|
United
States Census Regions
|
FY 2020
Regional
Rates
10/01/19 - 09/30/20
|
FY 2021
Regional
Rates
10/01/20 - 09/30/21
|
FY
2022
Regional Rates
10/01/21
- 09/30/22
|
|
Northeast:
|
|
New England
(ME, NH,
VT, MA, RI, CT)
|
$9746
|
$997
|
$1024
|
|
Mid-Atlantic
(NY, NJ,
PA)
|
$939
|
$963
|
$988
|
|
Midwest:
|
|
East North Central
(OH, IN,
IL, MI, WI)
|
$812
|
$831
|
$853
|
|
West North Central
(MN, IA,
MO, ND, SD, NE, KS)
|
$765
|
$783
|
$804
|
|
South:
|
|
South Atlantic
(DE, MD,
DC, VA, WV, NC, SC, GA, FL)
|
$965
|
$988
|
$1015
|
|
East South Central
(KY, TN,
AL, MS)
|
$1033
|
$1058
|
$1087
|
|
West South Central
(AR, LA,
TX, OK)
|
$880
|
$901
|
$925
|
|
West:
|
|
Mountain
(MT, ID,
WY, CO, NM, AZ, UT, NV)
|
$879
|
$900
|
$924
|
|
Pacific
(WA, OR,
CA, AK, HI)
|
$1039
|
$1064
|
$1093
|
|
Puerto Rico
|
$662
|
$678
|
$696
|
Note: This table reflects maximum
rates.
Wage Index
Values
For
October 1, 2021 - September 30, 2022: For wage index
values greater than 1.0, the wage portion or labor related share
subject to the area wage adjustment is 67.6 percent. The non-labor
related share is 34.2 percent. 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 percent. The non-labor related share
is 38 percent. Utilize the appropriate year DRG wage index file
for area wage adjustment calculations.
For October
1, 2020 - September 30, 2021: For wage index
values greater than 1.0, the wage portion or labor related share
subject to the area wage adjustment is 68.3 percent.
The non-labor related share is 31.7 percent.
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 percent.
The non-labor related share is 38 percent.
Utilize the appropriate year DRG wage index file for area wage adjustment
calculations.
For January
1, 2020 - September 30, 2020: For wage index values greater
than 1.0, the wage portion or labor related share subject to the
area wage adjustment is 68.3 percent. The non-labor related share
is 31.7 percent. 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 percent. The non-labor related share is 38 percent.
Utilize the appropriate year DRG wage index file for area wage adjustment
calculations.
For FY 2020/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 $255 per day or 25 percent of
the hospital billed charges effective for services rendered on or
after October 1, 2019.
For FY 2021/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 $261 per day or 25 percent of
the hospital billed charges effective for services rendered on or
after October 1, 2020.
For FY
2022/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 $268 per day or 25 percent of the
hospital billed charges effective for services rendered on or after
October 1, 2020.