Table 1 to Paragraph (d)(2)
Provider/facility type | Large metro | Metro | Micro | Rural | CEAC | |||||
Max time | Max distance | Max time | Max distance | Max time | Max distance | Max time | Max distance | Max time | Max distance | |
Primary Care | 10 | 5 | 15 | 10 | 30 | 20 | 40 | 30 | 70 | 60 |
Allergy and Immunology | 30 | 15 | 45 | 30 | 80 | 60 | 90 | 75 | 125 | 110 |
Cardiology | 20 | 10 | 30 | 20 | 50 | 35 | 75 | 60 | 95 | 85 |
Chiropractor | 30 | 15 | 45 | 30 | 80 | 60 | 90 | 75 | 125 | 110 |
Clinical Psychology | 20 | 10 | 45 | 30 | 60 | 45 | 75 | 60 | 145 | 130 |
Dermatology | 20 | 10 | 45 | 30 | 60 | 45 | 75 | 60 | 110 | 100 |
Endocrinology | 30 | 15 | 60 | 40 | 100 | 75 | 110 | 90 | 145 | 130 |
ENT/Otolaryngology | 30 | 15 | 45 | 30 | 80 | 60 | 90 | 75 | 125 | 110 |
Gastroenterology | 20 | 10 | 45 | 30 | 60 | 45 | 75 | 60 | 110 | 100 |
General Surgery | 20 | 10 | 30 | 20 | 50 | 35 | 75 | 60 | 95 | 85 |
Gynecology, OB/GYN | 30 | 15 | 45 | 30 | 80 | 60 | 90 | 75 | 125 | 110 |
Infectious Diseases | 30 | 15 | 60 | 40 | 100 | 75 | 110 | 90 | 145 | 130 |
Licensed Clinical Social Work | 20 | 10 | 30 | 20 | 50 | 35 | 75 | 60 | 125 | 110 |
Nephrology | 30 | 15 | 45 | 30 | 80 | 60 | 90 | 75 | 125 | 110 |
Neurology | 20 | 10 | 45 | 30 | 60 | 45 | 75 | 60 | 110 | 100 |
Neurosurgery | 30 | 15 | 60 | 40 | 100 | 75 | 110 | 90 | 145 | 130 |
Oncology-Medical, Surgical | 20 | 10 | 45 | 30 | 60 | 45 | 75 | 60 | 110 | 100 |
Oncology-Radiation/Radiation Oncology | 30 | 15 | 60 | 40 | 100 | 75 | 110 | 90 | 145 | 130 |
Ophthalmology | 20 | 10 | 30 | 20 | 50 | 35 | 75 | 60 | 95 | 85 |
Orthopedic Surgery | 20 | 10 | 30 | 20 | 50 | 35 | 75 | 60 | 95 | 85 |
Outpatient Behavioral Health | 20 | 10 | 40 | 25 | 55 | 40 | 60 | 50 | 110 | 100 |
Physiatry, Rehabilitative Medicine | 30 | 15 | 45 | 30 | 80 | 60 | 90 | 75 | 125 | 110 |
Plastic Surgery | 30 | 15 | 60 | 40 | 100 | 75 | 110 | 90 | 145 | 130 |
Podiatry | 20 | 10 | 45 | 30 | 60 | 45 | 75 | 60 | 110 | 100 |
Psychiatry | 20 | 10 | 45 | 30 | 60 | 45 | 75 | 60 | 110 | 100 |
Pulmonology | 20 | 10 | 45 | 30 | 60 | 45 | 75 | 60 | 110 | 100 |
Rheumatology | 30 | 15 | 60 | 40 | 100 | 75 | 110 | 90 | 145 | 130 |
Urology | 20 | 10 | 45 | 30 | 60 | 45 | 75 | 60 | 110 | 100 |
Vascular Surgery | 30 | 15 | 60 | 40 | 100 | 75 | 110 | 90 | 145 | 130 |
Cardiothoracic Surgery | 30 | 15 | 60 | 40 | 100 | 75 | 110 | 90 | 145 | 130 |
Acute Inpatient Hospitals | 20 | 10 | 45 | 30 | 80 | 60 | 75 | 60 | 110 | 100 |
Cardiac Surgery Program | 30 | 15 | 60 | 40 | 160 | 120 | 145 | 120 | 155 | 140 |
Cardiac Catheterization Services | 30 | 15 | 60 | 40 | 160 | 120 | 145 | 120 | 155 | 140 |
Critical Care Services-Intensive Care Units (ICU) | 20 | 10 | 45 | 30 | 160 | 120 | 145 | 120 | 155 | 140 |
Surgical Services (Outpatient or ASC) | 20 | 10 | 45 | 30 | 80 | 60 | 75 | 60 | 110 | 100 |
Skilled Nursing Facilities | 20 | 10 | 45 | 30 | 80 | 60 | 75 | 60 | 95 | 85 |
Diagnostic Radiology | 20 | 10 | 45 | 30 | 80 | 60 | 75 | 60 | 110 | 100 |
Mammography | 20 | 10 | 45 | 30 | 80 | 60 | 75 | 60 | 110 | 100 |
Physical Therapy | 20 | 10 | 45 | 30 | 80 | 60 | 75 | 60 | 110 | 100 |
Occupational Therapy | 20 | 10 | 45 | 30 | 80 | 60 | 75 | 60 | 110 | 100 |
Speech Therapy | 20 | 10 | 45 | 30 | 80 | 60 | 75 | 60 | 110 | 100 |
Inpatient Psychiatric Facility Services | 30 | 15 | 70 | 45 | 100 | 75 | 90 | 75 | 155 | 140 |
Outpatient Infusion/Chemotherapy | 20 | 10 | 45 | 30 | 80 | 60 | 75 | 60 | 110 | 100 |
Table 2 to Paragraph (e)(3)(i)(C)
Minimum ratio | Large metro | Metro | Micro | Rural | CEAC |
Primary Care | 1.67 | 1.67 | 1.42 | 1.42 | 1.42 |
Allergy and Immunology | 0.05 | 0.05 | 0.04 | 0.04 | 0.04 |
Cardiology | 0.27 | 0.27 | 0.23 | 0.23 | 0.23 |
Chiropractor | 0.10 | 0.10 | 0.09 | 0.09 | 0.09 |
Clinical Psychology | 0.15 | 0.15 | 0.13 | 0.13 | 0.13 |
Clinical Social Work | 0.25 | 0.25 | 0.22 | 0.22 | 0.22 |
Dermatology | 0.16 | 0.16 | 0.14 | 0.14 | 0.14 |
Endocrinology | 0.04 | 0.04 | 0.03 | 0.03 | 0.03 |
ENT/Otolaryngology | 0.06 | 0.06 | 0.05 | 0.05 | 0.05 |
Gastroenterology | 0.12 | 0.12 | 0.10 | 0.10 | 0.10 |
General Surgery | 0.28 | 0.28 | 0.24 | 0.24 | 0.24 |
Gynecology, OB/GYN | 0.04 | 0.04 | 0.03 | 0.03 | 0.03 |
Infectious Diseases | 0.03 | 0.03 | 0.03 | 0.03 | 0.03 |
Nephrology | 0.09 | 0.09 | 0.08 | 0.08 | 0.08 |
Neurology | 0.12 | 0.12 | 0.10 | 0.10 | 0.10 |
Neurosurgery | 0.01 | 0.01 | 0.01 | 0.01 | 0.01 |
Oncology-Medical, Surgical | 0.19 | 0.19 | 0.16 | 0.16 | 0.16 |
Oncology-Radiation/Radiation Oncology | 0.06 | 0.06 | 0.05 | 0.05 | 0.05 |
Ophthalmology | 0.24 | 0.24 | 0.20 | 0.20 | 0.20 |
Orthopedic Surgery | 0.20 | 0.20 | 0.17 | 0.17 | 0.17 |
Physiatry, Rehabilitative Medicine | 0.04 | 0.04 | 0.03 | 0.03 | 0.03 |
Plastic Surgery | 0.01 | 0.01 | 0.01 | 0.01 | 0.01 |
Podiatry | 0.19 | 0.19 | 0.16 | 0.16 | 0.16 |
Psychiatry | 0.14 | 0.14 | 0.12 | 0.12 | 0.12 |
Pulmonology | 0.13 | 0.13 | 0.11 | 0.11 | 0.11 |
Rheumatology | 0.07 | 0.07 | 0.06 | 0.06 | 0.06 |
Urology | 0.12 | 0.12 | 0.10 | 0.10 | 0.10 |
Vascular Surgery | 0.02 | 0.02 | 0.02 | 0.02 | 0.02 |
Cardiothoracic Surgery | 0.01 | 0.01 | 0.01 | 0.01 | 0.01 |
Acute Inpatient Hospitals | 12.2 | 12.2 | 12.2 | 12.2 | 12.2 |
42 C.F.R. §422.116