Medicare Geographic Classification Review Board

Medicare Geographic Classification Review Board

The Medicare Geographic Classification Review Board ("MGCRB" or "Board") makes determinations on geographic reclassification requests of hospitals that are receiving payment under the inpatient prospective payment system ("IPPS") but wish to reclassify to a higher wage area for purposes of receiving a higher payment rate. See 42 U.S.C. § 1395ww(d)(10) and 42 C.F.R. § 412, Subpart L.


Electronic Filing Required

The MGCRB requires applications, supporting documents, and subsequent correspondence to be filed electronically through the Office of Hearings Case and Document Management System (“OH CDMS”). Reference MGCRB Electronic Filing for registration instructions and the system user manual. For any system or access questions, please contact the OH CDMS Help Desk at 1-833-783-8255 or


MCGRB Application Period

The MGCRB application period to file a new application or a reinstatement is available each year from mid-July through September 1. A request for withdrawal or termination of an approved reclassification must be received by the MGCRB within 45 days of publication of CMS’ annual notice of proposed rulemaking (“NPRM”) concerning changes to the Inpatient Prospective Payment System and proposed payment rates for the fiscal year for which the application has been filed. See Frequently Asked Questions below and MGCRB Rules.

  • The MGCRB application period for the FY 2026 - 2028 reclassification cycle is open. The filing deadline for the applications and reinstatements is September 3, 2024.
  • The MGCRB withdrawal and termination period for approved reclassifications is closed.



General questions about the MGCRB may be sent by email to However, case specific submissions and inquiries will not be accepted through this email box; Such correspondence must be submitted within OH CDMS on the impacted case.

Note: Questions related to wage index policy or wage data are outside of the purview of the MGCRB. Refer to the Acute Inpatient PPS Wage Index link below.


Page Last Modified:
07/16/2024 02:20 PM