These raw wage index values are subject to application of the hospice floor to compute the hospice wage index used to determine payments to hospices. If the current FY's wage index value is less than 95 percent of the previous year's wage index value, the 5 percent cap on wage index decreases would be applied and the final wage index value would be set equal to 95 percent of the previous FY's wage index value. Therefore, the FY 2027 hospice wage index will continue to include the hospice floor as well as the 5 percent cap on wage index decreases. Based on updated wage index data, the final FY 2027 hospice wage index value for rural North Dakota is 0.8297. Because 0.2964 is more than a 5 percent decline in the FY 2026 wage index, the adjusted proposed FY 2027 wage index with the 5 percent cap applied would equal 0.95 multiplied by 0.4200 (that is, the FY 2026 wage index with 5 percent cap), which would result in a proposed FY 2027 wage index value of 0.3990.