CHAPTER 8 Addendum E (FY 2008), pages 7, 8, 11, 12 Addendum E (FY 2008), pages 7, 8, 11, 12. Addendum A, pages 3 and 4 Addendum A, pages 3 through 5

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2 CHANGE M SEPTEMBER 26, 2007 REMOVE PAGE(S) INSERT PAGE(S) CHAPTER 8 Addendum E (FY 2008), pages 7, 8, 11, 12 Addendum E (FY 2008), pages 7, 8, 11, 12 CHAPTER 10 Table of Contents, page i Table of Contents, page i Addendum A, pages 3 and 4 Addendum A, pages 3 through 5 2

3 CHAPTER 8, ADDENDUM E (FY 2008) ES FOR S FOR SNFS BASED ON LABOR MARKET AREAS - FISCAL YEAR 2008 Kalamazoo, MI Van Buren, MI Kankakee-Bradley, IL Kankakee, IL Kansas City, MO-KS Franklin, KS Johnson, KS Leavenworth, KS Linn, KS Miami, KS Wyandotte, KS Bates, MO Caldwell, MO Cass, MO Clay, MO Clinton, MO Jackson, MO Lafayette, MO Platte, MO Ray, MO Kennewick-Richland Pasco, WA Benton, WA Franklin, WA Killeen-Temple-Fort Hood, TX Bell, TX Coryell, TX Lampasas, TX Kingsport-Bristol Bristol, TN-VA Hawkins, TN Sullivan, TN Bristol City, VA Scott, VA Washington, VA Kingston, NY Ulster, NY Knoxville, TN Anderson, TN Blount, TN Knox, TN Loudon, TN Union, TN Kokomo, IN Howard, IN Tipton, IN La Crosse, WI-MN Houston, MN La Crosse, WI Lafayette, IN Benton, IN Carroll, IN Tippecanoe, IN Lafayette, LA Lafayette Parish, LA St. Martin Parish, LA Lake Charles, LA Calcasieu Parish, LA Cameron Parish, LA Lake County Kenosha, IL-WI Lake, IL Kenosha, WI Lake Havasu City Kingman, AZ Mohave, AZ Lakeland, FL Polk, FL Lancaster, PA Lancaster, PA Lansing-East Lansing, MI Clinton, MI Eaton, MI Ingham, MI Laredo, TX Webb, TX Las Cruces, NM Dona Ana, NM Las Vegas-Paradise, NV Clark, NV Lawrence, KS Douglas, KS Lawton, OK Comanche, OK Lebanon, PA Lebanon, PA Lewiston, ID-WA Nez Perce, ID Asotin, WA Lewiston-Auburn, ME Androscoggin, ME Lexington-Fayette, KY Bourbon, KY Clark, KY Fayette, KY Jessamine, KY Scott, KY Woodford, KY Lima, OH Allen, OH Lincoln, NE Lancaster, NE Seward, NE Little Rock-North Little Rock, AR Faulkner, AR Grant, AR Lonoke, AR Perry, AR Pulaski, AR Saline, AR Logan, UT-ID Franklin, ID Cache, UT Longview, TX Gregg, TX Rusk, TX Upshur, TX Longview, WA Cowlitz, WA Los Angeles-Long Beach-Glendale, CA Los Angeles, CA Louisville, KY-IN Clark, IN Floyd, IN Harrison, IN 7 C-64, September 14, 2007

4 CHAPTER 8, ADDENDUM E (FY 2008) ES FOR S FOR SNFS BASED ON LABOR MARKET AREAS - FISCAL YEAR 2008 Washington, IN Bullitt, KY Henry, KY Jefferson, KY Meade, KY Nelson, KY Oldham, KY Shelby, KY Spencer, KY Trimble, KY Lubbock, TX Crosby, TX Lubbock, TX Lynchburg, VA Amherst, VA Appomattox, VA Bedford, VA Campbell, VA Bedford City, VA Lynchburg City, VA Macon, GA Bibb, GA Crawford, GA Jones, GA Monroe, GA Twiggs, GA Madera, CA Madera, CA Madison, WI Columbia, WI Dane, WI Iowa, WI Manchester-Nashua, NH Hillsborough, NH Merrimack, NH Mansfield, OH Richland, OH Mayaguez, PR Hormigueros, PR Mayaguez, PR McAllen-Edinburg Pharr, TX Hidalgo, TX Medford, OR Jackson, OR Memphis, TN-MS-AR Crittenden, AR DeSoto, MS Marshall, MS Tate, MS Tunica, MS Fayette, TN Shelby, TN Tipton, TN Merced, CA Merced, CA Miami-Miami Beach Kendall, FL Miami-Dade, FL Michigan City-La Porte, IN LaPorte, IN Midland, TX Midland, TX Milwaukee Waukesha-West Allis, WI Milwaukee, WI Ozaukee, WI Washington, WI Waukesha, WI Minneapolis-St. Paul Bloomington, MN-WI 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 Missoula, MT Missoula, MT Mobile, AL Mobile, AL Modesto, CA Stanislaus, CA Monroe, LA Ouachita Parish, LA Union Parish, LA Monroe, MI Monroe, MI Montgomery, AL Autauga, AL Elmore, AL Lowndes, AL Montgomery, AL Morgantown, WV Monongalia, WV Preston, WV Morristown, TN Grainger, TN Hamblen, TN Jefferson, TN Mount Vernon Anacortes, WA Skagit, WA Muncie, IN Delaware, IN Muskegon-Norton Shores, MI Muskegon, MI Myrtle Beach Conway-North Myrtle Beach, SC Horry, SC Napa, CA Napa, CA Naples-Marco Island, FL Collier, FL Nashville-Davidson Murfreesboro, TN Cannon, TN Cheatham, TN 8 C-65, September 26, 2007

5 CHAPTER 8, ADDENDUM E (FY 2008) ES FOR S FOR SNFS BASED ON LABOR MARKET AREAS - FISCAL YEAR 2008 Orleans, NY Wayne, NY Rockford, IL Boone, IL Winnebago, IL Rockingham County Strafford, NH Rockingham, NH Strafford, NH Rocky Mount, NC Edgecombe, NC Nash, NC Rome, GA Floyd, GA Sacramento--Arden Arcade--Roseville, CA El Dorado, CA Placer, CA Sacramento, CA Yolo, CA Saginaw-Saginaw Township North, MI Saginaw, MI St. Cloud, MN Benton, MN Stearns, MN St. George, UT Washington, UT St. Joseph, MO-KS Doniphan, KS Andrew, MO Buchanan, MO DeKalb, MO St. Louis, MO-IL Bond, IL Calhoun, IL Clinton, IL Jersey, IL Macoupin, IL Madison, IL Monroe, IL St. Clair, IL Crawford, MO Franklin, MO Jefferson, MO Lincoln, MO St. Charles, MO St. Louis, MO Warren, MO Washington, MO St. Louis City, MO Salem, OR Marion, OR Polk, OR Salinas, CA Monterey, CA Salisbury, MD Somerset, MD Wicomico, MD Salt Lake City, UT Salt Lake, UT Summit, UT Tooele, UT San Angelo, TX Irion, TX Tom Green, TX San Antonio, TX Atascosa, TX Bandera, TX Bexar, TX Comal, TX Guadalupe, TX Kendall, TX Medina, TX Wilson, TX San Diego-Carlsbad San Marcos, CA San Diego, CA Sandusky, OH Erie, OH San Francisco-San Mateo-Redwood City, CA Marin, CA San Francisco, CA San Mateo, CA San German-Cabo Rojo, PR Cabo Rojo, PR Lajas, PR Sabana Grande, PR San German, PR San Jose-Sunnyvale Santa Clara, CA San Benito, CA Santa Clara, CA San Juan-Caguas Guaynabo, PR Aguas Buenas, PR Aibonito, PR Arecibo, PR Barceloneta, PR Barranquitas, PR Bayamon, PR Caguas, PR Camuy, PR Canovanas, PR Carolina, PR Catano, PR Cayey, PR Ciales, PR Cidra, PR Comerio, PR Corozal, PR Dorado, PR Florida, PR Guaynabo, PR Gurabo, PR Hatillo, PR Humacao, PR Juncos, PR Las Piedras, PR Loiza, PR Manati, PR Maunabo, PR Morovis, PR Naguabo, PR Naranjito, PR Orocovis, PR 11 C-64, September 14, 2007

6 CHAPTER 8, ADDENDUM E (FY 2008) ES FOR S FOR SNFS BASED ON LABOR MARKET AREAS - FISCAL YEAR 2008 Quebradillas, PR Rio Grande, PR San Juan, PR San Lorenzo, PR Toa Alta, PR Toa Baja, PR Trujillo Alto, PR Vega Alta, PR Vega Baja, PR Yabucoa, PR San Luis Obispo-Paso Robles, CA San Luis Obispo, CA Santa Ana-Anaheim Irvine, CA Orange, CA Santa Barbara-Santa Maria-Goleta, CA Santa Barbara, CA Santa Cruz Watsonville, CA Santa Cruz, CA Santa Fe, NM Santa Fe, NM Santa Rosa-Petaluma, CA Sonoma, CA Sarasota-Bradenton Venice, FL Manatee, FL Sarasota, FL Savannah, GA Bryan, GA Chatham, GA Effingham, GA Scranton--Wilkes Barre, PA Lackawanna, PA Luzerne, PA Wyoming, PA Seattle-Bellevue Everett, WA King, WA Snohomish, WA Sebastian-Vero Beach, FL Indian River, FL Sheboygan, WI Sheboygan, WI Sherman-Denison, TX Grayson, TX Shreveport-Bossier City, LA Bossier Parish, LA Caddo Parish, LA De Soto Parish, LA Sioux City, IA-NE-SD Woodbury, IA Dakota, NE Dixon, NE Union, SD Sioux Falls, SD Lincoln, SD McCook, SD Minnehaha, SD Turner, SD South Bend Mishawaka, IN-MI St. Joseph, IN Cass, MI Spartanburg, SC Spartanburg, SC Spokane, WA Spokane, WA Springfield, IL Menard, IL Sangamon, IL Springfield, MA Franklin, MA Hampden, MA Hampshire, MA Springfield, MO Christian, MO Dallas, MO Greene, MO Polk, MO Webster, MO Springfield, OH Clark, OH State College, PA Centre, PA Stockton, CA San Joaquin, CA Sumter, SC Sumter, SC Syracuse, NY Madison, NY Onondaga, NY Oswego, NY Tacoma, WA Pierce, WA Tallahassee, FL Gadsden, FL Jefferson, FL Leon, FL Wakulla, FL Tampa-St. Petersburg Clearwater, FL Hernando, FL Hillsborough, FL Pasco, FL Pinellas, FL Terre Haute, IN Clay, IN Sullivan, IN Vermillion, IN Vigo, IN Texarkana, TX Texarkana, AR Miller, AR Bowie, TX Toledo, OH Fulton, OH Lucas, OH Ottawa, OH Wood, OH Topeka, KS Jackson, KS Jefferson, KS Osage, KS 12 C-65, September 26, 2007

7 CHAPTER 10 BIRTHING CENTERS SECTION SUBJECT 1 Freestanding And Hospital-Based Birthing Center Reimbursement ADDENDUM A Birthing Center Rate Non-Professional Component FIGURE 10-A-1 - Birthing Center Rate Non-Professional Component - FY 2004 FIGURE 10-A-2 - Birthing Center Rate Non-Professional Component - FY 2005 FIGURE 10-A-3 - Birthing Center Rate Non-Professional Component - FY 2006 FIGURE 10-A-4 - Birthing Center Rate Non-Professional Component - FY 2007 FIGURE 10-A-5 - Birthing Center Rate Non-Professional Component - FY 2008 i C-65, September 26, 2007

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9 CHAPTER 10, ADDENDUM A BIRTHING CENTER RATE NON-PROFESSIONAL COMPONENT FIGURE 10-A-3 BIRTHING CENTER RATE NON-PROFESSIONAL COMPONENT - FY 2006 FISCAL YEAR 2006 TRICARE-AUTHORIZED BIRTHING CENTER PROVIDER NON-PROFESSIONAL COMPONENT FOR ALL-INCLUSIVE PRICING FORMULA Alabama $2, Montana $1, Alaska $3, Nebraska $1, Arizona $1, Nevada $2, Arkansas $3, New Hampshire $1, California $3, New Jersey $5, Colorado $2, New Mexico $2, Connecticut $3, New York $1, Delaware $2, North Carolina $2, District of Columbia $2, North Dakota $ Florida $2, Ohio $2, Georgia $2, Oklahoma $3, Hawaii $2, Oregon $1, Idaho $1, Pennsylvania $2, Illinois $2, Puerto Rico $ Indiana $2, Rhode Island $3, Iowa $1, South Carolina $2, Kansas $2, South Dakota $1, Kentucky $2, Tennessee $1, Louisiana $2, Texas $2, Maine $1, Utah $1, Maryland $1, Vermont $1, Massachusetts $2, Virginia $2, Michigan $2, Washington $2, Minnesota $2, West Virginia $1, Mississippi $2, Wisconsin $1, Missouri $2, Wyoming $1, These state specific non-professional component amounts are to be used in creating the maximum allowable all-inclusive TRICARE-authorized birthing center prices during Fiscal Year The all-inclusive prices are to be updated concurrently with CHAMPUS Maximum Allowable Charge (CMAC) updates. (See Chapter 10, Section 1, for instruction for the use of these amounts.) 3 C-29, September 22, 2005

10 CHAPTER 10, ADDENDUM A BIRTHING CENTER RATE NON-PROFESSIONAL COMPONENT FIGURE 10-A-4 BIRTHING CENTER RATE NON-PROFESSIONAL COMPONENT - FY 2007 FISCAL YEAR 2006 TRICARE-AUTHORIZED BIRTHING CENTER PROVIDER NON-PROFESSIONAL COMPONENT FOR ALL-INCLUSIVE PRICING FORMULA Alabama $3, Montana $1, Alaska $3, Nebraska $2, Arizona $1, Nevada $2, Arkansas $3, New Hampshire $2, California $3, New Jersey $5, Colorado $2, New Mexico $2, Connecticut $3, New York $1, Delaware $2, North Carolina $2, District of Columbia $2, North Dakota $1, Florida $3, Ohio $2, Georgia $2, Oklahoma $3, Hawaii $2, Oregon $1, Idaho $1, Pennsylvania $2, Illinois $2, Puerto Rico $ Indiana $2, Rhode Island $3, Iowa $ South Carolina $2, Kansas $2, South Dakota $1, Kentucky $2, Tennessee $2, Louisiana $2, Texas $2, Maine $1, Utah $1, Maryland $2, Vermont $1, Massachusetts $2, Virginia $2, Michigan $2, Washington $2, Minnesota $2, West Virginia $1, Mississippi $3, Wisconsin $1, Missouri $2, Wyoming $2, These state specific non-professional component amounts are to be used in creating the maximum allowable all-inclusive TRICARE-authorized birthing center prices during Fiscal Year The all-inclusive prices are to be updated concurrently with CHAMPUS Maximum Allowable Charge (CMAC) updates. (See Chapter 10, Section 1, for instruction for the use of these amounts.) 4 C-65, September 26, 2007

11 CHAPTER 10, ADDENDUM A BIRTHING CENTER RATE NON-PROFESSIONAL COMPONENT FIGURE 10-A-5 BIRTHING CENTER RATE NON-PROFESSIONAL COMPONENT - FY 2008 FISCAL YEAR 2008 TRICARE-AUTHORIZED BIRTHING CENTER PROVIDER NON-PROFESSIONAL COMPONENT FOR ALL-INCLUSIVE PRICING FORMULA Alabama $3, Montana $1, Alaska $3, Nebraska $2, Arizona $2, Nevada $2, Arkansas $3, New Hampshire $2, California $3, New Jersey $4, Colorado $2, New Mexico $2, Connecticut $4, New York $1, Delaware $2, North Carolina $2, District of Columbia $2, North Dakota $1, Florida $3, Ohio $2, Georgia $2, Oklahoma $3, Hawaii $2, Oregon $2, Idaho $1, Pennsylvania $3, Illinois $2, Puerto Rico $ Indiana $2, Rhode Island $3, Iowa $2, South Carolina $3, Kansas $2, South Dakota $1, Kentucky $2, Tennessee $2, Louisiana $2, Texas $2, Maine $1, Utah $1, Maryland $2, Vermont $2, Massachusetts $2, Virginia $2, Michigan $2, Washington $2, Minnesota $2, West Virginia $1, Mississippi $4, Wisconsin $1, Missouri $2, Wyoming $2, These state specific non-professional component amounts are to be used in creating the maximum allowable all-inclusive TRICARE-authorized birthing center prices during Fiscal Year The all-inclusive prices are to be updated concurrently with CHAMPUS Maximum Allowable Charge (CMAC) updates. (See Chapter 10, Section 1, for instruction for the use of these amounts.) - END - 5 C-65, September 26, 2007

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