ADDENDUM L. NPRM 2012 OPPS OUT-MIGRATION ADJUSTMENT

**Provider Number** **Reclassified for**

**FY 2012 Proposed Out** 

**Migration Ad** **justment Qualify** **ing**

**County Name** **County**

**Code**

10005 * 0.0326 MARSHALL 1470 10008 0.0365 CRENSHAW 1200 10010 0.0326 MARSHALL 1470 10012 0.0177 DE KALB 1240 10015 0.0055 CLARKE 1120 10022 * 0.0595 CHEROKEE 1090 10025 0.0389 CHAMBERS 1080 10029 * 0.0525 LEE 1400 10032 0.0309 RANDOLPH 1550 10035 * 0.022 CULLMAN 1210 10045 0.0375 FAYETTE 1280 10047 0.0266 BUTLER 1060 10052 0.0245TALLAPOOSA 1610 10061 0.0575 JACKSON 1350 10065 * 0.0245TALLAPOOSA 1610 10083 * 0.0153 BALDWIN 1010 10091 0.0055 CLARKE 1120 10100 * 0.0153 BALDWIN 1010 10101 * 0.0188TALLADEGA 1600 10110 0.045 BULLOCK 1050 10125 0.0425 WINSTON 1660 10128 0.0055 CLARKE 1120 10129 0.0153 BALDWIN 1010 10138 0.0089 SUMTER 1590 10150 0.0266 BUTLER 1060 10158 * 0.0121 FRANKLIN 1290 10164 0.0188TALLADEGA 1600 30067 0.0288 LAPAZ 3055 40014 * 0.0161 WHITE 4720 40019 0.0253ST. FRANCIS 4610 40039 * 0.0055 GREENE 4270 40047 0.0037 RANDOLPH 4600 40067 0.0046 COLUMBIA 4130 40071 * 0.007 JEFFERSON 4340 40076 * 0.0981 HOT SPRING 4290 40081 0.0398 PIKE 4540 50002 * 0.0055 ALAMEDA 5000 50007 0.023 SAN MATEO 551050009 * 0.0177 NAPA 5380

50013 * 0.0177 NAPA 5380 50014 * 0.0212 AMADOR 5020 50042 * 0.0254 TEHAMA 5620 50043 * 0.0055 ALAMEDA 5000 50070 0.023 SAN MATEO 5510 50073 * 0.0295 SOLANO 5580 50075 * 0.0055 ALAMEDA 5000 50101 * 0.0295 SOLANO 5580 50113 0.023 SAN MATEO 5510 50133 0.0231 YUBA 5680 50150 * 0.0445 NEVADA 5390 50195 * 0.0055 ALAMEDA 5000 50197 * 0.023 SAN MATEO 5510 50211 * 0.0055 ALAMEDA 5000 50264 * 0.0055 ALAMEDA 5000 50283 * 0.0055 ALAMEDA 5000 50289 0.023 SAN MATEO 5510 50305 * 0.0055 ALAMEDA 5000 50320 * 0.0055 ALAMEDA 5000 50335 * 0.0047 TUOLUMNE 5650 50367 * 0.0295 SOLANO 5580 50444 0.0287 MERCED 5340 50488 * 0.0055 ALAMEDA 5000 50512 * 0.0055 ALAMEDA 5000 50528 * 0.0287 MERCED 5340 50541 0.023 SAN MATEO 5510 50680 * 0.0295 SOLANO 5580 50754 0.023 SAN MATEO 5510 50767 0.0295 SOLANO 5580 60001 * 0.0096 WELD 6610 60003 * 0.0101 BOULDER 6060 60027 * 0.0101 BOULDER 6060 60103 * 0.0101 BOULDER 6060 60116 * 0.0101 BOULDER 6060 100014 * 0.0058 VOLUSIA 10630 100017 * 0.0058 VOLUSIA 10630 100023 * 0.0031 CITRUS 10080 100045 * 0.0058 VOLUSIA 10630 100047 * 0.0028CHARLOTTE 10070 100068 * 0.0058 VOLUSIA 10630 100072 * 0.0058 VOLUSIA 10630 100077 * 0.0028CHARLOTTE 10070 100118 * 0.025 FLAGLER 10170100139 * 0.0006 LEVY 10370

100232 * 0.0068 PUTNAM 10530 100236 * 0.0028CHARLOTTE 10070 100249 * 0.0031 CITRUS 10080 100252 * 0.0258OKEECHOBEE10460 110023 * 0.0247 GORDON 11500 110029 * 0.0002 HALL 11550 110040 * 0.1219 JACKSON 11610 110041 * 0.0704HABERSHAM 11540 110100 0.0821 JEFFERSON 11620 110101 0.007 COOK 11311 110142 0.0192 EVANS 11441 110146 * 0.0364 CAMDEN 11170 110150 * 0.0209 BALDWIN 11030 110187 * 0.0727 LUMPKIN 11701 110189 * 0.0046 FANNIN 11450 110190 * 0.0106 MACON 11710 110205 0.0466 GILMER 11471 130003 * 0.0165 NEZ PERCE 13340 130049 * 0.0365 KOOTENAI 13270 130066 0.0365 KOOTENAI 13270 130067 * 0.1031 BINGHAM 13050 140001 0.0321 FULTON 14370 140026 0.0302 LA SALLE 14580 140043 * 0.0036 WHITESIDE 14988 140058 * 0.0119 MORGAN 14770 140110 * 0.0302 LA SALLE 14580 140160 * 0.0332STEPHENSON14970 140161 * 0.0178LIVINGSTON 14610 140167 * 0.0769 IROQUOIS 14460 140234 0.0302 LA SALLE 14580 150022 0.0251MONTGOMERY15530 150030 * 0.0242 HENRY 15320 150072 0.0093 CASS 15080 150076 * 0.0296 MARSHALL 15490 150088 * 0.0038 MADISON 15470 150091 * 0.0095HUNTINGTON15340 150102 * 0.0179 STARKE 15740 150113 * 0.0038 MADISON 15470 150133 * 0.0211 KOSCIUSKO 15420 150146 * 0.0087 NOBLE 15560 160013 0.0192 MUSCATINE 16690 160032 0.0349 JASPER 16490 160080 * 0.0023 CLINTON 16220170150 0.0143 COWLEY 17170

180012 * 0.0094 HARDIN 18460 180017 * 0.009 BARREN 18040 180049 * 0.0312 MADISON 18750 180064 0.0201MONTGOMERY18860 180066 0.0523 LOGAN 18700 180070 0.0112 GRAYSON 18420 180079 0.0166 HARRISON 18480 190003 * 0.007 IBERIA 19220 190015 * 0.0237TANGIPAHOA19520 190017 * 0.0156 ST. LANDRY 19480 190034 0.0156 VERMILION 19560 190044 0.0215 ACADIA 19000 190050 0.0056BEAUREGARD19050 190053 0.0107 JEFFRSON 19260 190054 0.007 IBERIA 19220 190078 0.0156 ST. LANDRY 19480 190086 * 0.0054 LINCOLN 19300 190088 0.0278 WEBSTER 19590 190099 0.0108AVOYELLES 19040 190106 0.0082 ALLEN 19010 190116 0.0074MOREHOUSE19330 190133 0.0082 ALLEN 19010 190140 0.003 FRANKLIN 19200 190144 * 0.0278 WEBSTER 19590 190145 0.0051 LA SALLE 19290 190257 0.0054 LINCOLN 19300 200024 * 0.0131ANDROSCOGGI20000 200034 * 0.0131ANDROSCOGGI20000 200050 * 0.0169 HANCOCK 20040 210001 0.0096WASHINGTON21210 210023 0.0035 ANNE 21010 210043 0.0035 ANNE 21010 220002 * 0.0438 MIDDLESEX 22090 220010 * 0.0307 ESSEX 22040 220011 * 0.0438 MIDDLESEX 22090 220029 * 0.0307 ESSEX 22040 220033 * 0.0307 ESSEX 22040 220035 * 0.0307 ESSEX 22040 220049 * 0.0438 MIDDLESEX 22090 220063 * 0.0438 MIDDLESEX 22090 220070 * 0.0438 MIDDLESEX 22090 220080 * 0.0307 ESSEX 22040 220082 * 0.0438 MIDDLESEX 22090220084 * 0.0438 MIDDLESEX 22090

220098 * 0.0438 MIDDLESEX 22090 220101 * 0.0438 MIDDLESEX 22090 220105 * 0.0438 MIDDLESEX 22090 220171 * 0.0438 MIDDLESEX 22090 220174 * 0.0307 ESSEX 22040 220175 * 0.0438 MIDDLESEX 22090 230002 * 0.0043 WAYNE 23810 230003 * 0.0317 OTTAWA 23690 230005 0.0489 LENAWEE 23450 230013 * 0.0023 OAKLAND 23620 230015 0.0314 ST. JOSEPH 23740 230019 * 0.0023 OAKLAND 23620 230020 * 0.0043 WAYNE 23810 230021 * 0.0159 BERRIEN 23100 230022 * 0.0214 BRANCH 23110 230024 * 0.0043 WAYNE 23810 230029 * 0.0023 OAKLAND 23620 230035 * 0.0144 MONTCALM 23580 230037 * 0.0235 HILLSDALE 23290 230041 0.0052 BAY 23080 230047 * 0.002 MACOMB 23490 230053 * 0.0043 WAYNE 23810 230071 * 0.0023 OAKLAND 23620 230072 * 0.0317 OTTAWA 23690 230075 0.0066 CALHOUN 23120 230078 * 0.0159 BERRIEN 23100 230089 * 0.0043 WAYNE 23810 230092 0.0205 JACKSON 23370 230093 0.0088 MECOSTA 23530 230096 * 0.0314 ST. JOSEPH 23740 230099 * 0.0075 MONROE 23570 230104 * 0.0043 WAYNE 23810 230121 * 0.0923SHIAWASSEE23770 230130 * 0.0023 OAKLAND 23620 230135 * 0.0043 WAYNE 23810 230142 * 0.0043 WAYNE 23810 230146 * 0.0043 WAYNE 23810 230151 * 0.0023 OAKLAND 23620 230165 * 0.0043 WAYNE 23810 230174 * 0.0317 OTTAWA 23690 230176 * 0.0043 WAYNE 23810 230195 * 0.002 MACOMB 23490 230204 0.002 MACOMB 23490230207 * 0.0023 OAKLAND 23620

230208 * 0.0144 MONTCALM 23580 230217 0.0066 CALHOUN 23120 230222 * 0.0098 MIDLAND 23550 230227 * 0.002 MACOMB 23490 230244 * 0.0043 WAYNE 23810 230254 * 0.0023 OAKLAND 23620 230257 0.002 MACOMB 23490 230264 * 0.002 MACOMB 23490 230269 * 0.0023 OAKLAND 23620 230270 * 0.0043 WAYNE 23810 230273 * 0.0043 WAYNE 23810 230277 * 0.0023 OAKLAND 23620 230297 * 0.0043 WAYNE 23810 230301 * 0.0023 OAKLAND 23620 230302 * 0.0023 OAKLAND 23620 240018 0.0922 GOODHUE 24240 240044 0.0732 WINONA 24840 240064 * 0.0227 ITASCA 24300 240069 * 0.0312 STEELE 24730 240071 * 0.0404 RICE 24650 240101 0.0146 BECKER 24020 240117 0.0614 MOWER 24490 250023 * 0.0726PEARL RIVER25540 250040 * 0.0195 JACKSON 25290 250117 * 0.0726PEARL RIVER25540 250128 0.0445 PANOLA 25530 250162 0.0025 HANCOCK 25220 260059 0.0044 LACLEDE 26520 260064 * 0.0038 AUDRAIN 26030 260097 0.0358 JOHNSON 26500 260116 * 0.0094ST. FRANCOIS26930 260160 0.0144 STODDARD 26985 260163 0.0094ST. FRANCOIS26930 280077 * 0.0084 DODGE 28260 290002 * 0.0148 LYON 29090 310002 * 0.0315 ESSEX 31200 310009 * 0.0315 ESSEX 31200 310038 * 0.0239 MIDDLESEX 31270 310039 * 0.0239 MIDDLESEX 31270 310054 * 0.0315 ESSEX 31200 310070 * 0.0239 MIDDLESEX 31270 310076 * 0.0315 ESSEX 31200 310083 * 0.0315 ESSEX 31200310096 * 0.0315 ESSEX 31200

310108 * 0.0239 MIDDLESEX 31270 310119 * 0.0315 ESSEX 31200 330004 * 0.0916 ULSTER 33740 330008 * 0.0085 WYOMING 33900 330027 * 0.0207 NASSAU 33400 330033 0.0233 CHENANGO 33080 330047 0.0079MONTGOMERY33380 330073 * 0.0103 GENESEE 33290 330094 * 0.0579 COLUMBIA 33200 330103 * 0.0153CATTARAUGUS33040 330106 * 0.0207 NASSAU 33400 330126 * 0.0491 ORANGE 33540 330132 0.0153CATTARAUGUS33040 330135 * 0.0491 ORANGE 33540 330167 * 0.0207 NASSAU 33400 330175 0.0273 CORTLAND 33210 330181 * 0.0207 NASSAU 33400 330182 * 0.0207 NASSAU 33400 330198 * 0.0207 NASSAU 33400 330205 * 0.0491 ORANGE 33540 330222 0.0016 SARATOGA 33640 330224 * 0.0916 ULSTER 33740 330225 * 0.0207 NASSAU 33400 330235 * 0.0316 CAYUGA 33050 330259 * 0.0207 NASSAU 33400 330264 * 0.0491 ORANGE 33540 330276 0.0043 FULTON 33280 330331 * 0.0207 NASSAU 33400 330332 * 0.0207 NASSAU 33400 330372 * 0.0207 NASSAU 33400 330386 * 0.0853 SULLIVAN 33710 340020 0.0163 LEE 34520 340021 * 0.0143CLEVELAND 34220 340024 0.0143 SAMPSON 34810 340027 * 0.0164 LENOIR 34530 340037 * 0.0143CLEVELAND 34220 340038 0.0329 BEAUFORT 34060 340039 * 0.009 IREDELL 34480 340068 * 0.0111 COLUMBUS 34230 340070 * 0.0289 ALAMANCE 34000 340071 * 0.026 HARNETT 34420 340085 * 0.0259 DAVIDSON 34280 340096 * 0.0259 DAVIDSON 34280340104 0.0143CLEVELAND 34220

340126 * 0.013 WILSON 34970 340129 * 0.009 IREDELL 34480 340144 * 0.009 IREDELL 34480 340145 * 0.0306 LINCOLN 34540 340151 0.0084 HALIFAX 34410 360002 0.0092 ASHLAND 36020 360010 * 0.0012TUSCARAWAS36800 360013 * 0.0135 SHELBY 36760 360025 * 0.0065 ERIE 36220 360036 * 0.0146 WAYNE 36860 360040 0.0445 KNOX 36430 360044 0.0127 DARKE 36190 360055 * 0.0011 TRUMBULL 36790 360065 * 0.0053 HURON 36400 360071 0.0071 VAN WERT 36820 360086 * 0.0086 CLARK 36110 360096 0.0011COLUMBIANA36140 360107 0.0163 SANDUSKY 36730 360125 * 0.0099ASHTABULA 36030 360156 0.0163 SANDUSKY 36730 360161 0.0011 TRUMBULL 36790 360175 * 0.0192 CLINTON 36130 360185 * 0.0011COLUMBIANA36140 360245 * 0.0099ASHTABULA 36030 360355 0.0086 CLARK 36110 360356 0.0163 SANDUSKY 36730 370014 * 0.0167 BRYAN 37060 370015 * 0.0388 MAYES 37480 370023 0.0071 STEPHENS 37680 370065 0.0102 CRAIG 37170 370149 * 0.024POTTAWATOMI37620 370156 0.0096 GARVIN 37240 370169 0.0173 MCINTOSH 37450 370214 0.0096 GARVIN 37240 380022 * 0.0126 LINN 38210 390008 0.0011 LAWRENCE 39450 390016 * 0.0011 LAWRENCE 39450 390030 * 0.0147SCHUYLKILL 39650 390031 * 0.0147SCHUYLKILL 39650 390039 0.0037 SOMERSET 39680 390044 * 0.025 BERKS 39110 390052 0.0018CLEARFIELD39230 390056 0.0022HUNTINGDON39380390065 * 0.0591 ADAMS 39000

390066 0.0269 LEBANON 39460 390086 * 0.0018CLEARFIELD39230 390096 * 0.025 BERKS 39110 390110 * 0.0006 CAMBRIA 39160 390112 0.0037 SOMERSET 39680 390117 0.0008 BEDFORD 39100 390130 * 0.0006 CAMBRIA 39160 390138 * 0.0204 FRANKLIN 39350 390150 0.0005 GREENE 39370 390151 * 0.0204 FRANKLIN 39350 390173 0.0037 INDIANA 39390 390183 * 0.0147SCHUYLKILL 39650 390201 0.0945 MONROE 39550 390313 * 0.0147SCHUYLKILL 39650 390316 * 0.025 BERKS 39110 420005 0.0013 DILLON 42160 420007 * 0.0027SPARTANBURG42410 420019 0.017 CHESTER 42110 420027 * 0.0157 ANDERSON 42030 420030 * 0.0153 COLLETON 42140 420036 * 0.0075LANCASTER 42280 420043 0.0175 CHEROKEE 42100 420053 0.0111 NEWBERRY 42350 420055 0.0032 MARION 42330 420062 0.0125CHESTERFIELD42120 420068 * 0.0072ORANGEBURG42370 420069 * 0.0006CLARENDON42130 420083 * 0.0027SPARTANBURG42410 430048 0.0353 LAWRENCE 43400 430094 0.0353 LAWRENCE 43400 440007 0.0179 COFFEE 44150 440008 0.0249HENDERSON44380 440016 0.008 CARROLL 44080 440035 0.03MONTGOMERY44620 440047 0.0188 GIBSON 44260 440051 0.0045 MC NAIRY 44540 440060 0.0188 GIBSON 44260 440063 0.0033WASHINGTON44890 440070 0.006 DECATUR 44190 440105 0.0033WASHINGTON44890 440109 0.0039 HARDIN 44350 440115 0.0188 GIBSON 44260 440137 0.0605 BEDFORD 44010440144 * 0.0179 COFFEE 44150

440148 0.0242 DE KALB 44200 440174 * 0.0235 HAYWOOD 44370 440181 0.0306 HARDEMAN 44340 440182 0.008 CARROLL 44080 440184 0.0033WASHINGTON44890 440185 * 0.0254 BRADLEY 44050 450032 * 0.0216 HARRISON 45620 450039 * 0.0054 TARRANT 45910 450052 * 0.0333 BOSQUE 45160 450064 * 0.0054 TARRANT 45910 450087 * 0.0054 TARRANT 45910 450090 0.0711 COOKE 45340 450099 * 0.0085 GRAY 45563 450135 * 0.0054 TARRANT 45910 450137 * 0.0054 TARRANT 45910 450144 * 0.0447 ANDREWS 45010 450163 0.0116 KLEBERG 45743 450192 0.0316 HILL 45651 450194 * 0.0053 CHEROKEE 45281 450210 0.0128 PANOLA 45842 450236 0.0426 HOPKINS 45654 450270 0.0316 HILL 45651 450283 * 0.0422 VAN ZANDT 45947 450347 * 0.0396 WALKER 45949 450348 * 0.0094 FALLS 45500 450370 * 0.0251 COLORADO 45312 450389 * 0.0413HENDERSON45640 450395 * 0.0472 POLK 45850 450419 * 0.0054 TARRANT 45910 450438 * 0.0251 COLORADO 45312 450451 0.0524SOMERVELL45893 450460 0.0056 TYLER 45942 450497 0.0516 MONTAGUE 45800 450539 0.0139 HALE 45582 450547 0.0056 WOOD 45974 450563 * 0.0054 TARRANT 45910 450573 0.0133 JASPER 45690 450596 * 0.0727 HOOD 45653 450597 0.0004 DE WITT 45420 450639 * 0.0054 TARRANT 45910 450641 0.0516 MONTAGUE 45800 450672 * 0.0054 TARRANT 45910 450675 * 0.0054 TARRANT 45910450677 * 0.0054 TARRANT 45910

450698 0.0264 LAMB 45751 450747 * 0.0031 ANDERSON 45000 450755 0.0575 HOCKLEY 45652 450770 * 0.0219 MILAM 45795 450779 * 0.0054 TARRANT 45910 450813 0.0031 ANDERSON 45000 450872 * 0.0054 TARRANT 45910 450880 * 0.0054 TARRANT 45910 450886 * 0.0054 TARRANT 45910 450888 0.0054 TARRANT 45910 460001 0.0001 UTAH 46240 460013 0.0001 UTAH 46240 460017 * 0.0229 BOX ELDER 46010 460023 0.0001 UTAH 46240 460039 * 0.0229 BOX ELDER 46010 460043 0.0001 UTAH 46240 460052 0.0001 UTAH 46240 490002 0.0003 RUSSELL 49830 490018 * 0.0218 AUGUSTA 49070 490019 * 0.1048 CULPEPER 49230 490038 0.0003 SMYTH 49860 490084 0.0236 ESSEX 49280 490105 0.0003 SMYTH 49860 490110 0.0176MONTGOMERY49600 500003 * 0.027 SKAGIT 50280 500007 * 0.027 SKAGIT 50280 500019 0.0166 LEWIS 50200 500024 0.0064 THURSTON 50330 500039 * 0.0182 KITSAP 50170 500041 * 0.0055 COWLITZ 50070 500139 0.0064 THURSTON 50330 510012 0.011 MASON 51260 510018 * 0.0106 JACKSON 51170 510047 * 0.0233 MARION 51240 520009 0.0027OUTAGAMIE 52430 520028 * 0.0413 GREEN 52220 520035 0.0112SHEBOYGAN52580 520044 0.0112SHEBOYGAN52580 520045 0.0022WINNEBAGO52690 520048 0.0022WINNEBAGO52690 520057 0.0268 SAUK 52550 520071 * 0.0267JEFFERSON 52270 520076 * 0.0219 DODGE 52130520088 0.0084FOND DU LAC52190

520095 * 0.0268 SAUK 52550 520102 * 0.0599WALWORTH 52630 520116 * 0.0267JEFFERSON 52270 520160 0.0027OUTAGAMIE 52430 520198 0.0022WINNEBAGO52690 670023 * 0.0054 TARRANT 45910 670046 * 0.0054 TARRANT 45910 670067 * 0.0054 TARRANT 45910