A D D E N D U M   D .   F I N A L   C Y   2 0 2 2   G E O G R A P H I C   A D J U S T M E N T   F A C T O R S   ( G A F s )   B Y   S T A T E   A N D   M E D I C A R E   L O C A L I T Y 	 	 	 	 
 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 
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 0 3 5 0 2 	 U T 	 0 9 	 U T A H 	 0 . 9 5 5 
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 1 4 5 1 2 	 V T 	 5 0 	 V E R M O N T 	 0 . 9 8 2 
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 0 6 3 0 2 	 W I 	 0 0 	 W I S C O N S I N 	 0 . 9 4 4 
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 * G A F   r e f l e c t s   a   1 . 5   w o r k   G P C I   f l o o r   i n   A l a s k a   e s t a b l i s h e d   b y   t h e   M I P P A . 	 	 	 	 
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 * * G A F   r e f l e c t s   a   1 . 0   P E   G P C I   f l o o r   f o r   f r o n t i e r   s t a t e s   e s t a b l i s h e d   b y   t h e   A f f o r d a b l e   C a r e   A c t . 	 	 	 	 
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 " N o t e :       T h e   1 . 0   W o r k   G P C I   f l o o r   r e q u i r e d   b y   S e c t i o n   1 0 1   o f   t h e   C o n s o l i d a t e d   A p p r o p r i a t i o n s   A c t ,   2 0 2 1   [ D e c e m b e r   2 7 ,   2 0 2 0 ]   e x t e n d e d   t h e   W o r k   G P C I   f l o o r   t h r o u g h   D e c e m b e r   3 1 ,   2 0 2 3 . " 	 	 	 	 
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