42 CFR § 413.233 - Additional facility-level adjustments.

(a) CMS adjusts the base rate for facilities in rural areas, as defined in § 413.231(b)(2).

(b) CMS adjusts the non-labor-related portion of the base rate for facilities in Alaska, Hawaii, Guam, American Samoa, and the Northern Mariana Islands.

[90 FR 53139, Nov. 24, 2025]