|
United States Census Regions
|
FY 2016
Regional Rates
10/01/15 - 09/30/16
|
FY 2017
Regional Rates
10/01/16 - 09/30/17
|
FY 2018
Regional Rates
10/01/17 - 09/30/18
|
|
Northeast:
|
|
New England
(ME, NH, VT, MA, RI, CT)
|
$871
|
$895
|
$919
|
|
Mid-Atlantic
(NY, NJ, PA)
|
$840
|
$863
|
$886
|
|
Midwest:
|
|
East North
Central
(OH,
IN, IL, MI, WI)
|
$726
|
$746
|
$766
|
|
West North
Central
(MN,
IA, MO, ND, SD, NE, KS)
|
$685
|
$703
|
$722
|
|
South:
|
|
South
Atlantic
(DE,
MD, DC, VA, WV, NC, SC, GA, FL)
|
$864
|
$887
|
$911
|
|
East South
Central
(KY,
TN, AL, MS)
|
$924
|
$949
|
$975
|
|
West South
Central
(AR,
LA, TX, OK)
|
$787
|
$808
|
$830
|
|
West:
|
|
Mountain
(MT, ID, WY, CO, NM, AZ, UT, NV)
|
$786
|
$807
|
$829
|
|
Pacific
(WA, OR, CA, AK, HI)
|
$930
|
$955
|
$981
|
|
Puerto
Rico
|
$593
|
$609
|
$625
|
Note: This table reflects maximum rates.
For FYs 2016 through
2017: For wage index values greater than 1.0, the wage portion
or labor related share subject to the area wage adjustment is 69.6%.
The non-labor related share is 30.4%. For wage index values less
than or equal to 1.0, the wage portion or labor related share subject
to the area wage adjustment is 62%. The non-labor related share
is 38%. Utilize the appropriate year DRG wage index file for area
wage adjustment calculations.
For FY 2018: For
wage index values greater than 1.0, the wage portion or labor related
share subject to the area wage adjustment is 68.3%. The non-labor
related share is 31.7%. For wage index values less than or equal
to 1.0, the wage portion or labor related share subject to the area
wage adjustment is 62%. The non-labor related share is 38%. Utilize
the appropriate year DRG wage index file for area wage adjustment
calculations.
For FY 2016/Beneficiary Cost-Share: Beneficiary
cost-share (other than active duty members) for care paid on a basis
of a regional per diem rate is the lower of $229 per day or 25%
of the hospital billed charges effective for services rendered on
or after October 1, 2015.
For FY 2017/Beneficiary Cost-Share: Beneficiary
cost-share (other than active duty members) for care paid on a basis
of a regional per diem rate is the lower of $235 per day or 25%
of the hospital billed charges effective for services rendered on
or after October 1, 2016.
For FY 2018/Beneficiary
Cost-Share: Beneficiary cost-share (other
than active duty members) for care paid on a basis of a regional
per diem rate is the lower of $241 per day or 25% of the hospital
billed charges effective for services rendered on or after October
1, 2017.