[Federal Register Volume 65, Number 8 (Wednesday, January 12, 2000)]
[Rules and Regulations]
[Pages 1817-1823]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 00-126]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

42 CFR Parts 412, 413, 483, and 485

[HCFA-1053-CN2]
RIN 0938-AJ50


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

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

ACTION: Final rule; correction notice.

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

EFFECTIVE DATE: October 1, 1999.

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

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

[[Page 1818]]

revised values do not reflect changes to wage data or to actual 
payments.
    The July 30, 1999 final rule also contained other technical and 
typographical errors. Therefore, we are making the following 
corrections:
    1. On page 41520, first column, last two paragraphs, and the second 
column, first full paragraph, the text beginning with ``Example 1'' and 
ending with ``residents * 1 year).'' is inaccurate and should be 
disregarded.
    2. On page 41520, second column, second paragraph, line 18, the 
phrase ``accepts 9 new (PGY 2) residents'' is corrected to read 
``accepts 9 new (PGY 1) residents''; and
    3. On page 41557, second column, last full paragraph, twenty-third 
line, the figure ``$36,712'' is corrected to read ``$39,712''.
    4. On pages 41585 through 41593, Table 4A--Wage Index and Capital 
Geographic Adjustment Factor (GAF) for Urban Areas is replaced with the 
following:

 Table 4a--Wage Index and Capital Geographic Adjustment Factor (GAF) for
                               Urban Areas
------------------------------------------------------------------------
                                                       Wage
         Urban area (constituent counties)            index       GAF
------------------------------------------------------------------------
0040  Abilene, TX: Taylor, TX.....................     0.8179     0.8714
00602  Aguadilla, \2\ PR: Aguada, PR Aguadilla, PR     0.4249     0.5565
 Moca, PR.........................................
0080  Akron, OH; Portage, OH; Summit, OH..........     1.0163     1.0111
0120  Albany, GA: Dougherty, GA; Lee, GA..........     1.0372     1.0253
0160  Albany-Schenectady-Troy, NY: Albany, NY          0.8754     0.9129
 Montgomery, NY; Rensselaer, NY; Saratoga, NY;
 Schenectady, NY; Schoharie, NY...................
0200  Albuquerque, NM: Bernalillo, NM; Sandoval,       0.8499     0.8946
 NM; Valencia, NM.................................
0220  Alexandria, LA: Rapides, LA.................     0.7910     0.8517
0240  Allentown-Bethlehem-Easton, PA: Carbon, PA;      0.9550     0.9690
 Lehigh, PA; Northampton, PA......................
0280  Altoona, PA: Blair, PA......................     0.9342     0.9545
0320  Amarillo, TX: Potter, TX; Randall, TX.......     0.8435     0.8900
0380  Anchorage, AK: Anchorage, AK................     1.3009     1.1974
0440  Ann Arbor, MI: Lenawee, MI; Livingston, MI;      1.1483     1.0993
 Washtenaw, MI....................................
0450  Anniston, AL: Calhoun, AL...................     0.8462     0.8919
0460  Appleton-Oshkosh-Neenah, WI: Calumet, WI;        0.8913     0.9242
 Outagamie, WI; Winnebago, WI.....................
0470  Arecibo, PR: Arecibo, PR; Camuy, PR;             0.4815     0.6062
 Hatillo, PR......................................
0480  Asheville, NC: Buncombe, NC; Madison, NC....     0.8884     0.9222
0500  Athens, GA: Clarke, GA; Madison, GA;             0.9800     0.9863
 Oconee,GA........................................
0520  Atlanta, \1\ GA: Barrow, GA; Bartow, GA;         1.0050     1.0034
 Carroll, GA; Cherokee, GA; Clayton, GA; Cobb, GA;
 Coweta, GA; DeKalb, GA; Douglas, GA; Fayette, GA;
 Forsyth, GA; Fulton, GA; Gwinnett, GA; Henry, GA;
 Newton, GA; Paulding, GA; Pickens, GA; Rockdale,
 GA; Spalding, GA Walton, GA......................
0560  Atlantic-Cape May, NJ: Atlantic, NJ; Cape        1.1050     1.0708
 May, NJ..........................................
0580  Auburn-Opelika, AL: Lee, AL.................     0.7748     0.8397
0600  Augusta-Aiken, GA-SC: Columbia, GA;              0.9013     0.9313
 McDuffie, GA; Richmond, GA; Aiken, SC; Edgefield,
 SC...............................................
0640  Austin-San Marcos, \1\ TX: Bastrop, TX;          0.9081     0.9361
 Caldwell, TX; Hays, TX; Travis, TX; Williamson,
 TX...............................................
0680 Bakersfield, \2\ CA: Kern, CA................     0.9951     0.9966
0720  Baltimore, \1\ MD: Anne Arundel, MD;             0.9891     0.9925
 Baltimore, MD; Baltimore City, MD; Carroll, MD;
 Harford, MD; Howard, MD; Queen Anne's, MD........
0733  Bangor, ME: Penobscot, ME...................     0.9609     0.9731
0743  Barnstable-Yarmouth, MA: Barnstable, MA.....     1.3302     1.2158
0760  Baton Rouge, LA: Ascension, LA; East Baton       0.8707     0.9095
 Rouge, LA; Livingston, LA; West Baton Rouge, LA..
0840  Beaumont-Port Arthur, TX: Hardin, TX;            0.8624     0.9036
 Jefferson, TX; Orange, TX........................
0860  Bellingham, WA: Whatcom, WA.................     1.1394     1.0935
0870  Benton Harbor, \2\ MI: Berrien, MI..........     0.8831     0.9184
0875  Bergen-Passaic, \1\ NJ: Bergen, NJ; Passaic,     1.1833     1.1222
 NJ...............................................
0880  Billings, MT: Yellowstone, MT...............     1.0038     1.0026
0920  Biloxi-Gulfport-Pascagoula, MS: Hancock, MS;     0.7949     0.8545
 Harrison, MS; Jackson, MS........................
0960  Binghamton, NY: Broome, NY; Tioga, NY.......     0.8750     0.9126
1000  Birmingham, AL: Blount, AL; Jefferson, AL;       0.8994     0.9300
 St. Clair, AL; Shelby, AL........................
1010  Bismarck, ND: Burleigh, ND; Morton, ND......     0.7893     0.8504
1020  Bloomington, IN: Monroe, IN.................     0.8593     0.9014
1040  Bloomington-Normal, IL: McLean, IL..........     0.8993     0.9299
1080  Boise City, ID: Ada, ID: Canyon, ID.........     0.9086     0.9365
1123  Boston-Worcester-Lawrence-Lowell-Brockton,       1.1369     1.0918
 MA-NH (MA Hospitals)\1\ \2\ Bristol, MA; Essex,
 MA; Middlesex, MA; Norfolk, MA; Plymouth, MA;
 Suffolk, MA; Worcester, MA; Hillsborough, NH;
 Merrimack, NH; Rockingham, NH; Strafford, NH.....
1123  Boston-Worcester-Lawrence-Lowell-Brockton,       1.1358     1.0911
 MA-NH (NH Hospitals)\1\ Bristol, MA; Essex, MA;
 Middlesex, MA; Norfolk, MA; Plymouth, MA;
 Suffolk, MA; Worcester, MA; Hillsborough, NH;
 Merrimack, NH; Rockingham, NH; Strafford, NH.....
1125  Boulder-Longmont, CO: Boulder, CO...........     0.9944     0.9962
1145  Brazoria, TX: Brazoria, TX..................     0.8516     0.8958
1150  Bremerton, WA: Kitsap, WA...................     1.1011     1.0682
1240  Brownsville-Harlingen-San Benito, TX:            0.9212     0.9453
 Cameron, TX......................................
1260  Bryan-College Station, TX: Brazos, TX.......     0.8501     0.8947
1280  Buffalo-Niagara Falls, NY: \1\ Erie, NY;         0.9604     0.9727
 Niagara, NY......................................
1303  Burlington, VT: Chittenden, VT; Franklin,        1.0558     1.0379
 VT; Grand Isle, VT...............................
1310  Caguas, PR: Caguas, PR; Cayey, PR; Cidra,        0.4561     0.5842
 PR; Gurabo, PR; San Lorenzo, PR..................
1320  Canton-Massillon, \2\ OH: Carroll, OH;           0.8649     0.9054
 Stark, OH........................................
1350  Casper, WY: Natrona, WY.....................     0.9199     0.9444
1360  Cedar Rapids, IA: Linn, IA..................     0.9018     0.9317

[[Page 1819]]

 
1400  Champaign-Urbana, IL: Champaign, IL.........     0.9163     0.9419
1440  Charleston-North Charleston, SC: Berkeley,       0.8988     0.9295
 SC; Charleston, SC; Dorchester, SC...............
1480  Charleston, WV: Kanawha, WV; Putnam, WV.....     0.9095     0.9371
1520  Charlotte-Gastonia-Rock Hill, NC-SC: \1\         0.9433     0.9608
 Cabarrus, NC; Gaston, NC; Lincoln, NC;
 Mecklenburg, NC; Rowan, NC; Stanly, NC; Union,
 NC; York, SC.....................................
1540  Charlottesville, VA: Albemarle, VA;              1.0573     1.0389
 Charlottesville City, VA; Fluvanna, VA; Greene,
 VA...............................................
1560  Chattanooga, TN-GA: Catoosa, GA; Dade, GA;       0.9731     0.9815
 Walker, GA; Hamilton, TN; Marion, TN.............
1580  Cheyenne, WY: \2\ Laramie, WY...............     0.8859     0.9204
1600  Chicago, IL: \1\ Cook, IL; DeKalb, IL;           1.0872     1.0589
 DuPage, IL; Grundy, IL; Kane, IL; Kendall, IL;
 Lake, IL; McHenry, IL; Will, IL..................
1620  Chico-Paradise, CA: Butte, CA...............     1.0390     1.0265
1640  Cincinnati, OH-KY-IN: \1\ Dearborn, IN;          0.9434     0.9609
 Ohio, IN; Boone, KY; Campbell, KY; Gallatin, KY;
 Grant, KY; Kenton, KY; Pendleton, KY; Brown, OH;
 Clermont, OH; Hamilton, OH; Warren, OH...........
1660  Clarksville-Hopkinsville, TN-KY: Christian,      0.8283     0.8790
 KY; Montgomery, TN...............................
1680  Cleveland-Lorain-Elyria, OH: \1\ Ashtabula,      0.9688     0.9785
 OH; Cuyahoga, OH; Geauga, OH; Lake, OH; Lorain,
 OH; Medina, OH...................................
1720  Colorado Springs, CO: El Paso, CO...........     0.9218     0.9458
1740  Columbia, MO: Boone, MO.....................     0.8904     0.9236
1760  Columbia, SC: Lexington, SC; Richland, SC...     0.9357     0.9555
1800  Columbus, GA-AL: Russell, AL; Chattahoochee,     0.8510     0.8954
 GA; Harris, GA; Muscogee, GA.....................
1840  Columbus, OH: \1\ Delaware, OH; Fairfield,       0.9907     0.9936
 OH; Franklin, OH; Licking, OH; Madison, OH;
 Pickaway, OH.....................................
1880  Corpus Christi, TX: Nueces, TX; San              0.8702     0.9092
 Patricio, TX.....................................
1890  Corvallis, OR: Benton, OR...................     1.1087     1.0732
1900  Cumberland, MD-WV (Maryland Hospitals):          0.8801     0.9163
 Allegany, MD; Mineral, WV........................
1920  Dallas, TX: \1\ Collin, TX; Dallas, TX;          0.9589     0.9717
 Denton, TX; Ellis, TX; Henderson, TX; Hunt, TX;
 Kaufman, TX; Rockwall, TX........................
1950  Danville, VA: Danville City, VA;                 0.9061     0.9347
 Pittsylvania, VA.................................
1960  Davenport-Moline-Rock Island, IA-IL: Scott,      0.8706     0.9095
 IA; Henry, IL; Rock Island, IL...................
2000  Dayton-Springfield, OH: Clark, OH; Greene,       0.9336     0.9540
 OH; Miami, OH; Montgomery, OH....................
2020  Daytona Beach, FL: \2\ Flagler, FL; Volusia,     0.8986     0.9294
 FL...............................................
2030  Decatur, AL: Lawrence, AL; Morgan, AL.......     0.8679     0.9075
2040  Decatur, IL: Macon, IL......................     0.8321     0.8817
2080  Denver, CO: \1\ Adams, CO; Arapahoe, CO;         1.0197     1.0134
 Denver, CO; Douglas, CO; Jefferson, CO...........
2120  Des Moines, IA: Dallas, IA; Polk, IA;            0.8754     0.9129
 Warren, IA.......................................
2160  Detroit, MI: \1\ Lapeer, MI; Macomb, MI;         1.0421     1.0286
 Monroe, MI; Oakland, MI; St. Clair, MI; Wayne, MI
2180  Dothan, AL: Dale, AL; Houston, AL...........     0.7836     0.8462
2190  Dover, DE: Kent, DE.........................     0.9335     0.9540
2200  Dubuque, IA: Dubuque, IA....................     0.8520     0.8961
2240  Duluth-Superior, MN-WI: St. Louis, MN;           1.0165     1.0113
 Douglas, WI......................................
2281  Dutchess County, NY: Dutchess, NY...........     0.9872     0.9912
2290  Eau Claire, WI: Chippewa, WI; Eau Claire, WI     0.8957     0.9273
2320  El Paso, TX: El Paso, TX....................     0.8947     0.9266
2330  Elkhart-Goshen, IN: Elkhart, IN.............     0.9379     0.9570
2335  Elmira, NY: \2\ Chemung, NY.................     0.8636     0.9045
2340  Enid, OK: Garfield, OK......................     0.7953     0.8548
2360  Erie, PA: Erie, PA..........................     0.9023     0.9320
2400  Eugene-Springfield, OR: Lane, OR............     1.0765     1.0518
2440  Evansville-Henderson, IN-KY (IN Hospitals):      0.8396     0.8872
 \2\ Posey, IN; Vanderburgh, IN; Warrick, IN;
 Henderson, KY....................................
2440  Evansville-Henderson, IN-KY (KY Hospitals):      0.8303     0.8804
 Posey, IN; Vanderburgh, IN; Warrick, IN;
 Henderson, KY....................................
2520  Fargo-Moorhead, ND-MN: Clay, MN; Cass, ND...     0.8620     0.9033
2560  Fayetteville, NC: Cumberland, NC............     0.8494     0.8942
2580  Fayetteville-Springdale-Rogers, AR: Benton,      0.7773     0.8415
 AR; Washington, AR...............................
2620  Flagstaff, AZ-UT: Coconino, AZ; Kane, UT....     1.0348     1.0237
2640  Flint, MI: Genesee, MI......................     1.1020     1.0688
2650  Florence, AL: Colbert, AL; Lauderdale, AL...     0.7927     0.8529
2655  Florence, SC: Florence, SC..................     0.8618     0.9032
2670  Fort Collins-Loveland, CO: Larimer, CO......     1.0302     1.0206
2680  Ft. Lauderdale, FL: \1\ Broward, FL.........     1.0172     1.0117
2700  Fort Myers-Cape Coral, FL: \2\ Lee, FL......     0.8986     0.9294
2710  Fort Pierce-Port St. Lucie, FL: Martin, FL;      1.0109     1.0075
 St. Lucie, FL....................................
2720  Fort Smith, AR-OK: Crawford, AR; Sebastian,      0.7844     0.8468
 AR; Sequoyah, OK.................................
2750  Fort Walton Beach, FL: \2\ Okaloosa, FL.....     0.8986     0.9294
2760  Fort Wayne, IN: Adams, IN; Allen, IN; De         0.9096     0.9372
 Kalb, IN; Huntington, IN; Wells, IN; Whitley, IN.
2800  Forth Worth-Arlington, TX: \1\ Hood, TX;         0.9835     0.9887
 Johnson, TX; Parker, TX; Tarrant, TX.............
2840  Fresno, CA: Fresno, CA; Madera, CA..........     1.0262     1.0179
2880  Gadsden, AL: Etowah, AL.....................     0.8754     0.9129
2900  Gainesville, FL: Alachua, FL................     1.0102     1.0070
2920  Galveston-Texas City, TX: Galveston, TX.....     0.9732     0.9816
2960  Gary, IN: Lake, IN; Porter, IN..............     0.9369     0.9563
2975  Glens Falls, NY: 2 Warren, NY; Washington,       0.8636     0.9045
 NY...............................................
2980  Goldsboro, NC: Wayne, NC....................     0.8333     0.8826
2985  Grand Forks, ND-MN: Polk, MN; Grand Forks,       0.9097     0.9372
 ND...............................................
2995  Grand Junction, CO: Mesa, CO................     0.9188     0.9437
3000  Grand Rapids-Muskegon-Holland, MI: 1             1.0135     1.0092
 Allegan, MI; Kent, MI; Muskegon, MI; Ottawa, MI..

[[Page 1820]]

 
3040  Great Falls, MT: Cascade, MT................     1.0459     1.0312
3060  Greeley, CO: Weld, CO.......................     0.9722     0.9809
3080  Green Bay, WI: Brown, WI....................     0.9215     0.9456
3120  Greensboro-Winston-Salem-High Point, NC: 1       0.9037     0.9330
 Alamance, NC; Davidson, NC; Davie, NC; Forsyth,
 NC; Guilford, NC; Randolph, NC; Stokes, NC;
 Yadkin, NC.......................................
3150  Greenville, NC; Pitt, NC....................     0.9500     0.9655
3160  Greenville-Spartanburg-Anderson, SC:             0.9188     0.9437
 Anderson, SC; Cherokee, SC; Greenville, SC;
 Pickens, SC; Spartanburg, SC.....................
3180  Hagerstown, MD: Washington, MD..............     0.8853     0.9200
3200  Hamilton-Middletown, OH: Butler, OH.........     0.8989     0.9296
3240  Harrisburg-Lebanon-Carlisle, PA: Cumberland,     0.9917     0.9943
 PA; Dauphin, PA; Lebanon, PA; Perry, PA..........
3283  Hartford, CT: 1, 2 Hartford, CT; Litchfield,     1.2413     1.1595
 CT; Middlesex, CT; Tolland, CT...................
3285  Hattiesburg, MS: 2 Forrest, MS; Lamar, MS...     0.7306     0.8066
3290  Hickory-Morganton-Lenoir, NC: Alexander, NC;     0.9148     0.9408
 Burke, NC; Caldwell, NC; Catawba, NC.............
3320  Honolulu, HI: Honolulu, HI..................     1.1479     1.0991
3350  Houma, LA: Lafourche, LA; Terrebonne, LA....     0.7837     0.8463
3360  Houston, TX: 1 Chambers, TX; Fort Bend, TX;      0.9387     0.9576
 Harris, TX; Liberty, TX; Montgomery, TX; Waller,
 TX...............................................
3400  Huntington-Ashland, WV-KY-OH: Boyd, KY;          0.9757     0.9833
 Carter, KY; Greenup, KY; Lawrence, OH; Cabell,
 WV; Wayne, WV....................................
3440  Huntsville, AL: Limestone, AL; Madison, AL..     0.8822     0.9178
3480  Indianapolis, IN: 1 Boone, IN; Hamilton, IN;     0.9792     0.9857
 Hancock, IN; Hendricks, IN; Johnson, IN; Madison,
 IN; Marion, IN; Morgan, IN; Shelby, IN...........
3500  Iowa City, IA: Johnson, IA..................     0.9607     0.9729
3520  Jackson, MI: Jackson, MI....................     0.8840     0.9190
3560  Jackson, MS: Hinds, MS; Madison, MS; Rankin,     0.8387     0.8865
 MS...............................................
3580  Jackson, TN: Madison, TN; Chester, TN.......     0.8600     0.9019
3600  Jacksonville, FL: 1, 2 Clay, FL; Duval, FL;      0.8986     0.9294
 Nassau, FL; St. Johns, FL........................
3605  Jacksonville, NC: 2 Onslow, NC..............     0.8290     0.8795
3610  Jamestown, NY: 2 Chautauqua, NY.............     0.8636     0.9045
3620  Janesville-Beloit, WI: Rock, WI.............     0.9656     0.9763
3640  Jersey City, NJ: Hudson, NJ.................     1.1674     1.1118
3660  Johnson City-Kingsport-Bristol, TN-VA:           0.8894     0.9229
 Carter, TN; Hawkins, TN; Sullivan, TN; Unicoi,
 TN; Washington, TN; Bristol City, VA; Scott, VA
 Washington, VA...................................
3680  Johnstown, PA: 2 Cambria, PA; Somerset, PA..     0.8524     0.8964
3700  Jonesboro, AR: Craighead, AR................     0.7251     0.8024
3710  Joplin, MO: 2 Jasper, MO; Newton, MO........     0.7723     0.8378
3720  Kalamazoo-Battlecreek, MI: Calhoun, MI;          0.9981     0.9987
 Kalamazoo, MI; Van Buren, MI.....................
3740  Kankakee, IL: Kankakee, IL..................     0.8598     0.9017
3760  Kansas City, KS-MO: 1 Johnson, KS;               0.9322     0.9531
 Leavenworth, KS; Miami, KS; Wyandotte, KS; Cass,
 MO; Clay, MO; Clinton, MO; Jackson, MO;
 Lafayette, MO; Platte, MO; Ray, MO...............
3800  Kenosha, WI: Kenosha, WI....................     0.9033     0.9327
3810  Killeen-Temple, TX: Bell, TX; Coryell, TX...     0.9932     0.9953
3840  Knoxville, TN: Anderson, TN; Blount, TN;         0.9199     0.9444
 Knox, TN; Loudon, TN; Sevier, TN; Union, TN......
3850  Kokomo, IN: Howard, IN; Tipton, IN..........     0.8984     0.9293
3870  La Crosse, WI-MN: Houston, MN; La Crosse, WI     0.8933     0.9256
3880  Lafayette, LA: Acadia, LA; Lafayette, LA;        0.8397     0.8872
 St. Landry, LA; St. Martin, LA...................
3920  Lafayette, IN: Clinton, IN; Tippecanoe, IN..     0.8809     0.9168
3960  Lake Charles, LA: Calcasieu, LA.............     0.7966     0.8558
3980  Lakeland-Winter Haven, FL: 2 Polk, FL.......     0.8986     0.9294
4000  Lancaster, PA: Lancaster, PA................     0.9255     0.9484
4040  Lansing-East Lansing, MI: Clinton, MI;           0.9977     0.9984
 Eaton, MI; Ingham, MI............................
4080  Laredo, TX: Webb, TX........................     0.8323     0.8819
4100  Las Cruces, NM: Dona Ana, NM................     0.8590     0.9012
4120  Las Vegas, NV-AZ: 1 Mohave, AZ; Clark, NV;       1.1258     1.0845
 Nye, NV..........................................
4150  Lawrence, KS: Douglas, KS...................     0.8222     0.8745
4200  Lawton, OK: Comanche, OK....................     0.9532     0.9677
4243  Lewiston-Auburn, ME: Androscoggin, ME.......     0.8899     0.9232
4280  Lexington, KY: Bourbon, KY; Clark, KY;           0.8552     0.8984
 Fayette, KY; Jessamine, KY; Madison, KY; Scott,
 KY; Woodford, KY.................................
4320  Lima, OH: Allen, OH; Auglaize, OH...........     0.9108     0.9380
4360  Lincoln, NE: Lancaster, NE..................     0.9670     0.9773
4400  Little Rock-North Little Rock, AR: Faulkner,     0.8614     0.9029
 AR; Lonoke, AR; Pulaski, AR; Saline, AR..........
4420  Longview-Marshall, TX: Gregg, TX; Harrison,      0.8738     0.9118
 TX; Upshur, TX...................................
4480  Los Angeles-Long Beach, CA: \1\ Los Angeles,     1.2085     1.1385
 CA...............................................
4520  Louisville, KY-IN: Clark, IN; Floyd, IN;         0.9381     0.9572
 Harrison, IN; Scott, IN; Bullitt, KY; Jefferson,
 KY; Oldham, KY...................................
4600  Lubbock, TX: Lubbock, TX....................     0.8411     0.8883
4640  Lynchburg, VA: Amherst, VA; Bedford, VA;         0.8814     0.9172
 Bedford City, VA; Campbell, VA; Lynchburg City,
 VA...............................................
4680  Macon, GA: Bibb, GA; Houston, GA; Jones, GA;     0.8530     0.8968
 Peach, GA; Twiggs, GA............................
4720  Madison, WI: Dane, WI.......................     0.9729     0.9814
4800  Mansfield, OH: \2\ Crawford, OH; Richland,       0.8649     0.9054
 OH...............................................
4840  Mayaguez, PR: Anasco, PR; Cabo Rojo, PR;         0.4674     0.5940
 Hormigueros, PR; Mayaguez, PR; Sabana Grande, PR;
 San German, PR...................................
4880  McAllen-Edinburg-Mission, TX: Hidalgo, TX...     0.8120     0.8671

[[Page 1821]]

 
4890  Medford-Ashland, OR: Jackson, OR............     1.0492     1.0334
4900  Melbourne-Titusville-Palm Bay, FL: Brevard,      0.9296     0.9512
 Fl...............................................
4920  Memphis, TN-AR-MS :\1\ Crittenden, AR;           0.8244     0.8761
 DeSoto, MS; Fayette, TN; Shelby, TN; Tipton, TN..
4940  Merced, CA: Merced, CA......................     1.0509     1.0346
5000  Miami, FL: \1\ Dade, FL.....................     1.0233     1.0159
5015  Middlesex-Somerset-Hunterdon, NJ: \1\            1.0876     1.0592
 Hunterdon, NJ; Middlesex, NJ; Somerset, NJ.......
5080  Milwaukee-Waukesha, WI: \1\ Milwaukee, WI;       0.9845     0.9894
 Ozaukee, WI; Washington, WI; Waukesha, WI........
5120  Minneapolis-St. Paul, MN-WI: \1\ Anoka, MN;      1.0929     1.0627
 Carver, MN; Chisago, MN; Dakota, MN; Hennepin,
 MN; Isanti, MN; Ramsey, MN; Scott, MN; Sherburne,
 MN; Washington, MN; Wright, MN; Pierce, WI; St.
 Croix, WI........................................
5140  Missoula, MT: Missoula, MT..................     0.9085     0.9364
5160  Mobile, AL: Baldwin, AL; Mobile, AL.........     0.8267     0.8778
5170  Modesto, CA: Stanislaus, CA.................     1.0111     1.0076
5190  Monmouth-Ocean, NJ: \1\ Monmouth, NJ; Ocean,     1.1258     1.0845
 NJ...............................................
5200  Monroe, LA: Ouachita, LA....................     0.8221     0.8745
5240  Montgomery, AL: Autauga, AL; Elmore, AL;         0.7724     0.8379
 Montgomery, AL...................................
5280  Muncie, IN: Delaware, IN....................     1.0834     1.0564
5330  Myrtle Beach, SC: Horry, SC.................     0.8529     0.8968
5345  Naples, FL: Collier, FL.....................     0.9839     0.9889
5360  Nashville, TN: \1\ Cheatham, TN; Davidson,       0.9449     0.9619
 TN; Dickson, TN; Robertson, TN; Rutherford, TN;
 Sumner, TN; Williamson, TN; Wilson, TN...........
5380  Nassau-Suffolk, NY: \1\ Nassau, NY; Suffolk,     1.4074     1.2637
 NY...............................................
5483  New Haven-Bridgeport-Stamford-Waterbury-         1.2417     1.1598
 Danbury, CT: \1\ Fairfield, CT; New Haven, CT....
5523  New London-Norwich, CT: New London, CT......     1.2428     1.1605
5560  New Orleans, LA: \1\ Jefferson, LA; Orleans,     0.9089     0.9367
 LA; Plaquemines, LA; St. Bernard, LA; St.
 Charles, LA; St. James, LA; St. John The Baptist,
 LA; St. Tammany, LA..............................
5600  New York, NY: \1\ Bronx, NY; Kings, NY; New      1.4517     1.2908
 York, NY; Putnam, NY; Queens, NY; Richmond, NY;
 Rockland, NY; Westchester, NY....................
5640  Newark, NJ: \1\ Essex, NJ; Morris, NJ;           1.0772     1.0522
 Sussex, NJ; Union, NJ; Warren, NJ................
5660  Newburgh, NY-PA: Orange, NY; Pike, PA.......     1.0908     1.0613
5720  Norfolk-Virginia Beach-Newport News, VA-NC:      0.8442     0.8905
 \1\ Currituck, NC; Chesapeake City, VA;
 Gloucester, VA; Hampton City, VA; Isle of Wight,
 VA; James City, VA; Mathews, VA; Newport News
 City, VA; Norfolk City, VA; Poquoson City, VA;
 Portsmouth City, VA; Suffolk City, VA; Virginia
 Beach City VA; Williamsburg City, VA; York, VA...
5775  Oakland, CA: \1\ Alameda, CA; Contra Costa,      1.5095     1.3258
 CA...............................................
5790  Ocala, FL: Marion, FL.......................     0.9615     0.9735
5800  Odessa-Midland, TX: Ector, TX; Midland, TX..     0.8873     0.9214
5880  Oklahoma City, OK: \1\ Canadian, OK;             0.8589     0.9011
 Cleveland, OK; Logan, OK; McClain, OK; Oklahoma,
 OK; Pottawatomie, OK.............................
5910  Olympia, WA: Thurston, WA...................     1.0932     1.0629
5920  Omaha, NE-IA: Pottawattamie, IA; Cass, NE;       1.0455     1.0309
 Douglas, NE; Sarpy, NE; Washington, NE...........
5945  Orange County, CA: \1\ Orange, CA...........     1.1592     1.1065
5960  Orlando, FL: \1\ Lake, FL; Orange, FL;           0.9806     0.9867
 Osceola, FL; Seminole, FL........................
5990  Owensboro, KY: Daviess, KY..................     0.8104     0.8659
6015  Panama City, FL: Bay, FL....................     0.9169     0.9423
6020  Parkersburg-Marietta, WV-OH (WV Hospitals):      0.8414     0.8885
 Washington, OH; Wood, WV.........................
6020  Parkersburg-Marietta, WV-OH (OH Hospitals):      0.8649     0.9054
 \2\ Washington, OH; Wood, WV.....................
6080  Pensacola, FL: \2\ Escambia, FL; Santa Rosa,     0.8986     0.9294
 FL...............................................
6120  Peoria-Pekin, IL: Peoria, IL; Tazewell, IL;      0.8399     0.8874
 Woodford, IL.....................................
6160  Philadelphia, PA-NJ: \1\ Burlington, NJ;         1.1186     1.0798
 Camden, NJ; Gloucester, NJ; Salem, NJ; Bucks, PA;
 Chester, PA; Delaware, PA; Montgomery, PA;
 Philadelphia, PA.................................
6200  Phoenix-Mesa, AZ: \1\ Maricopa, AZ; Pinal,       0.9464     0.9630
 AZ...............................................
6240  Pine Bluff, AR: Jefferson, AR...............     0.7697     0.8359
6280  Pittsburgh, PA: \1\ Allegheny, PA; Beaver,       0.9634     0.9748
 PA; Butler, PA; Fayette, PA; Washington, PA;
 Westmoreland, PA.................................
6323  Pittsfield, MA: \2\ Berkshire, MA...........     1.1369     1.0918
6340  Pocatello, ID: Bannock, ID..................     0.8973     0.9285
6360  Ponce, PR: Guayanilla, PR; Juana Diaz, PR;       0.4971     0.6196
 Penuelas, PR; Ponce, PR; Villalba, PR; Yauco, PR.
6403  Portland, ME: Cumberland, ME; Sagadahoc, ME;     0.9487     0.9646
 York, ME.........................................
6440  Portland-Vancouver, OR-WA: \1\ Clackamas,        1.0996     1.0672
 OR; Columbia, OR; Multnomah, OR; Washington, OR;
 Yamhill, OR; Clark, WA...........................
6483  Providence-Warwick-Pawtucket, RI: \1\            1.0690     1.0468
 Bristol, RI; Kent, RI; Newport, RI; Providence,
 RI; Washington, RI...............................
6520  Provo-Orem, UT: Utah, UT....................     0.9818     0.9875
6560  Pueblo, CO: Pueblo, CO......................     0.8853     0.9200
6580  Punta Gorda, FL: Charlotte, FL..............     0.9508     0.9660
6600  Racine, WI: Racine, WI......................     0.9216     0.9456
6640  Raleigh-Durham-Chapel Hill, NC: \1\ Chatham,     0.9544     0.9685
 NC; Durham, NC; Franklin, NC; Johnston, NC;
 Orange, NC; Wake, NC.............................
6660  Rapid City, SD: Pennington, SD..............     0.8363     0.8848
6680  Reading, PA: Berks, PA......................     0.9436     0.9610
6690  Redding, CA: Shasta, CA.....................     1.1263     1.0849
6720  Reno, NV: Washoe, NV........................     1.0655     1.0444
6740  Richland-Kennewick-Pasco, WA: Benton, WA;        1.1224     1.0823
 Franklin, WA.....................................

[[Page 1822]]

 
6760  Richmond-Petersburg, VA: Charles City            0.9545     0.9686
 County, VA; Chesterfield, VA; Colonial Heights
 City, VA; Dinwiddie, VA; Goochland, VA; Hanover,
 VA; Henrico, VA; Hopewell City, VA; New Kent, VA;
 Petersburg City, VA; Powhatan, VA; Prince George,
 VA; Richmond City, VA............................
6780  Riverside-San Bernardino, CA: \1\ Riverside,     1.1061     1.0715
 CA; San Bernardino, CA...........................
6800  Roanoke, VA: Botetourt, VA; Roanoke, VA;         0.8142     0.8687
 Roanoke City, VA; Salem City, VA.................
6820  Rochester, MN: Olmsted, MN..................     1.1429     1.0958
6840  Rochester, NY: \1\ Genesee, NY; Livingston,      0.9184     0.9434
 NY; Monroe, NY; Ontario, NY; Orleans, NY; Wayne,
 NY...............................................
6880  Rockford, IL: Boone, IL; Ogle, IL;               0.8783     0.9150
 Winnebago, IL....................................
6895  Rocky Mount, NC: Edgecombe, NC; Nash, NC....     0.8735     0.9115
6920  Sacramento, CA: \1\ El Dorado, CA; Placer,       1.2284     1.1513
 CA; Sacramento, CA...............................
6960  Saginaw-Bay City-Midland, MI: Bay, MI;           0.9294     0.9511
 Midland, MI; Saginaw, MI.........................
6980  St. Cloud, MN: Benton, MN; Stearns, MN......     0.9608     0.9730
7000  St. Joseph, MO: Andrew, MO; Buchanan, MO....     0.8943     0.9264
7040  St. Louis, MO-IL: \1\ Clinton, IL; Jersey,       0.9052     0.9341
 IL; Madison, IL; Monroe, IL; St. Clair, IL;
 Franklin, MO; Jefferson, MO; Lincoln, MO; St.
 Charles, MO; St. Louis, MO; St. Louis City, MO;
 Warren, MO.......................................
7080  Salem, OR: Marion, OR; Polk, OR.............     0.9949     0.9965
7120  Salinas, CA: Monterey, CA...................     1.4710     1.3025
7160  Salt Lake City-Ogden, UT: \1\ Davis, UT;         0.9854     0.9900
 Salt Lake, UT; Weber, UT.........................
7200  San Angelo, TX: Tom Green, TX...............     0.7845     0.8469
7240  San Antonio, TX: \1\ Bexar, TX; Comal, TX;       0.8318     0.8815
 Guadalupe, TX; Wilson, TX........................
7320  San Diego, CA: \1\ San Diego, CA............     1.1955      1.130
7360  San Francisco, CA: \1\ Marin, CA; San             1.378    41.2458
 Francisco, CA; San Mateo, CA.....................
7400San Jose, CA: \1\ Santa Clara, CA.............     1.3492     1.2277
7440  San Juan-Bayamon, PR: \1\ Aguas Buenas, PR;      0.4657     0.5925
 Barceloneta, PR; Bayamon, PR; Canovanas, PR;
 Carolina, PR; Catano, PR; Ceiba, PR; Comerio, PR;
 Corozal, PR; Dorado, PR; Fajardo, PR; Florida,
 PR; Guaynabo, PR; Humacao, PR; Juncos, PR; Los
 Piedras, PR; Loiza, PR; Luguillo, PR; Manati, PR;
 Morovis, PR; Naguabo, PR; Naranjito, PR; Rio
 Grande, PR; San Juan, PR; Toa Alta, PR; Toa Baja,
 PR; Trujillo Alto, PR; Vega Alta, PR; Vega Baja,
 PR; Yabucoa, PR..................................
7460  San Luis Obispo-Atascadero-Paso Robles, CA:      1.0470     1.0320
 San Luis Obispo, CA..............................
7480  Santa Barbara-Santa Maria-Lompoc, CA: Santa      1.0819     1.0554
 Barbara, CA......................................
7485  Santa Cruz-Watsonville, CA: Santa Cruz, CA..     1.3927     1.2546
7490  Santa Fe, NM: Los Alamos, NM; Santa Fe, NM..     1.0437     1.0297
7500  Santa Rosa, CA: Sonoma, CA..................     1.3000     1.1968
7510  Sarasota-Bradenton, FL: Manatee, FL;             0.9905     0.9935
 Sarasota, FL.....................................
7520  Savannah, GA: Bryan, GA; Chatham, GA;            0.9953     0.9968
 Effingham, GA....................................
7560  Scranton--Wilkes-Barre--Hazleton, PA: \2\        0.8524     0.8964
 Columbia, PA; Lackawanna, PA; Luzerne, PA;
 Wyoming, PA......................................
7600  Seattle-Bellevue-Everett, WA: \1\ Island,        1.1289     1.0866
 WA; King, WA; Snohomish, WA......................
7610  Sharon, PA\2\: Mercer, PA...................     0.8524     0.8964
7620  Sheboygan, WI: \2\ Sheboygan, WI............     0.8759     0.9133
7640  Sherman-Denison, TX: Grayson, TX............     0.9329     0.9535
7680  Shreveport-Bossier City, LA: Bossier, LA;        0.9049     0.9339
 Caddo, LA; Webster, LA...........................
7720  Sioux City, IA-NE: Woodbury, IA; Dakota, NE.     0.8549     0.8982
7760  Sioux Falls, SD: Lincoln, SD; Minnehaha, SD.     0.8776     0.9145
7800  South Bend, IN: St. Joseph, IN..............     0.9793     0.9858
7840  Spokane, WA: Spokane, WA;...................     1.0799     1.0541
7880  Springfield, IL: Menard, IL; Sangamon, IL...     0.8684     0.9079
7920  Springfield, MO: Christian, MO; Greene, MO;      0.7991     0.8576
 Webster, MO......................................
8003  Springfield, MA: \2\ Hampden, MA; Hampshire,     1.1369     1.0918
 MA...............................................
8050  State College, PA: Centre, PA...............     0.9138     0.9401
8080  Steubenville-Weirton, OH-WV (OH Hospitals):      0.8649     0.9054
 Jefferson, OH; Brooke, WV; Hancock, WV...........
8080  Steubenville-Weirton, OH-WV (WV Hospitals):      0.8614     0.9029
 Jefferson, OH; Brooke, WV; Hancock, WV...........
8120  Stockton-Lodi, CA: San Joaquin, CA..........     1.0518     1.0352
8140  Sumter, SC: \2\ Sumter, SC..................     0.8264     0.8776
8160  Syracuse, NY: Cayuga, NY; Madison, NY;           0.9441     0.9614
 Onondaga, NY; Oswego, NY.........................
8200  Tacoma, WA: Pierce, WA......................     1.1631     1.1090
8240  Tallahassee, FL: \2\ Gadsden, FL; Leon, FL..     0.8986     0.9294
8280  Tampa-St. Petersburg-Clearwater, FL: \1\         0.9119     0.9388
 Hernando, FL; Hillsborough, FL; Pasco, FL;
 Pinellas, FL.....................................
8320  Terre Haute, IN: Clay, IN; Vermillion, IN;       0.8570     0.8997
 Vigo, IN.........................................
8360  Texarkana, AR-Texarkana, TX: Miller, AR;         0.8174     0.8710
 Bowie, TX........................................
8400  Toledo, OH: Fulton, OH; Lucas, OH; Wood, OH.     0.9593     0.9719
8440  Topeka, KS: Shawnee, KS.....................     0.9326     0.9533
8480  Trenton, NJ: Mercer, NJ.....................     0.9955     0.9969
8520  Tucson, AZ: Pima, AZ........................     0.8742     0.9120
8560  Tulsa, OK: Creek, OK; Osage, OK; Rogers, OK;     0.8086     0.8646
 Tulsa, OK; Wagoner, OK...........................
8600  Tuscaloosa, AL: Tuscaloosa, AL..............     0.8064     0.8630
8640  Tyler, TX: Smith, TX........................     0.9369     0.9563
8680  Utica-Rome, NY: \2\ Herkimer, NY; Oneida, NY     0.8636     0.9045
8720  Vallejo-Fairfield-Napa, CA: Napa, CA;            1.2655     1.1750
 Solano, CA.......................................
8735  Ventura, CA: Ventura, CA....................     1.0952     1.0643
8750  Victoria, TX: Victoria, TX..................     0.8378     0.8859
8760  Vineland-Millville-Bridgeton, NJ:                1.0517     1.0351
 Cumberland, NJ...................................

[[Page 1823]]

 
8780  Visalia-Tulare-Porterville, CA: Tulare, CA..     1.0411     1.0280
8800  Waco, TX: McLennan, TX......................     0.8075     0.8638
8840  Washington, DC-MD-VA-WV: \1\ District of         1.1053     1.0710
 Columbia, DC; Calvert, MD; Charles, MD;
 Frederick, MD; Montgomery, MD; Prince Georges,
 MD; Alexandria City, VA; Arlington, VA; Clarke,
 VA; Culpeper, VA; Fairfax, VA; Fairfax City, VA;
 Falls Church City, VA; Fauquier, VA;
 Fredericksburg City, VA; King George, VA;
 Loudoun, VA; Manassas City, VA; Manassas Park
 City, VA; Prince William, VA; Spotsylvania, VA;
 Stafford, VA; Warren, VA; Berkeley, WV;
 Jefferson, WV....................................
8920  Waterloo-Cedar Falls, IA: Black Hawk, IA....     0.8841     0.9191
8940  Wausau, WI: Marathon, WI....................     0.9445     0.9617
8960  West Palm Beach-Boca Raton, FL: \1\ Palm         0.9909     0.9938
 Beach, FL........................................
9000  Wheeling, WV-OH (WV Hospitals): \2\ Belmont,     0.8068     0.8633
 OH; Marshall, WV; Ohio, WV.......................
9000  Wheeling, WV-OH (OH Hospitals): \2\ Belmont,     0.8649     0.9054
 OH; Marshall, WV; Ohio, WV.......................
9040  Wichita, KS: Butler, KS; Harvey, KS;             0.9421     0.9600
 Sedgwick, KS.....................................
9080  Wichita Falls, TX: Archer, TX; Wichita, TX..     0.7652     0.8325
9140  Williamsport, PA: \2\ Lycoming, PA..........     0.8524     0.8964
9160Wilmington-Newark, DE-MD: New Castle, DE;          1.1274     1.0856
 Cecil, MD........................................
9200  Wilmington, NC: New Hanover, NC; Brunswick,      0.9707     0.9798
 NC...............................................
9260  Yakima, WA: \2\ Yakima, WA..................     1.0446     1.0303
9270  Yolo, CA: Yolo, CA..........................     1.0485     1.0330
9280  York, PA: York, PA..........................     0.9309     0.9521
9320  Youngstown-Warren, OH: Columbiana, OH;           0.9996     0.9997
 Mahoning, OH; Trumbull, OH.......................
9340  Yuba City, CA: Sutter, CA; Yuba, CA.........     1.0662     1.0449
9360  Yuma, AZ: Yuma, AZ..........................     0.9924    0.9948
------------------------------------------------------------------------
\1\ Large Urban Area
\2\ Hospitals geographically located in the area are assigned the
  statewide rural wage index for FY 2000.

    5. On page 41597, in Table 5--List of Diagnosis Related Groups 
(DRGs), Relative Weighting Factors, Geometric and Arthmetic Mean Length 
of Stay, the fourth column (DRG title) is amended as follows:
    a. Line 23, ``Traumatic Stupor & Coma, Coma >1 hr Age <17 w/o cc'' 
is corrected to read ``Traumatic Stupor & Coma, Coma <1 hr Age >17 w/o 
cc''; and
    b. Line 24, ``*Traumatic Stupor & Coma, Coma >1 hr Age 0-17'' is 
corrected to read ``*Traumatic Stupor & Coma, Coma <1 hr Age 0-17''.
    6. On page 41599, in Table 5--List of Diagnosis Related Groups 
(DRGs), Relative Weighting Factors, Geometric and Arthmetic Mean Length 
of Stay, the fourth column (DRG title) is amended as follows:
    a. Line 5, ``Cardiac Congenital & Valvular Disorders Age 
17 w'' is corrected to read ``Cardiac Congenital & Valvular 
Disorders Age >17 w''; and
    b. Line 7, ``Cardiac Congenital & Valvular Disorders Age 
17 w/o'' is corrected to read ``Cardiac Congenital & 
Valvular Disorders Age >17 w/o''.
    7. On page 41605, in Table 5--List of Diagnosis Related Groups 
(DRGs), Relative Weighting Factors, Geometric and Arthmetic Mean Length 
of Stay, 12th line from the bottom is revised as follows:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                             Relative     Geometric mean    Arthimetic
                                                                                                              weights           LOS          mean LOS
--------------------------------------------------------------------------------------------------------------------------------------------------------
 
                   *                  *                  *                  *                  *                  *                  *
480.......................  .....................  SURG....................  LIVER TRANSPLANT...........        10.7834            17.5            23.1
 
                   *                  *                  *                  *                  *                  *                  *
--------------------------------------------------------------------------------------------------------------------------------------------------------

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

    Dated: December 9, 1999.
Brian P. Burns,
Deputy Assistant Secretary for Information Resource Management.
[FR Doc. 00-126 Filed 1-11-00; 8:45 am]
BILLING CODE 4120-01-P