		 FQHC GEOGRAPHIC ADJUSTMENT FACTORS (FQHC GAFs) [Updated February 2018]																																																														
"Effective for services furnished January 1, 2018 through December 31, 2018"																																																																
Carrier	Locality Number	Locality Name	2018 FQHC GAF																																																													
																																																																
10102	00	ALABAMA	0.948																																																													
02102	01	ALASKA	1.321																																																													
03102	00	ARIZONA	0.986																																																													
07102	13	ARKANSAS	0.940																																																													
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	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	1.045																																																													
04112	01	COLORADO	1.008																																																													
13102	00	CONNECTICUT	1.064																																																													
12202	01	DC + MD/VA SUBURBS	1.120																																																													
12102	01	DELAWARE	1.013																																																													
09102	03	"FORT LAUDERDALE, FL"	1.006																																																													
09102	04	"MIAMI, FL"	1.014																																																													
09102	99	REST OF FLORIDA	0.978																																																													
10202	01	"ATLANTA, GA"	0.999																																																													
10202	99	REST OF GEORGIA	0.953																																																													
01212	01	"HAWAII, GUAM"	1.069																																																													
02202	00	IDAHO	0.954																																																													
06102	16	"CHICAGO, IL"	1.020																																																													
06102	12	"EAST ST. LOUIS, IL"	0.970																																																													
06102	15	"SUBURBAN CHICAGO, IL"	1.030																																																													
06102	99	REST OF ILLINOIS	0.962																																																													
08102	00	INDIANA	0.962																																																													
05102	00	IOWA	0.956																																																													
05202	00	KANSAS	0.958																																																													
15102	00	KENTUCKY	0.944																																																													
07202	01	"NEW ORLEANS, LA"	0.984																																																													
07202	99	REST OF LOUISIANA	0.947																																																													
14112	03	SOUTHERN MAINE	1.003																																																													
14112	99	REST OF MAINE	0.963																																																													
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	0.962																																																													
06202	00	MINNESOTA	1.005																																																													
07302	00	MISSISSIPPI	0.939																																																													
05302	02	"METROPOLITAN KANSAS CITY, MO"	0.983																																																													
05302	01	"METROPOLITAN ST. LOUIS, MO"	0.981																																																													
05302	99	REST OF MISSOURI	0.936																																																													
03202	01	MONTANA	1.000																																																													
05402	00	NEBRASKA	0.958																																																													
01312	00	NEVADA	1.009																																																													
14312	40	NEW HAMPSHIRE	1.021																																																													
12402	01	NORTHERN NJ	1.106																																																													
12402	99	REST OF NEW JERSEY	1.070																																																													
04212	05	NEW MEXICO	0.963																																																													
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	0.977																																																													
11502	00	NORTH CAROLINA	0.968																																																													
03302	01	NORTH DAKOTA	1.000																																																													
15202	00	OHIO	0.961																																																													
04312	00	OKLAHOMA	0.949																																																													
02302	01	"PORTLAND, OR"	1.031																																																													
02302	99	REST OF OREGON	0.985																																																													
12502	01	"METROPOLITAN PHILADELPHIA, PA"	1.046																																																													
12502	99	REST OF PENNSYLVANIA	0.970																																																													
09202	20	PUERTO RICO	1.003																																																													
14412	01	RHODE ISLAND	1.038																																																													
11202	01	SOUTH CAROLINA	0.959																																																													
03402	02	SOUTH DAKOTA	1.000																																																													
10302	35	TENNESSEE	0.954																																																													
04412	31	"AUSTIN, TX"	1.010																																																													
04412	20	"BEAUMONT, TX"	0.964																																																													
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	0.971																																																													
03502	09	UTAH	0.966																																																													
14512	50	VERMONT	1.007																																																													
11302	00	VIRGINIA	0.993																																																													
09302	50	VIRGIN ISLANDS	1.003																																																													
02402	02	"SEATTLE (KING CNTY), WA"	1.083																																																													
02402	99	REST OF WASHINGTON	1.005																																																													
11402	16	WEST VIRGINIA	0.933																																																													
06302	00	WISCONSIN	0.980																																																													
03602	21	WYOMING	1.000																																																													
																																																																
"Note: The FQHC GAFs are adapted from the Physician Fee Schedule work and practice expense geographic practice cost indices (GPCIs).  The CY 2018 GPCIs reflect a 1.0 Work GPCI floor as required by the Bipartisan Budget Act of 2018 (February 9, 2018)."																																																																
																																																																
																																																																
																																																																
																																																																
																																																																
																																																																
