 FQHC GEOGRAPHIC ADJUSTMENT FACTORS (FQHC GAFs) [Published December 2017]*			
"Effective for services furnished January 1, 2018 through December 31, 2018"			
Carrier	Locality Number	Locality Name	2018 FQHC GAF
			
10102	00	ALABAMA	0.937
02102	01	ALASKA	1.321
03102	00	ARIZONA	0.976
07102	13	ARKANSAS	0.925
01112	54	"BAKERSFIELD, CA"	1.045
01112	55	"CHICO, CA"	1.045
01182	71	"EL CENTRO, CA"	1.045
01112	56	"FRESNO, CA"	1.045
01112	57	"HANFORD-CORCORAN, CA"	1.045
01182	18	"LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES CNTY), CA"	1.107
01182	26	"LOS ANGELES-LONG BEACH-ANAHEIM (ORANGE CNTY), CA"	1.107
01112	58	"MADERA, CA"	1.045
01112	59	"MERCED, CA"	1.045
01112	60	"MODESTO, CA"	1.045
01112	51	"NAPA, CA"	1.149
01182	17	"OXNARD-THOUSAND OAKS-VENTURA, CA"	1.095
01112	61	"REDDING, CA"	1.045
01112	62	"RIVERSIDE-SAN BERNARDINO-ONTARIO, CA"	1.045
01112	63	"SACRAMENTO--ROSEVILLE--ARDEN-ARCADE, CA"	1.054
01112	64	"SALINAS, CA"	1.056
01182	72	"SAN DIEGO-CARLSBAD, CA"	1.059
01112	07	"SAN FRANCISCO-OAKLAND-HAYWARD (ALAMEDA/CONTRA COSTA CNTY), CA"	1.192
01112	52	"SAN FRANCISCO-OAKLAND-HAYWARD (MARIN CNTY), CA"	1.164
01112	05	"SAN FRANCISCO-OAKLAND-HAYWARD (SAN FRANCISCO CNTY), CA"	1.192
01112	06	"SAN FRANCISCO-OAKLAND-HAYWARD (SAN MATEO CNTY), CA"	1.192
01112	65	"SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY), CA"	1.100
01112	09	"SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY), CA"	1.210
01182	73	"SAN LUIS OBISPO-PASO ROBLES-ARROYO GRANDE, CA"	1.048
01112	66	"SANTA CRUZ-WATSONVILLE, CA"	1.076
01182	74	"SANTA MARIA-SANTA BARBARA, CA"	1.065
01112	67	"SANTA ROSA, CA"	1.064
01112	68	"STOCKTON-LODI, CA "	1.045
01112	53	"VALLEJO-FAIRFIELD, CA"	1.149
01112	69	"VISALIA-PORTERVILLE, CA"	1.045
01112	70	"YUBA CITY, CA"	1.045
01112	75	"REST OF CALIFORNIA, CA"	1.045
04112	01	COLORADO	1.006
13102	00	CONNECTICUT	1.064
12202	01	DC + MD/VA SUBURBS	1.120
12102	01	DELAWARE	1.013
09102	03	"FORT LAUDERDALE, FL "	0.997
09102	04	"MIAMI, FL"	1.008
09102	99	REST OF FLORIDA	0.964
10202	01	"ATLANTA, GA"	0.998
10202	99	REST OF GEORGIA	0.942
01212	01	"HAWAII, GUAM"	1.069
02202	00	IDAHO	0.934
06102	16	"CHICAGO, IL"	1.020
06102	12	"EAST ST. LOUIS, IL"	0.962
06102	15	"SUBURBAN CHICAGO, IL"	1.030
06102	99	REST OF ILLINOIS	0.952
08102	00	INDIANA	0.946
05102	00	IOWA	0.940
05202	00	KANSAS	0.940
15102	00	KENTUCKY	0.930
07202	01	"NEW ORLEANS, LA"	0.977
07202	99	REST OF LOUISIANA	0.935
14112	03	SOUTHERN MAINE	0.993
14112	99	REST OF MAINE	0.948
12302	01	"BALTIMORE/SURR. CNTYS, MD"	1.057
12302	99	REST OF MARYLAND	1.020
14212	01	"METROPOLITAN BOSTON, MA"	1.101
14212	99	REST OF MASSACHUSETTS	1.042
08202	01	"DETROIT, MI"	0.995
08202	99	REST OF MICHIGAN	0.950
06202	00	MINNESOTA	1.004
07302	00	MISSISSIPPI	0.918
05302	02	"METROPOLITAN KANSAS CITY, MO"	0.974
05302	01	"METROPOLITAN ST. LOUIS, MO"	0.973
05302	99	REST OF MISSOURI	0.915
03202	01	MONTANA	0.981
05402	00	NEBRASKA	0.942
01312	00	NEVADA	1.009
14312	40	NEW HAMPSHIRE	1.016
12402	01	NORTHERN NJ	1.106
12402	99	REST OF NEW JERSEY	1.070
04212	05	NEW MEXICO	0.953
13202	01	"MANHATTAN, NY"	1.112
13202	02	"NYC SUBURBS/LONG ISLAND, NY"	1.118
13202	03	"POUGHKPSIE/N NYC SUBURBS, NY"	1.041
13292	04	"QUEENS, NY"	1.121
13282	99	REST OF NEW YORK	0.970
11502	00	NORTH CAROLINA	0.954
03302	01	NORTH DAKOTA	0.988
15202	00	OHIO	0.956
04312	00	OKLAHOMA	0.928
02302	01	"PORTLAND, OR"	1.031
02302	99	REST OF OREGON	0.980
12502	01	"METROPOLITAN PHILADELPHIA, PA"	1.046
12502	99	REST OF PENNSYLVANIA	0.965
09202	20	PUERTO RICO	1.002
14412	01	RHODE ISLAND	1.038
11202	01	SOUTH CAROLINA	0.947
03402	02	SOUTH DAKOTA	0.979
10302	35	TENNESSEE	0.941
04412	31	"AUSTIN, TX"	1.007
04412	20	"BEAUMONT, TX"	0.956
04412	09	"BRAZORIA, TX"	1.009
04412	11	"DALLAS, TX"	1.013
04412	28	"FORT WORTH, TX"	0.997
04412	15	"GALVESTON, TX"	1.016
04412	18	"HOUSTON, TX"	1.016
04412	99	REST OF TEXAS	0.966
03502	09	UTAH	0.955
14512	50	VERMONT	0.996
11302	00	VIRGINIA	0.989
09302	50	VIRGIN ISLANDS	1.002
02402	02	"SEATTLE (KING CNTY), WA"	1.083
02402	99	REST OF WASHINGTON	1.004
11402	16	WEST VIRGINIA	0.915
06302	00	WISCONSIN	0.971
03602	21	WYOMING	0.991
			
*The CY 2018 FQHC GAFs have been revised. 			
"Note: The FQHC GAFs are adapted from the Physician Fee Schedule work and practice expense geographic practice cost indices (GPCIs).  The 1.0 work GPCI floor required by Section 201 of the MACRA of 2015 expires on December 31, 2017, the work GPCIs for 2018 do not reflect a 1.0 floor. "			
			
			
			
			
			
			
			
