US · guidance
CMS Pub. 100-04, ch. 3, § 190.6
Facility-Level Adjustments
Facility-level adjustments include the hospital wage index, a rural location adjustment, a
teaching status adjustment, an emergency department adjustment for qualifying EDs, and
a cost-of-living adjustment for IPFs located in Alaska and Hawaii.
History
(Rev. 1101, Issued: 11-03-06, Effective: 01-01-05, Implementation: 12-04-06)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
2f05ad1ff835e48095fac53d073582718553a21f20a50fe11689fb8fc390c65f
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.