Hospitals Reclassified Under Medicare Prescription Drug, Improvement, and Modernization Act

The Centers for Medicare & Medicaid Services (CMS) today announced that 121 hospitals in 25 states will begin receiving higher payments for patients who are discharged on or after April 1, 2004. The increases are due to the geographic reclassification of these hospitals under a special one-time-only provision in the recent Medicare modernization law. The new payments will be retroactive to April 1.

In the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), Congress directed CMS to create a one-time-only appeals procedure for certain hospitals that fell just outside Medicare’s existing criteria for reclassification from their current geographic areas into an adjoining area with higher payment rates, but were deemed to be in need of relief. To fund the increased payments, Congress allocated up to $900 million dollars over three years.

"By ensuring that Medicare pays hospitals fairly, seniors and people with disabilities who live in these communities will continue to get the health care they need," Health and Human Services Secretary Tommy G. Thompson said. "These extra dollars will help them compete for quality health care workers."

The law was signed by President Bush on December 8, 2003, and by the MMA’s February 15 deadline, nearly 550 hospitals had appealed based on one or more of eight criteria established by CMS.

The decisions on the individual cases were made by an independent panel within CMS, the Medicare Geographic Classification Review Board, which has responsibility for handling the geographic classification appeals under the general criteria in the regulations.

"We are pleased to be able to meet the tight timetable established in the MMA to get financial relief to these hospitals as rapidly as possible," said CMS Administrator Mark B. McClellan, M.D., Ph.D. "We are getting $900 million in assistance out quickly to promote continued access to quality care for Medicare beneficiaries and others in the areas served by these hospitals."

Hospitals Reclassified Under MMA

PROVIDER NAME CITY STATE RECLASSIFIED TO
Bartlett Regional Hospital Juneau AK Own Wage Index based on AHW
L.V. Stabler Memorial Hospital Greenville AL 1800 Columbus, GA-AL
Los Robles Regional Medical Center Thousand Oaks CA 7500 Santa Rosa, CA
Tahoe Forest Hospital Truckee CA 7500 Santa Rosa, CA
Aspen Valley Hospital Aspen CO 2080 Denver, CO
Valley View Hospital Glenwood Springs CO Own Wage Index based on AHW
Bridgeport Hospital Bridgeport CT 5600 New York, NY
St. Vincent's Medical Center Bridgeport CT 5600 New York, NY
Griffin Hospital Derby CT 5380 Nassau-Suffolk, NY
Univ. of Conn. HC - The John Dempsey Hosp. Farmington CT Own Wage Index based on AHW
MidState Medical Center Meriden CT 5380 Nassau-Suffolk, NY
Hospital of St. Raphael New Haven CT 5380 Nassau-Suffolk, NY
Yale-New Haven Hospital New Haven CT 5380 Nassau-Suffolk, NY
Masonic Geriatric Healthcare Center Wallingford CT 5380 Nassau-Suffolk, NY
St. Mary's Hospital Waterbury CT 5380 Nassau-Suffolk, NY
Waterbury Hospital Health Center Waterbury CT 5380 Nassau-Suffolk, NY
Samuel Mahelona Memorial Hospital Kapaa HI 3320 Honolulu
Sartori Memorial Hospital Cedar Falls IA 1360 Cedar Rapids, IA
Mercy Medical Center - North Iowa Mason City IA Own Wage Index based on AHW
Allen Memorial Hospital Waterloo IA 1360 Cedar Rapids, IA
Covenant Medical Center Waterloo IA 1360 Cedar Rapids, IA
St. Mary Medical Center Hobart IN 1600 Chicago, IL
Sabine Medical Center Many LA 7680 Shreveport-Bossier City, LA
Berkshire Medical Center, Inc. Pittsfield MA 1123 Boston-Worcester, etc.
Alpena General Hospital Alpena MI 2640 Flint, MI
Henry Ford Hospital Commerce Township MI 0440 Ann Arbor, MI
North Oakland Medical Center Dearborn MI 2640 Flint, MI
Detroit Receiving Hospital Detroit MI 0440 Ann Arbor, MI
Sinai - Grace Hospital Detroit MI 0440 Ann Arbor, MI
St. John Detroit Riverview Hospital Detroit MI 0440 Ann Arbor, MI
St. John Hospital & Medical Center Detroit MI 0440 Ann Arbor, MI
Botsford General Hospital Farmington Hills MI 2640 Flint, MI
Gerber Memorial Hospital Fremont MI 3720 Kalamazoo, etc.
Metropolitan Hospital Grand Haven MI 3720 Kalamazoo, etc.
Holland Community Hospital Grand Rapids MI 3720 Kalamazoo, etc.
Saint Mary's Mercy Medical Center Grand Rapids MI 6960 Saginaw-Bay City, etc.
Spectrum Health Hospitals Grand Rapids & Reed City MI 3720 Kalamazoo, etc.
Bon Secours Hospital Grosse Point MI 0440 Ann Arbor, MI
Cottage Hospital Grosse Point Farms MI 0440 Ann Arbor, MI
Harper University Hospital Holland MI 0440 Ann Arbor, MI
W.A. Foote Memorial Hospital Jackson MI 3000 Grand Rapids, etc.
St. John Oakland Hospital Madison Heights MI 2640 Flint, MI
Hackley Hospital Muskegon MI 3720 Kalamazoo, etc.
Henry Ford Wyandotte Muskegon MI 0440 Ann Arbor, MI
Mercy General Health Partners Pontiac MI 3720 Kalamazoo, etc.
Oakwood Heritage Hospital Pontiac MI 0440 Ann Arbor, MI
Pontiac Osteopathic Hospital Pontiac MI 2640 Flint, MI
St. Joseph Mercy Oakland Pontiac MI 2640 Flint, MI
Crittenton Hospital Medical Center Rochester MI 2640 Flint, MI
William Beaumont Hospital Royal Oak MI 2640 Flint, MI
Oakwood Hospital & Medical Center Southfield MI 0440 Ann Arbor, MI
Providence Hospital & Medical Centers Southfield MI 2640 Flint, MI
Straith Hospital for Special Surgery Southfield MI 2640 Flint, MI
Munson Medical Center Taylor MI 3720 Kalamazoo-
Huron Valley - Sinai Hospital Traverse City MI 2640 Flint, MI
North Ottawa Community Hospital Trenton MI 3720 Kalamazoo-
Oakwood Southshore Medical Center Trenton MI 0440 Ann Arbor, MI
William Beaumont Hospital - Troy Troy MI 2640 Flint, MI
Zeeland Community Hospital Zeeland MI 3720 Kalamazoo, etc.
Natchez Community Hospital Natchez MS 3560 Jackson, MS
North Mississippi Medical Center Tupelo MS 0920 Biloxi-Gulfport-
Bozeman Deaconess Hospital Bozeman MT 0880 Billings, MT
Marcus Daly Memorial Hospital Hamilton MT 0880 Billings, MT
Northern Montana Hospital Havre MT 0880 Billings, MT
Community Medical Center Missoula MT 0880 Billings, MT
St. Patrick Hospital Missoula MT 0880 Billings, MT
Sidney Health Center Sidney MT 0880 Billings, MT
Memorial Mission Hospital Asheville NC 1520 Charlotte-Gastonia, etc.
Medcenter One Health Systems Bismarck ND 2520 Fargo-Moorhead, ND-MN
St. Alexius Medical Center Bismarck ND 2520 Fargo-Moorhead, ND-MN
Towner County Medical Center Cando ND 2520 Fargo-Moorhead, ND-MN
Mercy Hospital Devils Lake or Valley City ND 2520 Fargo-Moorhead, ND-MN
St. Joseph's Hospital & Health Center Dickinson ND 2520 Fargo-Moorhead, ND-MN
West River Regional Medical Center Hettinger ND 2520 Fargo-Moorhead, ND-MN
Trinity Hospitals Minot ND 2520 Fargo-Moorhead, ND-MN
Heart of America Medical Center Rugby ND 2520 Fargo-Moorhead, ND-MN
Mercy Medical Center Williston ND 2520 Fargo-Moorhead, ND-MN
St. Clare's Hospital - Denville Denville NJ 5600 New York, NY
Hackettstown Community Hospital Hackettstown NJ 5600 New York, NY
Newton Memorial Hospital Newton NJ 5600 New York, NY
Warren Hospital Phillipsburg NJ 5600 New York, NY
Overlook Hospital Summit NJ 5600 New York, NY
St. Clare's - Sussex Sussex NJ 5600 New York, NY
St. Francis Medical Center Trenton NJ 0875 Bergen-Passaic, NJ
St. Luke's Cornwall Hospital Cornwall, Newburgh NY 5380 Nassau-Suffolk, NY
Orange Regional Medical Center Goshen, Middletown NY 5600 New York, NY
Milford Hospital Milford NY 5380 Nassau-Suffolk, NY
North Shore University Hospital not sure NY Own Wage Index based on AHW
Bon Secours Community Hospital Port Jervis NY 5600 New York, NY
Saint Francis Hospital Poughkiepsie NY 5483 New Haven-Bridgeport
Northern Dutchess Hospital Rhinebeck NY 5600 New York, NY
St. Anthony Community Hospital Warwick NY 5600 New York, NY
Bay Area Health Dist. dba Bay Area Hosp. Coos Bay (Bay Area Hosp) OR Own Wage Index based on AHW
Berwick Hospital Center Berwick PA 0240 Allentown-Bethlehem, etc.
The Bloomsburg Hospital Bloomsburg PA 0240 Allentown-Bethlehem, etc.
Marian Community Hospital Carbondale PA 0240 Allentown-Bethlehem, etc.
Geisinger Wyoming Valley Medical Center Danville PA 4000 Lancaster, PA
Hazelton General Hospital Hazleton PA 4000 Lancaster, PA
Hazelton St. Joseph Medical Center Hazleton PA 4000 Lancaster, PA
Wyoming Valley Health Care System Kingston PA 0240 Allentown-Bethlehem, etc.
MidValley Hospital Peckville PA 0240 Allentown-Bethlehem, etc.
Community Medical Center Scranton PA 0240 Allentown-Bethlehem, etc.
Mercy Hospital, Scranton Scranton PA 0240 Allentown-Bethlehem, etc.
Moses Taylor Hospital Scranton PA 0240 Allentown-Bethlehem, etc.
Tyler Memorial Hospital Tunkhannock PA 0240 Allentown-Bethlehem, etc.
Mercy Hospital of Wilkes-Barre Wilkesbarre PA 0240 Allentown-Bethlehem, etc.
Women & Infant's Hosp. of Rhode Island Providence RI Own Wage Index based on AHW
Holy Infant Hospital, Inc. Hoven SD 7760 Sioux Falls, SD
St. Marys Healthcare Center Pierre SD 7760 Sioux Falls, SD
Black Hills Surgery Center, LLP Rapid City SD 7760 Sioux Falls, SD
Rapid City Regional Hospital Rapid City SD 7760 Sioux City, SD
Coteau des Prairies Hospital Sisseton SD 7760 Sioux Falls, SD
Lookout Memorial Hospital Spearfish SD 7760 Sioux Falls, SD
Prairie Lakes Health Care Center Watertown SD Secondary- 6660- Rapid City, SD
Angleton-Danbury Medical Center Angleton TX 3360 Houston, TX
Brazosport Memorial Hospital Lake Jackson TX 3360 Houston, TX
United Regional Health Care System Wichita Falls TX 4880 McAllen-Edinburg-
Norton Community Hospital, Inc. Norton VA 4640 Lynchburg, VA
Carilion Medical Center Roanoke VA 1950 Danville, VA
Fletcher Allen Health Care Burlington VT 1123 Boston-Worcester-
Teton Co. Hosp. Dist. dba St. John's MC Jackson (St John's) WY Own Wage Index based on AHW

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