce County, Nebraska .......................................................................... 99928 0.8657 0.8693 0.42 

28700 ....... Platte County, Nebraska ........................................................................... 99928 0.8657 0.8693 0.42 

28710 ....... Polk County, Nebraska ............................................................................. 99928 0.8657 0.8693 0.42 

28720 ....... Redwillow County, Nebraska .................................................................... 99928 0.8657 0.8693 0.42 

28730 ....... Richardson County, Nebraska .................................................................. 99928 0.8657 0.8693 0.42 

28740 ....... Rock County, Nebraska ............................................................................ 99928 0.8657 0.8693 0.42 

28750 ....... Saline County, Nebraska .......................................................................... 99928 0.8657 0.8693 0.42 

28760 ....... Sarpy County, Nebraska ........................................................................... 36540 0.9560 0.9467 -0.97 

28770 ....... Saunders County, Nebraska ..................................................................... 36540 0.9109 0.9467 3.93 

28780 ....... Scotts Bluff County, Nebraska .................................................................. 99928 0.8657 0.8693 0.42 

28790 ....... Seward County, Nebraska ........................................................................ 30700 0.9436 1.0110 7.14 

28800 ....... Sheridan County, Nebraska ...................................................................... 99928 0.8657 0.8693 0.42 

28810 ....... Sherman County, Nebraska ...................................................................... 99928 0.8657 0.8693 0.42 

28820 ....... Sioux County, Nebraska ........................................................................... 99928 0.8657 0.8693 0.42 

28830 ....... Stanton County, Nebraska ........................................................................ 99928 0.8657 0.8693 0.42 

28840 ....... Thayer County, Nebraska ......................................................................... 99928 0.8657 0.8693 0.42 

28850 ....... Thomas County, Nebraska ....................................................................... 99928 0.8657 0.8693 0.42 

28860 ....... Thurston County, Nebraska ...................................................................... 99928 0.8657 0.8693 0.42 

28870 ....... Valley County, Nebraska ........................................................................... 99928 0.8657 0.8693 0.42 

28880 ....... Washington County, Nebraska ................................................................. 36540 0.9560 0.9467 -0.97 

28890 ....... Wayne County, Nebraska ......................................................................... 99928 0.8657 0.8693 0.42 

28900 ....... Webster County, Nebraska ....................................................................... 99928 0.8657 0.8693 0.42 

28910 ....... Wheeler County, Nebraska ....................................................................... 99928 0.8657 0.8693 0.42 

28920 ....... York County, Nebraska ............................................................................. 99928 0.8657 0.8693 0.42 


hsrobinson on PROD1PC69 with PROPOSALS2
44158 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

29000 ....... Churchill County, Nevada ......................................................................... 99929 0.9376 0.8960 -4.44 

29010 ....... Clark County, Nevada ............................................................................... 29820 1.1296 1.1450 1.36 

29020 ....... Douglas County, Nevada .......................................................................... 99929 0.9376 0.8960 -4.44 

29030 ....... Elko County, Nevada ................................................................................ 99929 0.9376 0.8960 -4.44 

29040 ....... Esmeralda County, Nevada ...................................................................... 99929 0.9376 0.8960 -4.44 

29050 ....... Eureka County, Nevada ............................................................................ 99929 0.9376 0.8960 -4.44 

29060 ....... Humboldt County, Nevada ........................................................................ 99929 0.9376 0.8960 -4.44 

29070 ....... Lander County, Nevada ............................................................................ 99929 0.9376 0.8960 -4.44 

29080 ....... Lincoln County, Nevada ............................................................................ 99929 0.9376 0.8960 -4.44 

29090 ....... Lyon County, Nevada ................................................................................ 99929 0.9376 0.8960 -4.44 

29100 ....... Mineral County, Nevada ............................................................................ 99929 0.9376 0.8960 -4.44 

29110 ....... Nye County, Nevada ................................................................................. 99929 1.0110 0.8960 -11.37 

29120 ....... Carson City County, Nevada .................................................................... 16180 0.9961 1.0043 0.82 

29130 ....... Pershing County, Nevada ......................................................................... 99929 0.9376 0.8960 -4.44 

29140 ....... Storey County, Nevada ............................................................................. 39900 1.0335 1.1984 15.96 

29150 ....... Washoe County, Nevada .......................................................................... 39900 1.0982 1.1984 9.12 

29160 ....... White Pine County, Nevada ...................................................................... 99929 0.9376 0.8960 -4.44 

30000 ....... Belknap County, New Hampshire ............................................................. 99930 1.0817 1.0800 -0.16

30010 ....... Carroll County, New Hampshire ............................................................... 99930 1.0817 1.0800 -0.16 

30020 ....... Cheshire County, New Hampshire ............................................................ 99930 1.0817 1.0800 -0.16

30030 ....... Coos County, New Hampshire .................................................................. 99930 1.0817 1.0800 -0.16 

30040 ....... Grafton County, New Hampshire .............................................................. 99930 1.0817 1.0800 -0.16 

30050 ....... Hillsboro County, New Hampshire ............................................................ 31700 1.0766 1.0261 -4.69 

30060 ....... Merrimack County, New Hampshire ......................................................... 31700 1.0766 1.0261 -4.69 

30070 ....... Rockingham County, New Hampshire ...................................................... 40484 1.0776 1.0177 -5.56 

30080 ....... Strafford County, New Hampshire ............................................................ 40484 1.0776 1.0177 -5.56 

30090 ....... Sullivan County, New Hampshire ............................................................. 99930 1.0817 1.0800 -0.16 

31000 ....... Atlantic County, New Jersey ..................................................................... 12100 1.1556 1.1751 1.69 

31100 ....... Bergen County, New Jersey ..................................................................... 35644 1.2420 1.3208 6.34 

31150 ....... Burlington County, New Jersey ................................................................. 15804 1.0720 1.0411 -2.88 

31160 ....... Camden County, New Jersey ................................................................... 15804 1.0720 1.0411 -2.88 

31180 ....... Cape May County, New Jersey ................................................................ 36140 1.1254 1.0490 -6.79 

31190 ....... Cumberland County, New Jersey ............................................................. 47220 0.9827 0.9849 0.22 

31200 ....... Essex County, New Jersey ....................................................................... 35084 1.1859 1.1890 0.26 

31220 ....... Gloucester County, New Jersey ............................................................... 15804 1.0720 1.0411 -2.88 

31230 ....... Hudson County, New Jersey .................................................................... 35644 1.2263 1.3208 7.71 

31250 ....... Hunterdon County, New Jersey ................................................................ 35084 1.1525 1.1890 3.17 

31260 ....... Mercer County, New Jersey ...................................................................... 45940 1.0834 1.0877 0.40 

31270 ....... Middlesex County, New Jersey ................................................................. 20764 1.1208 1.1207 -0.01 

31290 ....... Monmouth County, New Jersey ................................................................ 20764 1.1255 1.1207 -0.43 

31300 ....... Morris County, New Jersey ....................................................................... 35084 1.1859 1.1890 0.26 

31310 ....... Ocean County, New Jersey ...................................................................... 20764 1.1255 1.1207 -0.43 

31320 ....... Passaic County, New Jersey .................................................................... 35644 1.2420 1.3208 6.34 

31340 ....... Salem County, New Jersey ....................................................................... 48864 1.0697 1.0703 0.06 

31350 ....... Somerset County, New Jersey ................................................................. 20764 1.1208 1.1207 -0.01 

31360 ....... Sussex County, New Jersey ..................................................................... 35084 1.1859 1.1890 0.26 

31370 ....... Union County, New Jersey ....................................................................... 35084 1.1859 1.1890 0.26 

31390 ....... Warren County, New Jersey ..................................................................... 10900 1.0826 0.9910 -8.46 

32000 ....... Bernalillo County, New Mexico ................................................................. 10740 0.9684 0.9474 -2.17 

32010 ....... Catron County, New Mexico ..................................................................... 99932 0.8599 0.8347 -2.93 

32020 ....... Chaves County, New Mexico .................................................................... 99932 0.8599 0.8347 -2.93 

32025 ....... Cibola County, New Mexico ...................................................................... 99932 0.8599 0.8347 -2.93 

32030 ....... Colfax County, New Mexico ...................................................................... 99932 0.8599 0.8347 -2.93 

32040 ....... Curry County, New Mexico ....................................................................... 99932 0.8599 0.8347 -2.93 

32050 ....... De Baca County, New Mexico .................................................................. 99932 0.8599 0.8347 -2.93 

32060 ....... Dona Ana County, New Mexico ................................................................ 29740 0.8467 0.9290 9.72

32070 ....... Eddy County, New Mexico ........................................................................ 99932 0.8599 0.8347 -2.93 

32080 ....... Grant County, New Mexico ....................................................................... 99932 0.8599 0.8347 -2.93 

32090 ....... Guadalupe County, New Mexico .............................................................. 99932 0.8599 0.8347 -2.93

32100 ....... Harding County, New Mexico ................................................................... 99932 0.8599 0.8347 -2.93 

32110 ....... Hidalgo County, New Mexico .................................................................... 99932 0.8599 0.8347 -2.93 

32120 ....... Lea County, New Mexico .......................................................................... 99932 0.8599 0.8347 -2.93 

32130 ....... Lincoln County, New Mexico ..................................................................... 99932 0.8599 0.8347 -2.93 

32131 ....... Los Alamos County, New Mexico ............................................................. 99932 0.9692 0.8347 -13.88 

32140 ....... Luna County, New Mexico ........................................................................ 99932 0.8599 0.8347 -2.93 

32150 ....... Mc Kinley County, New Mexico ................................................................ 99932 0.8599 0.8347 -2.93 

32160 ....... Mora County, New Mexico ........................................................................ 99932 0.8599 0.8347 -2.93 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44159 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

32170 ....... Otero County, New Mexico ....................................................................... 99932 0.8599 0.8347 -2.93 

32180 ....... Quay County, New Mexico ....................................................................... 99932 0.8599 0.8347 -2.93 

32190 ....... Rio Arriba County, New Mexico ................................................................ 99932 0.8599 0.8347 -2.93 

32200 ....... Roosevelt County, New Mexico ................................................................ 99932 0.8599 0.8347 -2.93 

32210 ....... Sandoval County, New Mexico ................................................................. 10740 0.9684 0.9474 -2.17 

32220 ....... San Juan County, New Mexico ................................................................. 22140 0.8536 0.8604 0.80 

32230 ....... San Miguel County, New Mexico .............................................................. 99932 0.8599 0.8347 -2.93 

32240 ....... Santa Fe County, New Mexico ................................................................. 42140 1.0834 1.0843 0.08 

32250 ....... Sierra County, New Mexico ...................................................................... 99932 0.8599 0.8347 -2.93 

32260 ....... Socorro County, New Mexico ................................................................... 99932 0.8599 0.8347 -2.93 

32270 ....... Taos County, New Mexico ........................................................................ 99932 0.8599 0.8347 -2.93 

32280 ....... Torrance County, New Mexico .................................................................. 10740 0.9124 0.9474 3.84 

32290 ....... Union County, New Mexico ....................................................................... 99932 0.8599 0.8347 -2.93 

32300 ....... Valencia County, New Mexico .................................................................. 10740 0.9684 0.9474 -2.17 

33000 ....... Albany County, New York ......................................................................... 10580 0.8574 0.8735 1.88 

33010 ....... Allegany County, New York ...................................................................... 99933 0.8275 0.8250 -0.30 

33020 ....... Bronx County, New York ........................................................................... 35644 1.3326 1.3208 -0.89 

33030 ....... Broome County, New York ....................................................................... 13780 0.8562 0.8798 2.76 

33040 ....... Cattaraugus County, New York ................................................................ 99933 0.8275 0.8250 -0.30 

33050 ....... Cayuga County, New York ........................................................................ 99933 0.8823 0.8250 -6.49 

33060 ....... Chautauqua County, New York ................................................................ 99933 0.7849 0.8250 5.11

33070 ....... Chemung County, New York .................................................................... 21300 0.8250 0.8213 -0.45 

33080 ....... Chenango County, New York ................................................................... 99933 0.8275 0.8250 -0.30 

33090 ....... Clinton County, New York ......................................................................... 99933 0.8275 0.8250 -0.30 

33200 ....... Columbia County, New York ..................................................................... 99933 0.8275 0.8250 -0.30 

33210 ....... Cortland County, New York ...................................................................... 99933 0.8275 0.8250 -0.30 

33220 ....... Delaware County, New York ..................................................................... 99933 0.8275 0.8250 -0.30 

33230 ....... Dutchess County, New York ..................................................................... 39100 1.0683 1.0913 2.15 

33240 ....... Erie County, New York .............................................................................. 15380 0.9511 0.9483 -0.29 

33260 ....... Essex County, New York .......................................................................... 99933 0.8275 0.8250 -0.30 

33270 ....... Franklin County, New York ....................................................................... 99933 0.8275 0.8250 -0.30 

33280 ....... Fulton County, New York .......................................................................... 99933 0.8275 0.8250 -0.30 

33290 ....... Genesee County, New York ..................................................................... 99933 0.8602 0.8250 -4.09 

33300 ....... Greene County, New York ........................................................................ 99933 0.8275 0.8250 -0.30 

33310 ....... Hamilton County, New York ...................................................................... 99933 0.8275 0.8250 -0.30 

33320 ....... Herkimer County, New York ..................................................................... 46540 0.8358 0.8402 0.53 

33330 ....... Jefferson County, New York ..................................................................... 99933 0.8275 0.8250 -0.30 

33331 ....... Kings County, New York ........................................................................... 35644 1.3326 1.3208 -0.89 

33340 ....... Lewis County, New York ........................................................................... 99933 0.8275 0.8250 -0.30 

33350 ....... Livingston County, New York .................................................................... 40380 0.9085 0.9005 -0.88 

33360 ....... Madison County, New York ...................................................................... 45060 0.9533 0.9709 1.85 

33370 ....... Monroe County, New York ........................................................................ 40380 0.9085 0.9005 -0.88 

33380 ....... Montgomery County, New York ................................................................ 99933 0.8357 0.8250 -1.28 

33400 ....... Nassau County, New York ........................................................................ 35004 1.2719 1.2681 -0.30 

33420 ....... New York County, New York .................................................................... 35644 1.3326 1.3208 -0.89 

33500 ....... Niagara County, New York ....................................................................... 15380 0.9511 0.9483 -0.29 

33510 ....... Oneida County, New York ........................................................................ 46540 0.8358 0.8402 0.53 

33520 ....... Onondaga County, New York ................................................................... 45060 0.9533 0.9709 1.85 

33530 ....... Ontario County, New York ........................................................................ 40380 0.9085 0.9005 -0.88 

33540 ....... Orange County, New York ........................................................................ 39100 1.1049 1.0913 -1.23 

33550 ....... Orleans County, New York ....................................................................... 40380 0.9085 0.9005 -0.88 

33560 ....... Oswego County, New York ....................................................................... 45060 0.9533 0.9709 1.85 

33570 ....... Otsego County, New York ........................................................................ 99933 0.8275 0.8250 -0.30 

33580 ....... Putnam County, New York ........................................................................ 35644 1.3326 1.3208 -0.89 

33590 ....... Queens County, New York ....................................................................... 35644 1.3326 1.3208 -0.89 

33600 ....... Rensselaer County, New York .................................................................. 10580 0.8574 0.8735 1.88 

33610 ....... Richmond County, New York .................................................................... 35644 1.3326 1.3208 -0.89 

33620 ....... Rockland County, New York ..................................................................... 35644 1.3326 1.3208 -0.89 

33630 ....... St Lawrence County, New York ................................................................ 99933 0.8275 0.8250 -0.30 

33640 ....... Saratoga County, New York ..................................................................... 10580 0.8574 0.8735 1.88 

33650 ....... Schenectady County, New York ............................................................... 10580 0.8574 0.8735 1.88

33660 ....... Schoharie County, New York .................................................................... 10580 0.8574 0.8735 1.88 

33670 ....... Schuyler County, New York ...................................................................... 99933 0.8275 0.8250 -0.30 

33680 ....... Seneca County, New York ........................................................................ 99933 0.8275 0.8250 -0.30 

33690 ....... Steuben County, New York ....................................................................... 99933 0.8275 0.8250 -0.30 

33700 ....... Suffolk County, New York ......................................................................... 35004 1.2719 1.2681 -0.30 

33710 ....... Sullivan County, New York ....................................................................... 99933 0.8275 0.8250 -0.30 


hsrobinson on PROD1PC69 with PROPOSALS2
44160 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

33720 ....... Tioga County, New York ........................................................................... 13780 0.8562 0.8798 2.76 

33730 ....... Tompkins County, New York .................................................................... 27060 0.9094 0.9831 8.10 

33740 ....... Ulster County, New York ........................................................................... 28740 0.8825 0.9383 6.32 

33750 ....... Warren County, New York ........................................................................ 24020 0.8559 0.8339 -2.57 

33760 ....... Washington County, New York ................................................................. 24020 0.8559 0.8339 -2.57 

33770 ....... Wayne County, New York ......................................................................... 40380 0.9085 0.9005 -0.88 

33800 ....... Westchester County, New York ................................................................ 35644 1.3326 1.3208 -0.89 

33900 ....... Wyoming County, New York ..................................................................... 99933 0.8275 0.8250 -0.30 

33910 ....... Yates County, New York ........................................................................... 99933 0.8275 0.8250 -0.30 

34000 ....... Alamance County, N Carolina ................................................................... 15500 0.8962 0.8689 -3.05 

34010 ....... Alexander County, N Carolina .................................................................. 25860 0.8921 0.9021 1.12 

34020 ....... Alleghany County, N Carolina ................................................................... 99934 0.8501 0.8599 1.15 

34030 ....... Anson County, N Carolina ........................................................................ 16740 0.9106 0.9564 5.03 

34040 ....... Ashe County, N Carolina .......................................................................... 99934 0.8501 0.8599 1.15 

34050 ....... Avery County, N Carolina ......................................................................... 99934 0.8501 0.8599 1.15 

34060 ....... Beaufort County, N Carolina ..................................................................... 99934 0.8501 0.8599 1.15 

34070 ....... Bertie County, N Carolina ......................................................................... 99934 0.8501 0.8599 1.15 

34080 ....... Bladen County, N Carolina ....................................................................... 99934 0.8501 0.8599 1.15 

34090 ....... Brunswick County, N Carolina .................................................................. 48900 0.9582 0.9853 2.83 

34100 ....... Buncombe County, N Carolina ................................................................. 11700 0.9511 0.9093 -4.39 

34110 ....... Burke County, N Carolina ......................................................................... 25860 0.8921 0.9021 1.12 

34120 ....... Cabarrus County, N Carolina .................................................................... 16740 0.9733 0.9564 -1.74 

34130 ....... Caldwell County, N Carolina ..................................................................... 25860 0.8921 0.9021 1.12 

34140 ....... Camden County, N Carolina ..................................................................... 99934 0.8501 0.8599 1.15 

34150 ....... Carteret County, N Carolina ...................................................................... 99934 0.8501 0.8599 1.15 

34160 ....... Caswell County, N Carolina ...................................................................... 99934 0.8501 0.8599 1.15 

34170 ....... Catawba County, N Carolina .................................................................... 25860 0.8921 0.9021 1.12 

34180 ....... Chatham County, N Carolina .................................................................... 20500 1.0139 0.9843 -2.92 

34190 ....... Cherokee County, N Carolina ................................................................... 99934 0.8501 0.8599 1.15 

34200 ....... Chowan County, N Carolina ..................................................................... 99934 0.8501 0.8599 1.15 

34210 ....... Clay County, N Carolina ........................................................................... 99934 0.8501 0.8599 1.15 

34220 ....... Cleveland County, N Carolina ................................................................... 99934 0.8501 0.8599 1.15 

34230 ....... Columbus County, N Carolina .................................................................. 99934 0.8501 0.8599 1.15 

34240 ....... Craven County, N Carolina ....................................................................... 99934 0.8501 0.8599 1.15 

34250 ....... Cumberland County, N Carolina ............................................................... 22180 0.9416 0.8961 -4.83 

34251 ....... Currituck County, N Carolina .................................................................... 47260 0.8799 0.8805 0.07 

34270 ....... Dare County, N Carolina ........................................................................... 99934 0.8501 0.8599 1.15 

34280 ....... Davidson County, N Carolina .................................................................... 99934 0.8779 0.8599 -2.05 

34290 ....... Davie County, N Carolina ......................................................................... 49180 0.8981 0.9293 3.47 

34300 ....... Duplin County, N Carolina ........................................................................ 99934 0.8501 0.8599 1.15 

34310 ....... Durham County, N Carolina ...................................................................... 20500 1.0139 0.9843 -2.92 

34320 ....... Edgecombe County, N Carolina ............................................................... 40580 0.8915 0.8869 -0.52 

34330 ....... Forsyth County, N Carolina ....................................................................... 49180 0.8981 0.9293 3.47 

34340 ....... Franklin County, N Carolina ...................................................................... 39580 0.9863 0.9879 0.16 

34350 ....... Gaston County, N Carolina ....................................................................... 16740 0.9733 0.9564 -1.74 

34360 ....... Gates County, N Carolina ......................................................................... 99934 0.8501 0.8599 1.15 

34370 ....... Graham County, N Carolina ...................................................................... 99934 0.8501 0.8599 1.15 

34380 ....... Granville County, N Carolina .................................................................... 99934 0.8501 0.8599 1.15 

34390 ....... Greene County, N Carolina ....................................................................... 24780 0.8944 0.9449 5.65 

34400 ....... Guilford County, N Carolina ...................................................................... 24660 0.9061 0.8735 -3.60 

34410 ....... Halifax County, N Carolina ........................................................................ 99934 0.8501 0.8599 1.15 

34420 ....... Harnett County, N Carolina ....................................................................... 99934 0.8501 0.8599 1.15 

34430 ....... Haywood County, N Carolina .................................................................... 11700 0.8874 0.9093 2.47 

34440 ....... Henderson County, N Carolina ................................................................. 11700 0.8874 0.9093 2.47 

34450 ....... Hertford County, N Carolina ...................................................................... 99934 0.8501 0.8599 1.15 

34460 ....... Hoke County, N Carolina .......................................................................... 22180 0.8939 0.8961 0.25 

34470 ....... Hyde County, N Carolina .......................................................................... 99934 0.8501 0.8599 1.15 

34480 ....... Iredell County, N Carolina ......................................................................... 99934 0.8501 0.8599 1.15 

34490 ....... Jackson County, N Carolina ..................................................................... 99934 0.8501 0.8599 1.15 

34500 ....... Johnston County, N Carolina .................................................................... 39580 0.9863 0.9879 0.16 

34510 ....... Jones County, N Carolina ......................................................................... 99934 0.8501 0.8599 1.15 

34520 ....... Lee County, N Carolina ............................................................................. 99934 0.8501 0.8599 1.15 

34530 ....... Lenoir County, N Carolina ......................................................................... 99934 0.8501 0.8599 1.15 

34540 ....... Lincoln County, N Carolina ....................................................................... 99934 0.9128 0.8599 -5.80 

34550 ....... Mc Dowell County, N Carolina .................................................................. 99934 0.8501 0.8599 1.15 

34560 ....... Macon County, N Carolina ........................................................................ 99934 0.8501 0.8599 1.15 

34570 ....... Madison County, N Carolina ..................................................................... 11700 0.9511 0.9093 -4.39 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44161 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

34580 ....... Martin County, N Carolina ......................................................................... 99934 0.8501 0.8599 1.15 

34590 ....... Mecklenburg County, N Carolina .............................................................. 16740 0.9733 0.9564 -1.74 

34600 ....... Mitchell County, N Carolina ...................................................................... 99934 0.8501 0.8599 1.15 

34610 ....... Montgomery County, N Carolina ............................................................... 99934 0.8501 0.8599 1.15 

34620 ....... Moore County, N Carolina ........................................................................ 99934 0.8501 0.8599 1.15 

34630 ....... Nash County, N Carolina .......................................................................... 40580 0.8915 0.8869 -0.52 

34640 ....... New Hanover County, N Carolina ............................................................. 48900 0.9582 0.9853 2.83

34650 ....... Northampton County, N Carolina .............................................................. 99934 0.8501 0.8599 1.15 

34660 ....... Onslow County, N Carolina ....................................................................... 27340 0.8236 0.8245 0.11 

34670 ....... Orange County, N Carolina ....................................................................... 20500 1.0139 0.9843 -2.92 

34680 ....... Pamlico County, N Carolina ...................................................................... 99934 0.8501 0.8599 1.15 

34690 ....... Pasquotank County, N Carolina ................................................................ 99934 0.8501 0.8599 1.15 

34700 ....... Pender County, N Carolina ....................................................................... 48900 0.9022 0.9853 9.21 

34710 ....... Perquimans County, N Carolina ............................................................... 99934 0.8501 0.8599 1.15 

34720 ....... Person County, N Carolina ....................................................................... 20500 0.9353 0.9843 5.24 

34730 ....... Pitt County, N Carolina ............................................................................. 24780 0.9425 0.9449 0.25 

34740 ....... Polk County, N Carolina ............................................................................ 99934 0.8501 0.8599 1.15 

34750 ....... Randolph County, N Carolina ................................................................... 24660 0.9061 0.8735 -3.60 

34760 ....... Richmond County, N Carolina .................................................................. 99934 0.8501 0.8599 1.15 

34770 ....... Robeson County, N Carolina .................................................................... 99934 0.8501 0.8599 1.15 

34780 ....... Rockingham County, N Carolina ............................................................... 24660 0.8783 0.8735 -0.55 

34790 ....... Rowan County, N Carolina ....................................................................... 99934 0.9128 0.8599 -5.80 

34800 ....... Rutherford County, N Carolina .................................................................. 99934 0.8501 0.8599 1.15 

34810 ....... Sampson County, N Carolina ................................................................... 99934 0.8501 0.8599 1.15 

34820 ....... Scotland County, N Carolina ..................................................................... 99934 0.8501 0.8599 1.15 

34830 ....... Stanly County, N Carolina ......................................................................... 99934 0.8501 0.8599 1.15 

34840 ....... Stokes County, N Carolina ........................................................................ 49180 0.8981 0.9293 3.47 

34850 ....... Surry County, N Carolina .......................................................................... 99934 0.8501 0.8599 1.15 

34860 ....... Swain County, N Carolina ......................................................................... 99934 0.8501 0.8599 1.15 

34870 ....... Transylvania County, N Carolina .............................................................. 99934 0.8501 0.8599 1.15 

34880 ....... Tyrrell County, N Carolina ......................................................................... 99934 0.8501 0.8599 1.15 

34890 ....... Union County, N Carolina ......................................................................... 16740 0.9733 0.9564 -1.74 

34900 ....... Vance County, N Carolina ........................................................................ 99934 0.8501 0.8599 1.15 

34910 ....... Wake County, N Carolina ......................................................................... 39580 0.9863 0.9879 0.16 

34920 ....... Warren County, N Carolina ....................................................................... 99934 0.8501 0.8599 1.15 

34930 ....... Washington County, N Carolina ................................................................ 99934 0.8501 0.8599 1.15 

34940 ....... Watauga County, N Carolina .................................................................... 99934 0.8501 0.8599 1.15 

34950 ....... Wayne County, N Carolina ....................................................................... 24140 0.8775 0.9187 4.70 

34960 ....... Wilkes County, N Carolina ........................................................................ 99934 0.8501 0.8599 1.15 

34970 ....... Wilson County, N Carolina ........................................................................ 99934 0.8501 0.8599 1.15 

34980 ....... Yadkin County, N Carolina ........................................................................ 49180 0.8981 0.9293 3.47 

34981 ....... Yancey County, N Carolina ....................................................................... 99934 0.8501 0.8599 1.15 

35000 ....... Adams County, N Dakota ......................................................................... 99935 0.7261 0.7228 -0.45 

35010 ....... Barnes County, N Dakota ......................................................................... 99935 0.7261 0.7228 -0.45 

35020 ....... Benson County, N Dakota ........................................................................ 99935 0.7261 0.7228 -0.45 

35030 ....... Billings County, N Dakota ......................................................................... 99935 0.7261 0.7228 -0.45 

35040 ....... Bottineau County, N Dakota ..................................................................... 99935 0.7261 0.7228 -0.45 

35050 ....... Bowman County, N Dakota ....................................................................... 99935 0.7261 0.7228 -0.45 

35060 ....... Burke County, N Dakota ........................................................................... 99935 0.7261 0.7228 -0.45 

35070 ....... Burleigh County, N Dakota ....................................................................... 13900 0.7574 0.7253 -4.24 

35080 ....... Cass County, N Dakota ............................................................................ 22020 0.8486 0.8265 -2.60 

35090 ....... Cavalier County, N Dakota ....................................................................... 99935 0.7261 0.7228 -0.45 

35100 ....... Dickey County, N Dakota .......................................................................... 99935 0.7261 0.7228 -0.45 

35110 ....... Divide County, N Dakota ........................................................................... 99935 0.7261 0.7228 -0.45 

35120 ....... Dunn County, N Dakota ............................................................................ 99935 0.7261 0.7228 -0.45 

35130 ....... Eddy County, N Dakota ............................................................................ 99935 0.7261 0.7228 -0.45 

35140 ....... Emmons County, N Dakota ...................................................................... 99935 0.7261 0.7228 -0.45 

35150 ....... Foster County, N Dakota .......................................................................... 99935 0.7261 0.7228 -0.45 

35160 ....... Golden Valley County, N Dakota .............................................................. 99935 0.7261 0.7228 -0.45 

35170 ....... Grand Forks County, N Dakota ................................................................ 24220 0.7901 0.7963 0.78 

35180 ....... Grant County, N Dakota ............................................................................ 99935 0.7261 0.7228 -0.45 

35190 ....... Griggs County, N Dakota .......................................................................... 99935 0.7261 0.7228 -0.45 

35200 ....... Hettinger County, N Dakota ...................................................................... 99935 0.7261 0.7228 -0.45 

35210 ....... Kidder County, N Dakota .......................................................................... 99935 0.7261 0.7228 -0.45 

35220 ....... La Moure County, N Dakota ..................................................................... 99935 0.7261 0.7228 -0.45 

35230 ....... Logan County, N Dakota ........................................................................... 99935 0.7261 0.7228 -0.45 

35240 ....... Mc Henry County, N Dakota ..................................................................... 99935 0.7261 0.7228 -0.45 


hsrobinson on PROD1PC69 with PROPOSALS2
44162 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

35250 ....... Mc Intosh County, N Dakota ..................................................................... 99935 0.7261 0.7228 -0.45 

35260 ....... Mc Kenzie County, N Dakota .................................................................... 99935 0.7261 0.7228 -0.45 

35270 ....... Mc Lean County, N Dakota ....................................................................... 99935 0.7261 0.7228 -0.45 

35280 ....... Mercer County, N Dakota ......................................................................... 99935 0.7261 0.7228 -0.45 

35290 ....... Morton County, N Dakota ......................................................................... 13900 0.7574 0.7253 -4.24 

35300 ....... Mountrail County, N Dakota ...................................................................... 99935 0.7261 0.7228 -0.45 

35310 ....... Nelson County, N Dakota ......................................................................... 99935 0.7261 0.7228 -0.45 

35320 ....... Oliver County, N Dakota ........................................................................... 99935 0.7261 0.7228 -0.45 

35330 ....... Pembina County, N Dakota ...................................................................... 99935 0.7261 0.7228 -0.45 

35340 ....... Pierce County, N Dakota .......................................................................... 99935 0.7261 0.7228 -0.45 

35350 ....... Ramsey County, N Dakota ....................................................................... 99935 0.7261 0.7228 -0.45 

35360 ....... Ransom County, N Dakota ....................................................................... 99935 0.7261 0.7228 -0.45 

35370 ....... Renville County, N Dakota ........................................................................ 99935 0.7261 0.7228 -0.45 

35380 ....... Richland County, N Dakota ....................................................................... 99935 0.7261 0.7228 -0.45 

35390 ....... Rolette County, N Dakota ......................................................................... 99935 0.7261 0.7228 -0.45 

35400 ....... Sargent County, N Dakota ........................................................................ 99935 0.7261 0.7228 -0.45 

35410 ....... Sheridan County, N Dakota ...................................................................... 99935 0.7261 0.7228 -0.45 

35420 ....... Sioux County, N Dakota ............................................................................ 99935 0.7261 0.7228 -0.45 

35430 ....... Slope County, N Dakota ........................................................................... 99935 0.7261 0.7228 -0.45 

35440 ....... Stark County, N Dakota ............................................................................ 99935 0.7261 0.7228 -0.45 

35450 ....... Steele County, N Dakota .......................................................................... 99935 0.7261 0.7228 -0.45 

35460 ....... Stutsman County, N Dakota ..................................................................... 99935 0.7261 0.7228 -0.45 

35470 ....... Towner County, N Dakota ......................................................................... 99935 0.7261 0.7228 -0.45 

35480 ....... Traill County, N Dakota ............................................................................. 99935 0.7261 0.7228 -0.45 

35490 ....... Walsh County, N Dakota ........................................................................... 99935 0.7261 0.7228 -0.45 

35500 ....... Ward County, N Dakota ............................................................................ 99935 0.7261 0.7228 -0.45 

35510 ....... Wells County, N Dakota ............................................................................ 99935 0.7261 0.7228 -0.45 

35520 ....... Williams County, N Dakota ....................................................................... 99935 0.7261 0.7228 -0.45 

36000 ....... Adams County, Ohio ................................................................................. 99936 0.8874 0.8674 -2.25 

36010 ....... Allen County, Ohio .................................................................................... 30620 0.9172 0.9058 -1.24 

36020 ....... Ashland County, Ohio ............................................................................... 99936 0.8874 0.8674 -2.25 

36030 ....... Ashtabula County, Ohio ............................................................................ 99936 0.9005 0.8674 -3.68 

36040 ....... Athens County, Ohio ................................................................................. 99936 0.8874 0.8674 -2.25 

36050 ....... Auglaize County, Ohio .............................................................................. 99936 0.8973 0.8674 -3.33 

36060 ....... Belmont County, Ohio ............................................................................... 48540 0.7161 0.7022 -1.94 

36070 ....... Brown County, Ohio .................................................................................. 17140 0.9675 0.9617 -0.60 

36080 ....... Butler County, Ohio ................................................................................... 17140 0.9283 0.9617 3.60 

36090 ....... Carroll County, Ohio .................................................................................. 15940 0.8935 0.9047 1.25 

36100 ....... Champaign County, Ohio .......................................................................... 99936 0.8874 0.8674 -2.25 

36110 ....... Clark County, Ohio .................................................................................... 44220 0.8688 0.8462 -2.60 

36120 ....... Clermont County, Ohio .............................................................................. 17140 0.9675 0.9617 -0.60 

36130 ....... Clinton County, Ohio ................................................................................. 99936 0.8874 0.8674 -2.25 

36140 ....... Columbiana County, Ohio ......................................................................... 99936 0.8837 0.8674 -1.84 

36150 ....... Coshocton County, Ohio ........................................................................... 99936 0.8874 0.8674 -2.25 

36160 ....... Crawford County, Ohio .............................................................................. 99936 0.9359 0.8674 -7.32 

36170 ....... Cuyahoga County, Ohio ............................................................................ 17460 0.9198 0.9385 2.03 

36190 ....... Darke County, Ohio ................................................................................... 99936 0.8874 0.8674 -2.25 

36200 ....... Defiance County, Ohio .............................................................................. 99936 0.8874 0.8674 -2.25 

36210 ....... Delaware County, Ohio ............................................................................. 18140 0.9867 1.0122 2.58 

36220 ....... Erie County, Ohio ...................................................................................... 41780 0.8970 0.9319 3.89 

36230 ....... Fairfield County, Ohio ............................................................................... 18140 0.9867 1.0122 2.58 

36240 ....... Fayette County, Ohio ................................................................................ 99936 0.8874 0.8674 -2.25 

36250 ....... Franklin County, Ohio ............................................................................... 18140 0.9867 1.0122 2.58 

36260 ....... Fulton County, Ohio .................................................................................. 45780 0.9574 0.9599 0.26 

36270 ....... Gallia County, Ohio ................................................................................... 99936 0.8874 0.8674 -2.25 

36280 ....... Geauga County, Ohio ............................................................................... 17460 0.9198 0.9385 2.03 

36290 ....... Greene County, Ohio ................................................................................ 19380 0.9022 0.9053 0.34 

36300 ....... Guernsey County, Ohio ............................................................................. 99936 0.8874 0.8674 -2.25 

36310 ....... Hamilton County, Ohio .............................................................................. 17140 0.9675 0.9617 -0.60 

36330 ....... Hancock County, Ohio .............................................................................. 99936 0.8874 0.8674 -2.25 

36340 ....... Hardin County, Ohio .................................................................................. 99936 0.8874 0.8674 -2.25 

36350 ....... Harrison County, Ohio ............................................................................... 99936 0.8874 0.8674 -2.25 

36360 ....... Henry County, Ohio ................................................................................... 99936 0.8874 0.8674 -2.25 

36370 ....... Highland County, Ohio .............................................................................. 99936 0.8874 0.8674 -2.25 

36380 ....... Hocking County, Ohio ............................................................................... 99936 0.8874 0.8674 -2.25 

36390 ....... Holmes County, Ohio ................................................................................ 99936 0.8874 0.8674 -2.25 

36400 ....... Huron County, Ohio .................................................................................. 99936 0.8874 0.8674 -2.25 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44163 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

36410 ....... Jackson County, Ohio ............................................................................... 99936 0.8874 0.8674 -2.25 

36420 ....... Jefferson County, Ohio ............................................................................. 48260 0.7819 0.8078 3.31 

36430 ....... Knox County, Ohio .................................................................................... 99936 0.8874 0.8674 -2.25 

36440 ....... Lake County, Ohio .................................................................................... 17460 0.9198 0.9385 2.03 

36450 ....... Lawrence County, Ohio ............................................................................. 26580 0.9477 0.9013 -4.90 

36460 ....... Licking County, Ohio ................................................................................. 18140 0.9867 1.0122 2.58 

36470 ....... Logan County, Ohio .................................................................................. 99936 0.8874 0.8674 -2.25 

36480 ....... Lorain County, Ohio .................................................................................. 17460 0.9198 0.9385 2.03 

36490 ....... Lucas County, Ohio ................................................................................... 45780 0.9574 0.9599 0.26 

36500 ....... Madison County, Ohio ............................................................................... 18140 0.9867 1.0122 2.58 

36510 ....... Mahoning County, Ohio ............................................................................ 49660 0.8726 0.8817 1.04 

36520 ....... Marion County, Ohio ................................................................................. 99936 0.8874 0.8674 -2.25 

36530 ....... Medina County, Ohio ................................................................................ 17460 0.9198 0.9385 2.03 

36540 ....... Meigs County, Ohio ................................................................................... 99936 0.8874 0.8674 -2.25 

36550 ....... Mercer County, Ohio ................................................................................. 99936 0.8874 0.8674 -2.25 

36560 ....... Miami County, Ohio ................................................................................... 19380 0.9022 0.9053 0.34 

36570 ....... Monroe County, Ohio ................................................................................ 99936 0.8874 0.8674 -2.25 

36580 ....... Montgomery County, Ohio ........................................................................ 19380 0.9022 0.9053 0.34 

36590 ....... Morgan County, Ohio ................................................................................ 99936 0.8874 0.8674 -2.25 

36600 ....... Morrow County, Ohio ................................................................................ 18140 0.9391 1.0122 7.78 

36610 ....... Muskingum County, Ohio .......................................................................... 99936 0.8874 0.8674 -2.25 

36620 ....... Noble County, Ohio ................................................................................... 99936 0.8874 0.8674 -2.25 

36630 ....... Ottawa County, Ohio ................................................................................. 45780 0.9248 0.9599 3.80 

36640 ....... Paulding County, Ohio .............................................................................. 99936 0.8874 0.8674 -2.25 

36650 ....... Perry County, Ohio .................................................................................... 99936 0.8874 0.8674 -2.25 

36660 ....... Pickaway County, Ohio ............................................................................. 18140 0.9867 1.0122 2.58 

36670 ....... Pike County, Ohio ..................................................................................... 99936 0.8874 0.8674 -2.25 

36680 ....... Portage County, Ohio ................................................................................ 10420 0.8982 0.8639 -3.82 

36690 ....... Preble County, Ohio .................................................................................. 19380 0.8993 0.9053 0.67 

36700 ....... Putnam County, Ohio ................................................................................ 99936 0.8874 0.8674 -2.25 

36710 ....... Richland County, Ohio .............................................................................. 31900 0.8902 0.9287 4.32 

36720 ....... Ross County, Ohio .................................................................................... 99936 0.8874 0.8674 -2.25 

36730 ....... Sandusky County, Ohio ............................................................................ 99936 0.8874 0.8674 -2.25 

36740 ....... Scioto County, Ohio .................................................................................. 99936 0.8874 0.8674 -2.25 

36750 ....... Seneca County, Ohio ................................................................................ 99936 0.8874 0.8674 -2.25 

36760 ....... Shelby County, Ohio ................................................................................. 99936 0.8874 0.8674 -2.25 

36770 ....... Stark County, Ohio .................................................................................... 15940 0.8935 0.9047 1.25 

36780 ....... Summit County, Ohio ................................................................................ 10420 0.8982 0.8639 -3.82 

36790 ....... Trumbull County, Ohio .............................................................................. 49660 0.8726 0.8817 1.04 

36800 ....... Tuscarawas County, Ohio ......................................................................... 99936 0.8874 0.8674 -2.25 

36810 ....... Union County, Ohio ................................................................................... 18140 0.9391 1.0122 7.78 

36820 ....... Van Wert County, Ohio ............................................................................. 99936 0.8874 0.8674 -2.25 

36830 ....... Vinton County, Ohio .................................................................................. 99936 0.8874 0.8674 -2.25 

36840 ....... Warren County, Ohio ................................................................................ 17140 0.9675 0.9617 -0.60 

36850 ....... Washington County, Ohio ......................................................................... 37620 0.8270 0.7940 -3.99 

36860 ....... Wayne County, Ohio ................................................................................. 99936 0.8874 0.8674 -2.25 

36870 ....... Williams County, Ohio ............................................................................... 99936 0.8874 0.8674 -2.25 

36880 ....... Wood County, Ohio ................................................................................... 45780 0.9574 0.9599 0.26 

36890 ....... Wyandot County, Ohio .............................................................................. 99936 0.8874 0.8674 -2.25 

37000 ....... Adair County, Oklahoma ........................................................................... 99937 0.7512 0.7640 1.70 

37010 ....... Alfalfa County, Oklahoma ......................................................................... 99937 0.7512 0.7640 1.70 

37020 ....... Atoka County, Oklahoma .......................................................................... 99937 0.7512 0.7640 1.70 

37030 ....... Beaver County, Oklahoma ........................................................................ 99937 0.7512 0.7640 1.70 

37040 ....... Beckham County, Oklahoma .................................................................... 99937 0.7512 0.7640 1.70 

37050 ....... Blaine County, Oklahoma ......................................................................... 99937 0.7512 0.7640 1.70 

37060 ....... Bryan County, Oklahoma .......................................................................... 99937 0.7512 0.7640 1.70 

37070 ....... Caddo County, Oklahoma ......................................................................... 99937 0.7512 0.7640 1.70 

37080 ....... Canadian County, Oklahoma .................................................................... 36420 0.9028 0.8853 -1.94 

37090 ....... Carter County, Oklahoma ......................................................................... 99937 0.7512 0.7640 1.70 

37100 ....... Cherokee County, Oklahoma .................................................................... 99937 0.7512 0.7640 1.70 

37110 ....... Choctaw County, Oklahoma ..................................................................... 99937 0.7512 0.7640 1.70 

37120 ....... Cimarron County, Oklahoma ..................................................................... 99937 0.7512 0.7640 1.70 

37130 ....... Cleveland County, Oklahoma ................................................................... 36420 0.9028 0.8853 -1.94 

37140 ....... Coal County, Oklahoma ............................................................................ 99937 0.7512 0.7640 1.70 

37150 ....... Comanche County, Oklahoma .................................................................. 30020 0.7872 0.8080 2.64

37160 ....... Cotton County, Oklahoma ......................................................................... 99937 0.7512 0.7640 1.70 

37170 ....... Craig County, Oklahoma ........................................................................... 99937 0.7512 0.7640 1.70 


hsrobinson on PROD1PC69 with PROPOSALS2
44164 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

37180 ....... Creek County, Oklahoma .......................................................................... 46140 0.8565 0.8104 -5.38 

37190 ....... Custer County, Oklahoma ......................................................................... 99937 0.7512 0.7640 1.70 

37200 ....... Delaware County, Oklahoma .................................................................... 99937 0.7512 0.7640 1.70 

37210 ....... Dewey County, Oklahoma ........................................................................ 99937 0.7512 0.7640 1.70 

37220 ....... Ellis County, Oklahoma ............................................................................. 99937 0.7512 0.7640 1.70 

37230 ....... Garfield County, Oklahoma ....................................................................... 99937 0.8124 0.7640 -5.96 

37240 ....... Garvin County, Oklahoma ......................................................................... 99937 0.7512 0.7640 1.70 

37250 ....... Grady County, Oklahoma .......................................................................... 36420 0.8237 0.8853 7.48 

37260 ....... Grant County, Oklahoma .......................................................................... 99937 0.7512 0.7640 1.70 

37270 ....... Greer County, Oklahoma .......................................................................... 99937 0.7512 0.7640 1.70 

37280 ....... Harmon County, Oklahoma ....................................................................... 99937 0.7512 0.7640 1.70 

37290 ....... Harper County, Oklahoma ........................................................................ 99937 0.7512 0.7640 1.70 

37300 ....... Haskell County, Oklahoma ........................................................................ 99937 0.7512 0.7640 1.70 

37310 ....... Hughes County, Oklahoma ....................................................................... 99937 0.7512 0.7640 1.70 

37320 ....... Jackson County, Oklahoma ...................................................................... 99937 0.7512 0.7640 1.70 

37330 ....... Jefferson County, Oklahoma ..................................................................... 99937 0.7512 0.7640 1.70 

37340 ....... Johnston County, Oklahoma ..................................................................... 99937 0.7512 0.7640 1.70 

37350 ....... Kay County, Oklahoma ............................................................................. 99937 0.7512 0.7640 1.70 

37360 ....... Kingfisher County, Oklahoma ................................................................... 99937 0.7512 0.7640 1.70 

37370 ....... Kiowa County, Oklahoma .......................................................................... 99937 0.7512 0.7640 1.70 

37380 ....... Latimer County, Oklahoma ....................................................................... 99937 0.7512 0.7640 1.70 

37390 ....... Le Flore County, Oklahoma ...................................................................... 22900 0.7836 0.7745 -1.16 

37400 ....... Lincoln County, Oklahoma ........................................................................ 36420 0.8237 0.8853 7.48 

37410 ....... Logan County, Oklahoma ......................................................................... 36420 0.9028 0.8853 -1.94 

37420 ....... Love County, Oklahoma ............................................................................ 99937 0.7512 0.7640 1.70 

37430 ....... Mc Clain County, Oklahoma ..................................................................... 36420 0.9028 0.8853 -1.94 

37440 ....... Mc Curtain County, Oklahoma .................................................................. 99937 0.7512 0.7640 1.70 

37450 ....... Mc Intosh County, Oklahoma .................................................................... 99937 0.7512 0.7640 1.70 

37460 ....... Major County, Oklahoma .......................................................................... 99937 0.7512 0.7640 1.70 

37470 ....... Marshall County, Oklahoma ...................................................................... 99937 0.7512 0.7640 1.70 

37480 ....... Mayes County, Oklahoma ......................................................................... 99937 0.7512 0.7640 1.70 

37490 ....... Murray County, Oklahoma ........................................................................ 99937 0.7512 0.7640 1.70 

37500 ....... Muskogee County, Oklahoma ................................................................... 99937 0.7512 0.7640 1.70 

37510 ....... Noble County, Oklahoma .......................................................................... 99937 0.7512 0.7640 1.70 

37520 ....... Nowata County, Oklahoma ....................................................................... 99937 0.7512 0.7640 1.70 

37530 ....... Okfuskee County, Oklahoma .................................................................... 99937 0.7512 0.7640 1.70 

37540 ....... Oklahoma County, Oklahoma ................................................................... 36420 0.9028 0.8853 -1.94 

37550 ....... Okmulgee County, Oklahoma ................................................................... 46140 0.7993 0.8104 1.39 

37560 ....... Osage County, Oklahoma ......................................................................... 46140 0.8565 0.8104 -5.38 

37570 ....... Ottawa County, Oklahoma ........................................................................ 99937 0.7512 0.7640 1.70 

37580 ....... Pawnee County, Oklahoma ...................................................................... 46140 0.7993 0.8104 1.39 

37590 ....... Payne County, Oklahoma ......................................................................... 99937 0.7512 0.7640 1.70 

37600 ....... Pittsburg County, Oklahoma ..................................................................... 99937 0.7512 0.7640 1.70 

37610 ....... Pontotoc County, Oklahoma ..................................................................... 99937 0.7512 0.7640 1.70 

37620 ....... Pottawatomie County, Oklahoma .............................................................. 99937 0.8303 0.7640 -7.99 

37630 ....... Pushmataha County, Oklahoma ............................................................... 99937 0.7512 0.7640 1.70 

37640 ....... Roger Mills County, Oklahoma ................................................................. 99937 0.7512 0.7640 1.70 

37650 ....... Rogers County, Oklahoma ........................................................................ 46140 0.8565 0.8104 -5.38 

37660 ....... Seminole County, Oklahoma .................................................................... 99937 0.7512 0.7640 1.70 

37670 ....... Sequoyah County, Oklahoma ................................................................... 22900 0.8238 0.7745 -5.98 

37680 ....... Stephens County, Oklahoma .................................................................... 99937 0.7512 0.7640 1.70 

37690 ....... Texas County, Oklahoma .......................................................................... 99937 0.7512 0.7640 1.70 

37700 ....... Tillman County, Oklahoma ........................................................................ 99937 0.7512 0.7640 1.70 

37710 ....... Tulsa County, Oklahoma ........................................................................... 46140 0.8565 0.8104 -5.38 

37720 ....... Wagoner County, Oklahoma ..................................................................... 46140 0.8565 0.8104 -5.38 

37730 ....... Washington County, Oklahoma ................................................................ 99937 0.7512 0.7640 1.70

37740 ....... Washita County, Oklahoma ...................................................................... 99937 0.7512 0.7640 1.70 

37750 ....... Woods County, Oklahoma ........................................................................ 99937 0.7512 0.7640 1.70 

37760 ....... Woodward County, Oklahoma .................................................................. 99937 0.7512 0.7640 1.70

38000 ....... Baker County, Oregon .............................................................................. 99938 0.9939 0.9770 -1.70 

38010 ....... Benton County, Oregon ............................................................................ 18700 1.0729 1.1566 7.80 

38020 ....... Clackamas County, Oregon ...................................................................... 38900 1.1266 1.1436 1.51 

38030 ....... Clatsop County, Oregon ............................................................................ 99938 0.9939 0.9770 -1.70 

38040 ....... Columbia County, Oregon ......................................................................... 38900 1.1266 1.1436 1.51 

38050 ....... Coos County, Oregon ............................................................................... 99938 0.9939 0.9770 -1.70 

38060 ....... Crook County, Oregon .............................................................................. 99938 0.9939 0.9770 -1.70 

38070 ....... Curry County, Oregon ............................................................................... 99938 0.9939 0.9770 -1.70 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44165 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

38080 ....... Deschutes County, Oregon ....................................................................... 13460 1.0419 1.0762 3.29 

38090 ....... Douglas County, Oregon ........................................................................... 99938 0.9939 0.9770 -1.70 

38100 ....... Gilliam County, Oregon ............................................................................. 99938 0.9939 0.9770 -1.70 

38110 ....... Grant County, Oregon ............................................................................... 99938 0.9939 0.9770 -1.70 

38120 ....... Harney County, Oregon ............................................................................ 99938 0.9939 0.9770 -1.70 

38130 ....... Hood River County, Oregon ...................................................................... 99938 0.9939 0.9770 -1.70 

38140 ....... Jackson County, Oregon ........................................................................... 32780 1.0225 1.0837 5.99 

38150 ....... Jefferson County, Oregon ......................................................................... 99938 0.9939 0.9770 -1.70 

38160 ....... Josephine County, Oregon ....................................................................... 99938 0.9939 0.9770 -1.70 

38170 ....... Klamath County, Oregon ........................................................................... 99938 0.9939 0.9770 -1.70 

38180 ....... Lake County, Oregon ................................................................................ 99938 0.9939 0.9770 -1.70 

38190 ....... Lane County, Oregon ................................................................................ 21660 1.0818 1.0896 0.72 

38200 ....... Lincoln County, Oregon ............................................................................ 99938 0.9939 0.9770 -1.70 

38210 ....... Linn County, Oregon ................................................................................. 99938 0.9939 0.9770 -1.70 

38220 ....... Malheur County, Oregon ........................................................................... 99938 0.9939 0.9770 -1.70 

38230 ....... Marion County, Oregon ............................................................................. 41420 1.0442 1.0457 0.14 

38240 ....... Morrow County, Oregon ............................................................................ 99938 0.9939 0.9770 -1.70 

38250 ....... Multnomah County, Oregon ...................................................................... 38900 1.1266 1.1436 1.51 

38260 ....... Polk County, Oregon ................................................................................. 41420 1.0442 1.0457 0.14 

38270 ....... Sherman County, Oregon ......................................................................... 99938 0.9939 0.9770 -1.70 

38280 ....... Tillamook County, Oregon ........................................................................ 99938 0.9939 0.9770 -1.70 

38290 ....... Umatilla County, Oregon ........................................................................... 99938 0.9939 0.9770 -1.70 

38300 ....... Union County, Oregon .............................................................................. 99938 0.9939 0.9770 -1.70 

38310 ....... Wallowa County, Oregon .......................................................................... 99938 0.9939 0.9770 -1.70 

38320 ....... Wasco County, Oregon ............................................................................. 99938 0.9939 0.9770 -1.70 

38330 ....... Washington County, Oregon ..................................................................... 38900 1.1266 1.1436 1.51 

38340 ....... Wheeler County, Oregon .......................................................................... 99938 0.9939 0.9770 -1.70 

38350 ....... Yamhill County, Oregon ............................................................................ 38900 1.1266 1.1436 1.51 

39000 ....... Adams County, Pennsylvania ................................................................... 99939 0.8305 0.8332 0.33 

39010 ....... Allegheny County, Pennsylvania ............................................................... 38300 0.8853 0.8685 -1.90 

39070 ....... Armstrong County, Pennsylvania .............................................................. 38300 0.8582 0.8685 1.20 

39080 ....... Beaver County, Pennsylvania ................................................................... 38300 0.8853 0.8685 -1.90 

39100 ....... Bedford County, Pennsylvania .................................................................. 99939 0.8305 0.8332 0.33 

39110 ....... Berks County, Pennsylvania ..................................................................... 39740 0.9686 0.9639 -0.49 

39120 ....... Blair County, Pennsylvania ....................................................................... 11020 0.8944 0.8727 -2.43 

39130 ....... Bradford County, Pennsylvania ................................................................. 99939 0.8305 0.8332 0.33 

39140 ....... Bucks County, Pennsylvania ..................................................................... 37964 1.0980 1.1018 0.35 

39150 ....... Butler County, Pennsylvania ..................................................................... 38300 0.8853 0.8685 -1.90 

39160 ....... Cambria County, Pennsylvania ................................................................. 27780 0.8220 0.8635 5.05 

39180 ....... Cameron County, Pennsylvania ................................................................ 99939 0.8305 0.8332 0.33 

39190 ....... Carbon County, Pennsylvania ................................................................... 10900 0.9832 0.9910 0.79 

39200 ....... Centre County, Pennsylvania .................................................................... 44300 0.8356 0.8799 5.30 

39210 ....... Chester County, Pennsylvania .................................................................. 37964 1.0980 1.1018 0.35 

39220 ....... Clarion County, Pennsylvania ................................................................... 99939 0.8305 0.8332 0.33 

39230 ....... Clearfield County, Pennsylvania ............................................................... 99939 0.8305 0.8332 0.33 

39240 ....... Clinton County, Pennsylvania ................................................................... 99939 0.8305 0.8332 0.33 

39250 ....... Columbia County, Pennsylvania ............................................................... 99939 0.8408 0.8332 -0.90 

39260 ....... Crawford County, Pennsylvania ................................................................ 99939 0.8305 0.8332 0.33 

39270 ....... Cumberland County, Pennsylvania ........................................................... 25420 0.9273 0.9419 1.57 

39280 ....... Dauphin County, Pennsylvania ................................................................. 25420 0.9273 0.9419 1.57 

39290 ....... Delaware County, Pennsylvania ............................................................... 37964 1.0980 1.1018 0.35 

39310 ....... Elk County, Pennsylvania ......................................................................... 99939 0.8305 0.8332 0.33 

39320 ....... Erie County, Pennsylvania ........................................................................ 21500 0.8737 0.8704 -0.38 

39330 ....... Fayette County, Pennsylvania .................................................................. 38300 0.8853 0.8685 -1.90 

39340 ....... Forest County, Pennsylvania .................................................................... 99939 0.8305 0.8332 0.33 

39350 ....... Franklin County, Pennsylvania .................................................................. 99939 0.8305 0.8332 0.33 

39360 ....... Fulton County, Pennsylvania .................................................................... 99939 0.8305 0.8332 0.33 

39370 ....... Greene County, Pennsylvania .................................................................. 99939 0.8305 0.8332 0.33 

39380 ....... Huntingdon County, Pennsylvania ............................................................ 99939 0.8305 0.8332 0.33

39390 ....... Indiana County, Pennsylvania ................................................................... 99939 0.8305 0.8332 0.33 

39400 ....... Jefferson County, Pennsylvania ................................................................ 99939 0.8305 0.8332 0.33 

39410 ....... Juniata County, Pennsylvania ................................................................... 99939 0.8305 0.8332 0.33 

39420 ....... Lackawanna County, Pennsylvania .......................................................... 42540 0.8532 0.8521 -0.13 

39440 ....... Lancaster County, Pennsylvania ............................................................... 29540 0.9694 0.9644 -0.52 

39450 ....... Lawrence County, Pennsylvania ............................................................... 99939 0.8305 0.8332 0.33 

39460 ....... Lebanon County, Pennsylvania ................................................................ 30140 0.8846 0.8695 -1.71 

39470 ....... Lehigh County, Pennsylvania .................................................................... 10900 0.9832 0.9910 0.79 


hsrobinson on PROD1PC69 with PROPOSALS2
44166 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

39480 ....... Luzerne County, Pennsylvania ................................................................. 42540 0.8532 0.8521 -0.13 

39510 ....... Lycoming County, Pennsylvania ............................................................... 48700 0.8364 0.8126 -2.85 

39520 ....... Mc Kean County, Pennsylvania ................................................................ 99939 0.8305 0.8332 0.33 

39530 ....... Mercer County, Pennsylvania ................................................................... 49660 0.8198 0.8817 7.55 

39540 ....... Mifflin County, Pennsylvania ..................................................................... 99939 0.8305 0.8332 0.33 

39550 ....... Monroe County, Pennsylvania .................................................................. 99939 0.8305 0.8332 0.33 

39560 ....... Montgomery County, Pennsylvania .......................................................... 37964 1.0980 1.1018 0.35 

39580 ....... Montour County, Pennsylvania ................................................................. 99939 0.8305 0.8332 0.33 

39590 ....... Northampton County, Pennsylvania .......................................................... 10900 0.9832 0.9910 0.79 

39600 ....... Northumberland County, Pennsylvania ..................................................... 99939 0.8305 0.8332 0.33 

39610 ....... Perry County, Pennsylvania ...................................................................... 25420 0.9273 0.9419 1.57 

39620 ....... Philadelphia County, Pennsylvania ........................................................... 37964 1.0980 1.1018 0.35 

39630 ....... Pike County, Pennsylvania ....................................................................... 35084 1.1545 1.1890 2.99 

39640 ....... Potter County, Pennsylvania ..................................................................... 99939 0.8305 0.8332 0.33 

39650 ....... Schuylkill County, Pennsylvania ............................................................... 99939 0.8305 0.8332 0.33 

39670 ....... Snyder County, Pennsylvania ................................................................... 99939 0.8305 0.8332 0.33 

39680 ....... Somerset County, Pennsylvania ............................................................... 99939 0.8189 0.8332 1.75 

39690 ....... Sullivan County, Pennsylvania .................................................................. 99939 0.8305 0.8332 0.33 

39700 ....... Susquehanna County, Pennsylvania ........................................................ 99939 0.8305 0.8332 0.33 

39710 ....... Tioga County, Pennsylvania ..................................................................... 99939 0.8305 0.8332 0.33 

39720 ....... Union County, Pennsylvania ..................................................................... 99939 0.8305 0.8332 0.33 

39730 ....... Venango County, Pennsylvania ................................................................ 99939 0.8305 0.8332 0.33 

39740 ....... Warren County, Pennsylvania ................................................................... 99939 0.8305 0.8332 0.33 

39750 ....... Washington County, Pennsylvania ........................................................... 38300 0.8853 0.8685 -1.90

39760 ....... Wayne County, Pennsylvania ................................................................... 99939 0.8305 0.8332 0.33 

39770 ....... Westmoreland County, Pennsylvania ....................................................... 38300 0.8853 0.8685 -1.90 

39790 ....... Wyoming County, Pennsylvania ............................................................... 42540 0.8532 0.8521 -0.13 

39800 ....... York County, Pennsylvania ....................................................................... 49620 0.9347 0.9414 0.72 

40010 ....... Adjuntas County, Puerto Rico ................................................................... 99940 0.3826 0.4047 5.78 

40020 ....... Aguada County, Puerto Rico .................................................................... 10380 0.4807 0.3922 -18.41 

40030 ....... Aguadilla County, Puerto Rico .................................................................. 10380 0.4807 0.3922 -18.41 

40040 ....... Aguas Buenas County, Puerto Rico ......................................................... 41980 0.4687 0.4397 -6.19 

40050 ....... Aibonito County, Puerto Rico .................................................................... 41980 0.4113 0.4397 6.90 

40060 ....... Anasco County, Puerto Rico ..................................................................... 10380 0.4491 0.3922 -12.67 

40070 ....... Arecibo County, Puerto Rico ..................................................................... 41980 0.4367 0.4397 0.69 

40080 ....... Arroyo County, Puerto Rico ...................................................................... 25020 0.3393 0.3241 -4.48 

40090 ....... Barceloneta County, Puerto Rico .............................................................. 41980 0.4687 0.4397 -6.19 

40100 ....... Barranquitas County, Puerto Rico ............................................................ 41980 0.4113 0.4397 6.90 

40110 ....... Bayamon County, Puerto Rico .................................................................. 41980 0.4687 0.4397 -6.19 

40120 ....... Cabo Rojo County, Puerto Rico ................................................................ 41900 0.4447 0.4893 10.03 

40130 ....... Caguas County, Puerto Rico .................................................................... 41980 0.4371 0.4397 0.59 

40140 ....... Camuy County, Puerto Rico ..................................................................... 41980 0.4367 0.4397 0.69 

40145 ....... Canovanas County, Puerto Rico ............................................................... 41980 0.4687 0.4397 -6.19 

40150 ....... Carolina County, Puerto Rico ................................................................... 41980 0.4687 0.4397 -6.19 

40160 ....... Catano County, Puerto Rico ..................................................................... 41980 0.4687 0.4397 -6.19 

40170 ....... Cayey County, Puerto Rico ....................................................................... 41980 0.4371 0.4397 0.59 

40180 ....... Ceiba County, Puerto Rico ....................................................................... 21940 0.4453 0.4044 -9.18 

40190 ....... Ciales County, Puerto Rico ....................................................................... 41980 0.4113 0.4397 6.90 

40200 ....... Cidra County, Puerto Rico ........................................................................ 41980 0.4371 0.4397 0.59 

40210 ....... Coamo County, Puerto Rico ..................................................................... 99940 0.3826 0.4047 5.78 

40220 ....... Comerio County, Puerto Rico ................................................................... 41980 0.4687 0.4397 -6.19 

40230 ....... Corozal County, Puerto Rico .................................................................... 41980 0.4687 0.4397 -6.19 

40240 ....... Culebra County, Puerto Rico .................................................................... 99940 0.3826 0.4047 5.78 

40250 ....... Dorado County, Puerto Rico ..................................................................... 41980 0.4687 0.4397 -6.19 

40260 ....... Fajardo County, Puerto Rico ..................................................................... 21940 0.4453 0.4044 -9.18 

40265 ....... Florida County, Puerto Rico ...................................................................... 41980 0.4687 0.4397 -6.19 

40270 ....... Guanica County, Puerto Rico ................................................................... 49500 0.4006 0.3861 -3.62 

40280 ....... Guayama County, Puerto Rico ................................................................. 25020 0.3393 0.3241 -4.48 

40290 ....... Guayanilla County, Puerto Rico ................................................................ 49500 0.4645 0.3861 -16.88 

40300 ....... Guaynabo County, Puerto Rico ................................................................ 41980 0.4687 0.4397 -6.19 

40310 ....... Gurabo County, Puerto Rico ..................................................................... 41980 0.4371 0.4397 0.59 

40320 ....... Hatillo County, Puerto Rico ....................................................................... 41980 0.4367 0.4397 0.69 

40330 ....... Hormigueros County, Puerto Rico ............................................................ 32420 0.4132 0.3857 -6.66 

40340 ....... Humacao County, Puerto Rico ................................................................. 41980 0.4687 0.4397 -6.19 

40350 ....... Isabela County, Puerto Rico ..................................................................... 10380 0.4171 0.3922 -5.97 

40360 ....... Jayuya County, Puerto Rico ..................................................................... 99940 0.3826 0.4047 5.78 

40370 ....... Juana Diaz County, Puerto Rico ............................................................... 38660 0.4910 0.4851 -1.20 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44167 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

40380 ....... Juncos County, Puerto Rico ..................................................................... 41980 0.4687 0.4397 -6.19 

40390 ....... Lajas County, Puerto Rico ........................................................................ 41900 0.4127 0.4893 18.56 

40400 ....... Lares County, Puerto Rico ........................................................................ 10380 0.4171 0.3922 -5.97 

40410 ....... Las Marias County, Puerto Rico ............................................................... 99940 0.3826 0.4047 5.78 

40420 ....... Las Piedras County, Puerto Rico .............................................................. 41980 0.4687 0.4397 -6.19 

40430 ....... Loiza County, Puerto Rico ........................................................................ 41980 0.4687 0.4397 -6.19 

40440 ....... Luquillo County, Puerto Rico .................................................................... 21940 0.4453 0.4044 -9.18 

40450 ....... Manati County, Puerto Rico ...................................................................... 41980 0.4687 0.4397 -6.19 

40460 ....... Maricao County, Puerto Rico .................................................................... 99940 0.3826 0.4047 5.78 

40470 ....... Maunabo County, Puerto Rico .................................................................. 41980 0.4113 0.4397 6.90 

40480 ....... Mayaguez County, Puerto Rico ................................................................ 32420 0.4132 0.3857 -6.66 

40490 ....... Moca County, Puerto Rico ........................................................................ 10380 0.4807 0.3922 -18.41 

40500 ....... Morovis County, Puerto Rico .................................................................... 41980 0.4687 0.4397 -6.19 

40510 ....... Naguabo County, Puerto Rico .................................................................. 41980 0.4687 0.4397 -6.19 

40520 ....... Naranjito County, Puerto Rico .................................................................. 41980 0.4687 0.4397 -6.19 

40530 ....... Orocovis County, Puerto Rico ................................................................... 41980 0.4113 0.4397 6.90 

40540 ....... Patillas County, Puerto Rico ..................................................................... 25020 0.3393 0.3241 -4.48 

40550 ....... Penuelas County, Puerto Rico .................................................................. 49500 0.4645 0.3861 -16.88 

40560 ....... Ponce County, Puerto Rico ....................................................................... 38660 0.4910 0.4851 -1.20 

40570 ....... Quebradillas County, Puerto Rico ............................................................. 41980 0.4113 0.4397 6.90 

40580 ....... Rincon County, Puerto Rico ...................................................................... 10380 0.4171 0.3922 -5.97 

40590 ....... Rio Grande County, Puerto Rico .............................................................. 41980 0.4687 0.4397 -6.19 

40610 ....... Sabana Grande County, Puerto Rico ....................................................... 41900 0.4447 0.4893 10.03 

40620 ....... Salinas County, Puerto Rico ..................................................................... 99940 0.3826 0.4047 5.78 

40630 ....... San German County, Puerto Rico ............................................................ 41900 0.4447 0.4893 10.03

40640 ....... San Juan County, Puerto Rico ................................................................. 41980 0.4687 0.4397 -6.19 

40650 ....... San Lorenzo County, Puerto Rico ............................................................ 41980 0.4371 0.4397 0.59

40660 ....... San Sebastian County, Puerto Rico ......................................................... 10380 0.4171 0.3922 -5.97

40670 ....... Santa Isabel County, Puerto Rico ............................................................. 99940 0.3826 0.4047 5.78 

40680 ....... Toa Alta County, Puerto Rico ................................................................... 41980 0.4687 0.4397 -6.19 

40690 ....... Toa Baja County, Puerto Rico .................................................................. 41980 0.4687 0.4397 -6.19 

40700 ....... Trujillo Alto County, Puerto Rico ............................................................... 41980 0.4687 0.4397 -6.19 

40710 ....... Utuado County, Puerto Rico ..................................................................... 99940 0.3826 0.4047 5.78 

40720 ....... Vega Alta County, Puerto Rico ................................................................. 41980 0.4687 0.4397 -6.19 

40730 ....... Vega Baja County, Puerto Rico ................................................................ 41980 0.4687 0.4397 -6.19 

40740 ....... Vieques County, Puerto Rico .................................................................... 99940 0.3826 0.4047 5.78 

40750 ....... Villalba County, Puerto Rico ..................................................................... 38660 0.4910 0.4851 -1.20 

40760 ....... Yabucoa County, Puerto Rico ................................................................... 41980 0.4687 0.4397 -6.19 

40770 ....... Yauco County, Puerto Rico ....................................................................... 49500 0.4645 0.3861 -16.88 

41000 ....... Bristol County, Rhode Island .................................................................... 39300 1.1012 1.0804 -1.89 

41010 ....... Kent County, Rhode Island ....................................................................... 39300 1.1012 1.0804 -1.89 

41020 ....... Newport County, Rhode Island ................................................................. 39300 1.1012 1.0804 -1.89 

41030 ....... Providence County, Rhode Island ............................................................ 39300 1.1012 1.0804 -1.89 

41050 ....... Washington County, Rhode Island ........................................................... 39300 1.1012 1.0804 -1.89

42000 ....... Abbeville County, S Carolina .................................................................... 99942 0.8635 0.8583 -0.60 

42010 ....... Aiken County, S Carolina .......................................................................... 12260 0.9778 0.9678 -1.02 

42020 ....... Allendale County, S Carolina .................................................................... 99942 0.8635 0.8583 -0.60 

42030 ....... Anderson County, S Carolina ................................................................... 11340 0.9306 0.8959 -3.73 

42040 ....... Bamberg County, S Carolina .................................................................... 99942 0.8635 0.8583 -0.60 

42050 ....... Barnwell County, S Carolina ..................................................................... 99942 0.8635 0.8583 -0.60 

42060 ....... Beaufort County, S Carolina ..................................................................... 99942 0.8635 0.8583 -0.60 

42070 ....... Berkeley County, S Carolina ..................................................................... 16700 0.9245 0.9156 -0.96 

42080 ....... Calhoun County, S Carolina ..................................................................... 17900 0.8844 0.8028 -9.23 

42090 ....... Charleston County, S Carolina ................................................................. 16700 0.9245 0.9156 -0.96 

42100 ....... Cherokee County, S Carolina ................................................................... 99942 0.9127 0.8583 -5.96 

42110 ....... Chester County, S Carolina ...................................................................... 99942 0.8635 0.8583 -0.60 

42120 ....... Chesterfield County, S Carolina ................................................................ 99942 0.8635 0.8583 -0.60 

42130 ....... Clarendon County, S Carolina .................................................................. 99942 0.8635 0.8583 -0.60 

42140 ....... Colleton County, S Carolina ...................................................................... 99942 0.8635 0.8583 -0.60 

42150 ....... Darlington County, S Carolina .................................................................. 22500 0.8789 0.8421 -4.19 

42160 ....... Dillon County, S Carolina .......................................................................... 99942 0.8635 0.8583 -0.60 

42170 ....... Dorchester County, S Carolina ................................................................. 16700 0.9245 0.9156 -0.96 

42180 ....... Edgefield County, S Carolina .................................................................... 12260 0.9778 0.9678 -1.02 

42190 ....... Fairfield County, S Carolina ...................................................................... 17900 0.8844 0.8028 -9.23 

42200 ....... Florence County, S Carolina ..................................................................... 22500 0.8995 0.8421 -6.38 

42210 ....... Georgetown County, S Carolina ............................................................... 99942 0.8635 0.8583 -0.60 

42220 ....... Greenville County, S Carolina ................................................................... 24860 0.9821 0.9733 -0.90 


hsrobinson on PROD1PC69 with PROPOSALS2
44168 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

42230 ....... Greenwood County, S Carolina ................................................................ 99942 0.8635 0.8583 -0.60 

42240 ....... Hampton County, S Carolina .................................................................... 99942 0.8635 0.8583 -0.60 

42250 ....... Horry County, S Carolina .......................................................................... 34820 0.8934 0.8824 -1.23 

42260 ....... Jasper County, S Carolina ........................................................................ 99942 0.8635 0.8583 -0.60 

42270 ....... Kershaw County, S Carolina ..................................................................... 17900 0.8844 0.8028 -9.23 

42280 ....... Lancaster County, S Carolina ................................................................... 99942 0.8635 0.8583 -0.60 

42290 ....... Laurens County, S Carolina ...................................................................... 24860 0.9329 0.9733 4.33 

42300 ....... Lee County, S Carolina ............................................................................. 99942 0.8635 0.8583 -0.60 

42310 ....... Lexington County, S Carolina ................................................................... 17900 0.9070 0.8028 -11.49 

42320 ....... Mc Cormick County, S Carolina ................................................................ 99942 0.8635 0.8583 -0.60 

42330 ....... Marion County, S Carolina ........................................................................ 99942 0.8635 0.8583 -0.60 

42340 ....... Marlboro County, S Carolina ..................................................................... 99942 0.8635 0.8583 -0.60 

42350 ....... Newberry County, S Carolina ................................................................... 99942 0.8635 0.8583 -0.60 

42360 ....... Oconee County, S Carolina ...................................................................... 99942 0.8635 0.8583 -0.60 

42370 ....... Orangeburg County, S Carolina ................................................................ 99942 0.8635 0.8583 -0.60 

42380 ....... Pickens County, S Carolina ...................................................................... 24860 0.9821 0.9733 -0.90 

42390 ....... Richland County, S Carolina ..................................................................... 17900 0.9070 0.8028 -11.49 

42400 ....... Saluda County, S Carolina ........................................................................ 17900 0.8844 0.8028 -9.23 

42410 ....... Spartanburg County, S Carolina ............................................................... 43900 0.9394 0.9190 -2.17 

42420 ....... Sumter County, S Carolina ....................................................................... 44940 0.8377 0.8098 -3.33 

42430 ....... Union County, S Carolina ......................................................................... 99942 0.8635 0.8583 -0.60 

42440 ....... Williamsburg County, S Carolina .............................................................. 99942 0.8635 0.8583 -0.60 

42450 ....... York County, S Carolina ........................................................................... 16740 0.9733 0.9564 -1.74 

43010 ....... Aurora County, S Dakota .......................................................................... 99943 0.8556 0.8496 -0.70 

43020 ....... Beadle County, S Dakota .......................................................................... 99943 0.8556 0.8496 -0.70 

43030 ....... Bennett County, S Dakota ........................................................................ 99943 0.8556 0.8496 -0.70 

43040 ....... Bon Homme County, S Dakota ................................................................. 99943 0.8556 0.8496 -0.70 

43050 ....... Brookings County, S Dakota ..................................................................... 99943 0.8556 0.8496 -0.70 

43060 ....... Brown County, S Dakota ........................................................................... 99943 0.8556 0.8496 -0.70 

43070 ....... Brule County, S Dakota ............................................................................ 99943 0.8556 0.8496 -0.70 

43080 ....... Buffalo County, S Dakota .......................................................................... 99943 0.8556 0.8496 -0.70 

43090 ....... Butte County, S Dakota ............................................................................ 99943 0.8556 0.8496 -0.70 

43100 ....... Campbell County, S Dakota ...................................................................... 99943 0.8556 0.8496 -0.70 

43110 ....... Charles Mix County, S Dakota .................................................................. 99943 0.8556 0.8496 -0.70 

43120 ....... Clark County, S Dakota ............................................................................ 99943 0.8556 0.8496 -0.70 

43130 ....... Clay County, S Dakota .............................................................................. 99943 0.8556 0.8496 -0.70 

43140 ....... Codington County, S Dakota .................................................................... 99943 0.8556 0.8496 -0.70 

43150 ....... Corson County, S Dakota ......................................................................... 99943 0.8556 0.8496 -0.70 

43160 ....... Custer County, S Dakota .......................................................................... 99943 0.8556 0.8496 -0.70 

43170 ....... Davison County, S Dakota ........................................................................ 99943 0.8556 0.8496 -0.70 

43180 ....... Day County, S Dakota .............................................................................. 99943 0.8556 0.8496 -0.70 

43190 ....... Deuel County, S Dakota ........................................................................... 99943 0.8556 0.8496 -0.70 

43200 ....... Dewey County, S Dakota .......................................................................... 99943 0.8556 0.8496 -0.70 

43210 ....... Douglas County, S Dakota ........................................................................ 99943 0.8556 0.8496 -0.70 

43220 ....... Edmunds County, S Dakota ...................................................................... 99943 0.8556 0.8496 -0.70 

43230 ....... Fall River County, S Dakota ..................................................................... 99943 0.8556 0.8496 -0.70 

43240 ....... Faulk County, S Dakota ............................................................................ 99943 0.8556 0.8496 -0.70 

43250 ....... Grant County, S Dakota ............................................................................ 99943 0.8556 0.8496 -0.70 

43260 ....... Gregory County, S Dakota ........................................................................ 99943 0.8556 0.8496 -0.70 

43270 ....... Haakon County, S Dakota ........................................................................ 99943 0.8556 0.8496 -0.70 

43280 ....... Hamlin County, S Dakota .......................................................................... 99943 0.8556 0.8496 -0.70 

43290 ....... Hand County, S Dakota ............................................................................ 99943 0.8556 0.8496 -0.70 

43300 ....... Hanson County, S Dakota ........................................................................ 99943 0.8556 0.8496 -0.70 

43310 ....... Harding County, S Dakota ........................................................................ 99943 0.8556 0.8496 -0.70 

43320 ....... Hughes County, S Dakota ........................................................................ 99943 0.8556 0.8496 -0.70 

43330 ....... Hutchinson County, S Dakota ................................................................... 99943 0.8556 0.8496 -0.70 

43340 ....... Hyde County, S Dakota ............................................................................ 99943 0.8556 0.8496 -0.70 

43350 ....... Jackson County, S Dakota ........................................................................ 99943 0.8556 0.8496 -0.70 

43360 ....... Jerauld County, S Dakota ......................................................................... 99943 0.8556 0.8496 -0.70 

43370 ....... Jones County, S Dakota ........................................................................... 99943 0.8556 0.8496 -0.70 

43380 ....... Kingsbury County, S Dakota ..................................................................... 99943 0.8556 0.8496 -0.70 

43390 ....... Lake County, S Dakota ............................................................................. 99943 0.8556 0.8496 -0.70 

43400 ....... Lawrence County, S Dakota ..................................................................... 99943 0.8556 0.8496 -0.70 

43410 ....... Lincoln County, S Dakota ......................................................................... 43620 0.9635 0.9587 -0.50 

43420 ....... Lyman County, S Dakota .......................................................................... 99943 0.8556 0.8496 -0.70 

43430 ....... Mc Cook County, S Dakota ...................................................................... 43620 0.9093 0.9587 5.43 

43440 ....... Mc Pherson County, S Dakota ................................................................. 99943 0.8556 0.8496 -0.70 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44169 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

43450 ....... Marshall County, S Dakota ....................................................................... 99943 0.8556 0.8496 -0.70 

43460 ....... Meade County, S Dakota .......................................................................... 39660 0.8769 1.0351 18.04 

43470 ....... Mellette County, S Dakota ........................................................................ 99943 0.8556 0.8496 -0.70 

43480 ....... Miner County, S Dakota ............................................................................ 99943 0.8556 0.8496 -0.70 

43490 ....... Minnehaha County, S Dakota ................................................................... 43620 0.9635 0.9587 -0.50 

43500 ....... Moody County, S Dakota .......................................................................... 99943 0.8556 0.8496 -0.70 

43510 ....... Pennington County, S Dakota ................................................................... 39660 0.8987 1.0351 15.18 

43520 ....... Perkins County, S Dakota ......................................................................... 99943 0.8556 0.8496 -0.70 

43530 ....... Potter County, S Dakota ........................................................................... 99943 0.8556 0.8496 -0.70 

43540 ....... Roberts County, S Dakota ........................................................................ 99943 0.8556 0.8496 -0.70 

43550 ....... Sanborn County, S Dakota ....................................................................... 99943 0.8556 0.8496 -0.70 

43560 ....... Shannon County, S Dakota ...................................................................... 99943 0.8556 0.8496 -0.70 

43570 ....... Spink County, S Dakota ............................................................................ 99943 0.8556 0.8496 -0.70 

43580 ....... Stanley County, S Dakota ......................................................................... 99943 0.8556 0.8496 -0.70 

43590 ....... Sully County, S Dakota ............................................................................. 99943 0.8556 0.8496 -0.70 

43600 ....... Todd County, S Dakota ............................................................................. 99943 0.8556 0.8496 -0.70 

43610 ....... Tripp County, S Dakota ............................................................................. 99943 0.8556 0.8496 -0.70 

43620 ....... Turner County, S Dakota .......................................................................... 43620 0.9093 0.9587 5.43 

43630 ....... Union County, S Dakota ........................................................................... 43580 0.8966 0.9217 2.80 

43640 ....... Walworth County, S Dakota ...................................................................... 99943 0.8556 0.8496 -0.70 

43650 ....... Washabaugh County, S Dakota ................................................................ 99943 0.8556 0.8496 -0.70 

43670 ....... Yankton County, S Dakota ........................................................................ 99943 0.8556 0.8496 -0.70 

43680 ....... Ziebach County, S Dakota ........................................................................ 99943 0.8556 0.8496 -0.70 

44000 ....... Anderson County, Tennessee ................................................................... 28940 0.8419 0.8263 -1.85 

44010 ....... Bedford County, Tennessee ..................................................................... 99944 0.7915 0.7841 -0.93 

44020 ....... Benton County, Tennessee ....................................................................... 99944 0.7915 0.7841 -0.93 

44030 ....... Bledsoe County, Tennessee ..................................................................... 99944 0.7915 0.7841 -0.93 

44040 ....... Blount County, Tennessee ........................................................................ 28940 0.8419 0.8263 -1.85 

44050 ....... Bradley County, Tennessee ...................................................................... 17420 0.8037 0.8124 1.08 

44060 ....... Campbell County, Tennessee ................................................................... 99944 0.7915 0.7841 -0.93 

44070 ....... Cannon County, Tennessee ..................................................................... 34980 0.8838 0.9862 11.59 

44080 ....... Carroll County, Tennessee ....................................................................... 99944 0.7915 0.7841 -0.93 

44090 ....... Carter County, Tennessee ........................................................................ 27740 0.7972 0.8057 1.07 

44100 ....... Cheatham County, Tennessee ................................................................. 34980 0.9751 0.9862 1.14

44110 ....... Chester County, Tennessee ..................................................................... 27180 0.8964 0.8869 -1.06 

44120 ....... Claiborne County, Tennessee ................................................................... 99944 0.7915 0.7841 -0.93 

44130 ....... Clay County, Tennessee ........................................................................... 99944 0.7915 0.7841 -0.93 

44140 ....... Cocke County, Tennessee ........................................................................ 99944 0.7915 0.7841 -0.93 

44150 ....... Coffee County, Tennessee ....................................................................... 99944 0.7915 0.7841 -0.93 

44160 ....... Crockett County, Tennessee ..................................................................... 99944 0.7915 0.7841 -0.93 

44170 ....... Cumberland County, Tennessee .............................................................. 99944 0.7915 0.7841 -0.93

44180 ....... Davidson County, Tennessee ................................................................... 34980 0.9751 0.9862 1.14 

44190 ....... Decatur County, Tennessee ..................................................................... 99944 0.7915 0.7841 -0.93 

44200 ....... De Kalb County, Tennessee ..................................................................... 99944 0.7915 0.7841 -0.93 

44210 ....... Dickson County, Tennessee ..................................................................... 34980 0.9751 0.9862 1.14 

44220 ....... Dyer County, Tennessee .......................................................................... 99944 0.7915 0.7841 -0.93 

44230 ....... Fayette County, Tennessee ...................................................................... 32820 0.9407 0.9361 -0.49 

44240 ....... Fentress County, Tennessee .................................................................... 99944 0.7915 0.7841 -0.93 

44250 ....... Franklin County, Tennessee ..................................................................... 99944 0.7915 0.7841 -0.93 

44260 ....... Gibson County, Tennessee ....................................................................... 99944 0.7915 0.7841 -0.93 

44270 ....... Giles County, Tennessee .......................................................................... 99944 0.7915 0.7841 -0.93 

44280 ....... Grainger County, Tennessee .................................................................... 34100 0.7948 0.7944 -0.05 

44290 ....... Greene County, Tennessee ...................................................................... 99944 0.7915 0.7841 -0.93 

44300 ....... Grundy County, Tennessee ...................................................................... 99944 0.7915 0.7841 -0.93 

44310 ....... Hamblen County, Tennessee .................................................................... 34100 0.7948 0.7944 -0.05 

44320 ....... Hamilton County, Tennessee .................................................................... 16860 0.9088 0.8963 -1.38 

44330 ....... Hancock County, Tennessee .................................................................... 99944 0.7915 0.7841 -0.93 

44340 ....... Hardeman County, Tennessee ................................................................. 99944 0.7915 0.7841 -0.93 

44350 ....... Hardin County, Tennessee ....................................................................... 99944 0.7915 0.7841 -0.93 

44360 ....... Hawkins County, Tennessee .................................................................... 28700 0.8031 0.7975 -0.70 

44370 ....... Haywood County, Tennessee ................................................................... 99944 0.7915 0.7841 -0.93 

44380 ....... Henderson County, Tennessee ................................................................ 99944 0.7915 0.7841 -0.93 

44390 ....... Henry County, Tennessee ........................................................................ 99944 0.7915 0.7841 -0.93 

44400 ....... Hickman County, Tennessee .................................................................... 34980 0.8838 0.9862 11.59 

44410 ....... Houston County, Tennessee ..................................................................... 99944 0.7915 0.7841 -0.93 

44420 ....... Humphreys County, Tennessee ................................................................ 99944 0.7915 0.7841 -0.93 

44430 ....... Jackson County, Tennessee ..................................................................... 99944 0.7915 0.7841 -0.93 


hsrobinson on PROD1PC69 with PROPOSALS2
44170 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

44440 ....... Jefferson County, Tennessee ................................................................... 34100 0.7948 0.7944 -0.05 

44450 ....... Johnson County, Tennessee .................................................................... 99944 0.7915 0.7841 -0.93 

44460 ....... Knox County, Tennessee .......................................................................... 28940 0.8419 0.8263 -1.85 

44470 ....... Lake County, Tennessee .......................................................................... 99944 0.7915 0.7841 -0.93 

44480 ....... Lauderdale County, Tennessee ................................................................ 99944 0.7915 0.7841 -0.93 

44490 ....... Lawrence County, Tennessee .................................................................. 99944 0.7915 0.7841 -0.93 

44500 ....... Lewis County, Tennessee ......................................................................... 99944 0.7915 0.7841 -0.93 

44510 ....... Lincoln County, Tennessee ....................................................................... 99944 0.7915 0.7841 -0.93 

44520 ....... Loudon County, Tennessee ...................................................................... 28940 0.8419 0.8263 -1.85 

44530 ....... Mc Minn County, Tennessee .................................................................... 99944 0.7915 0.7841 -0.93 

44540 ....... Mc Nairy County, Tennessee .................................................................... 99944 0.7915 0.7841 -0.93 

44550 ....... Macon County, Tennessee ....................................................................... 34980 0.8838 0.9862 11.59 

44560 ....... Madison County, Tennessee .................................................................... 27180 0.8964 0.8869 -1.06 

44570 ....... Marion County, Tennessee ....................................................................... 16860 0.9088 0.8963 -1.38 

44580 ....... Marshall County, Tennessee .................................................................... 99944 0.7915 0.7841 -0.93 

44590 ....... Maury County, Tennessee ........................................................................ 99944 0.7915 0.7841 -0.93 

44600 ....... Meigs County, Tennessee ........................................................................ 99944 0.7915 0.7841 -0.93 

44610 ....... Monroe County, Tennessee ...................................................................... 99944 0.7915 0.7841 -0.93 

44620 ....... Montgomery County, Tennessee .............................................................. 17300 0.8284 0.8451 2.02 

44630 ....... Moore County, Tennessee ........................................................................ 99944 0.7915 0.7841 -0.93 

44640 ....... Morgan County, Tennessee ...................................................................... 99944 0.7915 0.7841 -0.93 

44650 ....... Obion County, Tennessee ........................................................................ 99944 0.7915 0.7841 -0.93 

44660 ....... Overton County, Tennessee ..................................................................... 99944 0.7915 0.7841 -0.93 

44670 ....... Perry County, Tennessee ......................................................................... 99944 0.7915 0.7841 -0.93 

44680 ....... Pickett County, Tennessee ....................................................................... 99944 0.7915 0.7841 -0.93 

44690 ....... Polk County, Tennessee ........................................................................... 17420 0.8037 0.8124 1.08 

44700 ....... Putnam County, Tennessee ...................................................................... 99944 0.7915 0.7841 -0.93 

44710 ....... Rhea County, Tennessee ......................................................................... 99944 0.7915 0.7841 -0.93 

44720 ....... Roane County, Tennessee ....................................................................... 99944 0.7915 0.7841 -0.93 

44730 ....... Robertson County, Tennessee ................................................................. 34980 0.9751 0.9862 1.14 

44740 ....... Rutherford County, Tennessee ................................................................. 34980 0.9751 0.9862 1.14 

44750 ....... Scott County, Tennessee .......................................................................... 99944 0.7915 0.7841 -0.93 

44760 ....... Sequatchie County, Tennessee ................................................................ 16860 0.8512 0.8963 5.30 

44770 ....... Sevier County, Tennessee ........................................................................ 99944 0.8146 0.7841 -3.74 

44780 ....... Shelby County, Tennessee ....................................................................... 32820 0.9407 0.9361 -0.49 

44790 ....... Smith County, Tennessee ......................................................................... 34980 0.8838 0.9862 11.59 

44800 ....... Stewart County, Tennessee ...................................................................... 17300 0.8110 0.8451 4.20 

44810 ....... Sullivan County, Tennessee ..................................................................... 28700 0.8031 0.7975 -0.70 

44820 ....... Sumner County, Tennessee ..................................................................... 34980 0.9751 0.9862 1.14 

44830 ....... Tipton County, Tennessee ........................................................................ 32820 0.9407 0.9361 -0.49 

44840 ....... Trousdale County, Tennessee .................................................................. 34980 0.8838 0.9862 11.59 

44850 ....... Unicoi County, Tennessee ........................................................................ 27740 0.7972 0.8057 1.07 

44860 ....... Union County, Tennessee ......................................................................... 28940 0.8419 0.8263 -1.85 

44870 ....... Van Buren County, Tennessee ................................................................. 99944 0.7915 0.7841 -0.93 

44880 ....... Warren County, Tennessee ...................................................................... 99944 0.7915 0.7841 -0.93 

44890 ....... Washington County, Tennessee ............................................................... 27740 0.7972 0.8057 1.07

44900 ....... Wayne County, Tennessee ....................................................................... 99944 0.7915 0.7841 -0.93 

44910 ....... Weakley County, Tennessee .................................................................... 99944 0.7915 0.7841 -0.93 

44920 ....... White County, Tennessee ......................................................................... 99944 0.7915 0.7841 -0.93 

44930 ....... Williamson County, Tennessee ................................................................. 34980 0.9751 0.9862 1.14 

44940 ....... Wilson County, Tennessee ....................................................................... 34980 0.9751 0.9862 1.14 

45000 ....... Anderson County, Texas ........................................................................... 99945 0.7967 0.7973 0.08 

45010 ....... Andrews County, Texas ............................................................................ 99945 0.7967 0.7973 0.08 

45020 ....... Angelina County, Texas ............................................................................ 99945 0.7967 0.7973 0.08 

45030 ....... Aransas County, Texas ............................................................................. 18580 0.8241 0.8579 4.10 

45040 ....... Archer County, Texas ............................................................................... 48660 0.8325 0.8326 0.01 

45050 ....... Armstrong County, Texas ......................................................................... 11100 0.8544 0.9177 7.41 

45060 ....... Atascosa County, Texas ........................................................................... 41700 0.8456 0.8860 4.78 

45070 ....... Austin County, Texas ................................................................................ 26420 0.8962 1.0026 11.87 

45080 ....... Bailey County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45090 ....... Bandera County, Texas ............................................................................ 41700 0.8456 0.8860 4.78 

45100 ....... Bastrop County, Texas .............................................................................. 12420 0.9437 0.9360 -0.82 

45110 ....... Baylor County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45113 ....... Bee County, Texas .................................................................................... 99945 0.7967 0.7973 0.08 

45120 ....... Bell County, Texas .................................................................................... 28660 0.8526 0.9098 6.71 

45130 ....... Bexar County, Texas ................................................................................. 41700 0.8982 0.8860 -1.36 

45140 ....... Blanco County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44171 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

45150 ....... Borden County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45160 ....... Bosque County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45170 ....... Bowie County, Texas ................................................................................ 45500 0.8283 0.8118 -1.99 

45180 ....... Brazoria County, Texas ............................................................................. 26420 0.9278 1.0026 8.06 

45190 ....... Brazos County, Texas ............................................................................... 17780 0.8900 0.9061 1.81 

45200 ....... Brewster County, Texas ............................................................................ 99945 0.7967 0.7973 0.08 

45201 ....... Briscoe County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45210 ....... Brooks County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45220 ....... Brown County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45221 ....... Burleson County, Texas ............................................................................ 17780 0.8416 0.9061 7.66 

45222 ....... Burnet County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45223 ....... Caldwell County, Texas ............................................................................ 12420 0.9437 0.9360 -0.82 

45224 ....... Calhoun County, Texas ............................................................................. 47020 0.8046 0.8575 6.57 

45230 ....... Callahan County, Texas ............................................................................ 10180 0.7914 0.8014 1.26 

45240 ....... Cameron County, Texas ........................................................................... 15180 0.9804 0.9446 -3.65 

45250 ....... Camp County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45251 ....... Carson County, Texas .............................................................................. 11100 0.8544 0.9177 7.41 

45260 ....... Cass County, Texas .................................................................................. 99945 0.7967 0.7973 0.08 

45270 ....... Castro County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45280 ....... Chambers County, Texas ......................................................................... 26420 1.0040 1.0026 -0.14 

45281 ....... Cherokee County, Texas .......................................................................... 99945 0.7967 0.7973 0.08 

45290 ....... Childress County, Texas ........................................................................... 99945 0.7967 0.7973 0.08 

45291 ....... Clay County, Texas ................................................................................... 48660 0.8108 0.8326 2.69 

45292 ....... Cochran County, Texas ............................................................................ 99945 0.7967 0.7973 0.08 

45300 ....... Coke County, Texas .................................................................................. 99945 0.7967 0.7973 0.08 

45301 ....... Coleman County, Texas ............................................................................ 99945 0.7967 0.7973 0.08 

45310 ....... Collin County, Texas ................................................................................. 19124 1.0217 1.0093 -1.21 

45311 ....... Collingsworth County, Texas .................................................................... 99945 0.7967 0.7973 0.08 

45312 ....... Colorado County, Texas ........................................................................... 99945 0.7967 0.7973 0.08 

45320 ....... Comal County, Texas ................................................................................ 41700 0.8982 0.8860 -1.36 

45321 ....... Comanche County, Texas ......................................................................... 99945 0.7967 0.7973 0.08 

45330 ....... Concho County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45340 ....... Cooke County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45341 ....... Coryell County, Texas ............................................................................... 28660 0.8526 0.9098 6.71 

45350 ....... Cottle County, Texas ................................................................................. 99945 0.7967 0.7973 0.08 

45360 ....... Crane County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45361 ....... Crockett County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45362 ....... Crosby County, Texas ............................................................................... 31180 0.8357 0.8628 3.24 

45370 ....... Culberson County, Texas .......................................................................... 99945 0.7967 0.7973 0.08 

45380 ....... Dallam County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45390 ....... Dallas County, Texas ................................................................................ 19124 1.0217 1.0093 -1.21 

45391 ....... Dawson County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45392 ....... Deaf Smith County, Texas ........................................................................ 99945 0.7967 0.7973 0.08 

45400 ....... Delta County, Texas .................................................................................. 19124 0.9080 1.0093 11.16 

45410 ....... Denton County, Texas .............................................................................. 19124 1.0217 1.0093 -1.21 

45420 ....... De Witt County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45421 ....... Dickens County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45430 ....... Dimmit County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45431 ....... Donley County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45440 ....... Duval County, Texas ................................................................................. 99945 0.7967 0.7973 0.08 

45450 ....... Eastland County, Texas ............................................................................ 99945 0.7967 0.7973 0.08 

45451 ....... Ector County, Texas .................................................................................. 36220 0.9813 1.0119 3.12 

45460 ....... Edwards County, Texas ............................................................................ 99945 0.7967 0.7973 0.08 

45470 ....... Ellis County, Texas ................................................................................... 19124 1.0217 1.0093 -1.21 

45480 ....... El Paso County, Texas ............................................................................. 21340 0.8977 0.9069 1.02 

45490 ....... Erath County, Texas ................................................................................. 99945 0.7967 0.7973 0.08 

45500 ....... Falls County, Texas .................................................................................. 99945 0.7967 0.7973 0.08 

45510 ....... Fannin County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45511 ....... Fayette County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45520 ....... Fisher County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45521 ....... Floyd County, Texas ................................................................................. 99945 0.7967 0.7973 0.08 

45522 ....... Foard County, Texas ................................................................................. 99945 0.7967 0.7973 0.08 

45530 ....... Fort Bend County, Texas .......................................................................... 26420 1.0040 1.0026 -0.14 

45531 ....... Franklin County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45540 ....... Freestone County, Texas .......................................................................... 99945 0.7967 0.7973 0.08 

45541 ....... Frio County, Texas .................................................................................... 99945 0.7967 0.7973 0.08 

45542 ....... Gaines County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 


hsrobinson on PROD1PC69 with PROPOSALS2
44172 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

45550 ....... Galveston County, Texas .......................................................................... 26420 0.9814 1.0026 2.16 

45551 ....... Garza County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45552 ....... Gillespie County, Texas ............................................................................ 99945 0.7967 0.7973 0.08 

45560 ....... Glasscock County, Texas ......................................................................... 99945 0.7967 0.7973 0.08 

45561 ....... Goliad County, Texas ................................................................................ 47020 0.8046 0.8575 6.57 

45562 ....... Gonzales County, Texas ........................................................................... 99945 0.7967 0.7973 0.08 

45563 ....... Gray County, Texas .................................................................................. 99945 0.7967 0.7973 0.08 

45564 ....... Grayson County, Texas ............................................................................ 43300 0.9507 0.8517 -10.41 

45570 ....... Gregg County, Texas ................................................................................ 30980 0.8809 0.8803 -0.07 

45580 ....... Grimes County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45581 ....... Guadaloupe County, Texas ...................................................................... 41700 0.8982 0.8860 -1.36 

45582 ....... Hale County, Texas ................................................................................... 99945 0.7967 0.7973 0.08 

45583 ....... Hall County, Texas .................................................................................... 99945 0.7967 0.7973 0.08 

45590 ....... Hamilton County, Texas ............................................................................ 99945 0.7967 0.7973 0.08 

45591 ....... Hansford County, Texas ........................................................................... 99945 0.7967 0.7973 0.08 

45592 ....... Hardeman County, Texas ......................................................................... 99945 0.7967 0.7973 0.08 

45600 ....... Hardin County, Texas ............................................................................... 13140 0.8412 0.8610 2.35 

45610 ....... Harris County, Texas ................................................................................ 26420 1.0040 1.0026 -0.14 

45620 ....... Harrison County, Texas ............................................................................ 99945 0.8446 0.7973 -5.60 

45621 ....... Hartley County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45630 ....... Haskell County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45631 ....... Hays County, Texas .................................................................................. 12420 0.9437 0.9360 -0.82 

45632 ....... Hemphill County, Texas ............................................................................ 99945 0.7967 0.7973 0.08 

45640 ....... Henderson County, Texas ........................................................................ 99945 0.9104 0.7973 -12.42 

45650 ....... Hidalgo County, Texas .............................................................................. 32580 0.8934 0.8788 -1.63 

45651 ....... Hill County, Texas ..................................................................................... 99945 0.7967 0.7973 0.08 

45652 ....... Hockley County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45653 ....... Hood County, Texas ................................................................................. 99945 0.8763 0.7973 -9.02 

45654 ....... Hopkins County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45660 ....... Houston County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45661 ....... Howard County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45662 ....... Hudspeth County, Texas ........................................................................... 99945 0.7967 0.7973 0.08 

45670 ....... Hunt County, Texas .................................................................................. 19124 1.0217 1.0093 -1.21 

45671 ....... Hutchinson County, Texas ........................................................................ 99945 0.7967 0.7973 0.08 

45672 ....... Irion County, Texas ................................................................................... 41660 0.8101 0.8377 3.41 

45680 ....... Jack County, Texas ................................................................................... 99945 0.7967 0.7973 0.08 

45681 ....... Jackson County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45690 ....... Jasper County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45691 ....... Jeff Davis County, Texas .......................................................................... 99945 0.7967 0.7973 0.08 

45700 ....... Jefferson County, Texas ........................................................................... 13140 0.8412 0.8610 2.35 

45710 ....... Jim Hogg County, Texas ........................................................................... 99945 0.7967 0.7973 0.08 

45711 ....... Jim Wells County, Texas .......................................................................... 99945 0.7967 0.7973 0.08 

45720 ....... Johnson County, Texas ............................................................................ 23104 0.9504 0.9587 0.87 

45721 ....... Jones County, Texas ................................................................................ 10180 0.7914 0.8014 1.26 

45722 ....... Karnes County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45730 ....... Kaufman County, Texas ............................................................................ 19124 1.0217 1.0093 -1.21 

45731 ....... Kendall County, Texas .............................................................................. 41700 0.8456 0.8860 4.78 

45732 ....... Kenedy County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45733 ....... Kent County, Texas ................................................................................... 99945 0.7967 0.7973 0.08 

45734 ....... Kerr County, Texas ................................................................................... 99945 0.7967 0.7973 0.08 

45740 ....... Kimble County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45741 ....... King County, Texas ................................................................................... 99945 0.7967 0.7973 0.08 

45742 ....... Kinney County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45743 ....... Kleberg County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45744 ....... Knox County, Texas .................................................................................. 99945 0.7967 0.7973 0.08 

45750 ....... Lamar County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45751 ....... Lamb County, Texas ................................................................................. 99945 0.7967 0.7973 0.08 

45752 ....... Lampasas County, Texas ......................................................................... 28660 0.8229 0.9098 10.56 

45753 ....... La Salle County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45754 ....... Lavaca County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45755 ....... Lee County, Texas .................................................................................... 99945 0.7967 0.7973 0.08 

45756 ....... Leon County, Texas .................................................................................. 99945 0.7967 0.7973 0.08 

45757 ....... Liberty County, Texas ............................................................................... 26420 1.0040 1.0026 -0.14 

45758 ....... Limestone County, Texas ......................................................................... 99945 0.7967 0.7973 0.08 

45759 ....... Lipscomb County, Texas ........................................................................... 99945 0.7967 0.7973 0.08 

45760 ....... Live Oak County, Texas ............................................................................ 99945 0.7967 0.7973 0.08 

45761 ....... Llano County, Texas ................................................................................. 99945 0.7967 0.7973 0.08 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44173 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

45762 ....... Loving County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45770 ....... Lubbock County, Texas ............................................................................ 31180 0.8783 0.8628 -1.76 

45771 ....... Lynn County, Texas .................................................................................. 99945 0.7967 0.7973 0.08 

45772 ....... Mc Culloch County, Texas ........................................................................ 99945 0.7967 0.7973 0.08 

45780 ....... Mc Lennan County, Texas ........................................................................ 47380 0.8518 0.8648 1.53 

45781 ....... Mc Mullen County, Texas ......................................................................... 99945 0.7967 0.7973 0.08 

45782 ....... Madison County, Texas ............................................................................ 99945 0.7967 0.7973 0.08 

45783 ....... Marion County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45784 ....... Martin County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45785 ....... Mason County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45790 ....... Matagorda County, Texas ......................................................................... 99945 0.7967 0.7973 0.08 

45791 ....... Maverick County, Texas ............................................................................ 99945 0.7967 0.7973 0.08 

45792 ....... Medina County, Texas .............................................................................. 41700 0.8456 0.8860 4.78 

45793 ....... Menard County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45794 ....... Midland County, Texas ............................................................................. 33260 0.9628 0.9803 1.82 

45795 ....... Milam County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45796 ....... Mills County, Texas ................................................................................... 99945 0.7967 0.7973 0.08 

45797 ....... Mitchell County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45800 ....... Montague County, Texas .......................................................................... 99945 0.7967 0.7973 0.08 

45801 ....... Montgomery County, Texas ...................................................................... 26420 1.0040 1.0026 -0.14 

45802 ....... Moore County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45803 ....... Morris County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45804 ....... Motley County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45810 ....... Nacogdoches County, Texas .................................................................... 99945 0.7967 0.7973 0.08 

45820 ....... Navarro County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45821 ....... Newton County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45822 ....... Nolan County, Texas ................................................................................. 99945 0.7967 0.7973 0.08 

45830 ....... Nueces County, Texas .............................................................................. 18580 0.8550 0.8579 0.34 

45831 ....... Ochiltree County, Texas ............................................................................ 99945 0.7967 0.7973 0.08 

45832 ....... Oldham County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45840 ....... Orange County, Texas .............................................................................. 13140 0.8412 0.8610 2.35 

45841 ....... Palo Pinto County, Texas ......................................................................... 99945 0.7967 0.7973 0.08 

45842 ....... Panola County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45843 ....... Parker County, Texas ............................................................................... 23104 0.9504 0.9587 0.87 

45844 ....... Parmer County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45845 ....... Pecos County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45850 ....... Polk County, Texas ................................................................................... 99945 0.7967 0.7973 0.08 

45860 ....... Potter County, Texas ................................................................................ 11100 0.9156 0.9177 0.23 

45861 ....... Presidio County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45870 ....... Rains County, Texas ................................................................................. 99945 0.7967 0.7973 0.08 

45871 ....... Randall County, Texas .............................................................................. 11100 0.9156 0.9177 0.23 

45872 ....... Reagan County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45873 ....... Real County, Texas ................................................................................... 99945 0.7967 0.7973 0.08 

45874 ....... Red River County, Texas .......................................................................... 99945 0.7967 0.7973 0.08 

45875 ....... Reeves County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45876 ....... Refugio County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45877 ....... Roberts County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45878 ....... Robertson County, Texas ......................................................................... 17780 0.8416 0.9061 7.66 

45879 ....... Rockwall County, Texas ............................................................................ 19124 1.0217 1.0093 -1.21 

45880 ....... Runnels County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45881 ....... Rusk County, Texas .................................................................................. 30980 0.8331 0.8803 5.67 

45882 ....... Sabine County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45883 ....... San Augustine County, Texas .................................................................. 99945 0.7967 0.7973 0.08 

45884 ....... San Jacinto County, Texas ....................................................................... 26420 0.8962 1.0026 11.87 

45885 ....... San Patricio County, Texas ...................................................................... 18580 0.8550 0.8579 0.34 

45886 ....... San Saba County, Texas .......................................................................... 99945 0.7967 0.7973 0.08 

45887 ....... Schleicher County, Texas ......................................................................... 99945 0.7967 0.7973 0.08 

45888 ....... Scurry County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45889 ....... Shackelford County, Texas ....................................................................... 99945 0.7967 0.7973 0.08 

45890 ....... Shelby County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45891 ....... Sherman County, Texas ........................................................................... 99945 0.7967 0.7973 0.08 

45892 ....... Smith County, Texas ................................................................................. 46340 0.9168 0.8827 -3.72 

45893 ....... Somervell County, Texas .......................................................................... 99945 0.7967 0.7973 0.08 

45900 ....... Starr County, Texas .................................................................................. 99945 0.7967 0.7973 0.08 

45901 ....... Stephens County, Texas ........................................................................... 99945 0.7967 0.7973 0.08 

45902 ....... Sterling County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45903 ....... Stonewall County, Texas .......................................................................... 99945 0.7967 0.7973 0.08 


hsrobinson on PROD1PC69 with PROPOSALS2
44174 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

45904 ....... Sutton County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45905 ....... Swisher County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45910 ....... Tarrant County, Texas .............................................................................. 23104 0.9504 0.9587 0.87 

45911 ....... Taylor County, Texas ................................................................................ 10180 0.7975 0.8014 0.49 

45912 ....... Terrell County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45913 ....... Terry County, Texas .................................................................................. 99945 0.7967 0.7973 0.08 

45920 ....... Throckmorton County, Texas .................................................................... 99945 0.7967 0.7973 0.08 

45921 ....... Titus County, Texas .................................................................................. 99945 0.7967 0.7973 0.08 

45930 ....... Tom Green County, Texas ........................................................................ 41660 0.8271 0.8377 1.28 

45940 ....... Travis County, Texas ................................................................................ 12420 0.9437 0.9360 -0.82 

45941 ....... Trinity County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45942 ....... Tyler County, Texas .................................................................................. 99945 0.7967 0.7973 0.08 

45943 ....... Upshur County, Texas .............................................................................. 30980 0.8809 0.8803 -0.07 

45944 ....... Upton County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45945 ....... Uvalde County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45946 ....... Val Verde County, Texas .......................................................................... 99945 0.7967 0.7973 0.08 

45947 ....... Van Zandt County, Texas ......................................................................... 99945 0.7967 0.7973 0.08 

45948 ....... Victoria County, Texas .............................................................................. 47020 0.8160 0.8575 5.09 

45949 ....... Walker County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45950 ....... Waller County, Texas ................................................................................ 26420 1.0040 1.0026 -0.14 

45951 ....... Ward County, Texas ................................................................................. 99945 0.7967 0.7973 0.08 

45952 ....... Washington County, Texas ....................................................................... 99945 0.7967 0.7973 0.08 

45953 ....... Webb County, Texas ................................................................................. 29700 0.8068 0.7825 -3.01 

45954 ....... Wharton County, Texas ............................................................................ 99945 0.7967 0.7973 0.08 

45955 ....... Wheeler County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45960 ....... Wichita County, Texas .............................................................................. 48660 0.8325 0.8326 0.01 

45961 ....... Wilbarger County, Texas ........................................................................... 99945 0.7967 0.7973 0.08 

45962 ....... Willacy County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45970 ....... Williamson County, Texas ......................................................................... 12420 0.9437 0.9360 -0.82 

45971 ....... Wilson County, Texas ............................................................................... 41700 0.8982 0.8860 -1.36 

45972 ....... Winkler County, Texas .............................................................................. 99945 0.7967 0.7973 0.08 

45973 ....... Wise County, Texas .................................................................................. 23104 0.8709 0.9587 10.08 

45974 ....... Wood County, Texas ................................................................................. 99945 0.7967 0.7973 0.08 

45980 ....... Yoakum County, Texas ............................................................................. 99945 0.7967 0.7973 0.08 

45981 ....... Young County, Texas ................................................................................ 99945 0.7967 0.7973 0.08 

45982 ....... Zapata County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

45983 ....... Zavala County, Texas ............................................................................... 99945 0.7967 0.7973 0.08 

46000 ....... Beaver County, Utah ................................................................................. 99946 0.8440 0.8154 -3.39 

46010 ....... Box Elder County, Utah ............................................................................ 99946 0.8440 0.8154 -3.39 

46020 ....... Cache County, Utah .................................................................................. 30860 0.8963 0.9038 0.84 

46030 ....... Carbon County, Utah ................................................................................ 99946 0.8440 0.8154 -3.39 

46040 ....... Daggett County, Utah ................................................................................ 99946 0.8440 0.8154 -3.39 

46050 ....... Davis County, Utah ................................................................................... 36260 0.9185 0.9011 -1.89 

46060 ....... Duchesne County, Utah ............................................................................ 99946 0.8440 0.8154 -3.39 

46070 ....... Emery County, Utah .................................................................................. 99946 0.8440 0.8154 -3.39 

46080 ....... Garfield County, Utah ................................................................................ 99946 0.8440 0.8154 -3.39 

46090 ....... Grand County, Utah .................................................................................. 99946 0.8440 0.8154 -3.39 

46100 ....... Iron County, Utah ...................................................................................... 99946 0.8440 0.8154 -3.39 

46110 ....... Juab County, Utah .................................................................................... 39340 0.9131 0.9554 4.63 

46120 ....... Kane County, Utah .................................................................................... 99946 0.9982 0.8154 -18.31 

46130 ....... Millard County, Utah .................................................................................. 99946 0.8440 0.8154 -3.39 

46140 ....... Morgan County, Utah ................................................................................ 36260 0.8896 0.9011 1.29 

46150 ....... Piute County, Utah .................................................................................... 99946 0.8440 0.8154 -3.39 

46160 ....... Rich County, Utah ..................................................................................... 99946 0.8440 0.8154 -3.39 

46170 ....... Salt Lake County, Utah ............................................................................. 41620 0.9381 0.9418 0.39 

46180 ....... San Juan County, Utah ............................................................................. 99946 0.8440 0.8154 -3.39 

46190 ....... Sanpete County, Utah ............................................................................... 99946 0.8440 0.8154 -3.39 

46200 ....... Sevier County, Utah .................................................................................. 99946 0.8440 0.8154 -3.39 

46210 ....... Summit County, Utah ................................................................................ 41620 0.9092 0.9418 3.59 

46220 ....... Tooele County, Utah ................................................................................. 41620 0.9092 0.9418 3.59 

46230 ....... Uintah County, Utah .................................................................................. 99946 0.8440 0.8154 -3.39 

46240 ....... Utah County, Utah ..................................................................................... 39340 0.9500 0.9554 0.57 

46250 ....... Wasatch County, Utah .............................................................................. 99946 0.8440 0.8154 -3.39 

46260 ....... Washington County, Utah ......................................................................... 41100 0.9077 0.9281 2.25 

46270 ....... Wayne County, Utah ................................................................................. 99946 0.8440 0.8154 -3.39 

46280 ....... Weber County, Utah .................................................................................. 36260 0.9185 0.9011 -1.89 

47000 ....... Addison County, Vermont ......................................................................... 99947 0.9830 0.9944 1.16 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44175 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

47010 ....... Bennington County, Vermont .................................................................... 99947 0.9830 0.9944 1.16 

47020 ....... Caledonia County, Vermont ...................................................................... 99947 0.9830 0.9944 1.16 

47030 ....... Chittenden County, Vermont ..................................................................... 15540 0.9410 0.9491 0.86 

47040 ....... Essex County, Vermont ............................................................................ 99947 0.9830 0.9944 1.16 

47050 ....... Franklin County, Vermont ......................................................................... 15540 0.9410 0.9491 0.86 

47060 ....... Grand Isle County, Vermont ..................................................................... 15540 0.9410 0.9491 0.86 

47070 ....... Lamoille County, Vermont ......................................................................... 99947 0.9830 0.9944 1.16 

47080 ....... Orange County, Vermont .......................................................................... 99947 0.9830 0.9944 1.16 

47090 ....... Orleans County, Vermont .......................................................................... 99947 0.9830 0.9944 1.16 

47100 ....... Rutland County, Vermont .......................................................................... 99947 0.9830 0.9944 1.16 

47110 ....... Washington County, Vermont ................................................................... 99947 0.9830 0.9944 1.16 

47120 ....... Windham County, Vermont ....................................................................... 99947 0.9830 0.9944 1.16 

47130 ....... Windsor County, Vermont ......................................................................... 99947 0.9830 0.9944 1.16 

48010 ....... St Croix County, Virgin Islands ................................................................. 99948 0.7615 0.7615 0.00 

48020 ....... St Thomas-John County, Virgin Islands ................................................... 99948 0.7615 0.7615 0.00 

49000 ....... Accomack County, Virginia ....................................................................... 99949 0.8215 0.7954 -3.18 

49010 ....... Albemarle County, Virginia ........................................................................ 16820 1.0187 1.0143 -0.43 

49011 ....... Alexandria City County, Virginia ............................................................... 47894 1.0951 1.1074 1.12 

49020 ....... Alleghany County, Virginia ........................................................................ 99949 0.8215 0.7954 -3.18 

49030 ....... Amelia County, Virginia ............................................................................. 40060 0.8873 0.9193 3.61 

49040 ....... Amherst County, Virginia .......................................................................... 31340 0.8691 0.8710 0.22 

49050 ....... Appomattox County, Virginia ..................................................................... 31340 0.8554 0.8710 1.82 

49060 ....... Arlington County, Virginia .......................................................................... 47894 1.0951 1.1074 1.12 

49070 ....... Augusta County, Virginia ........................................................................... 99949 0.8215 0.7954 -3.18 

49080 ....... Bath County, Virginia ................................................................................ 99949 0.8215 0.7954 -3.18 

49088 ....... Bedford City County, Virginia .................................................................... 31340 0.8691 0.8710 0.22 

49090 ....... Bedford County, Virginia ........................................................................... 31340 0.8691 0.8710 0.22 

49100 ....... Bland County, Virginia ............................................................................... 99949 0.8215 0.7954 -3.18 

49110 ....... Botetourt County, Virginia ......................................................................... 40220 0.8381 0.8662 3.35 

49111 ....... Bristol City County, Virginia ...................................................................... 28700 0.8031 0.7975 -0.70 

49120 ....... Brunswick County, Virginia ....................................................................... 99949 0.8215 0.7954 -3.18 

49130 ....... Buchanan County, Virginia ........................................................................ 99949 0.8215 0.7954 -3.18 

49140 ....... Buckingham County, Virginia .................................................................... 99949 0.8215 0.7954 -3.18 

49141 ....... Buena Vista City County, Virginia ............................................................. 99949 0.8215 0.7954 -3.18 

49150 ....... Campbell County, Virginia ......................................................................... 31340 0.8691 0.8710 0.22 

49160 ....... Caroline County, Virginia .......................................................................... 40060 0.8873 0.9193 3.61 

49170 ....... Carroll County, Virginia ............................................................................. 99949 0.8215 0.7954 -3.18 

49180 ....... Charles City County, Virginia .................................................................... 40060 0.9328 0.9193 -1.45 

49190 ....... Charlotte County, Virginia ......................................................................... 99949 0.8215 0.7954 -3.18 

49191 ....... Charlottesville City County, Virginia .......................................................... 16820 1.0187 1.0143 -0.43 

49194 ....... Chesapeake County, Virginia .................................................................... 47260 0.8799 0.8805 0.07 

49200 ....... Chesterfield County, Virginia ..................................................................... 40060 0.9328 0.9193 -1.45 

49210 ....... Clarke County, Virginia ............................................................................. 47894 1.0951 1.1074 1.12 

49211 ....... Clifton Forge City County, Virginia ............................................................ 99949 0.8215 0.7954 -3.18 

49212 ....... Colonial Heights County, Virginia ............................................................. 40060 0.9328 0.9193 -1.45 

49213 ....... Covington City County, Virginia ................................................................ 99949 0.8215 0.7954 -3.18 

49220 ....... Craig County, Virginia ............................................................................... 40220 0.8396 0.8662 3.17 

49230 ....... Culpeper County, Virginia ......................................................................... 99949 0.9495 0.7954 -16.23 

49240 ....... Cumberland County, Virginia .................................................................... 40060 0.8873 0.9193 3.61 

49241 ....... Danville City County, Virginia .................................................................... 19260 0.8489 0.8466 -0.27 

49250 ....... Dickenson County, Virginia ....................................................................... 99949 0.8215 0.7954 -3.18 

49260 ....... Dinniddie County, Virginia ......................................................................... 40060 0.9328 0.9193 -1.45 

49270 ....... Emporia County, Virginia .......................................................................... 99949 0.8215 0.7954 -3.18 

49280 ....... Essex County, Virginia .............................................................................. 99949 0.8215 0.7954 -3.18 

49288 ....... Fairfax City County, Virginia ..................................................................... 47894 1.0951 1.1074 1.12 

49290 ....... Fairfax County, Virginia ............................................................................. 47894 1.0951 1.1074 1.12 

49291 ....... Falls Church City County, Virginia ............................................................ 47894 1.0951 1.1074 1.12 

49300 ....... Fauquier County, Virginia .......................................................................... 47894 1.0951 1.1074 1.12 

49310 ....... Floyd County, Virginia ............................................................................... 99949 0.8215 0.7954 -3.18 

49320 ....... Fluvanna County, Virginia ......................................................................... 16820 1.0187 1.0143 -0.43 

49328 ....... Franklin City County, Virginia .................................................................... 99949 0.8215 0.7954 -3.18 

49330 ....... Franklin County, Virginia ........................................................................... 40220 0.8396 0.8662 3.17 

49340 ....... Frederick County, Virginia ......................................................................... 49020 0.9316 1.0109 8.51 

49342 ....... Fredericksburg City County, Virginia ........................................................ 47894 1.0951 1.1074 1.12 

49343 ....... Galax City County, Virginia ....................................................................... 99949 0.8215 0.7954 -3.18 

49350 ....... Giles County, Virginia ................................................................................ 13980 0.8186 0.8227 0.50 

49360 ....... Gloucester County, Virginia ...................................................................... 47260 0.8799 0.8805 0.07 


hsrobinson on PROD1PC69 with PROPOSALS2
44176 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

49370 ....... Goochland County, Virginia ...................................................................... 40060 0.9328 0.9193 -1.45 

49380 ....... Grayson County, Virginia .......................................................................... 99949 0.8215 0.7954 -3.18 

49390 ....... Greene County, Virginia ............................................................................ 16820 1.0187 1.0143 -0.43 

49400 ....... Greensville County, Virginia ...................................................................... 99949 0.8215 0.7954 -3.18 

49410 ....... Halifax County, Virginia ............................................................................. 99949 0.8215 0.7954 -3.18 

49411 ....... Hampton City County, Virginia .................................................................. 47260 0.8799 0.8805 0.07 

49420 ....... Hanover County, Virginia .......................................................................... 40060 0.9328 0.9193 -1.45 

49421 ....... Harrisonburg City County, Virginia ............................................................ 25500 0.8753 0.9090 3.85 

49430 ....... Henrico County, Virginia ........................................................................... 40060 0.9328 0.9193 -1.45 

49440 ....... Henry County, Virginia .............................................................................. 99949 0.8215 0.7954 -3.18 

49450 ....... Highland County, Virginia .......................................................................... 99949 0.8215 0.7954 -3.18 

49451 ....... Hopewell City County, Virginia .................................................................. 40060 0.9328 0.9193 -1.45 

49460 ....... Isle Of Wight County, Virginia ................................................................... 47260 0.8799 0.8805 0.07 

49470 ....... James City County, Virginia ...................................................................... 47260 0.8799 0.8805 0.07 

49480 ....... King And Queen County, Virginia ............................................................. 40060 0.8873 0.9193 3.61 

49490 ....... King George County, Virginia ................................................................... 99949 0.9495 0.7954 -16.23 

49500 ....... King William County, Virginia .................................................................... 40060 0.8873 0.9193 3.61 

49510 ....... Lancaster County, Virginia ........................................................................ 99949 0.8215 0.7954 -3.18 

49520 ....... Lee County, Virginia .................................................................................. 99949 0.8215 0.7954 -3.18 

49522 ....... Lexington County, Virginia ........................................................................ 99949 0.8215 0.7954 -3.18 

49530 ....... Loudoun County, Virginia .......................................................................... 47894 1.0951 1.1074 1.12 

49540 ....... Louisa County, Virginia ............................................................................. 40060 0.8873 0.9193 3.61 

49550 ....... Lunenburg County, Virginia ....................................................................... 99949 0.8215 0.7954 -3.18 

49551 ....... Lynchburg City County, Virginia ................................................................ 31340 0.8691 0.8710 0.22 

49560 ....... Madison County, Virginia .......................................................................... 99949 0.8215 0.7954 -3.18 

49561 ....... Martinsville City County, Virginia .............................................................. 99949 0.8215 0.7954 -3.18 

49563 ....... Manassas City County, Virginia ................................................................ 47894 1.0951 1.1074 1.12 

49565 ....... Manassas Park City County, Virginia ....................................................... 47894 1.0951 1.1074 1.12 

49570 ....... Mathews County, Virginia ......................................................................... 47260 0.8799 0.8805 0.07 

49580 ....... Mecklenburg County, Virginia ................................................................... 99949 0.8215 0.7954 -3.18 

49590 ....... Middlesex County, Virginia ........................................................................ 99949 0.8215 0.7954 -3.18 

49600 ....... Montgomery County, Virginia .................................................................... 13980 0.8186 0.8227 0.50 

49610 ....... Nansemond, Virginia ................................................................................. 99949 0.8215 0.7954 -3.18 

49620 ....... Nelson County, Virginia ............................................................................. 16820 0.9302 1.0143 9.04 

49621 ....... New Kent County, Virginia ........................................................................ 40060 0.9328 0.9193 -1.45 

49622 ....... Newport News City County, Virginia ......................................................... 47260 0.8799 0.8805 0.07

49641 ....... Norfolk City County, Virginia ..................................................................... 47260 0.8799 0.8805 0.07 

49650 ....... Northampton County, Virginia ................................................................... 99949 0.8215 0.7954 -3.18 

49660 ....... Northumberland County, Virginia .............................................................. 99949 0.8215 0.7954 -3.18 

49661 ....... Norton City County, Virginia ...................................................................... 99949 0.8215 0.7954 -3.18 

49670 ....... Nottoway County, Virginia ......................................................................... 99949 0.8215 0.7954 -3.18 

49680 ....... Orange County, Virginia ............................................................................ 99949 0.8215 0.7954 -3.18 

49690 ....... Page County, Virginia ............................................................................... 99949 0.8215 0.7954 -3.18 

49700 ....... Patrick County, Virginia ............................................................................. 99949 0.8215 0.7954 -3.18 

49701 ....... Petersburg City County, Virginia ............................................................... 40060 0.9328 0.9193 -1.45 

49710 ....... Pittsylvania County, Virginia ...................................................................... 19260 0.8489 0.8466 -0.27 

49711 ....... Portsmouth City County, Virginia .............................................................. 47260 0.8799 0.8805 0.07 

49712 ....... Poquoson City County, Virginia ................................................................ 47260 0.8799 0.8805 0.07 

49720 ....... Powhatan County, Virginia ........................................................................ 40060 0.9328 0.9193 -1.45 

49730 ....... Prince Edward County, Virginia ................................................................ 99949 0.8215 0.7954 -3.18 

49740 ....... Prince George County, Virginia ................................................................ 40060 0.9328 0.9193 -1.45 

49750 ....... Prince William County, Virginia ................................................................. 47894 1.0951 1.1074 1.12 

49770 ....... Pulaski County, Virginia ............................................................................ 13980 0.8186 0.8227 0.50 

49771 ....... Radford City County, Virginia .................................................................... 13980 0.8186 0.8227 0.50 

49780 ....... Rappahannock County, Virginia ................................................................ 99949 0.8215 0.7954 -3.18 

49790 ....... Richmond County, Virginia ........................................................................ 99949 0.8215 0.7954 -3.18 

49791 ....... Richmond City County, Virginia ................................................................ 40060 0.9328 0.9193 -1.45 

49800 ....... Roanoke County, Virginia ......................................................................... 40220 0.8381 0.8662 3.35 

49801 ....... Roanoke City County, Virginia .................................................................. 40220 0.8381 0.8662 3.35 

49810 ....... Rockbridge County, Virginia ...................................................................... 99949 0.8215 0.7954 -3.18 

49820 ....... Rockingham County, Virginia .................................................................... 25500 0.8753 0.9090 3.85 

49830 ....... Russell County, Virginia ............................................................................ 99949 0.8215 0.7954 -3.18 

49838 ....... Salem County, Virginia .............................................................................. 40220 0.8381 0.8662 3.35 

49840 ....... Scott County, Virginia ................................................................................ 28700 0.8031 0.7975 -0.70 

49850 ....... Shenandoah County, Virginia ................................................................... 99949 0.8215 0.7954 -3.18 

49860 ....... Smyth County, Virginia .............................................................................. 99949 0.8215 0.7954 -3.18 

49867 ....... South Boston City County, Virginia ........................................................... 99949 0.8215 0.7954 -3.18 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44177 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

49870 ....... Southampton County, Virginia .................................................................. 99949 0.8215 0.7954 -3.18 

49880 ....... Spotsylvania County, Virginia ................................................................... 47894 1.0951 1.1074 1.12 

49890 ....... Stafford County, Virginia ........................................................................... 47894 1.0951 1.1074 1.12 

49891 ....... Staunton City County, Virginia .................................................................. 99949 0.8215 0.7954 -3.18 

49892 ....... Suffolk City County, Virginia ..................................................................... 47260 0.8799 0.8805 0.07 

49900 ....... Surry County, Virginia ............................................................................... 47260 0.8608 0.8805 2.29 

49910 ....... Sussex County, Virginia ............................................................................ 40060 0.8873 0.9193 3.61 

49920 ....... Tazewell County, Virginia .......................................................................... 99949 0.8215 0.7954 -3.18 

49921 ....... Virginia Beach City County, Virginia ......................................................... 47260 0.8799 0.8805 0.07 

49930 ....... Warren County, Virginia ............................................................................ 47894 1.0951 1.1074 1.12 

49950 ....... Washington County, Virginia ..................................................................... 28700 0.8031 0.7975 -0.70 

49951 ....... Waynesboro City County, Virginia ............................................................ 99949 0.8215 0.7954 -3.18 

49960 ....... Westmoreland County, Virginia ................................................................. 99949 0.8215 0.7954 -3.18 

49961 ....... Williamsburg City County, Virginia ............................................................ 47260 0.8799 0.8805 0.07 

49962 ....... Winchester City County, Virginia .............................................................. 49020 0.9316 1.0109 8.51 

49970 ....... Wise County, Virginia ................................................................................ 99949 0.8215 0.7954 -3.18 

49980 ....... Wythe County, Virginia .............................................................................. 99949 0.8215 0.7954 -3.18 

49981 ....... York County, Virginia ................................................................................ 47260 0.8799 0.8805 0.07 

50000 ....... Adams County, Washington ...................................................................... 99950 1.0364 1.0281 -0.80 

50010 ....... Asotin County, Washington ....................................................................... 30300 1.0052 0.9871 -1.80 

50020 ....... Benton County, Washington ..................................................................... 28420 1.0619 1.0361 -2.43 

50030 ....... Chelan County, Washington ..................................................................... 48300 1.0144 1.0365 2.18 

50040 ....... Clallam County, Washington ..................................................................... 99950 1.0364 1.0281 -0.80 

50050 ....... Clark County, Washington ........................................................................ 38900 1.1266 1.1436 1.51 

50060 ....... Columbia County, Washington .................................................................. 99950 1.0364 1.0281 -0.80 

50070 ....... Cowlitz County, Washington ..................................................................... 31020 0.9898 1.0029 1.32 

50080 ....... Douglas County, Washington .................................................................... 48300 1.0144 1.0365 2.18 

50090 ....... Ferry County, Washington ........................................................................ 99950 1.0364 1.0281 -0.80 

50100 ....... Franklin County, Washington .................................................................... 28420 1.0619 1.0361 -2.43 

50110 ....... Garfield County, Washington .................................................................... 99950 1.0364 1.0281 -0.80 

50120 ....... Grant County, Washington ........................................................................ 99950 1.0364 1.0281 -0.80 

50130 ....... Grays Harbor County, Washington ........................................................... 99950 1.0364 1.0281 -0.80

50140 ....... Island County, Washington ....................................................................... 99950 1.1039 1.0281 -6.87 

50150 ....... Jefferson County, Washington .................................................................. 99950 1.0364 1.0281 -0.80 

50160 ....... King County, Washington .......................................................................... 42644 1.1572 1.1454 -1.02 

50170 ....... Kitsap County, Washington ....................................................................... 14740 1.0675 1.0932 2.41 

50180 ....... Kittitas County, Washington ...................................................................... 99950 1.0364 1.0281 -0.80 

50190 ....... Klickitat County, Washington .................................................................... 99950 1.0364 1.0281 -0.80 

50200 ....... Lewis County, Washington ........................................................................ 99950 1.0364 1.0281 -0.80 

50210 ....... Lincoln County, Washington ..................................................................... 99950 1.0364 1.0281 -0.80 

50220 ....... Mason County, Washington ...................................................................... 99950 1.0364 1.0281 -0.80 

50230 ....... Okanogan County, Washington ................................................................ 99950 1.0364 1.0281 -0.80 

50240 ....... Pacific County, Washington ...................................................................... 99950 1.0364 1.0281 -0.80 

50250 ....... Pend Oreille County, Washington ............................................................. 99950 1.0364 1.0281 -0.80 

50260 ....... Pierce County, Washington ....................................................................... 45104 1.0742 1.0808 0.61 

50270 ....... San Juan County, Washington ................................................................. 99950 1.0364 1.0281 -0.80 

50280 ....... Skagit County, Washington ....................................................................... 34580 1.0336 1.0536 1.93 

50290 ....... Skamania County, Washington ................................................................. 38900 1.0742 1.1436 6.46 

50300 ....... Snohomish County, Washington ............................................................... 42644 1.1572 1.1454 -1.02 

50310 ....... Spokane County, Washington ................................................................... 44060 1.0905 1.0465 -4.03 

50320 ....... Stevens County, Washington .................................................................... 99950 1.0364 1.0281 -0.80 

50330 ....... Thurston County, Washington ................................................................... 36500 1.0927 1.1100 1.58 

50340 ....... Wahkiakum County, Washington .............................................................. 99950 1.0364 1.0281 -0.80

50350 ....... Walla Walla County, Washington .............................................................. 99950 1.0364 1.0281 -0.80 

50360 ....... Whatcom County, Washington .................................................................. 13380 1.1731 1.1124 -5.17 

50370 ....... Whitman County, Washington ................................................................... 99950 1.0364 1.0281 -0.80 

50380 ....... Yakima County, Washington ..................................................................... 49420 1.0155 0.9865 -2.86 

51000 ....... Barbour County, W Virginia ...................................................................... 99951 0.7809 0.7620 -2.42 

51010 ....... Berkeley County, W Virginia ..................................................................... 25180 1.0233 0.9054 -11.52 

51020 ....... Boone County, W Virginia ......................................................................... 16620 0.8173 0.8558 4.71 

51030 ....... Braxton County, W Virginia ....................................................................... 99951 0.7809 0.7620 -2.42 

51040 ....... Brooke County, W Virginia ........................................................................ 48260 0.7819 0.8078 3.31 

51050 ....... Cabell County, W Virginia ......................................................................... 26580 0.9477 0.9013 -4.90 

51060 ....... Calhoun County, W Virginia ...................................................................... 99951 0.7809 0.7620 -2.42 

51070 ....... Clay County, W Virginia ............................................................................ 16620 0.8173 0.8558 4.71 

51080 ....... Doddridge County, W Virginia ................................................................... 99951 0.7809 0.7620 -2.42 

51090 ....... Fayette County, W Virginia ....................................................................... 99951 0.7809 0.7620 -2.42 


hsrobinson on PROD1PC69 with PROPOSALS2
44178 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

51100 ....... Gilmer County, W Virginia ......................................................................... 99951 0.7809 0.7620 -2.42 

51110 ....... Grant County, W Virginia .......................................................................... 99951 0.7809 0.7620 -2.42 

51120 ....... Greenbrier County, W Virginia .................................................................. 99951 0.7809 0.7620 -2.42 

51130 ....... Hampshire County, W Virginia .................................................................. 49020 0.9057 1.0109 11.62 

51140 ....... Hancock County, W Virginia ..................................................................... 48260 0.7819 0.8078 3.31 

51150 ....... Hardy County, W Virginia .......................................................................... 99951 0.7809 0.7620 -2.42 

51160 ....... Harrison County, W Virginia ...................................................................... 99951 0.7809 0.7620 -2.42 

51170 ....... Jackson County, W Virginia ...................................................................... 99951 0.7809 0.7620 -2.42 

51180 ....... Jefferson County, W Virginia .................................................................... 47894 1.0951 1.1074 1.12 

51190 ....... Kanawha County, W Virginia .................................................................... 16620 0.8445 0.8558 1.34 

51200 ....... Lewis County, W Virginia .......................................................................... 99951 0.7809 0.7620 -2.42 

51210 ....... Lincoln County, W Virginia ........................................................................ 16620 0.8173 0.8558 4.71 

51220 ....... Logan County, W Virginia ......................................................................... 99951 0.7809 0.7620 -2.42 

51230 ....... Mc Dowell County, W Virginia .................................................................. 99951 0.7809 0.7620 -2.42 

51240 ....... Marion County, W Virginia ........................................................................ 99951 0.7809 0.7620 -2.42 

51250 ....... Marshall County, W Virginia ...................................................................... 48540 0.7161 0.7022 -1.94 

51260 ....... Mason County, W Virginia ........................................................................ 99951 0.7809 0.7620 -2.42 

51270 ....... Mercer County, W Virginia ........................................................................ 99951 0.7809 0.7620 -2.42 

51280 ....... Mineral County, W Virginia ....................................................................... 19060 0.9317 0.8859 -4.92 

51290 ....... Mingo County, W Virginia ......................................................................... 99951 0.7809 0.7620 -2.42 

51300 ....... Monongalia County, W Virginia ................................................................. 34060 0.8160 0.8438 3.41 

51310 ....... Monroe County, W Virginia ....................................................................... 99951 0.7809 0.7620 -2.42 

51320 ....... Morgan County, W Virginia ....................................................................... 25180 0.8695 0.9054 4.13 

51330 ....... Nicholas County, W Virginia ..................................................................... 99951 0.7809 0.7620 -2.42 

51340 ....... Ohio County, W Virginia ............................................................................ 48540 0.7161 0.7022 -1.94 

51350 ....... Pendleton County, W Virginia ................................................................... 99951 0.7809 0.7620 -2.42 

51360 ....... Pleasants County, W Virginia ................................................................... 37620 0.8085 0.7940 -1.79 

51370 ....... Pocahontas County, W Virginia ................................................................ 99951 0.7809 0.7620 -2.42 

51380 ....... Preston County, W Virginia ....................................................................... 34060 0.8160 0.8438 3.41 

51390 ....... Putnam County, W Virginia ....................................................................... 16620 0.8445 0.8558 1.34 

51400 ....... Raleigh County, W Virginia ....................................................................... 99951 0.7809 0.7620 -2.42 

51410 ....... Randolph County, W Virginia .................................................................... 99951 0.7809 0.7620 -2.42 

51420 ....... Ritchie County, W Virginia ........................................................................ 99951 0.7809 0.7620 -2.42 

51430 ....... Roane County, W Virginia ......................................................................... 99951 0.7809 0.7620 -2.42 

51440 ....... Summers County, W Virginia .................................................................... 99951 0.7809 0.7620 -2.42 

51450 ....... Taylor County, W Virginia ......................................................................... 99951 0.7809 0.7620 -2.42 

51460 ....... Tucker County, W Virginia ........................................................................ 99951 0.7809 0.7620 -2.42 

51470 ....... Tyler County, W Virginia ........................................................................... 99951 0.7809 0.7620 -2.42 

51480 ....... Upshur County, W Virginia ........................................................................ 99951 0.7809 0.7620 -2.42 

51490 ....... Wayne County, W Virginia ........................................................................ 26580 0.9477 0.9013 -4.90 

51500 ....... Webster County, W Virginia ...................................................................... 99951 0.7809 0.7620 -2.42 

51510 ....... Wetzel County, W Virginia ........................................................................ 99951 0.7809 0.7620 -2.42 

51520 ....... Wirt County, W Virginia ............................................................................. 37620 0.8085 0.7940 -1.79 

51530 ....... Wood County, W Virginia .......................................................................... 37620 0.8270 0.7940 -3.99 

51540 ....... Wyoming County, W Virginia .................................................................... 99951 0.7809 0.7620 -2.42 

52000 ....... Adams County, Wisconsin ........................................................................ 99952 0.9494 0.9468 -0.27 

52010 ....... Ashland County, Wisconsin ...................................................................... 99952 0.9494 0.9468 -0.27 

52020 ....... Barron County, Wisconsin ......................................................................... 99952 0.9494 0.9468 -0.27 

52030 ....... Bayfield County, Wisconsin ....................................................................... 99952 0.9494 0.9468 -0.27 

52040 ....... Brown County, Wisconsin ......................................................................... 24580 0.9483 0.9804 3.39 

52050 ....... Buffalo County, Wisconsin ........................................................................ 99952 0.9494 0.9468 -0.27 

52060 ....... Burnett County, Wisconsin ........................................................................ 99952 0.9494 0.9468 -0.27 

52070 ....... Calumet County, Wisconsin ...................................................................... 11540 0.9264 0.9472 2.25 

52080 ....... Chippewa County, Wisconsin ................................................................... 20740 0.9201 0.9647 4.85 

52090 ....... Clark County, Wisconsin ........................................................................... 99952 0.9494 0.9468 -0.27 

52100 ....... Columbia County, Wisconsin .................................................................... 31540 1.0069 1.0736 6.62 

52110 ....... Crawford County, Wisconsin ..................................................................... 99952 0.9494 0.9468 -0.27 

52120 ....... Dane County, Wisconsin ........................................................................... 31540 1.0707 1.0736 0.27 

52130 ....... Dodge County, Wisconsin ......................................................................... 99952 0.9494 0.9468 -0.27 

52140 ....... Door County, Wisconsin ............................................................................ 99952 0.9494 0.9468 -0.27 

52150 ....... Douglas County, Wisconsin ...................................................................... 20260 1.0213 1.0070 -1.40 

52160 ....... Dunn County, Wisconsin ........................................................................... 99952 0.9494 0.9468 -0.27 

52170 ....... Eau Claire County, Wisconsin .................................................................. 20740 0.9201 0.9647 4.85 

52180 ....... Florence County, Wisconsin ..................................................................... 99952 0.9494 0.9468 -0.27 

52190 ....... Fond Du Lac County, Wisconsin .............................................................. 22540 0.9559 1.0081 5.46

52200 ....... Forest County, Wisconsin ......................................................................... 99952 0.9494 0.9468 -0.27 

52210 ....... Grant County, Wisconsin .......................................................................... 99952 0.9494 0.9468 -0.27 


hsrobinson on PROD1PC69 with PROPOSALS2
Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 44179 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

52220 ....... Green County, Wisconsin ......................................................................... 99952 0.9494 0.9468 -0.27 

52230 ....... Green Lake County, Wisconsin ................................................................ 99952 0.9494 0.9468 -0.27 

52240 ....... Iowa County, Wisconsin ............................................................................ 31540 1.0069 1.0736 6.62 

52250 ....... Iron County, Wisconsin ............................................................................. 99952 0.9494 0.9468 -0.27 

52260 ....... Jackson County, Wisconsin ...................................................................... 99952 0.9494 0.9468 -0.27 

52270 ....... Jefferson County, Wisconsin ..................................................................... 99952 0.9494 0.9468 -0.27 

52280 ....... Juneau County, Wisconsin ........................................................................ 99952 0.9494 0.9468 -0.27 

52290 ....... Kenosha County, Wisconsin ..................................................................... 29404 1.0095 1.0406 3.08 

52300 ....... Kewaunee County, Wisconsin .................................................................. 24580 0.9481 0.9804 3.41 

52310 ....... La Crosse County, Wisconsin ................................................................... 29100 0.9564 0.9442 -1.28 

52320 ....... Lafayette County, Wisconsin ..................................................................... 99952 0.9494 0.9468 -0.27 

52330 ....... Langlade County, Wisconsin ..................................................................... 99952 0.9494 0.9468 -0.27 

52340 ....... Lincoln County, Wisconsin ........................................................................ 99952 0.9494 0.9468 -0.27 

52350 ....... Manitowoc County, Wisconsin .................................................................. 99952 0.9494 0.9468 -0.27 

52360 ....... Marathon County, Wisconsin .................................................................... 48140 0.9590 0.9740 1.56 

52370 ....... Marinette County, Wisconsin .................................................................... 99952 0.9494 0.9468 -0.27 

52380 ....... Marquette County, Wisconsin ................................................................... 99952 0.9494 0.9468 -0.27 

52381 ....... Menominee County, Wisconsin ................................................................. 99952 0.9494 0.9468 -0.27 

52390 ....... Milwaukee County, Wisconsin .................................................................. 33340 1.0146 1.0236 0.89 

52400 ....... Monroe County, Wisconsin ....................................................................... 99952 0.9494 0.9468 -0.27 

52410 ....... Oconto County, Wisconsin ........................................................................ 24580 0.9481 0.9804 3.41 

52420 ....... Oneida County, Wisconsin ........................................................................ 99952 0.9494 0.9468 -0.27 

52430 ....... Outagamie County, Wisconsin .................................................................. 11540 0.9264 0.9472 2.25 

52440 ....... Ozaukee County, Wisconsin ..................................................................... 33340 1.0146 1.0236 0.89 

52450 ....... Pepin County, Wisconsin .......................................................................... 99952 0.9494 0.9468 -0.27 

52460 ....... Pierce County, Wisconsin ......................................................................... 33460 1.1075 1.0965 -0.99 

52470 ....... Polk County, Wisconsin ............................................................................ 99952 0.9494 0.9468 -0.27 

52480 ....... Portage County, Wisconsin ....................................................................... 99952 0.9494 0.9468 -0.27 

52490 ....... Price County, Wisconsin ........................................................................... 99952 0.9494 0.9468 -0.27 

52500 ....... Racine County, Wisconsin ........................................................................ 39540 0.8997 0.9192 2.17 

52510 ....... Richland County, Wisconsin ..................................................................... 99952 0.9494 0.9468 -0.27 

52520 ....... Rock County, Wisconsin ........................................................................... 27500 0.9538 0.9672 1.40 

52530 ....... Rusk County, Wisconsin ........................................................................... 99952 0.9494 0.9468 -0.27 

52540 ....... St Croix County, Wisconsin ...................................................................... 33460 1.1075 1.0965 -0.99 

52550 ....... Sauk County, Wisconsin ........................................................................... 99952 0.9494 0.9468 -0.27 

52560 ....... Sawyer County, Wisconsin ....................................................................... 99952 0.9494 0.9468 -0.27 

52570 ....... Shawano County, Wisconsin .................................................................... 99952 0.9494 0.9468 -0.27 

52580 ....... Sheboygan County, Wisconsin ................................................................. 43100 0.8911 0.9042 1.47 

52590 ....... Taylor County, Wisconsin ......................................................................... 99952 0.9494 0.9468 -0.27 

52600 ....... Trempealeau County, Wisconsin .............................................................. 99952 0.9494 0.9468 -0.27 

52610 ....... Vernon County, Wisconsin ........................................................................ 99952 0.9494 0.9468 -0.27 

52620 ....... Vilas County, Wisconsin ............................................................................ 99952 0.9494 0.9468 -0.27 

52630 ....... Walworth County, Wisconsin .................................................................... 99952 0.9494 0.9468 -0.27 

52640 ....... Washburn County, Wisconsin ................................................................... 99952 0.9494 0.9468 -0.27 

52650 ....... Washington County, Wisconsin ................................................................ 33340 1.0146 1.0236 0.89 

52660 ....... Waukesha County, Wisconsin .................................................................. 33340 1.0146 1.0236 0.89 

52670 ....... Waupaca County, Wisconsin .................................................................... 99952 0.9494 0.9468 -0.27 

52680 ....... Waushara County, Wisconsin ................................................................... 99952 0.9494 0.9468 -0.27 

52690 ....... Winnebago County, Wisconsin ................................................................. 36780 0.9211 0.9332 1.31 

52700 ....... Wood County, Wisconsin .......................................................................... 99952 0.9494 0.9468 -0.27 

53000 ....... Albany County, Wyoming .......................................................................... 99953 0.9257 0.9311 0.58 

53010 ....... Big Horn County, Wyoming ....................................................................... 99953 0.9257 0.9311 0.58 

53020 ....... Campbell County, Wyoming ...................................................................... 99953 0.9257 0.9311 0.58 

53030 ....... Carbon County, Wyoming ......................................................................... 99953 0.9257 0.9311 0.58 

53040 ....... Converse County, Wyoming ..................................................................... 99953 0.9257 0.9311 0.58 

53050 ....... Crook County, Wyoming ........................................................................... 99953 0.9257 0.9311 0.58 

53060 ....... Fremont County, Wyoming ....................................................................... 99953 0.9257 0.9311 0.58 

53070 ....... Goshen County, Wyoming ........................................................................ 99953 0.9257 0.9311 0.58 

53080 ....... Hot Springs County, Wyoming .................................................................. 99953 0.9257 0.9311 0.58 

53090 ....... Johnson County, Wyoming ....................................................................... 99953 0.9257 0.9311 0.58 

53100 ....... Laramie County, Wyoming ........................................................................ 16940 0.8775 0.9076 3.43 

53110 ....... Lincoln County, Wyoming ......................................................................... 99953 0.9257 0.9311 0.58 

53120 ....... Natrona County, Wyoming ........................................................................ 16220 0.9026 0.9161 1.50 

53130 ....... Niobrara County, Wyoming ....................................................................... 99953 0.9257 0.9311 0.58 

53140 ....... Park County, Wyoming ............................................................................. 99953 0.9257 0.9311 0.58 

53150 ....... Platte County, Wyoming ............................................................................ 99953 0.9257 0.9311 0.58 

53160 ....... Sheridan County, Wyoming ...................................................................... 99953 0.9257 0.9311 0.58 


hsrobinson on PROD1PC69 with PROPOSALS2
44180 Federal Register / Vol. 71, No. 149 / Thursday, August 3, 2006 / Proposed Rules 

ADDENDUM C.—COMPARISON OF HH PPS TRANSITION WAGE INDEX FOR CY 2006 AND PRE-FLOOR AND PRERECLASSIFIED HOSPITAL WAGE INDEX FOR CY 2007—Continued 

SSA state/ 

county 

code 

County name CBSA No. 

CY 2006 

HH PPS 

transition 

wage index 

Proposed 

CY 2007 

CBSAbased wage 

index 

Percent 

change CY 

2006–CY 

2007 

53170 ....... Sublette County, Wyoming ........................................................................ 99953 0.9257 0.9311 0.58 

53180 ....... Sweetwater County, Wyoming .................................................................. 99953 0.9257 0.9311 0.58 

53190 ....... Teton County, Wyoming ............................................................................ 99953 0.9257 0.9311 0.58 

53200 ....... Uinta County, Wyoming ............................................................................ 99953 0.9257 0.9311 0.58 

53210 ....... Washakie County, Wyoming ..................................................................... 99953 0.9257 0.9311 0.58 

53220 ....... Weston County, Wyoming ......................................................................... 99953 0.9257 0.9311 0.58 

65010 ....... Agana County, Guam ................................................................................ 99965 0.9611 0.9611 0.00 

65020 ....... Agana Heights County, Guam .................................................................. 99965 0.9611 0.9611 0.00 

65030 ....... Agat County, Guam ................................................................................... 99965 0.9611 0.9611 0.00 

65040 ....... Asan County, Guam .................................................................................. 99965 0.9611 0.9611 0.00 

65050 ....... Barrigada County, Guam .......................................................................... 99965 0.9611 0.9611 0.00 

65060 ....... Chalan Pago County, Guam ..................................................................... 99965 0.9611 0.9611 0.00 

65070 ....... Dededo County, Guam ............................................................................. 99965 0.9611 0.9611 0.00 

65080 ....... Inarajan County, Guam ............................................................................. 99965 0.9611 0.9611 0.00 

65090 ....... Maite County, Guam ................................................................................. 99965 0.9611 0.9611 0.00 

65100 ....... Mangilao County, Guam ........................................................................... 99965 0.9611 0.9611 0.00 

65110 ....... Merizo County, Guam ............................................................................... 99965 0.9611 0.9611 0.00 

65120 ....... Mongmong County, Guam ........................................................................ 99965 0.9611 0.9611 0.00 

65130 ....... Ordot County, Guam ................................................................................. 99965 0.9611 0.9611 0.00 

65140 ....... Piti County, Guam ..................................................................................... 99965 0.9611 0.9611 0.00 

65150 ....... Santa Rita County, Guam ......................................................................... 99965 0.9611 0.9611 0.00 

65160 ....... Sinajana County, Guam ............................................................................ 99965 0.9611 0.9611 0.00 

65170 ....... Talofofo County, Guam ............................................................................. 99965 0.9611 0.9611 0.00 

65180 ....... Tamuning County, Guam .......................................................................... 99965 0.9611 0.9611 0.00 

65190 ....... Toto County, Guam ................................................................................... 99965 0.9611 0.9611 0.00 

65200 ....... Umatac County, Guam .............................................................................. 99965 0.9611 0.9611 0.00 

65210 ....... Yigo County, Guam ................................................................................... 99965 0.9611 0.9611 0.00 

65220 ....... Yona County, Guam .................................................................................. 99965 0.9611 0.9611 0.00 

[FR Doc. 06–6614 Filed 7–27–06; 4:00 pm] 

BILLING CODE 4120–01–P 


hsrobinson on PROD1PC69 with PROPOSALS2