CHANGE 65 6010.55-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
CHAPTER 8, ADDENDUM E (FY 2008) ES FOR S FOR SNFS BASED ON LABOR MARKET AREAS - FISCAL YEAR 2008 Kalamazoo, MI Van Buren, MI 28100 Kankakee-Bradley, IL 1.0238 Kankakee, IL 28140 Kansas City, MO-KS 0.9504 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 28420 Kennewick-Richland- 1.0075 Pasco, WA Benton, WA Franklin, WA 28660 Killeen-Temple-Fort 0.8249 Hood, TX Bell, TX Coryell, TX Lampasas, TX 28700 Kingsport-Bristol- 0.7658 Bristol, TN-VA Hawkins, TN Sullivan, TN Bristol City, VA Scott, VA Washington, VA 28740 Kingston, NY 0.9556 Ulster, NY 28940 Knoxville, TN 0.8036 Anderson, TN Blount, TN Knox, TN Loudon, TN Union, TN 29020 Kokomo, IN 0.9591 Howard, IN Tipton, IN 29100 La Crosse, WI-MN 0.9685 Houston, MN La Crosse, WI 29140 Lafayette, IN 0.8869 Benton, IN Carroll, IN Tippecanoe, IN 29180 Lafayette, LA 0.8247 Lafayette Parish, LA St. Martin Parish, LA 29340 Lake Charles, LA 0.7777 Calcasieu Parish, LA Cameron Parish, LA 29404 Lake County- 1.0315 Kenosha, IL-WI Lake, IL Kenosha, WI 29420 Lake Havasu City- 0.9333 Kingman, AZ Mohave, AZ 29460 Lakeland, FL 0.8661 Polk, FL 29540 Lancaster, PA 0.9252 Lancaster, PA 29620 Lansing-East Lansing, 1.0119 MI Clinton, MI Eaton, MI Ingham, MI 29700 Laredo, TX 0.8093 Webb, TX 29740 Las Cruces, NM 0.8676 Dona Ana, NM 29820 Las Vegas-Paradise, 1.1799 NV Clark, NV 29940 Lawrence, KS 0.8227 Douglas, KS 30020 Lawton, OK 0.8025 Comanche, OK 30140 Lebanon, PA 0.8192 Lebanon, PA 30300 Lewiston, ID-WA 0.9454 Nez Perce, ID Asotin, WA 30340 Lewiston-Auburn, ME 0.9193 Androscoggin, ME 30460 Lexington-Fayette, KY 0.9191 Bourbon, KY Clark, KY Fayette, KY Jessamine, KY Scott, KY Woodford, KY 30620 Lima, OH 0.9424 Allen, OH 30700 Lincoln, NE 1.0051 Lancaster, NE Seward, NE 30780 Little Rock-North 0.8863 Little Rock, AR Faulkner, AR Grant, AR Lonoke, AR Perry, AR Pulaski, AR Saline, AR 30860 Logan, UT-ID 0.9183 Franklin, ID Cache, UT 30980 Longview, TX 0.8717 Gregg, TX Rusk, TX Upshur, TX 31020 Longview, WA 1.0827 Cowlitz, WA 31084 Los Angeles-Long 1.1771 Beach-Glendale, CA Los Angeles, CA 31140 Louisville, KY-IN 0.9065 Clark, IN Floyd, IN Harrison, IN 7 C-64, September 14, 2007
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 31180 Lubbock, TX 0.8680 Crosby, TX Lubbock, TX 31340 Lynchburg, VA 0.8732 Amherst, VA Appomattox, VA Bedford, VA Campbell, VA Bedford City, VA Lynchburg City, VA 31420 Macon, GA 0.9541 Bibb, GA Crawford, GA Jones, GA Monroe, GA Twiggs, GA 31460 Madera, CA 0.8069 Madera, CA 31540 Madison, WI 1.0935 Columbia, WI Dane, WI Iowa, WI 31700 Manchester-Nashua, 1.0063 NH Hillsborough, NH Merrimack, NH 31900 Mansfield, OH1 0.9271 Richland, OH 32420 Mayaguez, PR 0.3711 Hormigueros, PR Mayaguez, PR 32580 McAllen-Edinburg- 0.9123 Pharr, TX Hidalgo, TX 32780 Medford, OR 1.0318 Jackson, OR 32820 Memphis, TN-MS-AR 0.9250 Crittenden, AR DeSoto, MS Marshall, MS Tate, MS Tunica, MS Fayette, TN Shelby, TN Tipton, TN 32900 Merced, CA 1.2120 Merced, CA 33124 Miami-Miami Beach- 1.0002 Kendall, FL Miami-Dade, FL 33140 Michigan City-La 0.8914 Porte, IN LaPorte, IN 33260 Midland, TX 1.0017 Midland, TX 33340 Milwaukee- 1.0214 Waukesha-West Allis, WI Milwaukee, WI Ozaukee, WI Washington, WI Waukesha, WI 33460 Minneapolis-St. Paul- 1.1093 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 33540 Missoula, MT 0.8953 Missoula, MT 33660 Mobile, AL 0.8033 Mobile, AL 33700 Modesto, CA 1.1962 Stanislaus, CA 33740 Monroe, LA 0.7832 Ouachita Parish, LA Union Parish, LA 33780 Monroe, MI 0.9414 Monroe, MI 33860 Montgomery, AL 0.8088 Autauga, AL Elmore, AL Lowndes, AL Montgomery, AL 34060 Morgantown, WV 0.8321 Monongalia, WV Preston, WV 34100 Morristown, TN 0.7388 Grainger, TN Hamblen, TN Jefferson, TN 34580 Mount Vernon- 1.0529 Anacortes, WA Skagit, WA 34620 Muncie, IN 0.8214 Delaware, IN 34740 Muskegon-Norton 0.9836 Shores, MI Muskegon, MI 34820 Myrtle Beach- 0.8634 Conway-North Myrtle Beach, SC Horry, SC 34900 Napa, CA 1.4476 Napa, CA 34940 Naples-Marco Island, 0.9487 FL Collier, FL 34980 Nashville-Davidson-- 0.9689 Murfreesboro, TN Cannon, TN Cheatham, TN 8 C-65, September 26, 2007
CHAPTER 8, ADDENDUM E (FY 2008) ES FOR S FOR SNFS BASED ON LABOR MARKET AREAS - FISCAL YEAR 2008 Orleans, NY Wayne, NY 40420 Rockford, IL 0.9814 Boone, IL Winnebago, IL 40484 Rockingham County- 1.0111 Strafford, NH Rockingham, NH Strafford, NH 40580 Rocky Mount, NC 0.9001 Edgecombe, NC Nash, NC 40660 Rome, GA 0.9042 Floyd, GA 40900 Sacramento--Arden- 1.3505 Arcade--Roseville, CA El Dorado, CA Placer, CA Sacramento, CA Yolo, CA 40980 Saginaw-Saginaw 0.8812 Township North, MI Saginaw, MI 41060 St. Cloud, MN 1.0549 Benton, MN Stearns, MN 41100 St. George, UT 0.9358 Washington, UT 41140 St. Joseph, MO-KS 0.8762 Doniphan, KS Andrew, MO Buchanan, MO DeKalb, MO 41180 St. Louis, MO-IL 0.9024 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 41420 Salem, OR 1.0572 Marion, OR Polk, OR 41500 Salinas, CA 1.4775 Monterey, CA 41540 Salisbury, MD 0.8994 Somerset, MD Wicomico, MD 41620 Salt Lake City, UT 0.9399 Salt Lake, UT Summit, UT Tooele, UT 41660 San Angelo, TX 0.8579 Irion, TX Tom Green, TX 41700 San Antonio, TX 0.8834 Atascosa, TX Bandera, TX Bexar, TX Comal, TX Guadalupe, TX Kendall, TX Medina, TX Wilson, TX 41740 San Diego-Carlsbad- 1.1492 San Marcos, CA San Diego, CA 41780 Sandusky, OH 0.8822 Erie, OH 41884 San Francisco-San 1.5195 Mateo-Redwood City, CA Marin, CA San Francisco, CA San Mateo, CA 41900 San German-Cabo 0.4729 Rojo, PR Cabo Rojo, PR Lajas, PR Sabana Grande, PR San German, PR 41940 San Jose-Sunnyvale- 1.5735 Santa Clara, CA San Benito, CA Santa Clara, CA 41980 San Juan-Caguas- 0.4528 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
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 42020 San Luis Obispo-Paso 1.2488 Robles, CA San Luis Obispo, CA 42044 Santa Ana-Anaheim- 1.1766 Irvine, CA Orange, CA 42060 Santa Barbara-Santa 1.1714 Maria-Goleta, CA Santa Barbara, CA 42100 Santa Cruz- 1.6122 Watsonville, CA Santa Cruz, CA 42140 Santa Fe, NM 1.0734 Santa Fe, NM 42220 Santa Rosa-Petaluma, 1.4696 CA Sonoma, CA 42260 Sarasota-Bradenton- 0.9933 Venice, FL Manatee, FL Sarasota, FL 42340 Savannah, GA 0.9131 Bryan, GA Chatham, GA Effingham, GA 42540 Scranton--Wilkes- 0.8457 Barre, PA Lackawanna, PA Luzerne, PA Wyoming, PA 42644 Seattle-Bellevue- 1.1572 Everett, WA King, WA Snohomish, WA 42680 Sebastian-Vero Beach, 0.9412 FL Indian River, FL 43100 Sheboygan, WI 0.8975 Sheboygan, WI 43300 Sherman-Denison, TX 0.8320 Grayson, TX 43340 Shreveport-Bossier 0.8476 City, LA Bossier Parish, LA Caddo Parish, LA De Soto Parish, LA 43580 Sioux City, IA-NE-SD 0.9251 Woodbury, IA Dakota, NE Dixon, NE Union, SD 43620 Sioux Falls, SD 0.9563 Lincoln, SD McCook, SD Minnehaha, SD Turner, SD 43780 South Bend- 0.9617 Mishawaka, IN-MI St. Joseph, IN Cass, MI 43900 Spartanburg, SC 0.9422 Spartanburg, SC 44060 Spokane, WA 1.0455 Spokane, WA 44100 Springfield, IL 0.8944 Menard, IL Sangamon, IL 44140 Springfield, MA 1.0366 Franklin, MA Hampden, MA Hampshire, MA 44180 Springfield, MO 0.8695 Christian, MO Dallas, MO Greene, MO Polk, MO Webster, MO 44220 Springfield, OH 0.8694 Clark, OH 44300 State College, PA 0.8768 Centre, PA 44700 Stockton, CA 1.1855 San Joaquin, CA 44940 Sumter, SC 0.8599 Sumter, SC 45060 Syracuse, NY 0.9910 Madison, NY Onondaga, NY Oswego, NY 45104 Tacoma, WA 1.1055 Pierce, WA 45220 Tallahassee, FL 0.9025 Gadsden, FL Jefferson, FL Leon, FL Wakulla, FL 45300 Tampa-St. Petersburg- 0.9020 Clearwater, FL Hernando, FL Hillsborough, FL Pasco, FL Pinellas, FL 45460 Terre Haute, IN 0.8805 Clay, IN Sullivan, IN Vermillion, IN Vigo, IN 45500 Texarkana, TX- 0.7770 Texarkana, AR Miller, AR Bowie, TX 45780 Toledo, OH 0.9431 Fulton, OH Lucas, OH Ottawa, OH Wood, OH 45820 Topeka, KS 0.8538 Jackson, KS Jefferson, KS Osage, KS 12 C-65, September 26, 2007
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
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 $2,965.78 Montana $1,399.53 Alaska $3,156.82 Nebraska $1,894.80 Arizona $1,604.68 Nevada $2,849.86 Arkansas $3,788.53 New Hampshire $1,879.12 California $3,533.86 New Jersey $5,726.79 Colorado $2,214.47 New Mexico $2,149.67 Connecticut $3,045.34 New York $1,451.65 Delaware $2,578.53 North Carolina $2,483.29 District of Columbia $2,614.79 North Dakota $893.46 Florida $2,768.17 Ohio $2,316.77 Georgia $2,381.60 Oklahoma $3,055.18 Hawaii $2,318.61 Oregon $1,887.67 Idaho $1,669.21 Pennsylvania $2,927.86 Illinois $2,056.84 Puerto Rico $802.83 Indiana $2,115.11 Rhode Island $3,160.76 Iowa $1,720.53 South Carolina $2,604.70 Kansas $2,107.07 South Dakota $1,443.10 Kentucky $2,115.30 Tennessee $1,713.33 Louisiana $2,650.81 Texas $2,595.58 Maine $1,689.12 Utah $1,548.56 Maryland $1,700.66 Vermont $1,972.22 Massachusetts $2,678.64 Virginia $2,307.44 Michigan $2,432.86 Washington $2,291.03 Minnesota $2,665.68 West Virginia $1,503.66 Mississippi $2,308.79 Wisconsin $1,612.33 Missouri $2,244.08 Wyoming $1,785.16 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 2006. 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
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 $3,686.88 Montana $1,466.57 Alaska $3,040.73 Nebraska $2,024.74 Arizona $1,946.13 Nevada $2,920.62 Arkansas $3,807.75 New Hampshire $2,551.56 California $3,548.31 New Jersey $5,010.10 Colorado $2,303.01 New Mexico $2,501.06 Connecticut $3,701.71 New York $1,451.56 Delaware $2,736.36 North Carolina $2,662.36 District of Columbia $2,504.93 North Dakota $1,373.26 Florida $3,411.22 Ohio $2,557.72 Georgia $2,420.48 Oklahoma $3,077.71 Hawaii $2,591.73 Oregon $1,892.26 Idaho $1,772.36 Pennsylvania $2,770.11 Illinois $2,337.80 Puerto Rico $784.50 Indiana $2,481.09 Rhode Island $3,533.74 Iowa $2.050.04 South Carolina $2,806.01 Kansas $2,641.96 South Dakota $1,408.77 Kentucky $2,180.78 Tennessee $2,032.68 Louisiana $2,303.50 Texas $2,863.58 Maine $1,829.51 Utah $1,511.88 Maryland $2,002.51 Vermont $1,565.74 Massachusetts $2,647.58 Virginia $2,568.48 Michigan $2,651.53 Washington $2,339.51 Minnesota $2,631.52 West Virginia $1,395.96 Mississippi $3,232.74 Wisconsin $1,665.50 Missouri $2,221.82 Wyoming $2,544.07 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 2007. 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
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 $3,602.84 Montana $1,531.25 Alaska $3,501.39 Nebraska $2,269.24 Arizona $2,053.43 Nevada $2,991.98 Arkansas $3,804.33 New Hampshire $2,548.65 California $3,585.95 New Jersey $4,906.20 Colorado $2,427.58 New Mexico $2,539.70 Connecticut $4,124.86 New York $1,555.18 Delaware $2,963.51 North Carolina $2,755.86 District of Columbia $2,570.57 North Dakota $1,592.29 Florida $3,376.03 Ohio $2,851.25 Georgia $2,591.50 Oklahoma $3,135.88 Hawaii $2,609.55 Oregon $2,013.77 Idaho $1,872.15 Pennsylvania $3,210.49 Illinois $2,295.17 Puerto Rico $755.41 Indiana $2,689.04 Rhode Island $3,987.66 Iowa $2,143.45 South Carolina $3,253.52 Kansas $2,825.61 South Dakota $1,547.54 Kentucky $2,693.68 Tennessee $2,336.24 Louisiana $2,380.46 Texas $2,998.22 Maine $1,799.89 Utah $1,491.17 Maryland $2,047.58 Vermont $2,074.73 Massachusetts $2,638.70 Virginia $2,498.14 Michigan $2,851.37 Washington $2,598.50 Minnesota $2,808.39 West Virginia $1,761.87 Mississippi $4,286.17 Wisconsin $1,972.49 Missouri $2,447.10 Wyoming $2,939.36 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 2008. 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