Medicaid Program; State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals (QIs): Federal Fiscal Year 2014 and Federal Fiscal Year 2015 through Calendar Year 2015, 33915-33920 [2017-15372]
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Federal Register / Vol. 82, No. 139 / Friday, July 21, 2017 / Notices
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Dated: July 17, 2017.
Patrick Conway,
Deputy Administrator for Innovation and
Quality & Director, Centers for Medicare &
Medicaid Services.
I. Background
[FR Doc. 2017–15374 Filed 7–20–17; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–2405–N]
RIN 0938–ZB34
Medicaid Program; State Allotments
for Payment of Medicare Part B
Premiums for Qualifying Individuals
(QIs): Federal Fiscal Year 2014 and
Federal Fiscal Year 2015 through
Calendar Year 2015
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
This notice sets forth the
states’ final allotments available to pay
the Medicare Part B premiums for
Qualifying Individuals (QIs) for the
sradovich on DSK3GMQ082PROD with NOTICES
SUMMARY:
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federal fiscal year (FY) 2014 and the
preliminary QI allotments for federal FY
2015 which is extended through
calendar year (CY) 2015 (December
2015) by the Medicare Access and CHIP
Reauthorization Act of 2015 (MACRA).
The amounts of these QI allotments
were determined in accordance with the
methodology set forth in regulations and
reflect funding for the QI program made
available under recent legislation.
DATES: The final QI allotments for
payment of Medicare Part B premiums
for FY 2014 are effective October 1,
2013. The preliminary QI allotments for
FY 2015, extended through CY 2015 are
effective October 1, 2014.
FOR FURTHER INFORMATION CONTACT:
Jennifer Gibson, (410) 786–5404 or Toni
Cincibus at (410) 786–2997.
SUPPLEMENTARY INFORMATION:
A. QI Allotments for FY 2014
As amended by section 621 of the
American Taxpayer Relief Act of 2012
(ATRA) (Pub. L. 112–240, enacted on
January 2, 2013), section 1933(g)(2) of
the Social Security Act (the Act)
provided $300 million in funding for
the period October 1, 2013 through
December 31, 2013, the first quarter of
fiscal year (FY) 2014. Section 1201 of
Division B of the legislation ‘‘Pathway
for SGR Reform Act of 2013’’ (Pub. L.
113–67 enacted on December 26, 2013)
provided an additional $200 million
and authority for the Qualifying
Individual (QI) program for the period
January 1, 2014 through March 31, 2014
(second quarter of FY 2014). In addition,
section 201 of the Protecting Access to
Medicare Act of 2014 (PAMA) (Pub. L.
113–93 enacted on April 1, 2014)
revised the $200 to $485 million and
extended the period for which such
funds were available to the end of
September 2014. Therefore, the total
funding available for the QI program for
FY 2014 is $785 million ($300 million
for the first quarter of FY 2014, and
$485 million for the second through
fourth quarters of FY 2014).
PO 00000
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Sfmt 4703
33915
B. QI Allotments for FY 2015/CY 2015
and Thereafter
Section 201 of PAMA extended the
authority and funding for the QI
program for FY 2015 as follows: $300
million for the period October 1, 2014
through December 31, 2014 (first quarter
of FY 2015); and, $250 million for the
period January 1, 2015 through March
31, 2015 (second quarter FY 2015).
Section 211 of the Medicare Access and
CHIP Reauthorization Act of 2015
(MACRA) (Pub. L. 114–10, enacted on
April 16, 2015) further extended the
authority and funding for the QI
program for FY 2015 as follows: $535
million for the period April 1, 2015
through December 31, 2015, effectively
changing QI to a calendar year basis
from a fiscal year basis. Therefore, a
total of $1.085 billion is available for the
QI program for FY/CY 2015.
Section 211 of MACRA also
permanently extended the QI program
while allocating $980 million for CY
2016.
C. Methodology for Calculating the
Fiscal Year/Calendar Year QI
Allotments.
The amounts of the states’ final FY
2014 and preliminary FY/CY 2015 QI
allotments, contained in this notice,
were determined in accordance with the
methodology set forth in existing
regulations at 42 CFR 433.10(c)(5) and
reflect funding for the QI program made
available under the legislation discussed
above.
II. Tables
The final QI allotments for FY 2014
and the preliminary QI allotments for
FY/CY 2015 are shown by state in Table
1 and Table 2, respectively:
Table 1—Final Qualifying Individuals
Allotments for October 1, 2013 through
September 30, 2014.
Table 2—Preliminary Qualifying
Individuals Allotments for October 1,
2014 through December 31, 2015.
BILLING CODE 4120–01–P
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OOOs)
A
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E:\FR\FM\21JYN1.SGM
21JYN1
EN21JY17.004
Tniiial QT Allotments ror FY 2014
FY 2014
Initial QT Allotment Estimated QI
Col C x
Rxpenditures /1
Col B/Tot. Col B 785,000,000
Numher of
Percentage
Individuals /3 of Total
Ia bam a
Alaska
Arizona
Arkansas
alifornia
olorado
onnecticut
Delaware
District of Columbia
lorida
Georgia
Hawaii
daho
llinois
ndiana
ow a
Kansas
Kentucky
,ouisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
ebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohiu
::lklahuma
:Jregon
ennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
c
B
33
2
29
25
130
12
15
5
2
133
46
6
8
63
41
17
18
35
29
7
22
27
37
18
20
44
6
7
7
6
45
9
102
48
4
59
23
16
83
5
33
3
43
D
2.13°/o
0.13°/o
1.88°/o
1.62°/o
8.41%
0.78%
0.97%
0.32°/o
0.13%
8.60%
2.98°/o
0.39°/o
0.52°/o
4.08°/o
2.65°/o
1.10°/o
1.16°/o
2.26°/o
1.88°/o
0.45%
1.42°/o
1.75%
2.39°/o
1.16%
1.29%
2.85°/o
$16,756,145
$1,015,:<24
$14,725,097
$12,694,049
$66,009,056
$6,093,144
$7,616,429
$2,538,810
$1,015,524
$67,532,342
$23,357,050
$3,046,572
$4,062,096
$31,989,004
$20,818,241
$8,631,953
$9,139,715
$17,771,669
$14,725,097
$3,554,334
$11,170,763
$13,709,573
$18,787,193
$9,139,715
$10,155,239
$22,341,527
0.39%
$3,046,572
0.45°/o
0.45°/o
0.39°/o
2.91 °/o
0.58°/o
6.60°/o
3.10°/o
0.26°/o
3.82°/o
$3,554,334
$3,554,334
1.49%
1.03%
5.37%
0.32°/o
2.13°/o
0.19%
2.78°/o
$3,046,572
$22,849,288
$4,569,858
$51,791,721
$24,372,57 4
$2,031,048
$29,957,956
$11,678,525
$8,124,191
$42,144,243
$2,538,810
$16,756,145
$1,523,286
$21,833,765
E
$23,696,386
$322,358
$20,123,492
$14,293,779
$26,896,570
$6,886,161
$4,579,305
$3,191,163
$0
$75,214,664
$36,617,968
$1,319,852
$3,013,777
$25,892,362
$4,642,454
$4,694,170
$5,469,486
$14,902,094
$21,902,176
$6,773,918
$9,819,479
$10,467,761
$14,713,589
$6,304,595
$15,193,401
$12,771,470
$1,733,158
$2,112,476
$5,601,555
$2,390,776
$8,711,840
$4,121,311
$45,728,113
$31,178,378
$670,731
$28,395,381
$10,558,185
$14,973,321
$33,422,399
$2,472,178
$12,449,637
$1,721,514
$32,350,845
1\"eed
(DifferenC"e)
ci orToi.
Need States
F/(Tot. ofF)
IfE>D, E-D
F
G
$6,940,241
7.6813°/.
NA
NA
$5,398,394
5.9748°/.
$1,599,730
1.7705°/.
NA
NA
8793,017
0.8777°/.
NA
NA
8652,353
0.7220°/.
NA
NA
$7,682,322
8.5026°/.
$13,260,917
14.6768°/.
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
$7,177,079
7.9434°/.
$3,219,584
3.5633°/.
NA
NA
NA
NA
NA
NA
NA
NA
$5,038,162
5.5761 °A
NA
NA
NA
NA
NA
NA
$2,047,221
2.2658°A
NA
NA
NA
NA
NA
NA
NA
NA
$6,805,804
7.5325°/.
NA
NA
NA
NA
NA
NA
$6,849,130
7.5804°/.
NA
NA
NA
NA
NA
NA
8198,228
0.2194°/.
$10,517,081
11.6400°/.
Reduction Pnnl
or Non-Need
States
ci orToL
Reduction Adj. For
='Ton-_:\Teed
!Non-Need States
States
k":oJ. f X
IfD >= E, D-E HI(Tot. of H) 90,352,735
J
H
I
Need
Need
Need
$693,166
0.4245°/.
$383,589
Need
Need
Need
Need
$39,112,486
Need
83,037,125
Need
81,015,524
Need
Need
23.9554°/.
Need
1.8602°/.
Need
0.6220°/.
Need
Need
1.0576°/.
0.6421 °A
3.7340°/.
9.9072°/.
2.4118°/.
2.2479°/.
1.7575°/.
Need
Need
$21,644,314
Need
81,680,703
Need
$561,977
Need
Need
$955,543
$580,125
83,373,798
88,951,459
82,179,115
82,031,055
S1,587,983
Need
Need
$747,782
81,793,974
82,254,277
81,568,917
Need
85,295,938
$726,825
$797,904
Need
$362,908
87,823,470
$248,219
83,355,517
Need
$752,781
$864,708
$619,981
Need
84,826,549
836,873
82,383,163
Need
Need
S1,726,720
81,048,319
86,096,642
$16,175,786
83,937,783
83,670,229
S2,869,575
Need
Need
81,351,284
83,241,812
84,073,604
82,835,120
Need
89,570,056
81,313,414
S1,441,858
Need
$655,796
$14,137,448
$448,546
86,063,608
Need
S1,360,317
81,562,575
81,120,340
Need
88,721,844
866,632
84,306,508
Need
Need
Need
Need
0.8276°/.
1.9855°/.
2.4950°/.
1.7364°/.
Need
5.8614°/.
0.8044°/.
0.8831 °A
Need
0.4017°/.
8.6588°/.
0.2747°/.
3.7138°/.
Need
0.8332°/.
0.9570°/.
0.6862°/.
Need
5.3419°/.
0.0408°/.
2.6376°/.
Need
Need
Tncr ease Adj. Fnr
Need States
Col. G x
Final
FY 2014
QT Allotment /2
$90,352,735
K
$6,940,241
NA
$5,398,394
$1,599,730
NA
$793,017
NA
$652,353
NA
$7,682,322
$13,260,917
NA
NA
NA
NA
NA
NA
NA
$7,177,079
$3,219,584
NA
NA
NA
NA
$5,038,162
NA
NA
NA
$2,047,221
NA
NA
NA
NA
$6,805,804
NA
NA
NA
$6,849,130
NA
NA
NA
$198,228
$10,517,081
L
$23,696,386
$631,935
$20,123,492
$14,293,779
$44,364,741
$6,886,161
$5,935,726
$3,191,163
$453,547
$75,214,664
$36,617,968
$2,091,029
$3,481,970
$28,615,206
$11,866,782
$6,452,838
$7,108,661
$16,183,685
$21,902,176
$6,773,918
$10,422,981
$11,915,599
$16,532,916
$7,570,799
$15,193,401
$17,045,588
$2,319,746
$2,756,430
$5,601,555
$2,683,663
$15,025,818
$4,321,638
$48,436,203
$31,178,378
$1,278,267
$29,093,248
$11,058,544
$14,973,321
$37,317,694
$2,501,937
$14,372,982
$1,721,514
$32,350,845
Federal Register / Vol. 82, No. 139 / Friday, July 21, 2017 / Notices
19:50 Jul 20, 2017
TABLE 1: Final Qualifying Individuals Allotments for October 1, 2013 through September 30, 2014
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FY 2014
Initial QI Allotment Estimated QI
Col Cx
Expenditures /1
Col B/Tot. Col B j$785,000,000
D
c
E
Number of
Percentage
Individuals /3 of Total
OOOs)
A
Fmt 4703
Sfmt 4725
fexas
Utah
rermont
rirginia
iVashington
iV est Virginia
iVisconsin
iVyoming
otal
B
108
7
3
33
26
20
22
4
6.99°/o
0.45°/o
0.19°/o
2.13°/o
1.68°/o
1.29°/o
1.42°/o
0.26°/o
$54,838,292
$3,554,334
$1,523,286
$16,756,145
$13,201,811
$10,155,239
$11,170,763
$2,031,048
1,546
100.00%
$785,000,000
$64,992,473
$2,328,151
$3,542,578
$14,142,933
$6,302,602
$6,842,837
$4,758,159
$876,335
$712,080,292
1\"eed
ct of Tot.
(Difference)
Need States
IfE>D, E-D
F/(Tot. ofF)
F
$10,154,181
NA
$2,019,292
NA
NA
NA
NA
NA
G
11.2384°/.
NA
2.2349°/.
NA
NA
NA
NA
NA
$90,352,735 100.0000%
Reduction Pool
or Non-Need
States
ct of Tot.
='fon-='Teed
Reduction Adj. For
jNon-Need States
rol. Ix
State'S
IfD >= E, D-E H/(Tot. of H) j$90,352, 735
J
H
I
Increase Adj. For
Need States
Col.Gx
$90,352,735
K
Final
FY 2014
QI Allotment /2
L
Need
S1,226,183
Need
S2,613,212
S6,899,209
S3,312,403
S6,412,604
S1,154,713
Need
0.7510°/.
Need
1.6005°/.
4.2256°/.
2.0288°/.
3.9275°/.
0.7072°/.
Need
$678,553
Need
S1,446,116
S3,817,928
S1,833,038
S3,548,647
$639,003
$10,154,181
NA
$2,019,292
NA
NA
NA
NA
NA
$64,992,473
$2,875,781
$3,542,578
$15,310,029
$9,383,883
$8,322,201
$7,622,116
$1,392,045
$163,272,443
100.0000°/.
$90,352,735
$90,352,735
$785,000,000
E:\FR\FM\21JYN1.SGM
ootnotcs:
1 FY 2014 Estimates from July 2014 ChtiS Survey of States; Estimates Are For Months Q("tober 2013 Through September 2014
2 For Need States, Final FY 2014 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K
For Non-Need States, Final FY 2014 QT Allotment is equal to Initial QT Allotment in Column D reduced hy amount in Column .T
3 Three-year average (20 11-2013) ofnum her (000) of Medicare heneficiaries in State who are not enrolled in Medicaid hut whose incomes are at least 120°/o hut less than 135°/o of Federal poverty level
Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2013 Current Population Survey (CPS) and American Community Survey (ACS)
21JYN1
Federal Register / Vol. 82, No. 139 / Friday, July 21, 2017 / Notices
19:50 Jul 20, 2017
Initial QT Allotments for FY 2014
STATE
33917
EN21JY17.005
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33918
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TABLE 2- Preliminary Qualifying Individuals Allotments for October 1, 2014 through December 31, 2015
STATE
PO 00000
Frm 00055
Alaska
Arizona
Arkansas
alifurnia
olorado
onnccticut
Delaware
District of Columbia
Florida
Geur Jia
Fmt 4703
Hawaii
daho
llinois
ndiana
ow a
ansas
Sfmt 4725
E:\FR\FM\21JYN1.SGM
Kentucky
ouisiana
1ainc
1aryland
1assachusetts
1ichigan
1innesula
1ississippi
1issouri
fontana
Nehraska
Nevada
New Hampshire
~w
Jersev
21JYN1
New :\1exico
New York
orth Carolina
North Dakota
Ohio
klahoma
Oregon
ennsylvania
Rhode Island
South Carolina
South Dakota
EN21JY17.006
78
6
31
3
5.18%
0.40%
2.06°/u
0.20%
$56,232,558
$4,325,581
$22,348,837
$2,162,791
$45,312,919
$3,257,565
$15,406,348
$2,150,870
NA
NA
NA
NA
NA
NA
NA
NA
$10,919,639
$1,068,017
$6,942,489
$11,921
4.5726%
0.4472%
2.9072%
0.0050%
$4,428,969
$433,184
$2,815,850
$4,835
NA
NA
NA
NA
$51,803,589
$3,892,397
$19,532,987
$2,157,956
Federal Register / Vol. 82, No. 139 / Friday, July 21, 2017 / Notices
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A
labama
c( ufTut.
Initial I Allutmenls fur FYICY 2015
FY/CY 2015
Need
Redudiun Pool cl ufTut.
Reduction Adj. Fur Increase Adj. Fur PRELIMINARY
Initial QI Allotment Estimated OI
Number of
crccnta2:c
Difference)
or Non-Need
Non-Need
Non-Need States
Need States
IFY/CY2015
Need States
Individuals f3 fTotal
~ol C x
Expenditures /1
States
States
Col. I x
oi.G'\:
QI Allotment /2
96,~5~,633
OOOs)
F/(Tut. ofF) IfD>~E D-E H/(Tut. of H) S96,~5~,633
Col B!Tut. Col B $1,0~5,000,000
fE>D E-D
D
J
K
E
F
L
B
c
G
H
I
$30 976,550
$20 186,047
28
1.86%
11.1405%
1\eed
Need
Need
SlO 790 504
$30 976,550
SlO 790,504
$286,375
$604,777
$720,930
0.1199%
$116,153
1
0.07%
$434,555
NA
NA
NA
2.33°/o
35
$25,232,558
$27,849,001
$2,616,443
2.7013%
J\eed
Need
Need
$2,616,443
$27,849,001
25
1.66%
$18,023,256
$18,805,843
$782,587
0.8080%
l\eed
Need
Need
$782,587
$18,805,843
$62,312,317
$71,330,983
$96,604,651
26.0934%
$25,273,668
134
8.90%
$34,292,335
NA
NA
NA
$9,694,438
$322,345
13
0.86%
$9,372,093
0.3328%
l\eed
Need
Need
$322,345
$9,694,438
$5,043,346
$2,045,564
$10,210,250
$12,255,814
$7,212,468
2.1119%
NA
NA
17
1.13%
NA
5
0.33%
$3,604,651
$4,289,518
$684,867
0.7071%
l\eed
Need
Need
$684,867
$4,289,518
$720,930
$720,930
$428,520
1
0.07%
so
NA
NA
$292,407
NA
0.3019%
141
9.37%
$101,651,163
$98,272,103
NA
NA
$3,379,059
1.4150%
$1,370,535
NA
$100,280,628
$33,162,791
$47,600,998
$47,600,998
Sl4,438,207
14.9065%
46
3.06%
l\eed
Need
Need
Sl4,438,207
6
0.40%
$4,325,581
$1,942,958
NA
NA
$2,382,624
0.9977%
$966,384
NA
$3,359,197
$2,121,312
$4,367,060
0.8883%
$860,397
9
0.60%
$6,488,372
NA
NA
NA
$5,627,975
$36,046,512
$34,240,619
$1,805,893
$732,464
$35,314,048
50
3.32%
NA
NA
NA
0.7562%
2.46%,
37
$26,674,419
$4,958,221
NA
NA
$21,716,197
9.0937%
$8,808,017
NA
$17,866,401
17
1.13%
$12,255,814
$5,789,147
NA
NA
$6,466,667
2.7079%
$2,622,859
NA
$9,632,955
13
0.86%
$9,372,093
$6,513,947
NA
NA
$2,858,146
1.1969%
$1,159,255
NA
$8,212,838
$18,955,745
30
1.99%
$21,627,907
NA
NA
$2,672,162
1.1190%
$1,083,820
NA
$20,544,087
$28,700,745
$8,514,698
28
1.86%
$20,186,047
8.7909%
l\eed
Need
Need
$8,514,698
$28,700,745
$3,604,651
$7,505,280
$3,900,629
$3,900,629
$7,505,280
5
0.33%
4.0271%
l\eed
Need
Need
$677,591
$274,829
$13,422,846
$13,697,674
$13,020,083
0.2837%
19
1.26%
NA
NA
NA
22
1.46%
$15,860,465
$12,832,837
NA
NA
$3,027,629
1.2678%
$1,227,996
NA
$14,632,469
2.72°/o
41
$29,558,140
$19,795,574
NA
NA
$9,762,565
4.0881 "/o
$3,959,664
NA
$25,598,476
$5,451,485
$11,486,570
$13,697,674
$8,246,189
2.2828%
$2,211,104
19
1.26%
NA
NA
NA
$19,947,679
$6,970,935
18
1.20%
$12,976,744
7.1970%
l\eed
Need
Need
$6,970,935
$19,947,679
$27,395,349
$19,813,722
$7,581,627
$24,320,266
$3,075,083
NA
3.1748%
38
2.52°/o
NA
NA
$3,604,651
$2,260,805
$545,060
$1,343,846
$3,059,592
5
0.33%
NA
NA
NA
0.5627%
6
0.40%
$4,325,581
$2,593,233
NA
NA
$1,732,348
0.7254%
$702,635
NA
$3,622,947
8
0.53%
$5,767,442
$7,665,777
$1,898,335
1.9599%
1\eed
Need
Need
$1,898,335
$7,665,777
$980,318
6
0.40%
$4,325,581
$3,345,263
NA
NA
NA
$3,927,968
0.4105%
$397,614
$20,615,892
$21,917,333
$30,279,070
$9,663,178
8.6329%
$8,361,737
42
2.79%
NA
NA
NA
$2,230,434
$4,978,869
0.9340%
$904,656
10
0.66%
$7,209,302
NA
NA
NA
$6,304,646
$72,093,023
$58,165,791
$13,927,232
$5,648,839
$66,444,184
100
6.64%
NA
NA
NA
5.8320%
$36,767,442
$36,691,398
$76,044
$30,843
$36,736,599
51
3.39%
NA
NA
NA
0.0318%
3
0.20%
$2,162,791
$853,152
NA
NA
$1,309,639
0.5484%
$531,185
NA
$1,631,605
4.12°/o
62
NA
$9,703,901
4.0635%
$3,935,870
NA
$40,761,804
$44,697,674
$34,993,773
NA
23
1.53%
$16,581,395
$13,289,152
NA
NA
$3,292,244
1.3786%
$1,335,323
NA
$15,246,072
$20,047,859
$7,792,o45
l\eed
Need
Need
$7,792,045
$20,047,859
17
1.13%
$12,255,814
8.0448%
sradovich on DSK3GMQ082PROD with NOTICES
VerDate Sep<11>2014
Jkt 241001
PO 00000
Frm 00056
Fmt 4703
Sfmt 4703
A
ennessee
ex as
Utah
Vennont
rir 1 inia
WashinD E-D
F/(Tot. of F) IfD>~E D-E
D
E
F
G
B
c
H
$32,441,860
$40,251,355
$7,809,494
45
2.99%
l\eed
8.0628%
100
6.64%
$72,093,023
$100,116,770
S28,023,747
28.9326%
l\eed
NA
NA
$2,062,316
7
0.47%
$5,046,512
$2,984,195
3
0.20%
$2,162,791
$4,476,588
$2,313,797
2.3888%
l\eed
$6,304,555
$24,511,628
34
2.26%
$18,207,073
NA
NA
$14,419,554
23
1.53%
$16,581,395
NA
NA
$2,161,841
$13,697,674
$8,616,906
$5,080,769
19
1.26%
NA
NA
$9,626,048
$15,860,465
$6,234,417
22
1.46%
NA
NA
3
0.20%
$2,162,791
$1,012,914
NA
NA
$1,149,876
8943,053,337
$238,805,296
S96,858,633
1,505
100.00%
$1,085,000,000
100.0000%
d of Tot.
Non-Need
States
IU(Tot. ofll)
I
Need
Need
0.8636%
Need
2.6400%
0.9053%
2.1276%
4.0309%
0.4815%
100.0000%
Reduction Adj. For Increase Adj. For PRELIMINARY
Non-Need States
Need States
IFY/CY 2015
QI Allotment /2
Col. I x
ol. Gx
S96,858,633
96,858,633
K
J
L
$7,809,494
$40,251,355
Need
Need
S28,023,747
$100,116,770
$836,469
NA
$4,210,043
Need
$2,313,797
$4,476,588
$21,954,522
$2,557,106
NA
$876,836
NA
$15,704,560
$2,060,743
$11,636,932
NA
$3,904,293
$11,956,172
NA
$466,386
NA
$1,696,405
$96,858,633
S96,858,633
$1,085,000,000
E:\FR\FM\21JYN1.SGM
~ootnotes:
1 FY/CY 2015 Estimates from July 2015 CMS Survey of States; Estimates Arc For Months October 2014 Through December 2015
2 For Need States, FV/CV 2015 QT Allotment is equal to Initial QT Allotment in Column D increased hy amount in Column K
~or Non-Need States, FY/CY 2015 QI Allotment is equal to Initial Ql Allotment in Column D reduced by amount in Column J
3 Three-year average (2012-2014) of number (000) of 1\!Iedicare beneficiaries in State who are not enrolled in l\1edicaid but whose incom~ are at least 120°/o but less than 135°/o of Federal poverty level
Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2014 Current Population Survey (CPS) and American Community Survey (ACS)
21JYN1
Federal Register / Vol. 82, No. 139 / Friday, July 21, 2017 / Notices
19:50 Jul 20, 2017
STATE
33919
EN21JY17.007
33920
Federal Register / Vol. 82, No. 139 / Friday, July 21, 2017 / Notices
sradovich on DSK3GMQ082PROD with NOTICES
BILLING CODE 4120–01–C
The following describes the
information contained in the columns of
Table 1 and Table 2:
Column A—State. Column A shows
the name of each state. Columns B
through D show the determination of an
Initial QI Allotment for FY 2014 (Table
1) or FY/CY 2015 (Table 2) for each
state, based only on the indicated
Census Bureau data.
Column B—Number of Individuals.
Column B contains the estimated
average number of Medicare
beneficiaries for each state that are not
covered by Medicaid whose family
income is at least 120 but less than 135
percent of the federal poverty level.
With respect to the final FY 2014 QI
allotment (Table 1), Column B contains
the number of such individuals for the
years 2011 through 2013, as obtained
from the Census Bureau’s Annual Social
and Economic Supplement to the 2013
Current Population Survey. With
respect to the preliminary FY/CY 2015
QI allotment (Table 2), Column B
contains the number of such individuals
for the years 2012 through 2014, as
obtained from the Census Bureau’s
Annual Social and Economic
Supplement to the 2014 Current
Population Survey and the American
Community Survey (ACS).
Column C—Percentage of Total.
Column C provides the percentage of
the total number of individuals for each
state, that is, the Number of Individuals
for the state in Column B divided by the
sum total of the Number of Individuals
for all states in Column B.
Column D—Initial QI Allotment.
Column D contains each state’s Initial
QI Allotment for FY 2014 (Table 1) or
FY/CY 2015 (Table 2), calculated as the
state’s Percentage of Total in Column C
multiplied by the total amount available
nationally for QI allotments for the
fiscal year/calendar year. The total
amount available nationally for QI
allotments each fiscal year is
$785,000,000 for FY 2014 (Table 1) and
$1,085,000,000 for FY/CY 2015 (Table
2).
Columns E through L show the
determination of the States’ Final QI
Allotments for FY 2014 (Table 1) or
Preliminary QI Allotments for FY/CY
2015 (Table 2).
Column E—FY 2014 or FY/CY 2015
Estimated QI Expenditures. Column E
contains the states’ estimates of their
total QI expenditures for FY 2014 (Table
1) or FY/CY 2015 (Table 2) based on
information obtained from states in the
summer of 2014 and as updated.
Column F—Need (Difference).
Column F contains the additional
amount of QI allotment needed for those
VerDate Sep<11>2014
19:50 Jul 20, 2017
Jkt 241001
states whose estimated expenditures in
Column E exceeded their Initial QI
allotments in Column D for FY 2014
(Table 1) or for FY/CY 2015 (Table 2).
For such states, Column F shows the
amount in Column E minus the amount
in Column D. For other ‘‘Non-Need’’
States, Column F shows ‘‘NA.’’
Column G—Percent of Total Need
States. For states whose projected QI
expenditures in Column E are greater
than their initial QI allotment in
Column D for FY 2014 (Table 1) or FY/
CY 2015 (Table 2), respectively, Column
G shows the percentage of total need,
determined as the amount for each Need
State in Column F divided by the sum
of the amounts for all states in Column
F. For Non-Need States, the entry in
Column G is ‘‘NA.’’
Column H—Reduction Pool for NonNeed States. Column H shows the
amount of the pool of surplus QI
allotments for FY 2014 (Table 1) or FY/
CY 2015 (Table 2), respectively, for
those states that project QI expenditures
for the fiscal year/calendar year that are
less than the Initial QI allotment for the
fiscal year/calendar year (referred to as
Non-Need States). For states for which
the estimates in Column E of QI
expenditures for FY 2014 or FY/CY
2015, respectively, are equal to or less
than their Initial QI allotments in
Column D for FY 2014 or FY/CY 2015,
respectively, Column H shows the
amount in Column D minus the amount
in Column E. For the states with a need,
Column H shows ‘‘Need’’. The
reduction pool of excess QI allotments
is equal to the sum of the amounts in
Column H.
Column I—Percent of Total Non-Need
States. For states whose projected QI
expenditures in Column E are less than
their Initial QI allotment in Column D
for FY 2014 (Table 1) or FY/CY2015
(Table 2), Column I shows the
percentage of the total reduction pool in
Column H, determined as the amount
for each Non-Need State in Column H
divided by the sum of the amounts for
all States in Column H. For Need States,
the entry in Column I is ‘‘Need.’’
Column J—Reduction Adjustment for
Non-Need States. Column J shows the
amount of adjustment needed to reduce
the Initial QI allotments in Column D
for FY 2014 (Table 1) or FY/CY 2015
(Table 2) for Non-Need States in order
to address the total need shown in
Column F. The amount in Column J is
determined as the percentage in Column
I for Non-Need States multiplied by the
lesser of the total need in Column F
(equal to the sum of Needs in Column
F) or the total Reduction Pool in
Column H (equal to the sum of the Non-
PO 00000
Frm 00057
Fmt 4703
Sfmt 9990
Need amounts in Column H). For Need
States, the entry in Column J is ‘‘Need.’’
Column K—Increase Adjustment for
Need States. Column K shows the
amount of adjustment to increase the
Initial QI Allotment in Column D for FY
2014 (Table 1) or FY/CY 2015 (Table 2)
for Need States in order to address the
total need shown for the fiscal year in
Column F. The amount in Column K is
determined as the percentage in Column
G for Need States multiplied by the
lesser of the total need in Column F
(equal to the sum of Needs in Column
F) or the total Reduction Pool in
Column H (equal to the sum of the NonNeed amounts in Column H). For NonNeed States, the entry in Column K is
‘‘NA.’’
Column L—Final FY 2014 QI
Allotment (Table 1) or Preliminary FY/
CY 2015 QI Allotment (Table 2).
Column L contains the Final QI
Allotment for each state for FY 2014
(Table 1) or the Preliminary QI
Allotment for FY/CY 2015 (Table 2). For
states that need additional QI allotment
amounts for the fiscal year based on
Estimated QI Expenditures in Column E
as compared to their Initial QI
allotments in Column D for the fiscal
year (states with a projected need
amount are shown in Column F),
Column L is equal to the Initial QI
allotment in Column D for FY 2014
(Table 1) or FY/CY 2015 (Table 2) plus
the amount determined in Column K for
Need States. For Non-Need States (states
with a projected surplus in Column H),
Column L is equal to the QI Allotment
in Column D reduced by the Reduction
Adjustment amount in Column J.
III. Collection of Information
Requirements
This notice does not impose any
information collection or recordkeeping
requirements. Consequently, it does not
need Office of Management and Budget
review under the authority of the
Paperwork Reduction Act of 1995 (44
U.S.C. 3501 et seq.).
Dated: June 7, 2017.
Seema Verma,
Administrator, Centers for Medicare &
Medicaid Services.
Dated: July 17, 2017.
Thomas E. Price,
Secretary, Department of Health and Human
Services.
[FR Doc. 2017–15372 Filed 7–20–17; 8:45 am]
BILLING CODE 4120–01–P
E:\FR\FM\21JYN1.SGM
21JYN1
Agencies
[Federal Register Volume 82, Number 139 (Friday, July 21, 2017)]
[Notices]
[Pages 33915-33920]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-15372]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-2405-N]
RIN 0938-ZB34
Medicaid Program; State Allotments for Payment of Medicare Part B
Premiums for Qualifying Individuals (QIs): Federal Fiscal Year 2014 and
Federal Fiscal Year 2015 through Calendar Year 2015
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice sets forth the states' final allotments available
to pay the Medicare Part B premiums for Qualifying Individuals (QIs)
for the federal fiscal year (FY) 2014 and the preliminary QI allotments
for federal FY 2015 which is extended through calendar year (CY) 2015
(December 2015) by the Medicare Access and CHIP Reauthorization Act of
2015 (MACRA). The amounts of these QI allotments were determined in
accordance with the methodology set forth in regulations and reflect
funding for the QI program made available under recent legislation.
DATES: The final QI allotments for payment of Medicare Part B premiums
for FY 2014 are effective October 1, 2013. The preliminary QI
allotments for FY 2015, extended through CY 2015 are effective October
1, 2014.
FOR FURTHER INFORMATION CONTACT: Jennifer Gibson, (410) 786-5404 or
Toni Cincibus at (410) 786-2997.
SUPPLEMENTARY INFORMATION:
I. Background
A. QI Allotments for FY 2014
As amended by section 621 of the American Taxpayer Relief Act of
2012 (ATRA) (Pub. L. 112-240, enacted on January 2, 2013), section
1933(g)(2) of the Social Security Act (the Act) provided $300 million
in funding for the period October 1, 2013 through December 31, 2013,
the first quarter of fiscal year (FY) 2014. Section 1201 of Division B
of the legislation ``Pathway for SGR Reform Act of 2013'' (Pub. L. 113-
67 enacted on December 26, 2013) provided an additional $200 million
and authority for the Qualifying Individual (QI) program for the period
January 1, 2014 through March 31, 2014 (second quarter of FY 2014). In
addition, section 201 of the Protecting Access to Medicare Act of 2014
(PAMA) (Pub. L. 113-93 enacted on April 1, 2014) revised the $200 to
$485 million and extended the period for which such funds were
available to the end of September 2014. Therefore, the total funding
available for the QI program for FY 2014 is $785 million ($300 million
for the first quarter of FY 2014, and $485 million for the second
through fourth quarters of FY 2014).
B. QI Allotments for FY 2015/CY 2015 and Thereafter
Section 201 of PAMA extended the authority and funding for the QI
program for FY 2015 as follows: $300 million for the period October 1,
2014 through December 31, 2014 (first quarter of FY 2015); and, $250
million for the period January 1, 2015 through March 31, 2015 (second
quarter FY 2015). Section 211 of the Medicare Access and CHIP
Reauthorization Act of 2015 (MACRA) (Pub. L. 114-10, enacted on April
16, 2015) further extended the authority and funding for the QI program
for FY 2015 as follows: $535 million for the period April 1, 2015
through December 31, 2015, effectively changing QI to a calendar year
basis from a fiscal year basis. Therefore, a total of $1.085 billion is
available for the QI program for FY/CY 2015.
Section 211 of MACRA also permanently extended the QI program while
allocating $980 million for CY 2016.
C. Methodology for Calculating the Fiscal Year/Calendar Year QI
Allotments.
The amounts of the states' final FY 2014 and preliminary FY/CY 2015
QI allotments, contained in this notice, were determined in accordance
with the methodology set forth in existing regulations at 42 CFR
433.10(c)(5) and reflect funding for the QI program made available
under the legislation discussed above.
II. Tables
The final QI allotments for FY 2014 and the preliminary QI
allotments for FY/CY 2015 are shown by state in Table 1 and Table 2,
respectively:
Table 1--Final Qualifying Individuals Allotments for October 1,
2013 through September 30, 2014.
Table 2--Preliminary Qualifying Individuals Allotments for October
1, 2014 through December 31, 2015.
BILLING CODE 4120-01-P
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[[Page 33920]]
BILLING CODE 4120-01-C
The following describes the information contained in the columns of
Table 1 and Table 2:
Column A--State. Column A shows the name of each state. Columns B
through D show the determination of an Initial QI Allotment for FY 2014
(Table 1) or FY/CY 2015 (Table 2) for each state, based only on the
indicated Census Bureau data.
Column B--Number of Individuals. Column B contains the estimated
average number of Medicare beneficiaries for each state that are not
covered by Medicaid whose family income is at least 120 but less than
135 percent of the federal poverty level. With respect to the final FY
2014 QI allotment (Table 1), Column B contains the number of such
individuals for the years 2011 through 2013, as obtained from the
Census Bureau's Annual Social and Economic Supplement to the 2013
Current Population Survey. With respect to the preliminary FY/CY 2015
QI allotment (Table 2), Column B contains the number of such
individuals for the years 2012 through 2014, as obtained from the
Census Bureau's Annual Social and Economic Supplement to the 2014
Current Population Survey and the American Community Survey (ACS).
Column C--Percentage of Total. Column C provides the percentage of
the total number of individuals for each state, that is, the Number of
Individuals for the state in Column B divided by the sum total of the
Number of Individuals for all states in Column B.
Column D--Initial QI Allotment. Column D contains each state's
Initial QI Allotment for FY 2014 (Table 1) or FY/CY 2015 (Table 2),
calculated as the state's Percentage of Total in Column C multiplied by
the total amount available nationally for QI allotments for the fiscal
year/calendar year. The total amount available nationally for QI
allotments each fiscal year is $785,000,000 for FY 2014 (Table 1) and
$1,085,000,000 for FY/CY 2015 (Table 2).
Columns E through L show the determination of the States' Final QI
Allotments for FY 2014 (Table 1) or Preliminary QI Allotments for FY/CY
2015 (Table 2).
Column E--FY 2014 or FY/CY 2015 Estimated QI Expenditures. Column E
contains the states' estimates of their total QI expenditures for FY
2014 (Table 1) or FY/CY 2015 (Table 2) based on information obtained
from states in the summer of 2014 and as updated.
Column F--Need (Difference). Column F contains the additional
amount of QI allotment needed for those states whose estimated
expenditures in Column E exceeded their Initial QI allotments in Column
D for FY 2014 (Table 1) or for FY/CY 2015 (Table 2). For such states,
Column F shows the amount in Column E minus the amount in Column D. For
other ``Non-Need'' States, Column F shows ``NA.''
Column G--Percent of Total Need States. For states whose projected
QI expenditures in Column E are greater than their initial QI allotment
in Column D for FY 2014 (Table 1) or FY/CY 2015 (Table 2),
respectively, Column G shows the percentage of total need, determined
as the amount for each Need State in Column F divided by the sum of the
amounts for all states in Column F. For Non-Need States, the entry in
Column G is ``NA.''
Column H--Reduction Pool for Non-Need States. Column H shows the
amount of the pool of surplus QI allotments for FY 2014 (Table 1) or
FY/CY 2015 (Table 2), respectively, for those states that project QI
expenditures for the fiscal year/calendar year that are less than the
Initial QI allotment for the fiscal year/calendar year (referred to as
Non-Need States). For states for which the estimates in Column E of QI
expenditures for FY 2014 or FY/CY 2015, respectively, are equal to or
less than their Initial QI allotments in Column D for FY 2014 or FY/CY
2015, respectively, Column H shows the amount in Column D minus the
amount in Column E. For the states with a need, Column H shows
``Need''. The reduction pool of excess QI allotments is equal to the
sum of the amounts in Column H.
Column I--Percent of Total Non-Need States. For states whose
projected QI expenditures in Column E are less than their Initial QI
allotment in Column D for FY 2014 (Table 1) or FY/CY2015 (Table 2),
Column I shows the percentage of the total reduction pool in Column H,
determined as the amount for each Non-Need State in Column H divided by
the sum of the amounts for all States in Column H. For Need States, the
entry in Column I is ``Need.''
Column J--Reduction Adjustment for Non-Need States. Column J shows
the amount of adjustment needed to reduce the Initial QI allotments in
Column D for FY 2014 (Table 1) or FY/CY 2015 (Table 2) for Non-Need
States in order to address the total need shown in Column F. The amount
in Column J is determined as the percentage in Column I for Non-Need
States multiplied by the lesser of the total need in Column F (equal to
the sum of Needs in Column F) or the total Reduction Pool in Column H
(equal to the sum of the Non-Need amounts in Column H). For Need
States, the entry in Column J is ``Need.''
Column K--Increase Adjustment for Need States. Column K shows the
amount of adjustment to increase the Initial QI Allotment in Column D
for FY 2014 (Table 1) or FY/CY 2015 (Table 2) for Need States in order
to address the total need shown for the fiscal year in Column F. The
amount in Column K is determined as the percentage in Column G for Need
States multiplied by the lesser of the total need in Column F (equal to
the sum of Needs in Column F) or the total Reduction Pool in Column H
(equal to the sum of the Non-Need amounts in Column H). For Non-Need
States, the entry in Column K is ``NA.''
Column L--Final FY 2014 QI Allotment (Table 1) or Preliminary FY/CY
2015 QI Allotment (Table 2). Column L contains the Final QI Allotment
for each state for FY 2014 (Table 1) or the Preliminary QI Allotment
for FY/CY 2015 (Table 2). For states that need additional QI allotment
amounts for the fiscal year based on Estimated QI Expenditures in
Column E as compared to their Initial QI allotments in Column D for the
fiscal year (states with a projected need amount are shown in Column
F), Column L is equal to the Initial QI allotment in Column D for FY
2014 (Table 1) or FY/CY 2015 (Table 2) plus the amount determined in
Column K for Need States. For Non-Need States (states with a projected
surplus in Column H), Column L is equal to the QI Allotment in Column D
reduced by the Reduction Adjustment amount in Column J.
III. Collection of Information Requirements
This notice does not impose any information collection or
recordkeeping requirements. Consequently, it does not need Office of
Management and Budget review under the authority of the Paperwork
Reduction Act of 1995 (44 U.S.C. 3501 et seq.).
Dated: June 7, 2017.
Seema Verma,
Administrator, Centers for Medicare & Medicaid Services.
Dated: July 17, 2017.
Thomas E. Price,
Secretary, Department of Health and Human Services.
[FR Doc. 2017-15372 Filed 7-20-17; 8:45 am]
BILLING CODE 4120-01-P