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 is available for the FFY 2025 - 2027 reclassification cycle. New application requests and reinstatement requests must be filed no later than September 1, 2023. See Frequently Asked Questions below and MGCRB Rules.



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:
09/08/2023 10:25 AM