2006 proposed fee schedule - American Society of Clinical Oncology

However, because these reconfigurations would result in
significant redistributions across most California counties,
we are simply proposing that Santa Cruz and Sonoma Counties
(the two counties with the most significant disparity
between the assigned Rest of California GAF and the
county-specific GAF) be removed from the Rest of California
payment locality and that each would be its own payment
locality. We invite comments regarding this proposal and
possible alternative approaches to address this issue. We
are particularly interested in whether the CMA supports this
approach.
If implemented, our proposal would change the 2006
GPCIs and GAFs for Santa Cruz County, Sonoma County and the
Rest of California. The Santa Cruz GAF would be 1.119, a
value 10 percent above the 2005 Rest of California GAF. The
Sonoma County GAF would be 1.098, a value 8 percent above
the 2005 Rest of California GAF. The Rest of California GAF
would be 1.011, a value 0.01 percent below the 2005 Rest of
California GAF. We would note that the 2006 Rest of
California GAF published in the November 15, 2004 PFS final
rule (69 FR 66695) was 1.017. This represents the second
year of the transition to the new GPCIs and GAFs
incorporating updated data (69 FR 66260). The proposed 2006
Rest of California GAF of 1.011 fully reflects incorporating
the updated data.
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