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

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Information about this document as published in the Federal Register.

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


Correction notice.


This document corrects technical errors that appeared in the July 31, 2006 Federal Register, entitled “Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities—Update—Notice.”

Effective Date: This correction is effective October 1, 2006.

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Bill Ullman, (410) 786-5667.

End Further Info End Preamble Start Supplemental Information


I. Background

In FR Doc. 06-6615 of July 31, 2006 (71 FR 43158), there were several technical errors that this notice serves to identify and correct. One correction involves Table 10, which we use to illustrate the skilled nursing facility (SNF) prospective payment system (PPS) payment rate computations for a fictitious “XYZ” SNF located in Cedar Rapids, IA. In the example that appears in this table, RUG Group “CC2” serves to illustrate the effect on the payment rates of applying the 128 percent add-on for SNF residents with AIDS under section 511 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA, P.L. 108-173). The table includes a footnote, marked with an asterisk that describes the MMA adjustment; however, we inadvertently omitted the corresponding asterisk within the table itself to identify the particular figure in the table to which this footnote refers. Accordingly, in section II of this document (“Correction of Errors”), we are restoring the asterisk that belongs next to the adjusted CC2 amount of “$542.54” that appears in Table 10's “Percent Adjustment” column.

In addition, in Table 12 (which displays the projected impact of the FY 2007 SNF PPS payment update, including the variation in impact by region and by certain other facility characteristics), we are correcting errors pertaining to the rural Outlying region. In the projected impact for the rural Outlying region, we inadvertently entered the incorrect figures of “-2.9%” and “3.3%” in the columns entitled “Transition to CBSA” and “Total FY 2007 change,” respectively. In this notice, we correct these figures to read “0.0%” and “6.4%,” respectively, and we also make corresponding revisions in the text of the narrative that accompanies Table 12. We note that the effect on the corrected table is solely distributional in nature and, accordingly, there is no change in the estimated aggregate expenditures for FY 2007 as set forth in the July 31, 2006 update notice. A further discussion of the projected impact of the FY 2007 SNF PPS payment update appears in the July 31, 2006 update notice (71 FR 43173-43176).

Finally, we have determined that in the process of developing the most recent hospital wage index, we inadvertently used incorrect wage information for two providers. These two providers notified their fiscal intermediary in a timely fashion that their wage data were incorrect and we agreed to correct the wage data for these two providers. However, we inadvertently published the uncorrected wage data in the July 31, 2006 update notice. Incorporating their corrected data into our calculation of the national average hourly wage results in revised wage index values for a number of Core-Based Statistical Areas (CBSAs). Accordingly, we are revising and republishing Tables 8 and 9, which appeared in an addendum to the July 31, 2006 update notice, to reflect the correct information.

II. Correction of Errors

In FR Doc. 06-6615 (71 FR 43158), make the following corrections:

1. On page 43170, Table 10, in the “Percent adj” column, the figure “$542.54” is revised to read “$542.54*”.

2. On page 43174, third column,

a. In the first paragraph, line 10, the figure “3.2 percent” is revised to read “6.4 percent”.

b. In the final paragraph, the second sentence is revised to read as follows: “For example, though facilities in the rural Mountain region experience only a slight payment increase of 1.2 percent, some providers (such as those in the rural Outlying region) show a greater increase of 6.4 percent. “ In the third sentence, the phrase “urban Mountain” is revised to read “rural Outlying”.

3. On page 43175, Table 12, the entries displayed for the rural Outlying region in the columns entitled “Transition to full CBSA” and “Total FY 2007 change” are revised to read “0.0%” and “6.4%”, respectively.

4. On pages 43176 through 43198, Table 8 is revised to read as follows:

Table 8.— FY 2007 Wage Index For Urban Areas Based On CBSA Labor Market Areas

CBSA codeUrban area (constituent counties)Wage index
10180Abilene, TX0.8000
Callahan County, TX
Jones County, TX
Taylor County, TX
10380Aguadilla-Isabela-San Sebastián, PR0.3915
Aguada Municipio, PR
Aguadilla Municipio, PR
Añasco Municipio, PR
Isabela Municipio, PR
Lares Municipio, PR
Moca Municipio, PR
Rincón Municipio, PR
San Sebastián Municipio, PR
10420Akron, OH0.8654
Portage County, OH
Summit County, OH
10500Albany, GA0.8991
Baker County, GA
Dougherty County, GA
Lee County, GA
Terrell County, GA
Worth County, GA
10580Albany-Schenectady-Troy, NY0.8720
Albany County, NY
Rensselaer County, NY
Saratoga County, NY
Schenectady County, NY
Schoharie County, NY
10740Albuquerque, NM0.9458
Start Printed Page 57521
Bernalillo County, NM
Sandoval County, NM
Torrance County, NM
Valencia County, NM
10780Alexandria, LA0.8006
Grant Parish, LA
Rapides Parish, LA
10900Allentown-Bethlehem-Easton, PA-NJ0.9947
Warren County, NJ
Carbon County, PA
Lehigh County, PA
Northampton County, PA
11020Altoona, PA0.8812
Blair County, PA
11100Amarillo, TX0.9169
Armstrong County, TX
Carson County, TX
Potter County, TX
Randall County, TX
11180Ames, IA0.9760
Story County, IA
11260Anchorage, AK1.2023
Anchorage Municipality, AK
Matanuska-Susitna Borough, AK
11300Anderson, IN0.8681
Madison County, IN
11340Anderson, SC0.9017
Anderson County, SC
11460Ann Arbor, MI1.0826
Washtenaw County, MI
11500Anniston-Oxford, AL0.7770
Calhoun County, AL
11540Appleton, WI0.9455
Calumet County, WI
Outagamie County, WI
11700Asheville, NC0.9216
Buncombe County, NC
Haywood County, NC
Henderson County, NC
Madison County, NC
12020Athens-Clarke County, GA0.9856
Clarke County, GA
Madison County, GA
Oconee County, GA
Oglethorpe County, GA
12060Atlanta-Sandy Springs-Marietta, GA0.9762
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
Start Printed Page 57522
Rockdale County, GA
Spalding County, GA
Walton County, GA
12100Atlantic City, NJ1.1831
Atlantic County, NJ
12220Auburn-Opelika, AL0.8096
Lee County, AL
12260Augusta-Richmond County, GA-SC0.9667
Burke County, GA
Columbia County, GA
McDuffie County, GA
Richmond County, GA
Aiken County, SC
Edgefield County, SC
12420Austin-Round Rock, TX0.9344
Bastrop County, TX
Caldwell County, TX
Hays County, TX
Travis County, TX
Williamson County, TX
12540Bakersfield, CA1.0725
Kern County, CA
12580Baltimore-Towson, MD1.0088
Anne Arundel County, MD
Baltimore County, MD
Carroll County, MD
Harford County, MD
Howard County, MD
Queen Anne's County, MD
Baltimore City, MD
12620Bangor, ME0.9711
Penobscot County, ME
12700Barnstable Town, MA1.2539
Barnstable County, MA
12940Baton Rouge, LA0.8084
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
12980Battle Creek, MI0.9762
Calhoun County, MI
13020Bay City, MI0.9251
Bay County, MI
13140Beaumont-Port Arthur, TX0.8595
Hardin County, TX
Jefferson County, TX
Orange County, TX
13380Bellingham, WA1.1104
Whatcom County, WA
13460Bend, OR1.0743
Deschutes County, OR
13644Bethesda-Frederick-Gaithersburg, MD1.0903
Frederick County, MD
Montgomery County, MD
13740Billings, MT0.8712
Carbon County, MT
Yellowstone County, MT
13780Binghamton, NY0.8786
Broome County, NY
Tioga County, NY
13820Birmingham-Hoover, AL0.8894
Bibb County, AL
Blount County, AL
Chilton County, AL
Jefferson County, AL
St. Clair County, AL
Start Printed Page 57523
Shelby County, AL
Walker County, AL
13900Bismarck, ND0.7240
Burleigh County, ND
Morton County, ND
13980Blacksburg-Christiansburg-Radford, VA0.8213
Giles County, VA
Montgomery County, VA
Pulaski County, VA
Radford City, VA
14020Bloomington, IN0.8533
Greene County, IN
Monroe County, IN
Owen County, IN
14060Bloomington-Normal, IL0.8944
McLean County, IL
14260Boise City-Nampa, ID0.9401
Ada County, ID
Boise County, ID
Canyon County, ID
Gem County, ID
Owyhee County, ID
14484Boston-Quincy, MA1.1679
Norfolk County, MA
Plymouth County, MA
Suffolk County, MA
14500Boulder, CO1.0350
Boulder County, CO
14540Bowling Green, KY0.8148
Edmonson County, KY
Warren County, KY
14740Bremerton-Silverdale, WA1.0913
Kitsap County, WA
14860Bridgeport-Stamford-Norwalk, CT1.2659
Fairfield County, CT
15180Brownsville-Harlingen, TX0.9430
Cameron County, TX
15260Brunswick, GA1.0164
Brantley County, GA
Glynn County, GA
McIntosh County, GA
15380Buffalo-Niagara Falls, NY0.9424
Erie County, NY
Niagara County, NY
15500Burlington, NC0.8674
Alamance County, NC
15540Burlington-South Burlington, VT0.9474
Chittenden County, VT
Franklin County, VT
Grand Isle County, VT
15764Cambridge-Newton-Framingham, MA1.0970
Middlesex County, MA
15804Camden, NJ1.0392
Burlington County, NJ
Camden County, NJ
Gloucester County, NJ
15940Canton-Massillon, OH0.9031
Carroll County, OH
Stark County, OH
15980Cape Coral-Fort Myers, FL0.9342
Lee County, FL
16180Carson City, NV1.0025
Carson City, NV
16220Casper, WY0.9145
Natrona County, WY
16300Cedar Rapids, IA0.8888
Benton County, IA
Jones County, IA
Linn County, IA
16580Champaign-Urbana, IL0.9644
Champaign County, IL
Start Printed Page 57524
Ford County, IL
Piatt County, IL
16620Charleston, WV0.8542
Boone County, WV
Clay County, WV
Kanawha County, WV
Lincoln County, WV
Putnam County, WV
16700Charleston-North Charleston, SC0.9145
Berkeley County, SC
Charleston County, SC
Dorchester County, SC
16740Charlotte-Gastonia-Concord, NC-SC0.9554
Anson County, NC
Cabarrus County, NC
Gaston County, NC
Mecklenburg County, NC
Union County, NC
York County, SC
16820Charlottesville, VA1.0125
Albemarle County, VA
Fluvanna County, VA
Greene County, VA
Nelson County, VA
Charlottesville City, VA
16860Chattanooga, TN-GA0.8948
Catoosa County, GA
Dade County, GA
Walker County, GA
Hamilton County, TN
Marion County, TN
Sequatchie County, TN
16940Cheyenne, WY0.9060
Laramie County, WY
16974Chicago-Naperville-Joliet, IL1.0751
Cook County, IL
DeKalb County, IL
DuPage County, IL
Grundy County, IL
Kane County, IL
Kendall County, IL
McHenry County, IL
Will County, IL
17020Chico, CA1.1053
Butte County, CA
17140Cincinnati-Middletown, OH-KY-IN0.9601
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
17300Clarksville, TN-KY0.8436
Christian County, KY
Trigg County, KY
Montgomery County, TN
Stewart County, TN
17420Cleveland, TN0.8109
Bradley County, TN
Polk County, TN
17460Cleveland-Elyria-Mentor, OH0.9400
Cuyahoga County, OH
Start Printed Page 57525
Geauga County, OH
Lake County, OH
Lorain County, OH
Medina County, OH
17660Coeur d'Alene, ID0.9344
Kootenai County, ID
17780College Station-Bryan, TX0.9045
Brazos County, TX
Burleson County, TX
Robertson County, TX
17820Colorado Springs, CO0.9701
El Paso County, CO
Teller County, CO
17860Columbia, MO0.8542
Boone County, MO
Howard County, MO
17900Columbia, SC0.8933
Calhoun County, SC
Fairfield County, SC
Kershaw County, SC
Lexington County, SC
Richland County, SC
Saluda County, SC
17980Columbus, GA-AL0.8239
Russell County, AL
Chattahoochee County, GA
Harris County, GA
Marion County, GA
Muscogee County, GA
18020Columbus, IN0.9318
Bartholomew County, IN
18140Columbus, OH1.0107
Delaware County, OH
Fairfield County, OH
Franklin County, OH
Licking County, OH
Madison County, OH
Morrow County, OH
Pickaway County, OH
Union County, OH
18580Corpus Christi, TX0.8564
Aransas County, TX
Nueces County, TX
San Patricio County, TX
18700Corvallis, OR1.1546
Benton County, OR
19060Cumberland, MD-WV0.8446
Allegany County, MD
Mineral County, WV
19124Dallas-Plano-Irving, TX1.0075
Collin County, TX
Dallas County, TX
Delta County, TX
Denton County, TX
Ellis County, TX
Hunt County, TX
Kaufman County, TX
Rockwall County, TX
19140Dalton, GA0.9093
Murray County, GA
Whitfield County, GA
19180Danville, IL0.9266
Vermilion County, IL
19260Danville, VA0.8451
Pittsylvania County, VA
Danville City, VA
19340Davenport-Moline-Rock Island, IA-IL0.8846
Henry County, IL
Mercer County, IL
Rock Island County, IL
Scott County, IA
Start Printed Page 57526
19380Dayton, OH0.9037
Greene County, OH
Miami County, OH
Montgomery County, OH
Preble County, OH
19460Decatur, AL0.8159
Lawrence County, AL
Morgan County, AL
19500Decatur, IL0.8172
Macon County, IL
19660Deltona-Daytona Beach-Ormond Beach, FL0.9263
Volusia County, FL
19740Denver-Aurora, CO1.0930
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
19780Des Moines-West Des Moines, IA0.9214
Dallas County, IA
Guthrie County, IA
Madison County, IA
Polk County, IA
Warren County, IA
19804Detroit-Livonia-Dearborn, MI1.0281
Wayne County, MI
20020Dothan, AL0.7381
Geneva County, AL
Henry County, AL
Houston County, AL
20100Dover, DE0.9847
Kent County, DE
20220Dubuque, IA0.9133
Dubuque County, IA
20260Duluth, MN-WI1.0042
Carlton County, MN
St. Louis County, MN
Douglas County, WI
20500Durham, NC0.9826
Chatham County, NC
Durham County, NC
Orange County, NC
Person County, NC
20740Eau Claire, WI0.9630
Chippewa County, WI
Eau Claire County, WI
20764Edison, NJ1.1190
Middlesex County, NJ
Monmouth County, NJ
Ocean County, NJ
Somerset County, NJ
20940El Centro, CA0.9076
Imperial County, CA
21060Elizabethtown, KY0.8697
Hardin County, KY
Larue County, KY
21140Elkhart-Goshen, IN0.9426
Elkhart County, IN
21300Elmira, NY0.8240
Chemung County, NY
21340El Paso, TX0.9053
El Paso County, TX
21500Erie, PA0.8827
Erie County, PA
21604Essex County, MA1.0418
Essex County, MA
Start Printed Page 57527
21660Eugene-Springfield, OR1.0876
Lane County, OR
21780Evansville, IN-KY0.9071
Gibson County, IN
Posey County, IN
Vanderburgh County, IN
Warrick County, IN
Henderson County, KY
Webster County, KY
21820Fairbanks, AK1.1059
Fairbanks North Star Borough, AK
21940Fajardo, PR0.4036
Ceiba Municipio, PR
Fajardo Municipio, PR
Luquillo Municipio, PR
22020Fargo, ND-MN0.8250
Cass County, ND
Clay County, MN
22140Farmington, NM0.8589
San Juan County, NM
22180Fayetteville, NC0.8945
Cumberland County, NC
Hoke County, NC
22220Fayetteville-Springdale-Rogers, AR-MO0.8865
Benton County, AR
Madison County, AR
Washington County, AR
McDonald County, MO
22380Flagstaff, AZ1.1601
Coconino County, AZ
22420Flint, MI1.0969
Genesee County, MI
22500Florence, SC0.8388
Darlington County, SC
Florence County, SC
22520Florence-Muscle Shoals, AL0.7843
Colbert County, AL
Lauderdale County, AL
22540Fond du Lac, WI1.0063
Fond du Lac County, WI
22660Fort Collins-Loveland, CO0.9544
Larimer County, CO
22744Fort Lauderdale-Pompano Beach-Deerfield Beach, FL1.0133
Broward County, FL
22900Fort Smith, AR-OK0.7731
Crawford County, AR
Franklin County, AR
Sebastian County, AR
Le Flore County, OK
Sequoyah County, OK
23020Fort Walton Beach-Crestview-Destin, FL0.8643
Okaloosa County, FL
23060Fort Wayne, IN0.9517
Allen County, IN
Wells County, IN
Whitley County, IN
23104Fort Worth-Arlington, TX0.9569
Johnson County, TX
Parker County, TX
Tarrant County, TX
Wise County, TX
23420Fresno, CA1.0943
Fresno County, CA
23460Gadsden, AL0.8066
Etowah County, AL
23540Gainesville, FL0.9277
Alachua County, FL
Gilchrist County, FL
23580Gainesville, GA0.8958
Hall County, GA
23844Gary, IN0.9334
Start Printed Page 57528
Jasper County, IN
Lake County, IN
Newton County, IN
Porter County, IN
24020Glens Falls, NY0.8324
Warren County, NY
Washington County, NY
24140Goldsboro, NC0.9171
Wayne County, NC
24220Grand Forks, ND-MN0.7949
Polk County, MN
Grand Forks County, ND
24300Grand Junction, CO0.9668
Mesa County, CO
24340Grand Rapids-Wyoming, MI0.9455
Barry County, MI
Ionia County, MI
Kent County, MI
Newaygo County, MI
24500Great Falls, MT0.8598
Cascade County, MT
24540Greeley, CO0.9602
Weld County, CO
24580Green Bay, WI0.9787
Brown County, WI
Kewaunee County, WI
Oconto County, WI
24660Greensboro-High Point, NC0.8866
Guilford County, NC
Randolph County, NC
Rockingham County, NC
24780Greenville, NC0.9432
Greene County, NC
Pitt County, NC
24860Greenville, SC0.9804
Greenville County, SC
Laurens County, SC
Pickens County, SC
25020Guayama, PR0.3235
Arroyo Municipio, PR
Guayama Municipio, PR
Patillas Municipio, PR
25060Gulfport-Biloxi, MS0.8915
Hancock County, MS
Harrison County, MS
Stone County, MS
25180Hagerstown-Martinsburg, MD-WV0.9038
Washington County, MD
Berkeley County, WV
Morgan County, WV
25260Hanford-Corcoran, CA1.0282
Kings County, CA
25420Harrisburg-Carlisle, PA0.9402
Cumberland County, PA
Dauphin County, PA
Perry County, PA
25500Harrisonburg, VA0.9073
Rockingham County, VA
Harrisonburg City, VA
25540Hartford-West Hartford-East Hartford, CT1.0894
Hartford County, CT
Litchfield County, CT
Middlesex County, CT
Tolland County, CT
25620Hattiesburg, MS0.7430
Forrest County, MS
Lamar County, MS
Perry County, MS
25860Hickory-Lenoir-Morganton, NC0.9010
Alexander County, NC
Burke County, NC
Start Printed Page 57529
Caldwell County, NC
Catawba County, NC
25980Hinesville-Fort Stewart, GA10.9177
Liberty County, GA
Long County, GA
26100Holland-Grand Haven, MI0.9163
Ottawa County, MI
26180Honolulu, HI1.1096
Honolulu County, HI
26300Hot Springs, AR0.8782
Garland County, AR
26380Houma-Bayou Cane-Thibodaux, LA0.8082
Lafourche Parish, LA
Terrebonne Parish, LA
26420Houston-Sugar Land-Baytown, TX1.0008
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
26580Huntington-Ashland, WV-KY-OH0.8997
Boyd County, KY
Greenup County, KY
Lawrence County, OH
Cabell County, WV
Wayne County, WV
26620Huntsville, AL0.9007
Limestone County, AL
Madison County, AL
26820Idaho Falls, ID0.9088
Bonneville County, ID
Jefferson County, ID
26900Indianapolis-Carmel, IN0.9895
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
26980Iowa City, IA0.9714
Johnson County, IA
Washington County, IA
27060Ithaca, NY0.9928
Tompkins County, NY
27100Jackson, MI0.9560
Jackson County, MI
27140Jackson, MS0.8271
Copiah County, MS
Hinds County, MS
Madison County, MS
Rankin County, MS
Simpson County, MS
27180Jackson, TN0.8853
Chester County, TN
Madison County, TN
27260Jacksonville, FL0.9165
Baker County, FL
Clay County, FL
Duval County, FL
Nassau County, FL
St. Johns County, FL
27340Jacksonville, NC0.8231
Start Printed Page 57530
Onslow County, NC
27500Janesville, WI0.9655
Rock County, WI
27620Jefferson City, MO0.8332
Callaway County, MO
Cole County, MO
Moniteau County, MO
Osage County, MO
27740Johnson City, TN0.8043
Carter County, TN
Unicoi County, TN
Washington County, TN
27780Johnstown, PA0.8620
Cambria County, PA
27860Jonesboro, AR0.7662
Craighead County, AR
Poinsett County, AR
27900Joplin, MO0.8605
Jasper County, MO
Newton County, MO
28020Kalamazoo-Portage, MI1.0704
Kalamazoo County, MI
Van Buren County, MI
28100Kankakee-Bradley, IL1.0083
Kankakee County, IL
28140Kansas City, MO-KS0.9495
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
28420Kennewick-Richland-Pasco, WA1.0343
Benton County, WA
Franklin County, WA
28660Killeen-Temple-Fort Hood, TX0.8901
Bell County, TX
Coryell County, TX
Lampasas County, TX
28700Kingsport-Bristol-Bristol, TN-VA0.7985
Hawkins County, TN
Sullivan County, TN
Bristol City, VA
Scott County, VA
Washington County, VA
28740Kingston, NY0.9367
Ulster County, NY
28940Knoxville, TN0.8249
Anderson County, TN
Blount County, TN
Knox County, TN
Loudon County, TN
Union County, TN
29020Kokomo, IN0.9669
Howard County, IN
Tipton County, IN
29100La Crosse, WI-MN0.9426
Houston County, MN
La Crosse County, WI
29140Lafayette, IN0.8931
Benton County, IN
Carroll County, IN
Start Printed Page 57531
Tippecanoe County, IN
29180Lafayette, LA0.8289
Lafayette Parish, LA
St. Martin Parish, LA
29340Lake Charles, LA0.7914
Calcasieu Parish, LA
Cameron Parish, LA
29404Lake County-Kenosha County, IL-WI1.0570
Lake County, IL
Kenosha County, WI
29460Lakeland, FL0.8879
Polk County, FL
29540Lancaster, PA0.9589
Lancaster County, PA
29620Lansing-East Lansing, MI1.0088
Clinton County, MI
Eaton County, MI
Ingham County, MI
29700Laredo, TX0.7811
Webb County, TX
29740Las Cruces, NM0.9273
Dona Ana County, NM
29820Las Vegas-Paradise, NV1.1430
Clark County, NV
29940Lawrence, KS0.8365
Douglas County, KS
30020Lawton, OK0.8065
Comanche County, OK
30140Lebanon, PA0.8679
Lebanon County, PA
30300Lewiston, ID-WA0.9853
Nez Perce County, ID
Asotin County, WA
30340Lewiston-Auburn, ME0.9126
Androscoggin County, ME
30460Lexington-Fayette, KY0.9181
Bourbon County, KY
Clark County, KY
Fayette County, KY
Jessamine County, KY
Scott County, KY
Woodford County, KY
30620Lima, OH0.9042
Allen County, OH
30700Lincoln, NE1.0092
Lancaster County, NE
Seward County, NE
30780Little Rock-North Little Rock, AR0.8890
Faulkner County, AR
Grant County, AR
Lonoke County, AR
Perry County, AR
Pulaski County, AR
Saline County, AR
30860Logan, UT-ID0.9022
Franklin County, ID
Cache County, UT
30980Longview, TX0.8788
Gregg County, TX
Rusk County, TX
Upshur County, TX
31020Longview, WA1.0011
Cowlitz County, WA
31084Los Angeles-Long Beach-Glendale, CA1.1760
Los Angeles County, CA
31140Louisville, KY-IN0.9118
Clark County, IN
Floyd County, IN
Harrison County, IN
Washington County, IN
Bullitt County, KY
Start Printed Page 57532
Henry County, KY
Jefferson County, KY
Meade County, KY
Nelson County, KY
Oldham County, KY
Shelby County, KY
Spencer County, KY
Trimble County, KY
31180Lubbock, TX0.8613
Crosby County, TX
Lubbock County, TX
31340Lynchburg, VA0.8694
Amherst County, VA
Appomattox County, VA
Bedford County, VA
Campbell County, VA
Bedford City, VA
Lynchburg City, VA
31420Macon, GA0.9519
Bibb County, GA
Crawford County, GA
Jones County, GA
Monroe County, GA
Twiggs County, GA
31460Madera, CA0.8154
Madera County, CA
31540Madison, WI1.0840
Columbia County, WI
Dane County, WI
Iowa County, WI
31700Manchester-Nashua, NH1.0243
Hillsborough County, NH
Merrimack County, NH
31900Mansfield, OH10.9271
Richland County, OH
32420Mayaguéz, PR0.3848
Hormigueros Municipio, PR
Mayagüez Municipio, PR
32580McAllen-Edinburg-Pharr, TX0.8773
Hidalgo County, TX
32780Medford, OR1.0818
Jackson County, OR
32820Memphis, TN-MS-AR0.9373
Crittenden County, AR
DeSoto County, MS
Marshall County, MS
Tate County, MS
Tunica County, MS
Fayette County, TN
Shelby County, TN
Tipton County, TN
32900Merced, CA1.1471
Merced County, CA
33124Miami-Miami Beach-Kendall, FL0.9812
Miami-Dade County, FL
33140Michigan City-La Porte, IN0.9118
LaPorte County, IN
33260Midland, TX0.9786
Midland County, TX
33340Milwaukee-Waukesha-West Allis, WI1.0218
Milwaukee County, WI
Ozaukee County, WI
Washington County, WI
Waukesha County, WI
33460Minneapolis-St. Paul-Bloomington, MN-WI1.0946
Anoka County, MN
Carver County, MN
Chisago County, MN
Dakota County, MN
Hennepin County, MN
Isanti County, MN
Start Printed Page 57533
Ramsey County, MN
Scott County, MN
Sherburne County, MN
Washington County, MN
Wright County, MN
Pierce County, WI
St. Croix County, WI
33540Missoula, MT0.8928
Missoula County, MT
33660Mobile, AL0.7913
Mobile County, AL
33700Modesto, CA1.1729
Stanislaus County, CA
33740Monroe, LA0.7997
Ouachita Parish, LA
Union Parish, LA
33780Monroe, MI0.9707
Monroe County, MI
33860Montgomery, AL0.8009
Autauga County, AL
Elmore County, AL
Lowndes County, AL
Montgomery County, AL
34060Morgantown, WV0.8423
Monongalia County, WV
Preston County, WV
34100Morristown, TN0.7933
Grainger County, TN
Hamblen County, TN
Jefferson County, TN
34580Mount Vernon-Anacortes, WA1.0517
Skagit County, WA
34620Muncie, IN0.8562
Delaware County, IN
34740Muskegon-Norton Shores, MI0.9941
Muskegon County, MI
34820Myrtle Beach-Conway-North Myrtle Beach, SC0.8810
Horry County, SC
34900Napa, CA1.3374
Napa County, CA
34940Naples-Marco Island, FL0.9941
Collier County, FL
34980Nashville-Davidson—Murfreesboro, TN0.9847
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
35004Nassau-Suffolk, NY1.2662
Nassau County, NY
Suffolk County, NY
35084Newark-Union, NJ-PA1.1892
Essex County, NJ
Hunterdon County, NJ
Morris County, NJ
Sussex County, NJ
Union County, NJ
Pike County, PA
35300New Haven-Milford, CT1.1953
New Haven County, CT
35380New Orleans-Metairie-Kenner, LA0.8831
Jefferson Parish, LA
Orleans Parish, LA
Start Printed Page 57534
Plaquemines Parish, LA
St. Bernard Parish, LA
St. Charles Parish, LA
St. John the Baptist Parish, LA
St. Tammany Parish, LA
35644New York-Wayne-White Plains, NY-NJ1.3177
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
35660Niles-Benton Harbor, MI0.8915
Berrien County, MI
35980Norwich-New London, CT1.1932
New London County, CT
36084Oakland-Fremont-Hayward, CA1.5819
Alameda County, CA
Contra Costa County, CA
36100Ocala, FL0.8867
Marion County, FL
36140Ocean City, NJ1.0472
Cape May County, NJ
36220Odessa, TX1.0073
Ector County, TX
36260Ogden-Clearfield, UT0.8995
Davis County, UT
Morgan County, UT
Weber County, UT
36420Oklahoma City, OK0.8843
Canadian County, OK
Cleveland County, OK
Grady County, OK
Lincoln County, OK
Logan County, OK
McClain County, OK
Oklahoma County, OK
36500Olympia, WA1.1081
Thurston County, WA
36540Omaha-Council Bluffs, NE-IA0.9450
Harrison County, IA
Mills County, IA
Pottawattamie County, IA
Cass County, NE
Douglas County, NE
Sarpy County, NE
Saunders County, NE
Washington County, NE
36740Orlando, FL0.9452
Lake County, FL
Orange County, FL
Osceola County, FL
Seminole County, FL
36780Oshkosh-Neenah, WI0.9315
Winnebago County, WI
36980Owensboro, KY0.8748
Daviess County, KY
Hancock County, KY
McLean County, KY
37100Oxnard-Thousand Oaks-Ventura, CA1.1546
Ventura County, CA
37340Palm Bay-Melbourne-Titusville, FL0.9443
Brevard County, FL
37460Panama City-Lynn Haven, FL0.8027
Bay County, FL
37620Parkersburg-Marietta, WV-OH0.7977
Start Printed Page 57535
Washington County, OH
Pleasants County, WV
Wirt County, WV
Wood County, WV
37700Pascagoula, MS0.8215
George County, MS
Jackson County, MS
37860Pensacola-Ferry Pass-Brent, FL0.8000
Escambia County, FL
Santa Rosa County, FL
37900Peoria, IL0.8982
Marshall County, IL
Peoria County, IL
Stark County, IL
Tazewell County, IL
Woodford County, IL
37964Philadelphia, PA1.0996
Bucks County, PA
Chester County, PA
Delaware County, PA
Montgomery County, PA
Philadelphia County, PA
38060Phoenix-Mesa-Scottsdale, AZ1.0287
Maricopa County, AZ
Pinal County, AZ
38220Pine Bluff, AR0.8383
Cleveland County, AR
Jefferson County, AR
Lincoln County, AR
38300Pittsburgh, PA0.8674
Allegheny County, PA
Armstrong County, PA
Beaver County, PA
Butler County, PA
Fayette County, PA
Washington County, PA
Westmoreland County, PA
38340Pittsfield, MA1.0266
Berkshire County, MA
38540Pocatello, ID0.9400
Bannock County, ID
Power County, ID
38660Ponce, PR0.4842
Juana Díaz Municipio, PR
Ponce Municipio, PR
Villalba Municipio, PR
38860Portland-South Portland-Biddeford, ME0.9908
Cumberland County, ME
Sagadahoc County, ME
York County, ME
38900Portland-Vancouver-Beaverton, OR-WA1.1416
Clackamas County, OR
Columbia County, OR
Multnomah County, OR
Washington County, OR
Yamhill County, OR
Clark County, WA
Skamania County, WA
38940Port St. Lucie-Fort Pierce, FL0.9833
Martin County, FL
St. Lucie County, FL
39100Poughkeepsie-Newburgh-Middletown, NY1.0911
Dutchess County, NY
Orange County, NY
39140Prescott, AZ0.9836
Yavapai County, AZ
39300Providence-New Bedford-Fall River, RI-MA1.0783
Bristol County, MA
Bristol County, RI
Kent County, RI
Newport County, RI
Start Printed Page 57536
Providence County, RI
Washington County, RI
39340Provo-Orem, UT0.9537
Juab County, UT
Utah County, UT
39380Pueblo, CO0.8753
Pueblo County, CO
39460Punta Gorda, FL0.9405
Charlotte County, FL
39540Racine, WI0.9356
Racine County, WI
39580Raleigh-Cary, NC0.9864
Franklin County, NC
Johnston County, NC
Wake County, NC
39660Rapid City, SD0.8833
Meade County, SD
Pennington County, SD
39740Reading, PA0.9622
Berks County, PA
39820Redding, CA1.3198
Shasta County, CA
39900Reno-Sparks, NV1.1963
Storey County, NV
Washoe County, NV
40060Richmond, VA0.9177
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
40140Riverside-San Bernardino-Ontario, CA1.0904
Riverside County, CA
San Bernardino County, CA
40220Roanoke, VA0.8647
Botetourt County, VA
Craig County, VA
Franklin County, VA
Roanoke County, VA
Roanoke City, VA
Salem City, VA
40340Rochester, MN1.1408
Dodge County, MN
Olmsted County, MN
Wabasha County, MN
40380Rochester, NY0.8994
Livingston County, NY
Monroe County, NY
Ontario County, NY
Orleans County, NY
Wayne County, NY
40420Rockford, IL0.9989
Boone County, IL
Winnebago County, IL
40484Rockingham County-Strafford County, NH1.0159
Rockingham County, NH
Start Printed Page 57537
Strafford County, NH
40580Rocky Mount, NC0.8854
Edgecombe County, NC
Nash County, NC
40660Rome, GA0.9193
Floyd County, GA
40900Sacramento—Arden-Arcade—Roseville, CA1.3372
El Dorado County, CA
Placer County, CA
Sacramento County, CA
Yolo County, CA
40980Saginaw-Saginaw Township North, MI0.8874
Saginaw County, MI
41060St. Cloud, MN1.0362
Benton County, MN
Stearns County, MN
41100St. George, UT0.9265
Washington County, UT
41140St. Joseph, MO-KS1.0118
Doniphan County, KS
Andrew County, MO
Buchanan County, MO
DeKalb County, MO
41180St. Louis, MO-IL0.9005
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
41420Salem, OR1.0438
Marion County, OR
Polk County, OR
41500Salinas, CA1.4337
Monterey County, CA
41540Salisbury, MD0.8953
Somerset County, MD
Wicomico County, MD
41620Salt Lake City, UT0.9402
Salt Lake County, UT
Summit County, UT
Tooele County, UT
41660San Angelo, TX0.8362
Irion County, TX
Tom Green County, TX
41700San Antonio, TX0.8844
Atascosa County, TX
Bandera County, TX
Bexar County, TX
Comal County, TX
Guadalupe County, TX
Kendall County, TX
Medina County, TX
Wilson County, TX
41740San Diego-Carlsbad-San Marcos, CA1.1354
San Diego County, CA
41780Sandusky, OH0.9302
Erie County, OH
41884San Francisco-San Mateo-Redwood City, CA1.5165
Marin County, CA
Start Printed Page 57538
San Francisco County, CA
San Mateo County, CA
41900San Germán-Cabo Rojo, PR0.4885
Cabo Rojo Municipio, PR
Lajas Municipio, PR
Sabana Grande Municipio, PR
San Germán Municipio, PR
41940San Jose-Sunnyvale-Santa Clara, CA1.5543
San Benito County, CA
Santa Clara County, CA
41980San Juan-Caguas-Guaynabo, PR0.4452
Aguas Buenas Municipio, PR
Aibonito Municipio, PR
Arecibo Municipio, PR
Barceloneta Municipio, PR
Barranquitas Municipio, PR
Bayamón Municipio, PR
Caguas Municipio, PR
Camuy Municipio, PR
Canóvanas Municipio, PR
Carolina Municipio, PR
Cataño Municipio, PR
Cayey Municipio, PR
Ciales Municipio, PR
Cidra Municipio, PR
Comerío 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
Loíza Municipio, PR
Manatí Municipio, PR
Maunabo Municipio, PR
Morovis Municipio, PR
Naguabo Municipio, PR
Naranjito Municipio, PR
Orocovis Municipio, PR
Quebradillas Municipio, PR
Río 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
42020San Luis Obispo-Paso Robles, CA1.1598
San Luis Obispo County, CA
42044Santa Ana-Anaheim-Irvine, CA1.1473
Orange County, CA
42060Santa Barbara-Santa Maria-Goleta, CA1.1091
Santa Barbara County, CA
42100Santa Cruz-Watsonville, CA1.5457
Santa Cruz County, CA
42140Santa Fe, NM1.0824
Santa Fe County, NM
42220Santa Rosa-Petaluma, CA1.4464
Sonoma County, CA
42260Sarasota-Bradenton-Venice, FL0.9868
Manatee County, FL
Sarasota County, FL
42340Savannah, GA0.9351
Bryan County, GA
Chatham County, GA
Effingham County, GA
Start Printed Page 57539
42540Scranton—Wilkes-Barre, PA0.8347
Lackawanna County, PA
Luzerne County, PA
Wyoming County, PA
42644Seattle-Bellevue-Everett, WA1.1434
King County, WA
Snohomish County, WA
42680Sebastian-Vero Beach, FL0.9573
Indian River County, FL
43100Sheboygan, WI0.9026
Sheboygan County, WI
43300Sherman-Denison, TX0.8502
Grayson County, TX
43340Shreveport-Bossier City, LA0.8865
Bossier Parish, LA
Caddo Parish, LA
De Soto Parish, LA
43580Sioux City, IA-NE-SD0.9200
Woodbury County, IA
Dakota County, NE
Dixon County, NE
Union County, SD
43620Sioux Falls, SD0.9559
Lincoln County, SD
McCook County, SD
Minnehaha County, SD
Turner County, SD
43780South Bend-Mishawaka, IN-MI0.9842
St. Joseph County, IN
Cass County, MI
43900Spartanburg, SC0.9174
Spartanburg County, SC
44060Spokane, WA1.0447
Spokane County, WA
44100Springfield, IL0.8890
Menard County, IL
Sangamon County, IL
44140Springfield, MA1.0079
Franklin County, MA
Hampden County, MA
Hampshire County, MA
44180Springfield, MO0.8469
Christian County, MO
Dallas County, MO
Greene County, MO
Polk County, MO
Webster County, MO
44220Springfield, OH0.8593
Clark County, OH
44300State College, PA0.8784
Centre County, PA
44700Stockton, CA1.1442
San Joaquin County, CA
44940Sumter, SC0.8083
Sumter County, SC
45060Syracuse, NY0.9691
Madison County, NY
Onondaga County, NY
Oswego County, NY
45104Tacoma, WA1.0789
Pierce County, WA
45220Tallahassee, FL0.8942
Gadsden County, FL
Jefferson County, FL
Leon County, FL
Wakulla County, FL
45300Tampa-St. Petersburg-Clearwater, FL0.9144
Hernando County, FL
Hillsborough County, FL
Pasco County, FL
Pinellas County, FL
Start Printed Page 57540
45460Terre Haute, IN0.8765
Clay County, IN
Sullivan County, IN
Vermillion County, IN
Vigo County, IN
45500Texarkana, TX-Texarkana, AR0.8104
Miller County, AR
Bowie County, TX
45780Toledo, OH0.9586
Fulton County, OH
Lucas County, OH
Ottawa County, OH
Wood County, OH
45820Topeka, KS0.8730
Jackson County, KS
Jefferson County, KS
Osage County, KS
Shawnee County, KS
Wabaunsee County, KS
45940Trenton-Ewing, NJ1.0835
Mercer County, NJ
46060Tucson, AZ0.9202
Pima County, AZ
46140Tulsa, OK0.8103
Creek County, OK
Okmulgee County, OK
Osage County, OK
Pawnee County, OK
Rogers County, OK
Tulsa County, OK
Wagoner County, OK
46220Tuscaloosa, AL0.8542
Greene County, AL
Hale County, AL
Tuscaloosa County, AL
46340Tyler, TX0.8811
Smith County, TX
46540Utica-Rome, NY0.8396
Herkimer County, NY
Oneida County, NY
46660Valdosta, GA0.8369
Brooks County, GA
Echols County, GA
Lanier County, GA
Lowndes County, GA
46700Vallejo-Fairfield, CA1.5137
Solano County, CA
47020Victoria, TX0.8560
Calhoun County, TX
Goliad County, TX
Victoria County, TX
47220Vineland-Millville-Bridgeton, NJ0.9832
Cumberland County, NJ
47260Virginia Beach-Norfolk-Newport News, VA-NC0.8790
Currituck County, NC
Gloucester County, VA
Isle of Wight County, VA
James City County, VA
Mathews County, VA
Surry County, VA
York County, VA
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
47300Visalia-Porterville, CA0.9968
Start Printed Page 57541
Tulare County, CA
47380Waco, TX0.8633
McLennan County, TX
47580Warner Robins, GA0.8380
Houston County, GA
47644Warren-Troy-Farmington Hills, MI1.0054
Lapeer County, MI
Livingston County, MI
Macomb County, MI
Oakland County, MI
St. Clair County, MI
47894Washington-Arlington-Alexandria, DC-VA-MD-WV1.1054
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
47940Waterloo-Cedar Falls, IA0.8408
Black Hawk County, IA
Bremer County, IA
Grundy County, IA
48140Wausau, WI0.9722
Marathon County, WI
48260Weirton-Steubenville, WV-OH0.8063
Jefferson County, OH
Brooke County, WV
Hancock County, WV
48300Wenatchee, WA1.0346
Chelan County, WA
Douglas County, WA
48424West Palm Beach-Boca Raton-Boynton Beach, FL0.9649
Palm Beach County, FL
48540Wheeling, WV-OH0.7010
Belmont County, OH
Marshall County, WV
Ohio County, WV
48620Wichita, KS0.9063
Butler County, KS
Harvey County, KS
Sedgwick County, KS
Sumner County, KS
48660Wichita Falls, TX0.8311
Archer County, TX
Clay County, TX
Wichita County, TX
48700Williamsport, PA0.8139
Lycoming County, PA
48864Wilmington, DE-MD-NJ1.0684
New Castle County, DE
Cecil County, MD
Salem County, NJ
48900Wilmington, NC0.9835
Brunswick County, NC
New Hanover County, NC
Pender County, NC
49020Winchester, VA-WV1.0091
Start Printed Page 57542
Frederick County, VA
Winchester City, VA
Hampshire County, WV
49180Winston-Salem, NC0.9276
Davie County, NC
Forsyth County, NC
Stokes County, NC
Yadkin County, NC
49340Worcester, MA1.0722
Worcester County, MA
49420Yakima, WA0.9847
Yakima County, WA
49500Yauco, PR0.3854
Guánica Municipio, PR
Guayanilla Municipio, PR
Peñuelas Municipio, PR
Yauco Municipio, PR
49620York-Hanover, PA0.9397
York County, PA
49660Youngstown-Warren-Boardman, OH-PA0.8802
Mahoning County, OH
Trumbull County, OH
Mercer County, PA
49700Yuba City, CA1.0730
Sutter County, CA
Yuba County, CA
49740Yuma, AZ0.9109
Yuma County, AZ
1 At this time, there are no hospitals located in this urban area on which to base a wage index.

Table 9.—FY 2007 Wage Index Based on CBSA Labor Market Areas for Rural Areas

CBSA codeNonurban areaWage index
22Massachusetts 11.0216
30New Hampshire1.0853
31New Jersey 1
32New Mexico0.8332
33New York0.8232
34North Carolina0.8588
35North Dakota0.7215
40Puerto Rico 10.4047
41Rhode Island 1
42South Carolina0.8566
43South Dakota0.8480
48Virgin Islands0.8467
51West Virginia0.7607
1 All counties within the State are classified as urban, with the exception of Massachusetts and Puerto Rico. Massachusetts and Puerto Rico have areas designated as rural; however, no short-term, acute care hospitals are located in the area(s) for FY 2007. Because more recent data are not available for those areas, we are using last year's wage index value.

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 for good cause that it is unnecessary to undertake notice and comment rulemaking because this notice merely provides technical corrections to the 2007 SNF PPS update notice. We are not making substantive changes to our payment methodologies or policies, but rather, are simply implementing correctly the payment methodologies and policies that we previously proposed, received comment on, and subsequently finalized. The public has already had the opportunity to comment on these payment Start Printed Page 57543methodologies and policies, and this correction notice is intended solely to ensure that the FY 2007 SNF PPS update notice accurately reflects them. Therefore, we believe that undertaking further notice and comment procedures to incorporate these corrections into the update notice is unnecessary and contrary to the public interest.

Further, we believe a delayed effective date is unnecessary because this correction notice merely corrects inadvertent technical errors. The changes noted above do not make any substantive changes to the SNF PPS payment methodologies or policies. Moreover, we regard imposing a delay in the effective date as being contrary to the public interest. We believe that it is in the public interest for providers to receive appropriate SNF PPS payments in as timely a manner as possible and to ensure that the FY 2007 SNF PPS update notice accurately reflects our payment methodologies, payment rates, and 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: September 22, 2006.

Ann C. Agnew,

Executive Secretary to the Department.

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[FR Doc. E6-15979 Filed 9-28-06; 8:45 am]