applicable amount

(1) Applicable amount defined For purposes of subsection (j), subject to paragraphs (2), (4), and (5), the term “applicable amount” means for an area— (A) for 2007— (i) if such year is not specified under subsection (c)(1)(D)(ii), an amount equal to the amount specified in subsection (c)(1)(C) for the area for 2006— (I) first adjusted by the rescaling factor for 2006 for the area (as made available by the Secretary in the announcement of the rates on April 4, 2005 , under subsection (b)(1), but excluding any national adjustment factors for coding intensity and risk adjustment budget neutrality that were included in such factor); and (II) then increased by the national per capita MA growth percentage, described in subsection (c)(6) for 2007, but not taking into account any adjustment under subparagraph (C) of such subsection for a year before 2004; (ii) if such year is specified under subsection (c)(1)(D)(ii), an amount equal to the greater of— (I) the amount determined under clause (i) for the area for the year; or (II) the amount specified in subsection (c)(1)(D) for the area for the year; and (B) for a subsequent year— (i) if such year is not specified under subsection (c)(1)(D)(ii), an amount equal to the amount determined under this paragraph for the area for the previous year (determined without regard to paragraphs (2), (4), and (5)), increased by the national per capita MA growth percentage, described in subsection (c)(6) for that succeeding year, but not taking into account any adjustment under subparagraph (C) of such subsection for a year before 2004; and (ii) if such year is specified under subsection (c)(1)(D)(ii), an amount equal to the greater of— (I) the amount determined under clause (i) for the area for the year; or (II) the amount specified in subsection (c)(1)(D) for the area for the year.

Source

42 USC § 1395w-23(k)(1)


Scoping language

None identified. Default scope is assumed to be the entire title.
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