Chapter 12 Addendum M (CY 2013) Annual Home Health Agency Prospective Payment System (HHA PPS) Wage Index Updates - CY 2013

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Barbra James
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1 Home Health Care (HHC) Chapter 12 Addendum M (CY 2013) Annual Home Health Agency Prospective Payment System (HHA PPS) 1 All counties within the State are classified as urban, with the exception of Puerto Rico. Puerto Rico has areas designated as rural; however, no short-term, acute care hospitals are located in the area(s) for CY NON-URBAN AREA 01 Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island NON-URBAN AREA 42 South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Guam

2 2 At this time, there are no hospitals in these urban areas on which to base a wage index. Therefore, the urban wage index value is based on the average wage index of all urban areas within the State Abilene, TX Callahan, TX Jones, TX Taylor, TX Aguadilla-Isabela-San Sebastian, PR Aguada, PR Aguadilla, PR Anasco, PR Isabela, PR Lares, PR Moca, PR Rincon, PR San Sebastian, PR Akron, OH Portage, OH Summit, OH Albany, GA Baker, GA Dougherty, GA Lee, GA Terrell, GA Worth, GA Albany-Schenectady-Troy, NY Albany, NY Rensselaer, NY Saratoga, NY Schenectady, NY Schoharie, NY Albuquerque, NM Bernalillo, NM Sandoval, NM Torrance, NM Valencia, NM Alexandria, LA Grant, LA Rapides, LA Allentown-Bethlehem-Easton, PA-NJ Warren, NJ Carbon, PA Lehigh, PA Northampton, PA Altoona, PA Blair, PA Amarillo, TX Armstrong, TX Carson, TX Potter, TX Randall, TX Ames, IA Story, IA Anchorage, AK Anchorage Municipality, AK Matanuska-Susitna Borough, AK Anderson, IN Madison, IN Anderson, SC Anderson, SC Ann Arbor, MI Washtenaw, MI Anniston-Oxford, AL Calhoun, AL Appleton, WI Calumet, WI Outagamie, WI Asheville, NC Buncombe, NC Haywood, NC Henderson, NC Madison, NC Athens-Clarke, GA Clarke, GA Madison, GA Oconee, GA Oglethorpe, GA Atlanta-Sandy Springs-Marietta, GA Barrow, GA Bartow, GA Butts, GA Carroll, GA Cherokee, GA Clayton, GA Cobb, GA Coweta, GA Dawson, GA DeKalb, GA Douglas, GA Fayette, GA Forsyth, GA Fulton, GA Gwinnett, GA Haralson, GA Heard, GA Henry, GA Jasper, GA Lamar, GA 2

3 Meriwether, GA Newton, GA Paulding, GA Pickens, GA Pike, GA Rockdale, GA Spalding, GA Walton, GA Atlantic City-Hammonton, NJ Atlantic, NJ Auburn-Opelika, AL Lee, AL Augusta-Richmond, GA-SC Burke, GA Columbia, GA McDuffie, GA Richmond, GA Aiken, SC Edgefield, SC Austin-Round Rock-San Marcos, TX Bastrop, TX Caldwell, TX Hays, TX Travis, TX Williamson, TX Bakersfield-Delano, CA Kern, CA Baltimore-Towson, MD Anne Arundel, MD Baltimore, MD Carroll, MD Harford, MD Howard, MD Queen Anne's, MD Baltimore City, MD Bangor, ME Penobscot, ME Barnstable Town, MA Barnstable, MA Baton Rouge, LA Ascension, LA East Baton Rouge, LA East Feliciana, LA Iberville, LA Livingston, LA Pointe Coupee, LA St. Helena, LA West Baton Rouge, LA West Feliciana, LA Battle Creek, MI Calhoun, MI Bay City, MI Bay, MI Beaumont-Port Arthur, TX Hardin, TX Jefferson, TX Orange, TX Bellingham, WA Whatcom, WA Bend, OR Deschutes, OR Bethesda-Rockville-Frederick, MD Frederick, MD Montgomery, MD Billings, MT Carbon, MT Yellowstone, MT Binghamton, NY Broome, NY Tioga, NY Birmingham-Hoover, AL Bibb, AL Blount, AL Chilton, AL Jefferson, AL St. Clair, AL Shelby, AL Walker, AL Bismarck, ND Burleigh, ND Morton, ND Blacksburg-Christiansburg-Radford, VA Giles, VA Montgomery, VA Pulaski, VA Radford City, VA Bloomington, IN Greene, IN Monroe, IN Owen, IN Bloomington-Normal, IL McLean, IL Boise City-Nampa, ID Ada, ID Boise, ID Canyon, ID Gem, ID Owyhee, ID Boston-Quincy, MA Norfolk, MA 3

4 Plymouth, MA Suffolk, MA Boulder, CO Boulder, CO Bowling Green, KY Edmonson, KY Warren, KY Bremerton-Silverdale, WA Kitsap, WA Bridgeport-Stamford-Norwalk, CT Fairfield, CT Brownsville-Harlingen, TX Cameron, TX Brunswick, GA Brantley, GA Glynn, GA McIntosh, GA Buffalo-Niagara Falls, NY Erie, NY Niagara, NY Burlington, NC Alamance, NC Burlington-South Burlington, VT Chittenden, VT Franklin, VT Grand Isle, VT Cambridge-Newton-Framingham, MA Middlesex, MA Camden, NJ Burlington, NJ Camden, NJ Gloucester, NJ Canton-Massillon, OH Carroll, OH Stark, OH Cape Coral-Fort Myers, FL Lee, FL Cape Girardeau-Jackson, MO-IL Alexander, IL Bollinger, MO Cape Girardeau, MO Carson City, NV Carson City, NV Casper, WY Natrona, WY Cedar Rapids, IA Benton, IA Jones, IA Linn, IA Champaign-Urbana, IL Champaign, IL Ford, IL Piatt, IL Charleston, WV Boone, WV Clay, WV Kanawha, WV Lincoln, WV Putnam, WV Charleston-North Charleston Summerville, SC Berkeley, SC Charleston, SC Dorchester, SC Charlotte-Gastonia-Rock Hill, NC-SC Anson, NC Cabarrus, NC Gaston, NC Mecklenburg, NC Union, NC York, SC Charlottesville, VA Albemarle, VA Fluvanna, VA Greene, VA Nelson, VA Charlottesville City, VA Chattanooga, TN-GA Catoosa, GA Dade, GA Walker, GA Hamilton, TN Marion, TN Sequatchie, TN Cheyenne, WY Laramie, WY Chicago-Joliet-Naperville, IL Cook, IL DeKalb, IL DuPage, IL Grundy, IL Kane, IL Kendall, IL McHenry, IL Will, IL Chico, CA Butte, CA Cincinnati-Middletown, OH-KY-IN Dearborn, IN Franklin, IN 4

5 Ohio, IN Boone, KY Bracken, KY Campbell, KY Gallatin, KY Grant, KY Kenton, KY Pendleton, KY Brown, OH Butler, OH Clermont, OH Hamilton, OH Warren, OH Clarksville, TN-KY Christian, KY Trigg, KY Montgomery, TN Stewart, TN Cleveland, TN Bradley, TN Polk, TN Cleveland-Elyria-Mentor, OH Cuyahoga, OH Geauga, OH Lake, OH Lorain, OH Medina, OH Coeur d'alene, ID Kootenai, ID College Station-Bryan, TX Brazos, TX Burleson, TX Robertson, TX Colorado Springs, CO El Paso, CO Teller, CO Columbia, MO Boone, MO Howard, MO Columbia, SC Calhoun, SC Fairfield, SC Kershaw, SC Lexington, SC Richland, SC Saluda, SC Columbus, GA-AL Russell, AL Chattahoochee, GA Harris, GA Marion, GA Muscogee, GA Columbus, IN Bartholomew, IN Columbus, OH Delaware, OH Fairfield, OH Franklin, OH Licking, OH Madison, OH Morrow, OH Pickaway, OH Union, OH Corpus Christi, TX Aransas, TX Nueces, TX San Patricio, TX Corvallis, OR Benton, OR Crestview-Fort Walton Beach-Destin, FL Okaloosa, FL Cumberland, MD-WV Allegany, MD Mineral, WV Dallas-Plano-Irving, TX Collin, TX Dallas, TX Delta, TX Denton, TX Ellis, TX Hunt, TX Kaufman, TX Rockwall, TX Dalton, GA Murray, GA Whitfield, GA Danville, IL Vermilion, IL Danville, VA Pittsylvania, VA Danville City, VA Davenport-Moline-Rock Island, IA-IL Henry, IL Mercer, IL Rock Island, IL Scott, IA Dayton, OH Greene, OH Miami, OH Montgomery, OH 5

6 Preble, OH Decatur, AL Lawrence, AL Morgan, AL Decatur, IL Macon, IL Deltona-Daytona Beach-Ormond Beach, FL Volusia, FL Denver-Aurora-Broomfield, CO Adams, CO Arapahoe, CO Broomfield, CO Clear Creek, CO Denver, CO Douglas, CO Elbert, CO Gilpin, CO Jefferson, CO Park, CO Des Moines-West Des Moines, IA Dallas, IA Guthrie, IA Madison, IA Polk, IA Warren, IA Detroit-Livonia-Dearborn, MI Wayne, MI Dothan, AL Geneva, AL Henry, AL Houston, AL Dover, DE Kent, DE Dubuque, IA Dubuque, IA Duluth, MN-WI Carlton, MN St. Louis, MN Douglas, WI Durham-Chapel Hill, NC Chatham, NC Durham, NC Orange, NC Person, NC Eau Claire, WI Chippewa, WI Eau Claire, WI Edison-New Brunswick, NJ Middlesex, NJ Monmouth, NJ Ocean, NJ Somerset, NJ El Centro, CA Imperial, CA Elizabethtown, KY Hardin, KY Larue, KY Elkhart-Goshen, IN Elkhart, IN Elmira, NY Chemung, NY El Paso, TX El Paso, TX Erie, PA Erie, PA Eugene-Springfield, OR Lane, OR Evansville, IN-KY Gibson, IN Posey, IN Vanderburgh, IN Warrick, IN Henderson, KY Webster, KY Fairbanks, AK Fairbanks North Star Borough, AK Fajardo, PR Ceiba, PR Fajardo, PR Luquillo, PR Fargo, ND-MN Clay, MN Cass, ND Farmington, NM San Juan, NM Fayetteville, NC Cumberland, NC Hoke, NC Fayetteville-Springdale-Rogers, AR-MO Benton, AR Madison, AR Washington, AR McDonald, MO Flagstaff, AZ Coconino, AZ Flint, MI Genesee, MI Florence, SC Darlington, SC 6

7 Florence, SC Florence-Muscle Shoals, AL Colbert, AL Lauderdale, AL Fond du Lac, WI Fond du Lac, WI Fort Collins-Loveland, CO Larimer, CO Fort Lauderdale-Pompano Beach Deerfield, Beach, FL Broward, FL Fort Smith, AR-OK Crawford, AR Franklin, AR Sebastian, AR Le Flore, OK Sequoyah, OK Fort Wayne, IN Allen, IN Wells, IN Whitley, IN Fort Worth-Arlington, TX Johnson, TX Parker, TX Tarrant, TX Wise, TX Fresno, CA Fresno, CA Gadsden, AL Etowah, AL Gainesville, FL Alachua, FL Gilchrist, FL Gainesville, GA Hall, GA Gary, IN Jasper, IN Lake, IN Newton, IN Porter, IN Glens Falls, NY Warren, NY Washington, NY Goldsboro, NC Wayne, NC Grand Forks, ND-MN Polk, MN Grand Forks, ND Grand Junction, CO Mesa, CO Grand Rapids-Wyoming, MI Barry, MI Ionia, MI Kent, MI Newaygo, MI Great Falls, MT Cascade, MT Greeley, CO Weld, CO Green Bay, WI Brown, WI Kewaunee, WI Oconto, WI Greensboro-High Point, NC Guilford, NC Randolph, NC Rockingham, NC Greenville, NC Greene, NC Pitt, NC Greenville-Mauldin-Easley, SC Greenville, SC Laurens, SC Pickens, SC Guayama, PR Arroyo, PR Guayama, PR Patillas, PR Gulfport-Biloxi, MS Hancock, MS Harrison, MS Stone, MS Hagerstown-Martinsburg, MD-WV Washington, MD Berkeley, WV Morgan, WV Hanford-Corcoran, CA Kings, CA Harrisburg-Carlisle, PA Cumberland, PA Dauphin, PA Perry, PA Harrisonburg, VA Rockingham, VA Harrisonburg City, VA Hartford-West Hartford-East Hartford, CT Hartford, CT Middlesex, CT Tolland, CT 7

8 25620 Hattiesburg, MS Forrest, MS Lamar, MS Perry, MS Hickory-Lenoir-Morganton, NC Alexander, NC Burke, NC Caldwell, NC Catawba, NC Hinesville-Fort Stewart, GA Liberty, GA Long, GA Holland-Grand Haven, MI Ottawa, MI Honolulu, HI Honolulu, HI Hot Springs, AR Garland, AR Houma-Bayou Cane-Thibodaux, LA Lafourche, LA Terrebonne, LA Houston-Sugar Land-Baytown, TX Austin, TX Brazoria, TX Chambers, TX Fort Bend, TX Galveston, TX Harris, TX Liberty, TX Montgomery, TX San Jacinto, TX Waller, TX Huntington-Ashland, WV-KY-OH Boyd, KY Greenup, KY Lawrence, OH Cabell, WV Wayne, WV Huntsville, AL Limestone, AL Madison, AL Idaho Falls, ID Bonneville, ID Jefferson, ID Indianapolis-Carmel, IN Boone, IN Brown, IN Hamilton, IN Hancock, IN Hendricks, IN Johnson, IN Marion, IN Morgan, IN Putnam, IN Shelby, IN Iowa City, IA Johnson, IA Washington, IA Ithaca, NY Tompkins, NY Jackson, MI Jackson, MI Jackson, MS Copiah, MS Hinds, MS Madison, MS Rankin, MS Simpson, MS Jackson, TN Chester, TN Madison, TN Jacksonville, FL Baker, FL Clay, FL Duval, FL Nassau, FL St. Johns, FL Jacksonville, NC Onslow, NC Janesville, WI Rock, WI Jefferson City, MO Callaway, MO Cole, MO Moniteau, MO Osage, MO Johnson City, TN Carter, TN Unicoi, TN Washington, TN Johnstown, PA Cambria, PA Jonesboro, AR Craighead, AR Poinsett, AR Joplin, MO Jasper, MO Newton, MO Kalamazoo-Portage, MI Kalamazoo, MI 8

9 Van Buren, MI Kankakee-Bradley, IL Kankakee, IL Kansas City, MO-KS Franklin, KS Johnson, KS Leavenworth, KS Linn, KS Miami, KS Wyandotte, KS Bates, MO Caldwell, MO Cass, MO Clay, MO Clinton, MO Jackson, MO Lafayette, MO Platte, MO Ray, MO Kennewick-Pasco-Richland, WA Benton, WA Franklin, WA Killeen-Temple-Fort Hood, TX Bell, TX Coryell, TX Lampasas, TX Kingsport-Bristol-Bristol, TN-VA Hawkins, TN Sullivan, TN Bristol City, VA Scott, VA Washington, VA Kingston, NY Ulster, NY Knoxville, TN Anderson, TN Blount, TN Knox, TN Loudon, TN Union, TN Kokomo, IN Howard, IN Tipton, IN La Crosse, WI-MN Houston, MN La Crosse, WI Lafayette, IN Benton, IN Carroll, IN Tippecanoe, IN Lafayette, LA Lafayette, LA St. Martin, LA Lake Charles, LA Calcasieu, LA Cameron, LA Lake County-Kenosha County, IL-WI Lake, IL Kenosha, WI Lake Havasu City-Kingman, AZ Mohave, AZ Lakeland-Winter Haven, FL Polk, FL Lancaster, PA Lancaster, PA Lansing-East Lansing, MI Clinton, MI Eaton, MI Ingham, MI Laredo, TX Webb, TX Las Cruces, NM Dona Ana, NM Las Vegas-Paradise, NV Clark, NV Lawrence, KS Douglas, KS Lawton, OK Comanche, OK Lebanon, PA Lebanon, PA Lewiston, ID-WA Nez Perce, ID Asotin, WA Lewiston-Auburn, ME Androscoggin, ME Lexington-Fayette, KY Bourbon, KY Clark, KY Fayette, KY Jessamine, KY Scott, KY Woodford, KY Lima, OH Allen, OH Lincoln, NE Lancaster, NE Seward, NE Little Rock-North Little Rock-Conway, AR Faulkner, AR 9

10 Grant, AR Lonoke, AR Perry, AR Pulaski, AR Saline, AR Logan, UT-ID Franklin, ID Cache, UT Longview, TX Gregg, TX Rusk, TX Upshur, TX Longview, WA Cowlitz, WA Los Angeles-Long Beach-Glendale, CA Los Angeles, CA Louisville-Jefferson County, KY-IN Clark, IN Floyd, IN Harrison, IN Washington, IN Bullitt, KY Henry, KY Jefferson, KY Meade, KY Nelson, KY Oldham, KY Shelby, KY Spencer, KY Trimble, KY Lubbock, TX Crosby, TX Lubbock, TX Lynchburg, VA Amherst, VA Appomattox, VA Bedford, VA Campbell, VA Bedford City, VA Lynchburg City, VA Macon, GA Bibb, GA Crawford, GA Jones, GA Monroe, GA Twiggs, GA Madera-Chowchilla, CA Madera, CA Madison, WI Columbia, WI Dane, WI Iowa, WI Manchester-Nashua, NH Hillsborough, NH Manhattan, KS Geary, KS Pottawatomie, KS Riley, KS Mankato-North Mankato, MN Blue Earth, MN Nicollet, MN Mansfield, OH Richland, OH Mayaguez, PR Hormigueros, PR Mayaguez, PR McAllen-Edinburg-Mission, TX Hidalgo, TX Medford, OR Jackson, OR Memphis, TN-MS-AR Crittenden, AR DeSoto, MS Marshall, MS Tate, MS Tunica, MS Fayette, TN Shelby, TN Tipton, TN Merced, CA Merced, CA Miami-Miami Beach-Kendall, FL Miami-Dade, FL Michigan City-La Porte, IN LaPorte, IN Midland, TX Midland, TX Milwaukee-Waukesha-West Allis, WI Milwaukee, WI Ozaukee, WI Washington, WI Waukesha, WI Minneapolis-St. Paul-Bloomington, MN WI Anoka, MN Carver, MN Chisago, MN Dakota, MN Hennepin, MN Isanti, MN 10 C-80, May 14, 2013

11 Ramsey, MN Scott, MN Sherburne, MN Washington, MN Wright, MN Pierce, WI St. Croix, WI Missoula, MT Missoula, MT Mobile, AL Mobile, AL Modesto, CA Stanislaus, CA Monroe, LA Ouachita, LA Union, LA Monroe, MI Monroe, MI Montgomery, AL Autauga, AL Elmore, AL Lowndes, AL Montgomery, AL Morgantown, WV Monongalia, WV Preston, WV Morristown, TN Grainger, TN Hamblen, TN Jefferson, TN Mount Vernon-Anacortes, WA Skagit, WA Muncie, IN Delaware, IN Muskegon-Norton Shores, MI Muskegon, MI Myrtle Beach-North Myrtle Beach Conway, SC Horry, SC Napa, CA Napa, CA Naples-Marco Island, FL Collier, FL Nashville-Davidson-Murfreesboro Franklin, TN Cannon, TN Cheatham, TN Davidson, TN Dickson, TN Hickman, TN Macon, TN Robertson, TN Rutherford, TN Smith, TN Sumner, TN Trousdale, TN Williamson, TN Wilson, TN Nassau-Suffolk, NY Nassau, NY Suffolk, NY Newark-Union, NJ-PA Essex, NJ Hunterdon, NJ Morris, NJ Sussex, NJ Union, NJ Pike, PA New Haven-Milford, CT New Haven, CT New Orleans-Metairie-Kenner, LA Jefferson, LA Orleans, LA Plaquemines, LA St. Bernard, LA St. Charles, LA St. John the Baptist, LA St. Tammany, LA New York-White Plains-Wayne, NY-NJ Bergen, NJ Hudson, NJ Passaic, NJ Bronx, NY Kings, NY New York, NY Putnam, NY Queens, NY Richmond, NY Rockland, NY Westchester, NY Niles-Benton Harbor, MI Berrien, MI North Port-Bradenton-Sarasota-Venice, FL Manatee, FL Sarasota, FL Norwich-New London, CT New London, CT Oakland-Fremont-Hayward, CA Alameda, CA 11

12 Contra Costa, CA Ocala, FL Marion, FL Ocean City, NJ Cape May, NJ Odessa, TX Ector, TX Ogden-Clearfield, UT Davis, UT Morgan, UT Weber, UT Oklahoma City, OK Canadian, OK Cleveland, OK Grady, OK Lincoln, OK Logan, OK McClain, OK Oklahoma, OK Olympia, WA Thurston, WA Omaha-Council Bluffs, NE-IA Harrison, IA Mills, IA Pottawattamie, IA Cass, NE Douglas, NE Sarpy, NE Saunders, NE Washington, NE Orlando-Kissimee-Sanford, FL Lake, FL Orange, FL Osceola, FL Seminole, FL Oshkosh-Neenah, WI Winnebago, WI Owensboro, KY Daviess, KY Hancock, KY McLean, KY Oxnard-Thousand Oaks-Ventura, CA Ventura, CA Palm Bay-Melbourne-Titusville, FL Brevard, FL Palm Coast, FL Flagler, FL Panama City-Lynn Haven-Panama City Beach, FL Bay, FL Parkersburg-Marietta-Vienna, WV-OH Washington, OH Pleasants, WV Wirt, WV Wood, WV Pascagoula, MS George, MS Jackson, MS Peabody, MA Essex, MA Pensacola-Ferry Pass-Brent, FL Escambia, FL Santa Rosa, FL Peoria, IL Marshall, IL Peoria, IL Stark, IL Tazewell, IL Woodford, IL Philadelphia, PA Bucks, PA Chester, PA Delaware, PA Montgomery, PA Philadelphia, PA Phoenix-Mesa-Glendale, AZ Maricopa, AZ Pinal, AZ Pine Bluff, AR Cleveland, AR Jefferson, AR Lincoln, AR Pittsburgh, PA Allegheny, PA Armstrong, PA Beaver, PA Butler, PA Fayette, PA Washington, PA Westmoreland, PA Pittsfield, MA Berkshire, MA Pocatello, ID Bannock, ID Power, ID Ponce, PR Juana Diaz, PR Ponce, PR Villalba, PR Portland-South Portland-Biddeford, ME

13 Cumberland, ME Sagadahoc, ME York, ME Portland-Vancouver-Hillsboro, OR-WA Clackamas, OR Columbia, OR Multnomah, OR Washington, OR Yamhill, OR Clark, WA Skamania, WA Port St. Lucie, FL Martin, FL St. Lucie, FL Poughkeepsie-Newburgh-Middletown, NY Dutchess, NY Orange, NY Prescott, AZ Yavapai, AZ Providence-New Bedford-Fall River, RI MA Bristol, MA Bristol, RI Kent, RI Newport, RI Providence, RI Washington, RI Provo-Orem, UT Juab, UT Utah, UT Pueblo, CO Pueblo, CO Punta Gorda, FL Charlotte, FL Racine, WI Racine, WI Raleigh-Cary, NC Franklin, NC Johnston, NC Wake, NC Rapid City, SD Meade, SD Pennington, SD Reading, PA Berks, PA Redding, CA Shasta, CA Reno-Sparks, NV Storey, NV Washoe, NV Richmond, VA Amelia, VA Caroline, VA Charles City, VA Chesterfield, VA Cumberland, VA Dinwiddie, VA Goochland, VA Hanover, VA Henrico, VA King and Queen, VA King William, VA Louisa, VA New Kent, VA Powhatan, VA Prince George, VA Sussex, VA Colonial Heights City, VA Hopewell City, VA Petersburg City, VA Richmond City, VA Riverside-San Bernardino-Ontario, CA Riverside, CA San Bernardino, CA Roanoke, VA Botetourt, VA Craig, VA Franklin, VA Roanoke, VA Roanoke City, VA Salem City, VA Rochester, MN Dodge, MN Olmsted, MN Wabasha, MN Rochester, NY Livingston, NY Monroe, NY Ontario, NY Orleans, NY Wayne, NY Rockford, IL Boone, IL Winnebago, IL Rockingham County-Strafford County, NH Rockingham, NH Strafford, NH Rocky Mount, NC

14 Edgecombe, NC Nash, NC Rome, GA Floyd, GA Sacramento--Arden-Arcade--Roseville, CA El Dorado, CA Placer, CA Sacramento, CA Yolo, CA Saginaw-Saginaw Township North, MI Saginaw, MI St. Cloud, MN Benton, MN Stearns, MN St. George, UT Washington, UT St. Joseph, MO-KS Doniphan, KS Andrew, MO Buchanan, MO DeKalb, MO St. Louis, MO-IL Bond, IL Calhoun, IL Clinton, IL Jersey, IL Macoupin, IL Madison, IL Monroe, IL St. Clair, IL Crawford, MO Franklin, MO Jefferson, MO Lincoln, MO St. Charles, MO St. Louis, MO Warren, MO Washington, MO St. Louis City, MO Salem, OR Marion, OR Polk, OR Salinas, CA Monterey, CA Salisbury, MD Somerset, MD Wicomico, MD Salt Lake City, UT Salt Lake, UT Summit, UT Tooele, UT San Angelo, TX Irion, TX Tom Green, TX San Antonio-New Braunfels, TX Atascosa, TX Bandera, TX Bexar, TX Comal, TX Guadalupe, TX Kendall, TX Medina, TX Wilson, TX San Diego-Carlsbad-San Marcos, CA San Diego, CA Sandusky, OH Erie, OH San Francisco-San Mateo-Redwood City, CA Marin, CA San Francisco, CA San Mateo, CA San German-Cabo Rojo, PR Cabo Rojo, PR Lajas, PR Sabana Grande, PR San German, PR San Jose-Sunnyvale-Santa Clara, CA San Benito, CA Santa Clara, CA San Juan-Caguas-Guaynabo, PR Aguas Buenas, PR Aibonito, PR Arecibo, PR Barceloneta, PR Barranquitas, PR Bayamon, PR Caguas, PR Camuy, PR Canovanas, PR Carolina, PR Catano, PR Cayey, PR Ciales, PR Cidra, PR Comerio, PR Corozal, PR Dorado, PR Florida, PR 14

15 Guaynabo, PR Gurabo, PR Hatillo, PR Humacao, PR Juncos, PR Las Piedras, PR Loiza, PR Manati, PR Maunabo, PR Morovis, PR Naguabo, PR Naranjito, PR Orocovis, PR Quebradillas, PR Rio Grande, PR San Juan, PR San Lorenzo, PR Toa Alta, PR Toa Baja, PR Trujillo Alto, PR Vega Alta, PR Vega Baja, PR Yabucoa, PR San Luis Obispo-Paso Robles, CA San Luis Obispo, CA Santa Ana-Anaheim-Irvine, CA Orange, CA Santa Barbara-Santa Maria-Goleta, CA Santa Barbara, CA Santa Cruz-Watsonville, CA Santa Cruz, CA Santa Fe, NM Santa Fe, NM Santa Rosa-Petaluma, CA Sonoma, CA Savannah, GA Bryan, GA Chatham, GA Effingham, GA Scranton--Wilkes-Barre, PA Lackawanna, PA Luzerne, PA Wyoming, PA Seattle-Bellevue-Everett, WA King, WA Snohomish, WA Sebastian-Vero Beach, FL Indian River, FL Sheboygan, WI Sheboygan, WI Sherman-Denison, TX Grayson, TX Shreveport-Bossier City, LA Bossier, LA Caddo, LA De Soto, LA Sioux City, IA-NE-SD Woodbury, IA Dakota, NE Dixon, NE Union, SD Sioux Falls, SD Lincoln, SD McCook, SD Minnehaha, SD Turner, SD South Bend-Mishawaka, IN-MI St. Joseph, IN Cass, MI Spartanburg, SC Spartanburg, SC Spokane, WA Spokane, WA Springfield, IL Menard, IL Sangamon, IL Springfield, MA Franklin, MA Hampden, MA Hampshire, MA Springfield, MO Christian, MO Dallas, MO Greene, MO Polk, MO Webster, MO Springfield, OH Clark, OH State College, PA Centre, PA Steubenville-Weirton, OH-WV Jefferson, OH Brooke, WV Hancock, WV Stockton, CA San Joaquin, CA Sumter, SC Sumter, SC Syracuse, NY Madison, NY 15

16 Onondaga, NY Oswego, NY Tacoma, WA Pierce, WA Tallahassee, FL Gadsden, FL Jefferson, FL Leon, FL Wakulla, FL Tampa-St. Petersburg-Clearwater, FL Hernando, FL Hillsborough, FL Pasco, FL Pinellas, FL Terre Haute, IN Clay, IN Sullivan, IN Vermillion, IN Vigo, IN Texarkana, TX-Texarkana, AR Miller, AR Bowie, TX Toledo, OH Fulton, OH Lucas, OH Ottawa, OH Wood, OH Topeka, KS Jackson, KS Jefferson, KS Osage, KS Shawnee, KS Wabaunsee, KS Trenton-Ewing, NJ Mercer, NJ Tucson, AZ Pima, AZ Tulsa, OK Creek, OK Okmulgee, OK Osage, OK Pawnee, OK Rogers, OK Tulsa, OK Wagoner, OK Tuscaloosa, AL Greene, AL Hale, AL Tuscaloosa, AL Tyler, TX Smith, TX Utica-Rome, NY Herkimer, NY Oneida, NY Valdosta, GA Brooks, GA Echols, GA Lanier, GA Lowndes, GA Vallejo-Fairfield, CA Solano, CA Victoria, TX Calhoun, TX Goliad, TX Victoria, TX Vineland-Millville-Bridgeton, NJ Cumberland, NJ Virginia Beach-Norfolk-Newport News, VA-NC Currituck, NC Gloucester, VA Isle of Wight, VA James City, VA Mathews, VA Surry, VA York, VA Chesapeake City, VA Hampton City, VA Newport News City, VA Norfolk City, VA Poquoson City, VA Portsmouth City, VA Suffolk City, VA Virginia Beach City, VA Williamsburg City, VA Visalia-Porterville, CA Tulare, CA Waco, TX McLennan, TX Warner Robins, GA Houston, GA Warren-Troy-Farmington Hills, MI Lapeer, MI Livingston, MI Macomb, MI Oakland, MI St. Clair, MI Washington-Arlington-Alexandria, DC VA District of Columbia, DC 16

17 Calvert, MD Charles, MD Prince George's, MD Arlington, VA Clarke, VA Fairfax, VA Fauquier, VA Loudoun, VA Prince William, VA Spotsylvania, VA Stafford, VA Warren, VA Alexandria City, VA Fairfax City, VA Falls Church City, VA Fredericksburg City, VA Manassas City, VA Manassas Park City, VA Jefferson, WV Waterloo-Cedar Falls, IA Black Hawk, IA Bremer, IA Grundy, IA Wausau, WI Marathon, WI Wenatchee-East Wenatchee, WA Chelan, WA Douglas, WA West Palm Beach-Boca Raton-Boynton Beach, FL Palm Beach, FL Wheeling, WV-OH Belmont, OH Marshall, WV Ohio, WV Wichita, KS Butler, KS Harvey, KS Sedgwick, KS Sumner, KS Wichita Falls, TX Archer, TX Clay, TX Wichita, TX Williamsport, PA Lycoming, PA Wilmington, DE-MD-NJ New Castle, DE Cecil, MD Salem, NJ Wilmington, NC Brunswick, NC New Hanover, NC Pender, NC Winchester, VA-WV Frederick, VA Winchester City, VA Hampshire, WV Winston-Salem, NC Davie, NC Forsyth, NC Stokes, NC Yadkin, NC Worcester, MA Worcester, MA Yakima, WA Yakima, WA Yauco, PR Guanica, PR Guayanilla, PR Penuelas, PR Yauco, PR York-Hanover, PA York, PA Youngstown-Warren-Boardman, OH-PA Mahoning, OH Trumbull, OH Mercer, PA Yuba City, CA Sutter, CA Yuba, CA Yuma, AZ Yuma, AZ - END - 17

Per capita carbon emissions from transportation and residential energy use, 2005

Per capita carbon emissions from transportation and residential energy use, 2005 Metropolitan Area Carbon Footprint Honolulu, HI 1 1.356 Los Angeles-Long Beach-Santa Ana, CA 2 1.413 Portland-Vancouver-Beaverton,