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Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Corrections

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Start Preamble


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


Correction notice.


This document corrects technical errors that appeared in the July 30, 2004 Federal Register, entitled “Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities—Update—Notice.”


This correction is effective October 1, 2004, except for certain wage index corrections that are effective January 1, 2005.

Start Further Info


Jeanette Kranacs, (410) 786-9385, Bill Ullman, (410) 786-5667, or Sheila Lambowitz, (410) 786-7605.

End Further Info End Preamble Start Supplemental Information


I. Background

On October 7, 2004, we published a correction notice (FR Doc. 04-22399, 69 FR 60158) to correct a number of technical errors that had appeared in the FY 2005 SNF PPS update notice published on July 30, 2004 (FR Doc. 04-17443, 69 FR 45775). In that notice we indicated that the corrected wage tables and other tables were being posted on the CMS Web site at​providers/​snfpps, and we also expressed our intent to publish them in a forthcoming Federal Register notice. In this notice we are fulfilling that intent, as well as correcting certain additional technical errors in wage index values that have been recently identified. The corrections appear in this document under the heading “Correction of Errors.” The provisions in this correction notice are effective as if they had been included in the document published in the Federal Register on July 30, 2004, that is, as of October 1, 2004, except for those wage index value corrections that we specifically note to be effective as of January 1, 2005.

In this notice, we hereby set forth the corrected versions of Tables 8, 9, 10, and 12 that were referenced in FR Doc. 04-22399 (69 FR 60158).

In addition, Table 8 is further revised to reflect the following additional corrections, which become effective as of January 1, 2005:

1. The entry of “0.7959” for Metropolitan Statistical Area (MSA) 3960 (Lake Charles, LA) is revised by adding “(0.7972, effective January 1, 2005)”.

2. The entry of “0.8053” for MSA 4280 (Lexington, KY) is revised by adding “(0.9219, effective January 1, 2005)”.

3. The entry of “1.0025” for MSA 5000 (Miami, FL) is revised by adding “(0.9870, effective January 1, 2005)”.

4. The entry of “1.2921” for MSA 5380 (Nassau-Suffolk, NY) is revised by adding “(1.2907, effective January 1, 2005)”.

5. The entry of “1.3587” for MSA 5600 (New York, NY) is revised by adding “(1.3586, effective January 1, 2005)”.

6. The entry of “1.0975” for MSA 6780 (Riverside-San Bernardino, CA) is revised by adding “(1.0970, effective January 1, 2005)”.

7. The entry of “0.9964” for MSA 8780 (Visalia-Tulare-Porterville, CA) is revised by adding “(0.9975, effective January 1, 2005)”.

8. The entry of “1.0059” for MSA 8960 (West Palm Beach-Boca Raton, FL) is revised by adding “(1.0362, effective January 1, 2005)”.

9. The entry of “0.9472” for MSA 9040 (Wichita, KS) is revised by adding “(0.9468, effective January 1, 2005)”.

II. Correction of Errors

In FR Doc. 04-17443 (69 FR 45775), make the following corrections:

1. On pages 45787 through 45814, in Table 8—Wage Index for Rural Areas the table is corrected to read as follows: Start Printed Page 78446

Table 8.—Wage Index for Urban Areas

MSAUrban area (constituent counties or county equivalents)Wage index
0040Abilene, TX0.8009
Taylor, TX
0060Aguadilla, PR0.4294
Aguada, PR
Aguadilla, PR
Moca, PR
0080Akron, OH0.9055
Portage, OH
Summit, OH
0120Albany, GA1.1266
Dougherty, GA
Lee, GA
0160Albany-Schenectady-Troy, NY0.8570
Albany, NY
Montgomery, NY
Rensselaer, NY
Saratoga, NY
Schenectady, NY
Schoharie, NY
0200Albuquerque, NM1.0485
Bernalillo, NM
Sandoval, NM
Valencia, NM
0220Alexandria, LA0.8171
Rapides, LA
0240Allentown-Bethlehem-Easton, PA0.9536
Carbon, PA
Lehigh, PA
Northampton, PA
0280Altoona, PA0.8462
Blair, PA
0320Amarillo, TX0.9178
Potter, TX
Randall, TX
0380Anchorage, AK1.2109
Anchorage, AK
0440Ann Arbor, MI1.0816
Lenawee, MI
Livingston, MI
Washtenaw, MI
Calhoun, AL
0460Appleton-Oshkosh-Neenah, WI0.9115
Calumet, WI
Outagamie, WI
Winnebago, WI
0470Arecibo, PR0.3757
Arecibo, PR
Camuy, PR
Hatillo, PR
0480Asheville, NC0.9501
Buncombe, NC
Madison, NC
0500Athens, GA1.0202
Clarke, GA
Madison, GA
Oconee, GA
0520Atlanta, GA0.9971
Barrow, GA
Bartow, GA
Carroll, GA
Cherokee, GA
Clayton, GA
Cobb, GA
Coweta, GA
De Kalb, GA
Douglas, GA
Fayette, GA
Forsyth, GA
Fulton, GA
Gwinnett, GA
Henry, GA
Start Printed Page 78447
Newton, GA
Paulding, GA
Pickens, GA
Rockdale, GA
Spalding, GA
Walton, GA
0560Atlantic City-Cape May, NJ1.0907
Atlantic City, NJ
Cape May, NJ
0580Auburn-Opelika, AL0.8215
Lee, AL
0600Augusta-Aiken, GA-SC0.9208
Columbia, GA
McDuffie, GA
Richmond, GA
Aiken, SC
Edgefield, SC
0640Austin-San Marcos, TX0.9595
Bastrop, TX
Caldwell, TX
Hays, TX
Travis, TX
Williamson, TX
0680Bakersfield, CA1.0036
Kern, CA
0720Baltimore, MD0.9907
Anne Arundel, MD
Baltimore, MD
Baltimore City, MD
Carroll, MD
Harford, MD
Howard, MD
Queen Annes, MD
0733Bangor, ME0.9955
Penobscot, ME
0743Barnstable-Yarmouth, MA1.2335
Barnstable, MA
0760Baton Rouge, LA0.8354
Ascension, LA
East Baton Rouge
Livingston, LA
West Baton Rouge, LA
0840Beaumont-Port Arthur, TX0.8616
Hardin, TX
Jefferson, TX
Orange, TX
0860Bellingham, WA1.1642
Whatcom, WA
0870Benton Harbor, MI0.8847
Berrien, MI
0875Bergen-Passaic, NJ1.1967
Bergen, NJ
Passaic, NJ
0880Billings, MT0.8961
Yellowstone, MT
0920Biloxi-Gulfport-Pascagoula, MS0.8649
Hancock, MS
Harrison, MS
Jackson, MS
0960Binghamton, NY0.8447
Broome, NY
Tioga, NY
1000Birmingham, AL0.9198
Blount, AL
Jefferson, AL
St. Clair, AL
Shelby, AL
1010Bismarck, ND0.7505
Burleigh, ND
Morton, ND
1020Bloomington, IN0.8587
Monroe, IN
Start Printed Page 78448
1040Bloomington-Normal, IL0.9111
McLean, IL
1080Boise City, ID0.9352
Ada, ID
Canyon, ID
1123Boston-Worcester-Lawrence-Lowell-Brockton, MA-NH1.1290
Bristol, MA
Essex, MA
Middlesex, MA
Norfolk, MA
Plymouth, MA
Suffolk, MA
Worcester, MA
Hillsborough, NH
Merrimack, NH
Rockingham, NH
Strafford, NH
1125Boulder-Longmont, CO1.0046
Boulder, CO
1145Brazoria, TX0.8524
Brazoria, TX
1150Bremerton, WA1.0614
Kitsap, WA
1240Brownsville-Harlingen-San Benito, TX1.0125
Cameron, TX
1260Bryan-College Station, TX0.9243
Brazos, TX
1280Buffalo-Niagara Falls, NY0.9339
Erie, NY
Niagara, NY
1303Burlington, VT0.9322
Chittenden, VT
Franklin, VT
Grand Isle, VT
1310Caguas, PR0.4061
Caguas, PR
Cayey, PR
Cidra, PR
Gurabo, PR
San Lorenzo, PR
1320Canton-Massillon, OH0.8895
Carroll, OH
Stark, OH
1350Casper, WY0.9243
Natrona, WY
1360Cedar Rapids, IA0.8975
Linn, IA
1400Champaign-Urbana, IL0.9527
Champaign, IL
1440Charleston-North Charleston, SC0.9420
Berkeley, SC
Charleston, SC
Dorchester, SC
1480Charleston, WV0.8876
Kanawha, WV
Putnam, WV
1520Charlotte-Gastonia-Rock Hill, NC-SC0.9711
Cabarrus, NC
Gaston, NC
Lincoln, NC
Mecklenburg, NC
Rowan, NC
Union, NC
York, SC
1540Charlottesville, VA1.0294
Albemarle, VA
Charlottesville City, VA
Fluvanna, VA
Greene, VA
1560Chattanooga, TN-GA0.9207
Catoosa, GA
Dade, GA
Start Printed Page 78449
Walker, GA
Hamilton, TN
Marion, TN
1580Cheyenne, WY0.8980
Laramie, WY
1600Chicago, IL1.0851
Cook, IL
De Kalb, IL
Du Page, IL
Grundy, IL
Kane, IL
Kendall, IL
Lake, IL
McHenry, IL
Will, IL
1620Chico-Paradise, CA1.0542
Butte, CA
1640Cincinnati, OH-KY-IN0.9595
Dearborn, IN
Ohio, IN
Boone, KY
Campbell, KY
Gallatin, KY
Grant, KY
Kenton, KY
Pendleton, KY
Brown, OH
Clermont, OH
Hamilton, OH
Warren, OH
1660Clarksville-Hopkinsville, TN-KY0.8022
Christian, KY
Montgomery, TN
1680Cleveland-Lorain-Elyria, OH0.9626
Ashtabula, OH
Geauga, OH
Cuyahoga, OH
Lake, OH
Lorain, OH
Medina, OH
1720Colorado Springs, CO0.9792
El Paso, CO
1740Columbia MO0.8396
Boone, MO
1760Columbia, SC0.9450
Lexington, SC
Richland, SC
1800Columbus, GA-AL0.8690
Chattanoochee, GA
Harris, GA
Muscogee, GA
1840Columbus, OH0.9753
Delaware, OH
Fairfield, OH
Franklin, OH
Licking, OH
Madison, OH
Pickaway, OH
1880Corpus Christi, TX0.8647
Nueces, TX
San Patricio, TX
1890Corvallis, OR1.0545
Benton, OR
1900Cumberland, MD-WV0.8662
Allegany MD
Mineral WV
1920Dallas, TX1.0054
Collin, TX
Dallas, TX
Denton, TX
Ellis, TX
Start Printed Page 78450
Henderson, TX
Hunt, TX
Kaufman, TX
Rockwall, TX
1950Danville, VA0.8643
Danville City, VA
Pittsylvania, VA
1960Davenport-Moline-Rock Island, IA-IL0.8773
Scott, IA
Henry, IL
Rock Island, IL
2000Dayton-Springfield, OH0.9231
Clark, OH
Greene, OH
Miami, OH
Montgomery, OH
2020Daytona Beach, FL0.8900
Flagler, FL
Volusia, FL
2030Decatur, AL0.8894
Lawrence, AL
Morgan, AL
2040Decatur, IL0.8122
Macon, IL
2080Denver, CO1.0904
Adams, CO
Arapahoe, CO
Broomfield, CO
Denver, CO
Douglas, CO
Jefferson, CO
2120Des Moines, IA0.9266
Dallas, IA
Polk, IA
Warren, IA
2160Detroit, MI1.0227
Lapeer, MI
Macomb, MI
Monroe, MI
Oakland, MI
St. Clair, MI
Wayne, MI
2180Dothan, AL0.7596
Dale, AL
Houston, AL
2190Dover, DE0.9825
Kent, DE
2200Dubuque, IA0.8748
Dubuque, IA
2240Duluth-Superior, MN-WI1.0356
St. Louis, MN
Douglas, WI
2281Dutchess County, NY1.1657
Dutchess, NY
2290Eau Claire, WI0.9139
Chippewa, WI
Eau Claire, WI
2320El Paso, TX0.9181
El Paso, TX
2330Elkhart-Goshen, IN0.9278
Elkhart, IN
2335Elmira, NY0.8445
Chemung, NY
2340Enid, OK0.9001
Garfield, OK
2360Erie, PA0.8699
Erie, PA
2400Eugene-Springfield, OR1.0940
Lane, OR
2440Evansville-Henderson, IN-KY0.8395
Posey, IN
Vanderburgh, IN
Start Printed Page 78451
Warrick, IN
Henderson, KY
2520Fargo-Moorhead, ND-MN0.9114
Clay, MN
Cass, ND
2560Fayetteville, NC0.9363
Cumberland, NC
2580Fayetteville-Springdale-Rogers, AR0.8636
Benton, AR
Washington, AR
2620Flagstaff, AZ-UT1.0611
Coconino, AZ
Kane, UT
2640Flint, MI1.1178
Genesee, MI
2650Florence, AL0.7883
Colbert, AL
Lauderdale, AL
2655Florence, SC0.8960
Florence, SC
2670Fort Collins-Loveland, CO1.0218
Larimer, CO
2680Ft. Lauderdale, FL1.0165
Broward, FL
2700Fort Myers-Cape Coral, FL0.9371
Lee, FL
2710Fort Pierce-Port St. Lucie, FL1.0046
Martin, FL
St. Lucie, FL
2720Fort Smith, AR-OK0.8303
Crawford, AR
Sebastian, AR
Sequoyah, OK
2750Fort Walton Beach, FL0.8786
Okaloosa, FL
2760Fort Wayne, IN0.9737
Adams, IN
Allen, IN
De Kalb, IN
Huntington, IN
Wells, IN
Whitley, IN
2800Forth Worth-Arlington, TX0.9520
Hood, TX
Johnson, TX
Parker, TX
Tarrant, TX
2840Fresno, CA1.0407
Fresno, CA
Madera, CA
2880Gadsden, AL0.8049
Etowah, AL
2900Gainesville, FL0.9459
Alachua, FL
2920Galveston-Texas City, TX0.9403
Galveston, TX
2960Gary, IN0.9342
Lake, IN
Porter, IN
2975Glens Falls, NY0.8467
Warren, NY
Washington, NY
2980Goldsboro, NC0.8778
Wayne, NC
2985Grand Forks, ND-MN0.9091
Polk, MN
Grand Forks, ND
2995Grand Junction, CO0.9900
Mesa, CO
3000Grand Rapids-Muskegon-Holland, MI0.9519
Allegan, MI
Kent, MI
Start Printed Page 78452
Muskegon, MI
Ottawa, MI
3040Great Falls, MT0.8810
Cascade, MT
3060Greeley, CO0.9444
Weld, CO
3080Green Bay, WI0.9586
Brown, WI
3120Greensboro-Winston-Salem-High Point, NC0.9312
Alamance, NC
Davidson, NC
Davie, NC
Forsyth, NC
Guilford, NC
Randolph, NC
Stokes, NC
Yadkin, NC
3150Greenville, NC0.9183
Pitt, NC
3160Greenville-Spartanburg-Anderson, SC0.9400
Anderson, SC
Cherokee, SC
Greenville, SC
Pickens, SC
Spartanburg, SC
3180Hagerstown, MD0.9940
Washington, MD
3200Hamilton-Middletown, OH0.9066
Butler, OH
3240Harrisburg-Lebanon-Carlisle, PA0.9286
Cumberland, PA
Dauphin, PA
Lebanon, PA
Perry, PA
3283Hartford, CT1.1054
Hartford, CT
Litchfield, CT
Middlesex, CT
Tolland, CT
3285Hattiesburg, MS0.7362
Forrest, MS
Lamar, MS
3290Hickory-Morganton-Lenoir, NC0.9502
Alexander, NC
Burke, NC
Caldwell, NC
Catawba, NC
3320Honolulu, HI1.1013
Honolulu, HI
3350Houma, LA0.7721
Lafourche, LA
Terrebonne, LA
3360Houston, TX1.0117
Chambers, TX
Fort Bend, TX
Harris, TX
Liberty, TX
Montgomery, TX
Waller, TX
3400Huntington-Ashland, WV-KY-OH0.9564
Boyd, KY
Carter, KY
Greenup, KY
Lawrence, OH
Cabell, WV
Wayne, WV
3440Huntsville, AL0.8851
Limestone, AL
Madison, AL
3480Indianapolis, IN1.0039
Boone, IN
Hamilton, IN
Start Printed Page 78453
Hancock, IN
Hendricks, IN
Johnson, IN
Madison, IN
Marion, IN
Morgan, IN
Shelby, IN
3500Iowa City, IA0.9654
Johnson, IA
3520Jackson, MI0.9146
Jackson, MI
3560Jackson, MS0.8406
Hinds, MS
Madison, MS
Rankin, MS
3580Jackson, TN0.8900
Chester, TN
Madison, TN
3600Jacksonville, FL0.9548
Clay, FL
Duval, FL
Nassau, FL
St. Johns, FL
3605Jacksonville, NC0.8401
Onslow, NC
3610Jamestown, NY0.7589
Chautaqua, NY
3620Janesville-Beloit, WI0.9583
Rock, WI
3640Jersey City, NJ1.0923
Hudson, NJ
3660Johnson City-Kingsport-Bristol, TN-VA0.8202
Carter, TN
Hawkins, TN
Sullivan, TN
Unicoi, TN
Washington, TN
Bristol City, VA
Scott, VA
Washington, VA
3680Johnstown, PA0.7980
Cambria, PA
Somerset, PA
3700Jonesboro, AR0.8144
Craighead, AR
3710Joplin, MO0.8721
Jasper, MO
Newton, MO
3720Kalamazoo-Battlecreek, MI1.0350
Calhoun, MI
Kalamazoo, MI
Van Buren, MI
3740Kankakee, IL1.0603
Kankakee, IL
3760Kansas City, KS-MO0.9641
Johnson, KS
Leavenworth, KS
Miami, KS
Wyandotte, KS
Cass, MO
Clay, MO
Clinton, MO
Jackson, MO
Lafayette, MO
Platte, MO
Ray, MO
3800Kenosha, WI0.9772
Kenosha, WI
3810Killeen-Temple, TX0.9242
Bell, TX
Coryell, TX
3840Knoxville, TN0.8508
Start Printed Page 78454
Anderson, TN
Blount, TN
Knox, TN
Loudon, TN
Sevier, TN
Union, TN
3850Kokomo, IN0.8986
Howard, IN
Tipton, IN
3870La Crosse, WI-MN0.9289
Houston, MN
La Crosse, WI
3880Lafayette, LA0.8105
Acadia, LA
Lafayette, LA
St. Landry, LA
St. Martin, LA
3920Lafayette, IN0.9067
Clinton, IN
Tippecanoe, IN
3960Lake Charles, LA0.7959 (0.7972**)
Calcasieu, LA
3980Lakeland-Winter Haven, FL0.8930
Polk, FL
4000Lancaster, PA0.9883
Lancaster, PA
4040Lansing-East Lansing, MI0.9658
Clinton, MI
Eaton, MI
Ingham, MI
4080Laredo, TX0.8747
Webb, TX
4100Las Cruces, NM0.8784
Dona Ana, NM
4120Las Vegas, NV-AZ1.1121
Mohave, AZ
Clark, NV
Nye, NV
4150Lawrence, KS0.8644
Douglas, KS
4200Lawton, OK0.8212
Comanche, OK
4243Lewiston-Auburn, ME0.9562
Androscoggin, ME
4280Lexington, KY0.8053 (0.9219**)
Bourbon, KY
Clark, KY
Fayette, KY
Jessamine, KY
Madison, KY
Scott, KY
Woodford, KY
4320Lima, OH0.9258
Allen, OH
Auglaize, OH
4360Lincoln, NE1.0208
Lancaster, NE
4400Little Rock-North Little, AR0.8826
Faulkner, AR
Lonoke, AR
Pulaski, AR
Saline, AR
4420Longview-Marshall, TX0.8739
Gregg, TX
Harrison, TX
Upshur, TX
4480Los Angeles-Long Beach, CA1.1732
Los Angeles, CA
4520Louisville, KY-IN0.9162
Clark, IN
Floyd, IN
Harrison, IN
Start Printed Page 78455
Scott, IN
Bullitt, KY
Jefferson, KY
Oldham, KY
4600Lubbock, TX0.8777
Lubbock, TX
4640Lynchburg, VA0.9017
Amherst, VA
Bedford City, VA
Bedford, VA
Campbell, VA
Lynchburg City, VA
4680Macon, GA0.9596
Bibb, GA
Houston, GA
Jones, GA
Peach, GA
Twiggs, GA
4720Madison, WI1.0395
Dane, WI
4800Mansfield, OH0.9105
Crawford, OH
Richland, OH
4840Mayaguez, PR0.4769
Anasco, PR
Cabo Rojo, PR
Hormigueros, PR
Mayaguez, PR
Sabana Grande, PR
San German, PR
4880McAllen-Edinburg-Mission, TX0.8602
Hidalgo, TX
4890Medford-Ashland, OR1.0534
Jackson, OR
4900Melbourne-Titusville-Palm Bay, FL0.9633
Brevard, FL
4920Memphis, TN-AR-MS0.9234
Crittenden, AR
De Soto, MS
Fayette, TN
Shelby, TN
Tipton, TN
4940Merced, CA1.0575
Merced, CA
5000Miami, FL1.0025 (0.9870**)
Dade, FL
5015Middlesex-Somerset-Hunterdon, NJ1.1360
Hunterdon, NJ
Middlesex, NJ
Somerset, NJ
5080Milwaukee-Waukesha, WI1.0076
Milwaukee, WI
Ozaukee, WI
Washington, WI
Waukesha, WI
5120Minneapolis-St. Paul, MN-WI1.1066
Anoka, MN
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
5140Missoula, MT0.9618
Missoula, MT
5160Mobile, AL0.7932
Start Printed Page 78456
Baldwin, AL
Mobile, AL
5170Modesto, CA1.1966
Stanislaus, CA
5190Monmouth-Ocean, NJ1.0888
Monmouth, NJ
Ocean, NJ
5200Monroe, LA0.7913
Ouachita, LA
5240Montgomery, AL0.8300
Autauga, AL
Elmore, AL
Montgomery, AL
5280Muncie, IN0.8580
Delaware, IN
5330Myrtle Beach, SC0.9022
Horry, SC
5345Naples, FL1.0558
Collier, FL
5360Nashville, TN1.0108
Cheatham, TN
Davidson, TN
Dickson, TN
Robertson, TN
Rutherford, TN
Sumner, TN
Williamson, TN
Wilson, TN
5380Nassau-Suffolk, NY1.2921 (1.2907**)
Nassau, NY
Suffolk, NY
5483New Haven-Bridgeport-Stamford-Waterbury-Danbury, CT1.2254
Fairfield, CT
New Haven, CT
5523New London-Norwich, CT1.1596
New London, CT
5560New Orleans, LA0.9103
Jefferson, LA
Orleans, LA
Plaquemines, LA
St. Bernard, LA
St. Charles, LA
St. James, LA
St. John The Baptist, LA
St. Tammany, LA
5600New York, NY1.3587 (1.3586**)
Bronx, NY
Kings, NY
New York, NY
Putnam, NY
Queens, NY
Richmond, NY
Rockland, NY
Westchester, NY
5640Newark, NJ1.1625
Essex, NJ
Morris, NJ
Sussex, NJ
Union, NJ
Warren, NJ
5660Newburgh, NY-PA1.1170
Orange, NY
Pike, PA
5720Norfolk-Virginia Beach-Newport News, VA-NC0.8894
Currituck, NC
Chesapeake City, VA
Gloucester, VA
Hampton City, VA
Isle of Wight, VA
James City, VA
Mathews, VA
Newport News City, VA
Start Printed Page 78457
Norfolk City, VA
Poquoson City,VA
Portsmouth City, VA
Suffolk City, VA
Virginia Beach City, VA
Williamsburg City, VA
York, VA
5775Oakland, CA1.5220
Alameda, CA
Contra Costa, CA
5790Ocala, FL0.9153
Marion, FL
5800Odessa-Midland, TX0.9632
Ector, TX
Midland, TX
5880Oklahoma City, OK0.8966
Canadian, OK
Cleveland, OK
Logan, OK
McClain, OK
Oklahoma, OK
Pottawatomie, OK
5910Olympia, WA1.1006
Thurston, WA
5920Omaha, NE-IA0.9754
Pottawattamie, IA
Cass, NE
Douglas, NE
Sarpy, NE
Washington, NE
5945Orange County, CA1.1611
Orange, CA
5960Orlando, FL0.9742
Lake, FL
Orange, FL
Osceola, FL
Seminole, FL
5990Owensboro, KY0.8434
Daviess, KY
6015Panama City, FL0.8124
Bay, FL
6020Parkersburg-Marietta, WV-OH0.8288
Washington, OH
Wood, WV
6080Pensacola, FL0.8306
Escambia, FL
Santa Rosa, FL
6120Peoria-Pekin, IL0.8886
Peoria, IL
Tazewell, IL
Woodford, IL
6160Philadelphia, PA-NJ1.0824
Burlington, NJ
Camden, NJ
Gloucester, NJ
Salem, NJ
Bucks, PA
Chester, PA
Delaware, PA
Montgomery, PA
Philadelphia, PA
6200Phoenix-Mesa, AZ0.9982
Maricopa, AZ
Pinal, AZ
6240Pine Bluff, AR0.8673
Jefferson, AR
6280Pittsburgh, PA0.8756
Allegheny, PA
Beaver, PA
Butler, PA
Fayette, PA
Washington, PA
Start Printed Page 78458
Westmoreland, PA
6323Pittsfield, MA1.0439
Berkshire, MA
6340Pocatello, ID0.9601
Bannock, ID
6360Ponce, PR0.4954
Guayanilla, PR
Juana Diaz, PR
Penuelas, PR
Ponce, PR
Villalba, PR
Yauco, PR
6403Portland, ME1.0112
Cumberland, ME
Sagadahoc, ME
York, ME
6440Portland-Vancouver, OR-WA1.1403
Clackamas, OR
Columbia, OR
Multnomah, OR
Washington, OR
Yamhill, OR
Clark, WA
6483Providence-Warwick-Pawtucket, RI1.1061
Bristol, RI
Kent, RI
Newport, RI
Providence, RI
Washington, RI
6520Provo-Orem, UT0.9613
Utah, UT
6560Pueblo, CO0.8752
Pueblo, CO
6580Punta Gorda, FL0.9441
Charlotte, FL
6600Racine, WI0.9045
Racine, WI
6640Raleigh-Durham-Chapel Hill, NC1.0258
Chatham, NC
Durham, NC
Franklin, NC
Johnston, NC
Orange, NC
Wake, NC
6660Rapid City, SD0.8912
Pennington, SD
6680Reading, PA0.9215
Berks, PA
6690Redding, CA1.1835
Shasta, CA
6720Reno, NV1.0456
Washoe, NV
6740Richland-Kennewick-Pasco, WA1.0520
Benton, WA
Franklin, WA
6760Richmond-Petersburg, VA0.9397
Charles City 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
6780Riverside-San Bernardino, CA1.0975 (1.0970**)
Riverside, CA
San Bernardino, CA
Start Printed Page 78459
6800Roanoke, VA0.8428
Botetourt, VA
Roanoke, VA
Roanoke City, VA
Salem City, VA
6820Rochester, MN1.1504
Olmsted, MN
6840Rochester, NY0.9196
Genesee, NY
Livingston, NY
Monroe, NY
Ontario, NY
Orleans, NY
Wayne, NY
6880Rockford, IL0.9626
Boone, IL
Ogle, IL
Winnebago, IL
6895Rocky Mount, NC0.8998
Edgecombe, NC
Nash, NC
6920Sacramento, CA1.1848
El Dorado, CA
Placer, CA
Sacramento, CA
6960Saginaw-Bay City-Midland, MI0.9696
Bay, MI
Midland, MI
Saginaw, MI
6980St. Cloud, MN1.0215
Benton, MN
Stearns, MN
7000St. Joseph, MO1.0013
Andrews, MO
Buchanan, MO
7040St. Louis, MO-IL0.9081
Clinton, IL
Jersey, 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
Sullivan City, MO
7080Salem, OR1.0556
Marion, OR
Polk, OR
7120Salinas, CA1.3823
Monterey, CA
7160Salt Lake City-Ogden, UT0.9487
Davis, UT
Salt Lake, UT
Weber, UT
7200San Angelo, TX0.8167
Tom Green, TX
7240San Antonio, TX0.9023
Bexar, TX
Comal, TX
Guadalupe, TX
Wilson, TX
7320San Diego, CA1.1267
San Diego, CA
7360San Francisco, CA1.4712
Marin, CA
San Francisco, CA
San Mateo, CA
7400San Jose, CA1.4744
Start Printed Page 78460
Santa Clara, CA
7440San Juan-Bayamon, PR0.4802
Aguas Buenas, PR
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
7460San Luis Obispo-Atascadero-Paso Robles, CA1.1118
San Luis Obispo, CA
7480Santa Barbara-Santa Maria-Lompoc, CA1.0771
Santa Barbara, CA
7485Santa Cruz-Watsonville, CA1.4779
Santa Cruz, CA
7490Santa Fe, NM1.0590
Los Alamos, NM
Santa Fe, NM
7500Santa Rosa, CA1.2961
Sonoma, CA
7510Sarasota-Bradenton, FL0.9629
Manatee, FL
Sarasota, FL
7520Savannah, GA0.9460
Bryan, GA
Chatham, GA
Effingham, GA
7560Scranton--Wilkes-Barre--Hazleton, PA0.8522
Columbia, PA
Lackawanna, PA
Luzerne, PA
Wyoming, PA
7600Seattle-Bellevue-Everett, WA1.1479
Island, WA
King, WA
Snohomish, WA
7610Sharon, PA0.7881
Mercer, PA
7620Sheboygan, WI0.8948
Sheboygan, WI
7640Sherman-Denison, TX0.9617
Grayson, TX
7680Shreveport-Bossier City, LA0.9111
Bossier, LA
Caddo, LA
Webster, LA
7720Sioux City, IA-NE0.9094
Woodbury, IA
Dakota, NE
Start Printed Page 78461
7760Sioux Falls, SD0.9441
Lincoln, SD
Minnehaha, SD
7800South Bend, IN0.9447
St. Joseph, IN
7840Spokane, WA1.0660
Spokane, WA
7880Springfield, IL0.8738
Menard, IL
Sangamon, IL
7920Springfield, MO0.8597
Christian, MO
Greene, MO
Webster, MO
8003Springfield, MA1.0173
Hampden, MA
Hampshire, MA
8050State College, PA0.8461
Centre, PA
8080Steubenville-Weirton, OH-WV0.8280
Jefferson, OH
Brooke, WV
Hancock, WV
8120Stockton-Lodi, CA1.0564
San Joaquin, CA
8140Sumter, SC0.8520
Sumter, SC
8160Syracuse, NY0.9394
Cayuga, NY
Madison, NY
Onondaga, NY
Oswego, NY
8200Tacoma, WA1.1078
Pierce, WA
8240Tallahassee, FL0.8655
Gadsden, FL
Leon, FL
8280Tampa-St. Petersburg-Clearwater, FL0.9024
Hernando, FL
Hillsborough, FL
Pasco, FL
Pinellas, FL
8320Terre Haute, IN0.8582
Clay, IN
Vermillion, IN
Vigo, IN
8360Texarkana, AR-Texarkana, TX0.8413
Miller, AR
Bowie, TX
8400Toledo, OH0.9524
Fulton, OH
Lucas, OH
Wood, OH
8440Topeka, KS0.8904
Shawnee, KS
8480Trenton, NJ1.0276
Mercer, NJ
8520Tucson, AZ0.8926
Pima, AZ
8560Tulsa, OK0.8729
Creek, OK
Osage, OK
Rogers, OK
Tulsa, OK
Wagoner, OK
8600Tuscaloosa, AL0.8440
Tuscaloosa, AL
8640Tyler, TX0.9502
Smith, TX
8680Utica-Rome, NY0.8295
Herkimer, NY
Oneida, NY
Start Printed Page 78462
8720Vallejo-Fairfield-Napa, CA1.3517
Napa, CA
Solano, CA
8735Ventura, CA1.1105
Ventura, CA
8750Victoria, TX0.8469
Victoria, TX
8760Vineland-Millville-Bridgeton, NJ1.0573
Cumberland, NJ
8780Visalia-Tulare-Porterville, CA0.9964 (0.9975**)
Tulare, CA
8800Waco, TX0.8146
McLennan, TX
8840Washington, DC-MD-VA-WV1.0971
District of Columbia, DC
Calvert, MD
Charles, MD
Frederick, MD
Montgomery, MD
Prince Georges, MD
Alexandria City, VA
Arlington, VA
Clarke, VA
Culpepper, 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
8920Waterloo-Cedar Falls, IA0.8633
Black Hawk, IA
8940Wausau, WI0.9570
Marathon, WI
8960West Palm Beach-Boca Raton, FL1.0059 (1.0362**)
Palm Beach, FL
9000Wheeling, OH-WV0.7449
Belmont, OH
Marshall, WV
Ohio, WV
9040Wichita, KS0.9472 (0.9468**)
Butler, KS
Harvey, KS
Sedgwick, KS
9080Wichita Falls, TX0.8395
Archer, TX
Wichita, TX
9140Williamsport, PA0.8485
Lycoming, PA
9160Wilmington-Newark, DE-MD1.1121
New Castle, DE
Cecil, MD
9200Wilmington, NC0.9237
New Hanover, NC
Brunswick, NC
9260Yakima, WA1.0322
Yakima, WA
9270Yolo, CA0.9378
Yolo, CA
9280York, PA0.9150
York, PA
9320Youngstown-Warren, OH0.9517
Columbiana, OH
Start Printed Page 78463
Mahoning, OH
Trumbull, OH
9340Yuba City, CA1.0363
Sutter, CA
Yuba, CA
9360Yuma, AZ0.8871
Yuma, AZ
**Effective January 1, 2005

2. On page 45815, Table 9 is revised to read as follows:

Table 9.—Wage Index for Rural Areas

Nonurban areaWage index
New Hampshire0.9940
New Jersey 1
New Mexico0.8529
New York0.8403
North Carolina0.8500
North Dakota0.7743
Puerto Rico0.4047
Rhode Island 1
South Carolina0.8640
South Dakota0.8393
Virgin Islands0.7456
West Virginia0.8083
1 All counties within the State are classified urban.

3. On page 45817, Table 10 is revised to read as follows:

Table 10.—SNF XYZ: Located in State College, PA

[Wage Index: 0.8461]

RUG GroupLaborWage indexAdj. laborNon-laborAdj. ratePercent adjustmentMedicare daysPayment
*Reflects a 6.7 percent adjustment from section 314 of the BIPA.
**Reflects a 128 percent adjustment from section 511 of the MMA. Section 101(a) of the BBRA no longer applies because of the MMA section 511 adjustment.
***Reflects a 20 percent adjustment from section 101(a) of the BBRA.

4. On page 45821, Table 12 is revised to read as follows:

Table 12.—Projected Impact of FY 2005 Update to the SNF PPS

Number of facilitiesWage index changeTotal FY 2005 change
Hospital based urban9840.1%2.9%
Start Printed Page 78464
Freestanding urban8,4660.0%2.8%
Hospital based rural6400.1%2.9%
Freestanding rural3,7080.0%2.8%
Urban by region:
New England913−0.6%2.2%
Middle Atlantic1,526−0.7%2.1%
South Atlantic1,6100.3%3.1%
East North Central1,9430.2%3.0%
East South Central4560.0%2.8%
West North Central6910.4%3.2%
West South Central9650.8%3.6%
Rural by region:
New England1490.4%3.2%
Middle Atlantic254−0.4%2.4%
South Atlantic715−0.3%2.5%
East North Central9480.1%2.9%
Central East South595−0.4%2.4%
West North Central1,2200.5%3.3%
West South Central8170.4%3.2%

III. Waiver of Proposed Rulemaking and Delayed Effective Date

We ordinarily publish a notice of proposed rulemaking in the Federal Register to provide a period for public comment before the provisions of a notice such as this take effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). We also ordinarily provide a 30-day delay in the effective date of the provisions of a notice in accordance with section 553(d) of the APA (5 U.S.C. 553(d)). However, we can waive both the notice and comment procedure and the 30-day delay in effective date if the Secretary finds, for good cause, that a notice and comment process is impracticable, unnecessary or contrary to the public interest, and incorporates a statement of the finding and the reasons therefore in the notice.

We find it unnecessary to undertake notice-and-comment rulemaking because this notice merely provides technical corrections to the regulations. We are not changing our payment methodology, but rather, are simply implementing correctly the payment methodology that we previously proposed, received comment on, and subsequently finalized. Thus, because the public has already had the opportunity to comment on the payment methodology being used to calculate wage indexes, additional comment would be unnecessary.

Further, we believe a delayed effective date is unnecessary because this correction notice merely corrects inadvertent technical errors. Further, we believe imposing a 30-day delay in the effective date would be contrary to the public interest for SNF providers in the affected MSAs. We believe that it is imperative that these providers receive appropriate SNF PPS payments in as timely a manner as possible, and any delay in applying the appropriate wage index would be contrary to the public interest. Further, the changes noted above do not make any substantive changes to the SNF PPS payment methodology or underlying payment policies. Therefore, we find good cause to waive notice-and-comment procedures, as well as the 30-day delay in effective date.

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

Start Signature

Dated: December 15, 2004.

Ann Agnew,

Executive Secretary to the Department.

End Signature End Supplemental Information

[FR Doc. 04-28157 Filed 12-29-04; 8:45 am]