---
kind: "section"
citation: "42 C.F.R. § 413.233"
title: "42"
number: "413.233"
heading: "Additional facility-level adjustments."
url: "https://uscodex.org/cfr/42/413.233"
---

# §413.233. Additional facility-level adjustments.

- (a) CMS adjusts the base rate for facilities in rural areas, as defined in [§ 413.231(b)(2)](/cfr/42/413.231.md?p=b-2).
- (b) CMS adjusts the non-labor-related portion of the base rate for facilities in Alaska, Hawaii, Guam, American Samoa, and the Northern Mariana Islands.

## Notes

### Amendments

[90 FR 53139, Nov. 24, 2025]

### Source

Source: 62 FR 43668, Aug. 15, 1997, as amended at 86 FR 73515, Dec. 27, 2021, unless otherwise noted.

### Authority

Authority: 42 U.S.C. 1302, 1395d(d), 1395f(b), 1395g, 1395l(a), (i), and (n), 1395m, 1395x(v), 1395x(kkk), 1395hh, 1395rr, 1395tt, and 1395ww.

### Source

Source: 51 FR 34793, Sept. 30, 1986, unless otherwise noted.

### Amendments

[90 FR 53139, Nov. 24, 2025]