|
United
States Census Regions
|
FY
2019
Regional Rates
10/01/18
- 09/30/19
|
FY
2020
Regional Rates
10/01/19
- 09/30/20
|
FY
2021
Regional Rates
10/01/20
- 09/30/21
|
|
Northeast:
|
|
New England (ME,
NH, VT, MA, RI, CT)
|
$946
|
$974
|
$997
|
|
Mid-Atlantic (NY,
NJ, PA)
|
$912
|
$939
|
$962
|
|
Midwest:
|
|
East North Central
(OH, IN, IL, MI, WI)
|
$788
|
$812
|
$831
|
|
West North Central
(MN, IA, MO, ND, SD, NE, KS)
|
$743
|
$765
|
$783
|
|
South:
|
|
South Atlantic
(DE, MD, DC, VA, WV, NC, SC, GA, FL)
|
$937
|
$965
|
$988
|
|
East South Central
(KY, TN, AL, MS)
|
$1003
|
$1033
|
$1058
|
|
West South Central
(AR, LA, TX, OK)
|
$854
|
$880
|
$901
|
|
West:
|
|
Mountain (MT, ID,
WY, CO, NM, AZ, UT, NV)
|
$853
|
$879
|
$900
|
|
Pacific (WA, OR,
CA, AK, HI)
|
$1009
|
$1039
|
$1064
|
|
Puerto Rico
|
$643
|
$662
|
$678
|
|
United
States Census Regions
|
FY
2022
Regional Rates
10/01/21
- 09/30/22
|
FY
2023
Regional Rates
10/01/22
- 09/30/23
|
FY
2024
Regional Rates
10/01/23
- 09/30/24
|
|
Northeast:
|
|
New England (ME, NH,
VT, MA, RI, CT)
|
$1024
|
$1066
|
$1101
|
|
Mid-Atlantic (NY, NJ,
PA)
|
$988
|
$1029
|
$1063
|
|
Midwest:
|
|
East North Central (OH,
IN, IL, MI, WI)
|
$853
|
$888
|
$917
|
|
West North Central (MN,
IA, MO, ND, SD, NE, KS)
|
$804
|
$837
|
$865
|
|
South:
|
|
South Atlantic (DE,
MD, DC, VA, WV, NC, SC, GA, FL)
|
$1015
|
$1057
|
$1092
|
|
East South Central (KY,
TN, AL, MS)
|
$1087
|
$1132
|
$1169
|
|
West South Central (AR,
LA, TX, OK)
|
$925
|
$963
|
$995
|
|
West:
|
|
Mountain (MT, ID, WY,
CO, NM, AZ, UT, NV)
|
$924
|
$962
|
$994
|
|
Pacific (WA, OR, CA,
AK, HI)
|
$1093
|
$1138
|
$1176
|
|
Puerto Rico
|
$696
|
$725
|
$749
|
Note: This table reflects maximum
rates.
For FYs
2019 through 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%. 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
2019/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 $248 per day or 25%
of the hospital billed charges effective for services rendered on
or after October 1, 2018.
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%
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%
of the hospital billed charges effective for services rendered on
or after October 1, 2020.
For FYs 2022 through
2024: For wage index values greater
than 1.0, the wage portion or labor related share subject to the
area wage adjustment is 67.6%. The non-labor related share is 32.4%.
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
Diagnosis Related Group (DRG) wage index file for area wage adjustment
calculations.
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% of the hospital
billed charges effective for services rendered on or after October
1, 2021.
For FY 2023/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 $279 per day or 25% of the hospital
billed charges effective for services rendered on or after October
1, 2022.
For FY 2024/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 $288 per day or 25% of the hospital
billed charges effective for services rendered on or after October
1, 2023.