CMS Pub. 100-04, ch. 3, § 190.6.5

The IPF PPS includes a payment adjustment for IPFs located in Alaska and Hawaii based

upon the area in which the IPF is located. An adjustment for IPFs located in Alaska and

Hawaii is made by multiplying the non-labor related share of the Federal per diem base

rate and ECT rate by the applicable COLA factor. The CMS notes that the COLA areas

for Alaska are not defined by county as are the COLA areas for Hawaii. In 5 CFR

§591.207, the OPM established the following COLA areas:

(a) City of Anchorage, and 80-kilometer (50-mile) radius by road, as measured

from the Federal courthouse;

(b) City of Fairbanks, and 80-kilometer (50-mile) radius by road, as measured

from the Federal courthouse;

(c) City of Juneau, and 80-kilometer (50-mile) radius by road, as measured from

the Federal courthouse;

(d) Rest of the State of Alaska.

In FY 2018, CMS updated the IPF COLA amounts; these updated amounts will remain in

effect for FY 2018 through FY 2021.

In FY 2022, CMS updated the IPF COLA amounts; these updated amounts will remain in

effect for FY 2022 through FY 2025. For comparison purposes, CMS is showing the

COLA factors effective for FY 2018 through FY 2021 in the first column and in the

second column COLA factors effective for FY22 through FY25. In FY 2026, CMS

maintained the FY 2025 COLA factors.

Comparison of IPF PPS Cost-of-Living Adjustment Factors: IPFs Located in Alaska

and Hawaii

Area

FY 2018

through

FY 2021

FY 2022

through

FY 2026

Alaska:

City of Anchorage and 80-kilometer (50-mile) radius by

road

1.25 1.22

City of Fairbanks and 80-kilometer (50-mile) radius by

road

1.25 1.22

City of Juneau and 80-kilometer (50-mile) radius by road 1.25 1.22

Rest of Alaska 1.25 1.24

Hawaii:

City and County of Honolulu 1.25 1.25

County of Hawaii 1.21 1.22

County of Kauai 1.25 1.25

County of Maui and County of Kalawao 1.25 1.25