Appendix L -- High Cost Centers for Meal Reimbursement

Metropolitan Area                   Cities and Counties Included in High Cost Center

Atlanta, GA                                 Clayton, De Kalb, Fulton, Cobb and Gwinett Counties

Baltimore, MD                            Baltimore and Harford Counties

Boston, MA                                Norfolk, Suffolk, Middlesex, and Essex Counties in Massachusetts

Chicago, IL                                 Du Page, Cook and Lake Counties

Cleveland, OH                           Cuyahoga County

Dallas/Fort Worth, TX                Dallas and Tarrant Counties

Denver, CO                                Denver, Adams, Arapahoe and Jefferson Counties

Detroit, MI                                  Wayne, Macomb and Oakland Counties

Hartford, CT                               Hartford and Middlesex Counties

Houston, TX                               Harris County; LBJ Space Center and Ellington AFB

Kansas City, KS                         Johnson and Wyandotte Counties in Kansas (see also Kansas City, MO)

Kansas City, MO                        Clay, Jackson and Platte Counties in Missouri (see also Kansas City, KS)

Los Angeles, CA                        Los Angeles, Kern, Orange and Ventura Counties; Edwards AFB; Naval 
                                                   Weapons Center and Ordinance Test Station

Miami, FL                                   Dade County

New Orleans, LA                        Parishes of Jefferson, Orleans, Plaquemines and St. Bernard

New York City, NY                      The Boroughs of the Bronx, Brooklyn, Manhattan, Queens and Staten
                                                    Island and the Counties of Nassau, New York, Richmond, Suffolk and
                                                    Westchester in New York State; Fairfield County in Connecticut and the
                                                    Counties of Bergan, Essex, Hudson, Middlesex, Passaic and Union in
                                                    New Jersey

Philadelphia, PA                          The Counties of Bucks, Chester, Delaware, Montgomery and
                                                    Philadelphia in Pennsylvania and the Counties of Burlington and
                                                    Glochester in New Jersey

Portland, OR                                Multnomah County

San Diego, CA                             San Diego County

San Francisco, CA                       The Counties of San Francisco, Sonoma, Marin, San Mateo, Santa Clara,
                                                     Santa Cruz, Contra Costa, Alameda, Santa Barbara

Seattle, WA                                   King County

St. Louis, MO                               St. Charles and St. Louis Counties

Washington D.C.                          Cities of Alexandria, Falls Church, Fairfax; the Counties of Arlington,
                                                     Loudoun and Fairfax in Virginia; and the Counties of Montgomery and
                                                     Prince Georges in Maryland