"For the purposes of the PFS, GAFs are an analysis tool for comparing approximate aggregate geographic payment adjustment among PFS localities "					
Medicare Administrative Contractor (MAC)	State	Locality Number	Locality Name	2024 FQHC GAF with 1.0 Floor)	2024 FQHC GAF (without 1.0 Floor)
10112	AL	00	ALABAMA	0.899	0.888
02102	AK	01	ALASKA*	1.246	1.246
03102	AZ	00	ARIZONA	0.947	0.937
07102	AR	13	ARKANSAS	0.894	0.872
01112	CA	54	BAKERSFIELD	1.009	1.009
01112	CA	55	CHICO	1.008	1.008
01182	CA	71	EL CENTRO	1.008	1.008
01112	CA	56	FRESNO	1.008	1.008
01112	CA	57	HANFORD-CORCORAN	1.008	1.008
01182	CA	18	LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY)	1.068	1.068
01112	CA	58	MADERA	1.008	1.008
01112	CA	59	MERCED	1.008	1.008
01112	CA	60	MODESTO	1.008	1.008
01112	CA	51	NAPA	1.129	1.129
01182	CA	17	OXNARD-THOUSAND OAKS-VENTURA	1.055	1.055
01112	CA	61	REDDING	1.008	1.008
01112	CA	62	RIVERSIDE-SAN BERNARDINO-ONTARIO	1.008	1.008
01112	CA	63	SACRAMENTO-ROSEVILLE-FOLSOM	1.047	1.047
01112	CA	64	SALINAS	1.051	1.051
01182	CA	72	SAN DIEGO-CHULA VISTA-CARLSBAD	1.059	1.059
01112	CA	05	SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY)	1.194	1.194
01112	CA	52	SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)	1.194	1.194
01112	CA	65	SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)	1.207	1.207
01182	CA	73	SAN LUIS OBISPO-PASO ROBLES	1.026	1.026
01112	CA	09	SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)	1.207	1.207
01112	CA	66	SANTA CRUZ-WATSONVILLE	1.062	1.062
01182	CA	74	SANTA MARIA-SANTA BARBARA	1.049	1.049
01112	CA	67	SANTA ROSA-PETALUMA	1.078	1.078
01112	CA	68	STOCKTON	1.008	1.008
01112	CA	53	VALLEJO	1.129	1.129
01112	CA	69	VISALIA	1.008	1.008
01112	CA	70	YUBA CITY	1.008	1.008
01112	CA	75	REST OF CALIFORNIA	1.008	1.008
04112	CO	01	COLORADO	0.986	0.986
13102	CT	00	CONNECTICUT	1.011	1.011
12202	DC	01	DC + MD/VA SUBURBS	1.074	1.074
12102	DE	01	DELAWARE	0.959	0.959
09102	FL	03	FORT LAUDERDALE	0.957	0.947
09102	FL	04	MIAMI	0.971	0.963
09102	FL	99	REST OF FLORIDA	0.931	0.915
10212	GA	01	ATLANTA	0.957	0.955
10212	GA	99	REST OF GEORGIA	0.905	0.889
01212	HI	01	"HAWAII, GUAM"	1.026	1.024
02202	ID	00	IDAHO	0.916	0.895
06102	IL	16	CHICAGO	0.972	0.972
06102	IL	12	EAST ST. LOUIS	0.921	0.911
06102	IL	15	SUBURBAN CHICAGO	0.984	0.984
06102	IL	99	REST OF ILLINOIS	0.918	0.904
08102	IN	00	INDIANA	0.923	0.909
05102	IA	00	IOWA	0.919	0.903
05202	KS	00	KANSAS	0.915	0.898
15102	KY	00	KENTUCKY	0.902	0.883
07202	LA	01	NEW ORLEANS	0.929	0.917
07202	LA	99	REST OF LOUISIANA	0.904	0.887
14112	ME	03	SOUTHERN MAINE	0.964	0.953
14112	ME	99	REST OF MAINE	0.919	0.900
12302	MD	01	BALTIMORE/SURR. CNTYS	1.004	1.004
12302	MD	99	REST OF MARYLAND	0.972	0.972
14212	MA	01	METROPOLITAN BOSTON	1.069	1.069
14212	MA	99	REST OF MASSACHUSETTS	0.995	0.995
08202	MI	01	DETROIT	0.953	0.953
08202	MI	99	REST OF MICHIGAN	0.918	0.905
06202	MN	00	MINNESOTA	0.970	0.968
07302	MS	00	MISSISSIPPI	0.891	0.866
05302	MO	02	METROPOLITAN KANSAS CITY	0.935	0.926
05302	MO	01	METROPOLITAN ST. LOUIS	0.936	0.927
05302	MO	99	REST OF MISSOURI	0.894	0.872
03202	MT	01	MONTANA**	0.958	0.940
05402	NE	00	NEBRASKA	0.920	0.906
01312	NV	00	NEVADA**	0.958	0.952
14312	NH	40	NEW HAMPSHIRE	0.974	0.970
12402	NJ	01	NORTHERN NJ	1.069	1.069
12402	NJ	99	REST OF NEW JERSEY	1.028	1.028
04212	NM	05	NEW MEXICO	0.916	0.904
13202	NY	01	MANHATTAN	1.067	1.067
13202	NY	02	NYC SUBURBS/LONG ISLAND	1.082	1.082
13202	NY	03	POUGHKPSIE/N NYC SUBURBS	1.030	1.030
13292	NY	04	QUEENS	1.080	1.080
13282	NY	99	REST OF NEW YORK	0.935	0.931
11502	NC	00	NORTH CAROLINA	0.925	0.916
03302	ND	01	NORTH DAKOTA**	0.958	0.948
15202	OH	00	OHIO	0.918	0.909
04312	OK	00	OKLAHOMA	0.909	0.891
02302	OR	01	PORTLAND	1.012	1.012
02302	OR	99	REST OF OREGON	0.952	0.941
12502	PA	01	METROPOLITAN PHILADELPHIA	0.995	0.995
12502	PA	99	REST OF PENNSYLVANIA	0.925	0.919
09202	PR	20	PUERTO RICO	0.962	0.960
14412	RI	01	RHODE ISLAND	0.989	0.989
11202	SC	01	SOUTH CAROLINA	0.919	0.905
03402	SD	02	SOUTH DAKOTA**	0.958	0.945
10312	TN	35	TENNESSEE	0.911	0.893
04412	TX	31	AUSTIN	0.979	0.978
04412	TX	20	BEAUMONT	0.914	0.907
04412	TX	09	BRAZORIA	0.968	0.968
04412	TX	11	DALLAS	0.967	0.967
04412	TX	28	FORT WORTH	0.963	0.963
04412	TX	15	GALVESTON	0.965	0.965
04412	TX	18	HOUSTON	0.967	0.967
04412	TX	99	REST OF TEXAS	0.933	0.926
03502	UT	09	UTAH	0.928	0.909
14512	VT	50	VERMONT	0.955	0.942
11302	VA	00	VIRGINIA	0.952	0.952
09202	VI	50	VIRGIN ISLANDS	0.962	0.960
02402	WA	02	SEATTLE (KING CNTY)	1.080	1.080
02402	WA	99	REST OF WASHINGTON	0.980	0.980
11402	WV	16	WEST VIRGINIA	0.895	0.876
06302	WI	00	WISCONSIN	0.939	0.931
03602	WY	21	WYOMING**	0.958	0.945
"MAC Assignments as of November 22, 2023"					
*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.					
**PE GPCI reflects a 1.0 floor for frontier states established by the ACA.					
					
"Note: H.R. 2782, the Further Additional Continuing Appropriations and Other Extensions Act, 2024, extended the 1.0 work GPCI through March 8, 2024; column E of this table. "					
					
"Note: For CY 2024 and on, Addendum E will reflect the retirement of 3 California localities, as finalized in the CY 2023 PFS final rule. "					
					
