Implementation of Section 5001 of the American Recovery and Reinvestment Act of 2009 for Adjustments to the First Quarter of Fiscal Year 2010 Federal Medical Assistance Percentage Rates for Federal Matching Shares for Medicaid and Title IV-E Foster Care, Adoption Assistance and Guardianship Assistance Programs, 5325-5328 [2010-2177]
Download as PDF
<![CDATA[
Federal Register / Vol. 75, No. 21 / Tuesday, February 2, 2010 / Notices
OGE’s Web site at https://www.usoge.gov.
A paper copy may also be obtained,
without charge, by contacting Mr.
Ledvina.
mstockstill on DSKH9S0YB1PROD with NOTICES
SUPPLEMENTARY INFORMATION:
Title: Request to Inspect or Receive
Copies of SF 278 Executive Branch
Personnel Public Financial Disclosure
Reports or Other Covered Records.
Agency Form Number: OGE Form
201.
OMB Control Number: 3209–0002.
Type of Information Collection:
Extension without change of a currently
approved collection.
Type of Review Request: Regular.
Respondents: Individuals requesting
access to executive branch public
financial disclosure reports and other
covered records.
Estimated Annual Number of
Respondents: 450.
Estimated Time per Response: 10
minutes.
Estimated Total Annual Burden: 75
hours.
Abstract: The OGE Form 201 collects
information from, and provides certain
information to, persons who seek access
to SF 278 Public Financial Disclosure
Reports and other covered records. The
form reflects the requirements of the
Ethics Act and OGE’s implementing
regulations that must be met by a person
before access can be granted. These
requirements relate to information
collected about the identity of the
requester, as well as any other person on
whose behalf a record is sought, and
notification of prohibited uses of SF 278
reports. See section 105 (b) and (c) of
the Ethics Act, 5 U.S.C. appendix § 105
(b) and (c), and 5 CFR 2634.603 (c) and
(f) of OGE’s executive branchwide
regulations. Executive branch
departments and agencies are
encouraged to utilize the OGE Form
201. OGE permits departments and
agencies to use or develop their own
forms as long as the forms collect and
provide all of the required information.
Request for Comments: OGE published
a first round notice of its intent to
request paperwork clearance for the
proposed unmodified OGE Form 201
Ethics Act Access Form. See 74 FR
59185–59186. OGE received no
responses to that notice. Agency and
public comment is again invited
specifically on the need for and
practical utility of this information
collection, the accuracy of OGE’s
burden estimate, the enhancement of
quality, utility and clarity of the
information collected, and the
minimization of burden (including the
use of information technology).
Comments received in response to this
VerDate Nov<24>2008
16:52 Feb 01, 2010
Jkt 220001
notice will be summarized for, and may
be included with, the OGE request for
extension of OMB paperwork approval.
The comments will also become a
matter of public record.
Approved: January 27, 2010.
Robert I. Cusick,
Director, Office of Government Ethics.
[FR Doc. 2010–2172 Filed 2–1–10; 8:45 am]
BILLING CODE 6345–03–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Implementation of Section 5001 of the
American Recovery and Reinvestment
Act of 2009 for Adjustments to the
First Quarter of Fiscal Year 2010
Federal Medical Assistance
Percentage Rates for Federal Matching
Shares for Medicaid and Title IV–E
Foster Care, Adoption Assistance and
Guardianship Assistance Programs
Office of the Secretary, DHHS.
Notice.
AGENCY:
ACTION:
SUMMARY: This notice provides the
adjusted Federal Medical Assistance
Percentage (FMAP) rates for the first
quarter of Fiscal Year 2010 (FY10) as
required under Section 5001 of the
American Recovery and Reinvestment
Act of 2009 (ARRA). Section 5001 of the
ARRA provides for temporary increases
in the FMAP rates to provide fiscal
relief to states and to protect and
maintain state Medicaid and certain
other assistance programs in a period of
economic downturn. The increased
FMAP rates apply during a recession
adjustment period that is defined in
ARRA as the period beginning October
1, 2008 and ending December 31, 2010.
DATES Effective Date: These percentages
are effective for the quarter beginning
October 1, 2009 through December 31,
2009.
A. Background
The FMAP is used to determine the
amount of federal matching for specified
state expenditures for assistance
payments under programs under the
Social Security Act. Sections 1905(b)
and 1101(a)(8)(B) of the Social Security
Act (‘‘the Act’’) require the Secretary of
Health and Human Services to publish
the FMAP rates each year. The Secretary
calculates the percentages using
formulas set forth in sections 1905(b)
and 1101(a)(8)(B), and from the
Department of Commerce’s statistics of
average income per person in each state
and for the nation as a whole. The
percentages must be within the upper
and lower limits given in section
PO 00000
Frm 00047
Fmt 4703
Sfmt 4703
5325
1905(b) of the Act. The percentages to
be applied to the District of Columbia,
Puerto Rico, the Virgin Islands, Guam,
American Samoa, and the Northern
Mariana Islands are specified separately
in the Act, and thus are not based on the
statutory formula that determines the
percentages for the 50 states.
Section 1905(b) of the Act specifies
the formula for calculating the FMAP as
follows:
The FMAP for any State shall be 100 per
centum less the State percentage; and the
State percentage shall be that percentage
which bears the same ratio to 45 per centum
as the square of the per capita income of such
State bears to the square of the per capita
income of the continental United States
(including Alaska) and Hawaii; except that
(1) the FMAP shall in no case be less than
50 per centum or more than 83 per centum,
and (2) the FMAP for Puerto Rico, the Virgin
Islands, Guam, the Northern Mariana Islands,
and American Samoa shall be 50 per centum.
Section 4725 of the Balanced Budget
Act of 1997 amended section 1905(b) to
provide that the FMAP for the District
of Columbia for purposes of titles XIX
(Medicaid) and XXI (CHIP) shall be 70
percent. The Medicare Improvements
for Patients and Providers Act of 2008
(MIPPA) (Pub. L. 110–275) amended the
FMAP applied to the District of
Columbia for maintenance payments
under title IV–E programs to make it
consistent with the 70 percent Medicaid
match rate.
Section 5001 of Division B of the
ARRA provides for a temporary increase
in FMAP rates for Medicaid and title
IV–E Foster Care, Adoption Assistance
and Guardianship Assistance programs.
The purpose of the increases to the
FMAP rates is to provide fiscal relief to
states and to protect and maintain State
Medicaid and certain other assistance
programs in a period of economic
downturn, referred to as the ‘‘recession
adjustment period.’’ The recession
adjustment period is defined as the
period beginning October 1, 2008 and
ending December 31, 2010.
B. Calculation of the Increased FMAP
Rates Under ARRA
Section 5001 of the ARRA specifies
that the FMAP rates shall be temporarily
increased for the following: (1)
Maintenance of FMAP rates for FY09,
FY10, and first quarter of FY11, so that
the FMAP rate will not decrease from
the prior year, determined by using as
the FMAP rate for the current year the
greater of any prior fiscal year FMAP
rates between 2008–2010 or the rate
calculated for the current fiscal year; (2)
in addition to any maintenance
increase, the application of an increase
in each state’s FMAP of 6.2 percentage
E:\FR\FM\02FEN1.SGM
02FEN1
5326
Federal Register / Vol. 75, No. 21 / Tuesday, February 2, 2010 / Notices
mstockstill on DSKH9S0YB1PROD with NOTICES
points; and (3) an additional percentage
point increase based on the state’s
increase in unemployment during the
recession adjustment period. The
resulting increased FMAP cannot
exceed 100 percent. Each state’s FMAP
will be recalculated each fiscal quarter
beginning October 2008. Availability of
certain components of the increased
FMAP is conditioned on states meeting
statutory programmatic requirements,
such as the maintenance of effort
requirement, which are not part of the
calculation process.
Expenditures for which the increased
FMAP is not available under title XIX
include expenditures for
disproportionate share hospital
payments, certain eligibility expansions,
services received through an IHS or
tribal facility (which are already paid at
a rate of 100 percent and therefore not
subject to increase), and expenditures
that are paid at an enhanced FMAP rate.
The increased FMAP is available for
expenditures under part E of title IV
(including Foster Care, Adoption
Assistance and Guardianship Assistance
programs) only to the extent of a
maintenance increase (hold harmless), if
any, and the 6.2 percentage point
increase. The increased FMAP does not
apply to other parts of title IV, including
part D (Child Support Enforcement
Program).
For title XIX purposes only, for each
qualifying state with an unemployment
rate that has increased at a rate above
the statutory threshold percentage,
ARRA provides additional relief above
the general 6.2 percentage point
increase in FMAP through application
of a separate increase calculation. For
those states, the FMAP for each
qualifying state is increased by the
number of percentage points equal to
the product of the state matching
percentage (as calculated under section
1905(b) and adjusted if necessary for the
maintenance of FMAP without
reduction from the prior year, and after
VerDate Nov<24>2008
16:52 Feb 01, 2010
Jkt 220001
applying half of the 6.2 percentage point
general increase in the federal
percentage) and the applicable percent
determined from the state
unemployment increase percentage for
the quarter.
The unemployment increase
percentage for a calendar quarter is
equal to the number of percentage
points (if any) by which the average
monthly unemployment rate for the
state in the most recent previous 3consecutive-month period for which
data are available exceeds the lowest
average monthly unemployment rate for
the state for any 3-consecutive-month
period beginning on or after January 1,
2006. A state qualifies for additional
relief based on an increase in
unemployment if that state’s
unemployment increase percentage is at
least 1.5 percentage points.
The applicable percent is: (1) 5.5
percent if the state unemployment
increase percentage is at least 1.5
percentage points but less than 2.5
percentage points; (2) 8.5 percent if the
state unemployment increase percentage
is at least 2.5 percentage points but less
than 3.5 percentage points; and (3) 11.5
percent if the state unemployment
increase percentage is at least 3.5
percentage points.
If the state’s applicable percent is less
than the applicable percent for the
preceding quarter, then the higher
applicable percent shall continue in
effect for any calendar quarter beginning
on January 1, 2009 and ending before
July 1, 2010.
Puerto Rico, the Virgin Islands, Guam,
the Commonwealth of the Northern
Mariana Islands, and America Samoa
made a one-time election between (1) a
30 percent increase in their cap on
Medicaid payments (as determined
under subsections (f) and (g) of section
1108 of the Social Security Act), or (2)
applying the increase of 6.2 percentage
points in the FMAP plus a 15 percent
increase in the cap on Medicaid
PO 00000
Frm 00048
Fmt 4703
Sfmt 4703
payments. There is no quarterly
unemployment adjustment for
Territories. All territories and the
Commonwealth of the Northern Mariana
Islands elected the 30 percent increase
in their spending cap on Medicaid
payments; therefore there is no
recalculation of their FMAP rate.
C. Adjusted FMAPs for the First
Quarter of 2010
ARRA adjustments to FMAPs are
shown by state in the accompanying
table. The hold harmless FY10 FMAP is
the higher of the original FY08, FY09,
or FY10 FMAP. The 6.2 percentage
point increase is added to the hold
harmless FY10 FMAP. The
unemployment tier is determined by
comparing the average unemployment
rate for the three consecutive months
preceding the start of each fiscal quarter
to the lowest consecutive 3-month
average unemployment rate beginning
January 1, 2006. The unemployment
adjustment is calculated according to
the unemployment tier and added to the
hold harmless FY10 FMAP with the 6.2
percentage point increase.
FOR FURTHER INFORMATION CONTACT:
Carrie Shelton or Thomas Musco, Office
of Health Policy, Office of the Assistant
Secretary for Planning and Evaluation,
Room 447D—Hubert H. Humphrey
Building, 200 Independence Avenue,
SW., Washington, DC 20201, (202) 690–
6870.
(Catalog of Federal Domestic Assistance
Program Nos. 93.558: TANF Contingency
Funds; 93.563: Child Support Enforcement;
93–596: Child Care Mandatory and Matching
Funds of the Child Care and Development
Fund; 93.658: Foster Care; 93.659: Adoption
Assistance; 93.090: Guardianship Assistance;
93.769: Ticket-to-Work and Work Incentives
Improvement Act)
Dated: December 22, 2009.
Kathleen Sebelius,
Secretary of Health and Human Services.
E:\FR\FM\02FEN1.SGM
02FEN1
VerDate Nov<24>2008
Alabama .......................
Alaska ..........................
Arizona .........................
Arkansas ......................
California ......................
Colorado .......................
Connecticut ..................
Delaware ......................
District of Columbia ......
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 ................
Rhode Island ................
South Carolina .............
South Dakota ...............
Tennessee ...................
Texas ...........................
Utah ..............................
Vermont ........................
Virginia .........................
Washington ..................
West Virginia ................
Wisconsin .....................
Wyoming ......................
State
mstockstill on DSKH9S0YB1PROD with NOTICES
67.62
52.48
66.20
72.94
50.00
50.00
50.00
50.00
70.00
56.83
63.10
56.50
69.87
50.00
62.69
61.73
59.43
69.78
72.47
63.31
50.00
50.00
58.10
50.00
76.29
62.42
68.53
58.02
52.64
50.00
50.00
71.04
50.00
64.05
63.75
60.79
67.10
60.86
54.08
52.51
69.79
60.03
63.71
60.56
71.63
59.03
50.00
51.52
74.25
57.62
50.00
FY08 original FMAP
67.98
50.53
65.77
72.81
50.00
50.00
50.00
50.00
70.00
55.40
64.49
55.11
69.77
50.32
64.26
62.62
60.08
70.13
71.31
64.41
50.00
50.00
60.27
50.00
75.84
63.19
68.04
59.54
50.00
50.00
50.00
70.88
50.00
64.60
63.15
62.14
65.90
62.45
54.52
52.59
70.07
62.55
64.28
59.44
70.71
59.45
50.00
50.94
73.73
59.38
50.00
FY09 original FMAP
68.01
51.43
65.75
72.78
50.00
50.00
50.00
50.21
70.00
54.98
65.10
54.24
69.40
50.17
65.93
63.51
60.38
70.96
67.61
64.99
50.00
50.00
63.19
50.00
75.67
64.51
67.42
60.56
50.16
50.00
50.00
71.35
50.00
65.13
63.01
63.42
64.43
62.74
54.81
52.63
70.32
62.72
65.57
58.73
71.68
58.73
50.00
50.12
74.04
60.21
50.00
FY10 original FMAP
68.01
52.48
66.20
72.94
50.00
50.00
50.00
50.21
70.00
56.83
65.10
56.50
69.87
50.32
65.93
63.51
60.38
70.96
72.47
64.99
50.00
50.00
63.19
50.00
76.29
64.51
68.53
60.56
52.64
50.00
50.00
71.35
50.00
65.13
63.75
63.42
67.10
62.74
54.81
52.63
70.32
62.72
65.57
60.56
71.68
59.45
50.00
51.52
74.25
60.21
50.00
Hold harmless FY10
74.21
58.68
72.40
79.14
56.20
56.20
56.20
56.41
76.20
63.03
71.30
62.70
76.07
56.52
72.13
69.71
66.58
77.16
78.67
71.19
56.20
56.20
69.39
56.20
82.49
70.71
74.73
66.76
58.84
56.20
56.20
77.55
56.20
71.33
69.95
69.62
73.30
68.94
61.01
58.83
76.52
68.92
71.77
66.76
77.88
65.65
56.20
57.72
80.45
66.41
56.20
Hold harmless
FY10 FMAP
with 6.2%
point increase
10.4
8.2
9.1
7.2
12.2
7.4
8.1
8.1
11.0
10.9
10.1
7.1
8.8
10.3
10.0
6.6
7.2
11.0
7.5
8.5
7.2
9.0
15.2
7.8
9.6
9.4
6.7
5.0
13.0
7.0
9.6
7.4
8.8
10.9
4.2
10.7
6.7
11.7
8.6
12.8
11.6
4.9
10.7
8.0
6.1
6.8
6.7
9.0
8.9
8.7
6.6
3-month average
unemployment ending
Sept 2009
3.3
6.0
3.6
4.8
4.8
3.6
4.3
3.3
5.4
3.3
4.3
2.2
2.8
4.4
4.4
3.7
4.0
5.4
3.5
4.4
3.4
4.4
6.7
3.9
6.0
4.7
3.2
2.8
4.2
3.4
4.2
3.5
4.3
4.5
3.0
5.3
3.3
5.0
4.3
4.8
5.5
2.7
4.5
4.4
2.5
3.5
2.8
4.4
4.2
4.4
2.8
Minimum
unemployment
ARRA ADJUSTMENTS TO FMAP Q1 FY10
7.1
2.2
5.5
2.4
7.4
3.8
3.8
4.8
5.6
7.6
5.8
4.9
6.0
5.9
5.6
2.9
3.2
5.6
4.0
4.1
3.8
4.6
8.5
3.9
3.6
4.7
3.5
2.2
8.8
3.6
5.4
3.9
4.5
6.4
1.2
5.4
3.4
6.7
4.3
8.0
6.1
2.2
6.2
3.6
3.6
3.3
3.9
4.6
4.7
4.3
3.8
Unemployment difference
11.5
5.5
11.5
5.5
11.5
11.5
11.5
11.5
11.5
11.5
11.5
11.5
11.5
11.5
11.5
8.5
8.5
11.5
11.5
11.5
11.5
11.5
11.5
11.5
11.5
11.5
11.5
5.5
11.5
11.5
11.5
11.5
11.5
11.5
0
11.5
8.5
11.5
11.5
11.5
11.5
5.5
11.5
11.5
11.5
8.5
11.5
11.5
11.5
11.5
11.5
Unemployment
tier
3.32
2.44
3.53
1.32
5.39
5.39
5.39
5.37
3.09
4.61
3.66
4.65
3.11
5.36
3.56
2.84
3.10
2.98
2.81
3.67
5.39
5.39
3.88
5.39
2.37
3.72
3.26
2.00
5.09
5.39
5.39
2.94
5.39
3.65
0.00
3.85
2.53
3.93
4.84
5.09
3.06
1.88
3.60
4.18
2.90
3.18
5.39
5.22
2.60
4.22
5.39
Unemployment adjustment
Q1 FY10
77.53
61.12
75.93
80.46
61.59
61.59
61.59
61.78
79.29
67.64
74.96
67.35
79.18
61.88
75.69
72.55
69.68
80.14
81.48
74.86
61.59
61.59
73.27
61.59
84.86
74.43
77.99
68.76
63.93
61.59
61.59
80.49
61.59
74.98
69.95
73.47
75.83
72.87
65.85
63.92
79.58
70.80
75.37
70.94
80.78
68.83
61.59
62.94
83.05
70.63
61.59
1st Quarter
FY10 FMAP
unemployment adjustment
77.53
61.12
75.93
80.46
61.59
61.59
61.59
61.78
79.29
67.64
74.96
67.35
79.18
61.88
75.69
72.55
69.68
80.14
81.48
74.86
61.59
61.59
73.27
61.59
84.86
74.43
77.99
68.76
63.93
61.59
61.59
80.49
61.59
74.98
69.95
73.47
75.83
72.87
65.85
63.92
79.58
70.80
75.37
70.94
80.78
69.96
61.59
62.94
83.05
70.63
61.59
1st Quarter
FY10 FMAP
unemployment hold
harmless
Federal Register / Vol. 75, No. 21 / Tuesday, February 2, 2010 / Notices
16:52 Feb 01, 2010
Jkt 220001
PO 00000
Frm 00049
Fmt 4703
Sfmt 4703
E:\FR\FM\02FEN1.SGM
02FEN1
5327
5328
Federal Register / Vol. 75, No. 21 / Tuesday, February 2, 2010 / Notices
[FR Doc. 2010–2177 Filed 2–1–10; 8:45 am]
BILLING CODE 4150–05–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[Document Identifier: OS–0990–0339]
Agency Information Collection
Request; 60-Day Public Comment
Request
Office of the Secretary, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Office of the Secretary (OS), Department
of Health and Human Services, is
publishing the following summary of a
proposed information collection request
for public comment. Interested persons
are invited to send comments regarding
this burden estimate or any other aspect
of this collection of information,
including any of the following subjects:
(1) The necessity and utility of the
AGENCY:
Proposed Project: State Health
Information Exchange Cooperative
Agreement Program—OMB No. 0990–
0339—Extension—Office of the National
Coordinator for Health Information
Technology.
Abstract: The purpose of the State
Health Information Exchange
Cooperative Agreement Program, as
authorized by Section 3013 of the
American Recovery and Reinvestment
Act is to provide grants to States and
Qualified State Designated Entities for
planning and implementation of
interoperable health information
technology. As part of that project,
States and Qualified State Designated
Entities are required to provide
quarterly program reports and also
complete a project evaluation annually.
This request is for those two data
gathering requirements and is to last
four years which is the duration of the
project.
proposed information collection for the
proper performance of the agency’s
functions; (2) the accuracy of the
estimated burden; (3) ways to enhance
the quality, utility, and clarity of the
information to be collected; and (4) the
use of automated collection techniques
or other forms of information
technology to minimize the information
collection burden.
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, e-mail your request,
including your address, phone number,
OMB number, and OS document
identifier, to
Sherette.funncoleman@hhs.gov, or call
the Reports Clearance Office on (202)
690–6162. Written comments and
recommendations for the proposed
information collections must be directed
to the OS Paperwork Clearance Officer
at the above email address within 60days.
ESTIMATED ANNUALIZED BURDEN TABLE
Forms
(If necessary)
Project Report ...................................
Number of responses per
respondent
Number of
respondents
Type of respondent
Average burden hours per
response
Total burden
hours
or a Qualified
Entity.
or a Qualified
Entity.
56
4
4
896
Project Evaluation .............................
State government
State Designated
State government
State Designated
56
1
100
5,600
Total ..................................................
...........................................................
........................
........................
........................
6,496
Seleda Perryman,
Office of the Secretary, Paperwork Reduction
Act Reports Clearance Officer.
[FR Doc. 2010–2122 Filed 2–1–10; 8:45 am]
BILLING CODE 4150–45–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[Document Identifier: OS–0990–0340]
Agency Information Collection
Request; 60-Day Public Comment
Request
Office of the Secretary, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Office of the Secretary (OS), Department
of Health and Human Services, is
publishing the following summary of a
proposed information collection request
for public comment. Interested persons
are invited to send comments regarding
this burden estimate or any other aspect
of this collection of information,
mstockstill on DSKH9S0YB1PROD with NOTICES
AGENCY:
VerDate Nov<24>2008
16:52 Feb 01, 2010
Jkt 220001
including any of the following subjects:
(1) The necessity and utility of the
proposed information collection for the
proper performance of the agency’s
functions; (2) the accuracy of the
estimated burden; (3) ways to enhance
the quality, utility, and clarity of the
information to be collected; and (4) the
use of automated collection techniques
or other forms of information
technology to minimize the information
collection burden.
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, e-mail your request,
including your address, phone number,
OMB number, and OS document
identifier, to
Sherette.funncoleman@hhs.gov, or call
the Reports Clearance Office on (202)
690–6162. Written comments and
recommendations for the proposed
information collections must be directed
to the OS Paperwork Clearance Officer
at the above e-mail address within 60days.
PO 00000
Frm 00050
Fmt 4703
Sfmt 4703
Proposed Project: ARRA Section 3012
Health Information Technology
Extension Program: Regional Centers
Cooperative Agreement Program OMB #
0990–0340—Extension–Office of the
National Coordinator for Health
Information Technology.
Abstract: The first set of regional
extension center awards will be made in
February 2010. At this point each
regional extension center (REC) will be
provided with a customer relationship
management (CRM) software tool,
which they will use to help manage the
work associated with the cooperative
agreement. This tool will also assist the
program to generate quarterly reports
with will be submitted to project
officers for review. In addition to
tracking the key milestones identified in
the FOA, the tool will also assist
programs to provide information that is
required for their ARRA reporting. The
REC program is in the process of
selecting a CRM vendor. Once this is
completed it will submit the specific
reports for clearance.
E:\FR\FM\02FEN1.SGM
02FEN1
]]>Agencies
[Federal Register Volume 75, Number 21 (Tuesday, February 2, 2010)]
[Notices]
[Pages 5325-5328]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-2177]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Implementation of Section 5001 of the American Recovery and
Reinvestment Act of 2009 for Adjustments to the First Quarter of Fiscal
Year 2010 Federal Medical Assistance Percentage Rates for Federal
Matching Shares for Medicaid and Title IV-E Foster Care, Adoption
Assistance and Guardianship Assistance Programs
AGENCY: Office of the Secretary, DHHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice provides the adjusted Federal Medical Assistance
Percentage (FMAP) rates for the first quarter of Fiscal Year 2010
(FY10) as required under Section 5001 of the American Recovery and
Reinvestment Act of 2009 (ARRA). Section 5001 of the ARRA provides for
temporary increases in the FMAP rates to provide fiscal relief to
states and to protect and maintain state Medicaid and certain other
assistance programs in a period of economic downturn. The increased
FMAP rates apply during a recession adjustment period that is defined
in ARRA as the period beginning October 1, 2008 and ending December 31,
2010.
DATES Effective Date: These percentages are effective for the quarter
beginning October 1, 2009 through December 31, 2009.
A. Background
The FMAP is used to determine the amount of federal matching for
specified state expenditures for assistance payments under programs
under the Social Security Act. Sections 1905(b) and 1101(a)(8)(B) of
the Social Security Act (``the Act'') require the Secretary of Health
and Human Services to publish the FMAP rates each year. The Secretary
calculates the percentages using formulas set forth in sections 1905(b)
and 1101(a)(8)(B), and from the Department of Commerce's statistics of
average income per person in each state and for the nation as a whole.
The percentages must be within the upper and lower limits given in
section 1905(b) of the Act. The percentages to be applied to the
District of Columbia, Puerto Rico, the Virgin Islands, Guam, American
Samoa, and the Northern Mariana Islands are specified separately in the
Act, and thus are not based on the statutory formula that determines
the percentages for the 50 states.
Section 1905(b) of the Act specifies the formula for calculating
the FMAP as follows:
The FMAP for any State shall be 100 per centum less the State
percentage; and the State percentage shall be that percentage which
bears the same ratio to 45 per centum as the square of the per
capita income of such State bears to the square of the per capita
income of the continental United States (including Alaska) and
Hawaii; except that (1) the FMAP shall in no case be less than 50
per centum or more than 83 per centum, and (2) the FMAP for Puerto
Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and
American Samoa shall be 50 per centum.
Section 4725 of the Balanced Budget Act of 1997 amended section
1905(b) to provide that the FMAP for the District of Columbia for
purposes of titles XIX (Medicaid) and XXI (CHIP) shall be 70 percent.
The Medicare Improvements for Patients and Providers Act of 2008
(MIPPA) (Pub. L. 110-275) amended the FMAP applied to the District of
Columbia for maintenance payments under title IV-E programs to make it
consistent with the 70 percent Medicaid match rate.
Section 5001 of Division B of the ARRA provides for a temporary
increase in FMAP rates for Medicaid and title IV-E Foster Care,
Adoption Assistance and Guardianship Assistance programs. The purpose
of the increases to the FMAP rates is to provide fiscal relief to
states and to protect and maintain State Medicaid and certain other
assistance programs in a period of economic downturn, referred to as
the ``recession adjustment period.'' The recession adjustment period is
defined as the period beginning October 1, 2008 and ending December 31,
2010.
B. Calculation of the Increased FMAP Rates Under ARRA
Section 5001 of the ARRA specifies that the FMAP rates shall be
temporarily increased for the following: (1) Maintenance of FMAP rates
for FY09, FY10, and first quarter of FY11, so that the FMAP rate will
not decrease from the prior year, determined by using as the FMAP rate
for the current year the greater of any prior fiscal year FMAP rates
between 2008-2010 or the rate calculated for the current fiscal year;
(2) in addition to any maintenance increase, the application of an
increase in each state's FMAP of 6.2 percentage
[[Page 5326]]
points; and (3) an additional percentage point increase based on the
state's increase in unemployment during the recession adjustment
period. The resulting increased FMAP cannot exceed 100 percent. Each
state's FMAP will be recalculated each fiscal quarter beginning October
2008. Availability of certain components of the increased FMAP is
conditioned on states meeting statutory programmatic requirements, such
as the maintenance of effort requirement, which are not part of the
calculation process.
Expenditures for which the increased FMAP is not available under
title XIX include expenditures for disproportionate share hospital
payments, certain eligibility expansions, services received through an
IHS or tribal facility (which are already paid at a rate of 100 percent
and therefore not subject to increase), and expenditures that are paid
at an enhanced FMAP rate. The increased FMAP is available for
expenditures under part E of title IV (including Foster Care, Adoption
Assistance and Guardianship Assistance programs) only to the extent of
a maintenance increase (hold harmless), if any, and the 6.2 percentage
point increase. The increased FMAP does not apply to other parts of
title IV, including part D (Child Support Enforcement Program).
For title XIX purposes only, for each qualifying state with an
unemployment rate that has increased at a rate above the statutory
threshold percentage, ARRA provides additional relief above the general
6.2 percentage point increase in FMAP through application of a separate
increase calculation. For those states, the FMAP for each qualifying
state is increased by the number of percentage points equal to the
product of the state matching percentage (as calculated under section
1905(b) and adjusted if necessary for the maintenance of FMAP without
reduction from the prior year, and after applying half of the 6.2
percentage point general increase in the federal percentage) and the
applicable percent determined from the state unemployment increase
percentage for the quarter.
The unemployment increase percentage for a calendar quarter is
equal to the number of percentage points (if any) by which the average
monthly unemployment rate for the state in the most recent previous 3-
consecutive-month period for which data are available exceeds the
lowest average monthly unemployment rate for the state for any 3-
consecutive-month period beginning on or after January 1, 2006. A state
qualifies for additional relief based on an increase in unemployment if
that state's unemployment increase percentage is at least 1.5
percentage points.
The applicable percent is: (1) 5.5 percent if the state
unemployment increase percentage is at least 1.5 percentage points but
less than 2.5 percentage points; (2) 8.5 percent if the state
unemployment increase percentage is at least 2.5 percentage points but
less than 3.5 percentage points; and (3) 11.5 percent if the state
unemployment increase percentage is at least 3.5 percentage points.
If the state's applicable percent is less than the applicable
percent for the preceding quarter, then the higher applicable percent
shall continue in effect for any calendar quarter beginning on January
1, 2009 and ending before July 1, 2010.
Puerto Rico, the Virgin Islands, Guam, the Commonwealth of the
Northern Mariana Islands, and America Samoa made a one-time election
between (1) a 30 percent increase in their cap on Medicaid payments (as
determined under subsections (f) and (g) of section 1108 of the Social
Security Act), or (2) applying the increase of 6.2 percentage points in
the FMAP plus a 15 percent increase in the cap on Medicaid payments.
There is no quarterly unemployment adjustment for Territories. All
territories and the Commonwealth of the Northern Mariana Islands
elected the 30 percent increase in their spending cap on Medicaid
payments; therefore there is no recalculation of their FMAP rate.
C. Adjusted FMAPs for the First Quarter of 2010
ARRA adjustments to FMAPs are shown by state in the accompanying
table. The hold harmless FY10 FMAP is the higher of the original FY08,
FY09, or FY10 FMAP. The 6.2 percentage point increase is added to the
hold harmless FY10 FMAP. The unemployment tier is determined by
comparing the average unemployment rate for the three consecutive
months preceding the start of each fiscal quarter to the lowest
consecutive 3-month average unemployment rate beginning January 1,
2006. The unemployment adjustment is calculated according to the
unemployment tier and added to the hold harmless FY10 FMAP with the 6.2
percentage point increase.
FOR FURTHER INFORMATION CONTACT: Carrie Shelton or Thomas Musco, Office
of Health Policy, Office of the Assistant Secretary for Planning and
Evaluation, Room 447D--Hubert H. Humphrey Building, 200 Independence
Avenue, SW., Washington, DC 20201, (202) 690-6870.
(Catalog of Federal Domestic Assistance Program Nos. 93.558: TANF
Contingency Funds; 93.563: Child Support Enforcement; 93-596: Child
Care Mandatory and Matching Funds of the Child Care and Development
Fund; 93.658: Foster Care; 93.659: Adoption Assistance; 93.090:
Guardianship Assistance; 93.769: Ticket-to-Work and Work Incentives
Improvement Act)
Dated: December 22, 2009.
Kathleen Sebelius,
Secretary of Health and Human Services.
[[Page 5327]]
ARRA Adjustments to FMAP Q1 FY10
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Hold 3-month 1st 1st
harmless average Unemploy- Quarter Quarter
FY08 FY09 FY10 Hold FY10 FMAP unemploy- Minimum Unemploy- Unemploy- ment FY10 FMAP FY10 FMAP
State original original original harmless with 6.2% ment unemploy- ment ment adjustment unemploy- unemploy-
FMAP FMAP FMAP FY10 point ending ment difference tier Q1 FY10 ment ment hold
increase Sept 2009 adjustment harmless
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Alabama.................................................. 67.62 67.98 68.01 68.01 74.21 10.4 3.3 7.1 11.5 3.32 77.53 77.53
Alaska................................................... 52.48 50.53 51.43 52.48 58.68 8.2 6.0 2.2 5.5 2.44 61.12 61.12
Arizona.................................................. 66.20 65.77 65.75 66.20 72.40 9.1 3.6 5.5 11.5 3.53 75.93 75.93
Arkansas................................................. 72.94 72.81 72.78 72.94 79.14 7.2 4.8 2.4 5.5 1.32 80.46 80.46
California............................................... 50.00 50.00 50.00 50.00 56.20 12.2 4.8 7.4 11.5 5.39 61.59 61.59
Colorado................................................. 50.00 50.00 50.00 50.00 56.20 7.4 3.6 3.8 11.5 5.39 61.59 61.59
Connecticut.............................................. 50.00 50.00 50.00 50.00 56.20 8.1 4.3 3.8 11.5 5.39 61.59 61.59
Delaware................................................. 50.00 50.00 50.21 50.21 56.41 8.1 3.3 4.8 11.5 5.37 61.78 61.78
District of Columbia..................................... 70.00 70.00 70.00 70.00 76.20 11.0 5.4 5.6 11.5 3.09 79.29 79.29
Florida.................................................. 56.83 55.40 54.98 56.83 63.03 10.9 3.3 7.6 11.5 4.61 67.64 67.64
Georgia.................................................. 63.10 64.49 65.10 65.10 71.30 10.1 4.3 5.8 11.5 3.66 74.96 74.96
Hawaii................................................... 56.50 55.11 54.24 56.50 62.70 7.1 2.2 4.9 11.5 4.65 67.35 67.35
Idaho.................................................... 69.87 69.77 69.40 69.87 76.07 8.8 2.8 6.0 11.5 3.11 79.18 79.18
Illinois................................................. 50.00 50.32 50.17 50.32 56.52 10.3 4.4 5.9 11.5 5.36 61.88 61.88
Indiana.................................................. 62.69 64.26 65.93 65.93 72.13 10.0 4.4 5.6 11.5 3.56 75.69 75.69
Iowa..................................................... 61.73 62.62 63.51 63.51 69.71 6.6 3.7 2.9 8.5 2.84 72.55 72.55
Kansas................................................... 59.43 60.08 60.38 60.38 66.58 7.2 4.0 3.2 8.5 3.10 69.68 69.68
Kentucky................................................. 69.78 70.13 70.96 70.96 77.16 11.0 5.4 5.6 11.5 2.98 80.14 80.14
Louisiana................................................ 72.47 71.31 67.61 72.47 78.67 7.5 3.5 4.0 11.5 2.81 81.48 81.48
Maine.................................................... 63.31 64.41 64.99 64.99 71.19 8.5 4.4 4.1 11.5 3.67 74.86 74.86
Maryland................................................. 50.00 50.00 50.00 50.00 56.20 7.2 3.4 3.8 11.5 5.39 61.59 61.59
Massachusetts............................................ 50.00 50.00 50.00 50.00 56.20 9.0 4.4 4.6 11.5 5.39 61.59 61.59
Michigan................................................. 58.10 60.27 63.19 63.19 69.39 15.2 6.7 8.5 11.5 3.88 73.27 73.27
Minnesota................................................ 50.00 50.00 50.00 50.00 56.20 7.8 3.9 3.9 11.5 5.39 61.59 61.59
Mississippi.............................................. 76.29 75.84 75.67 76.29 82.49 9.6 6.0 3.6 11.5 2.37 84.86 84.86
Missouri................................................. 62.42 63.19 64.51 64.51 70.71 9.4 4.7 4.7 11.5 3.72 74.43 74.43
Montana.................................................. 68.53 68.04 67.42 68.53 74.73 6.7 3.2 3.5 11.5 3.26 77.99 77.99
Nebraska................................................. 58.02 59.54 60.56 60.56 66.76 5.0 2.8 2.2 5.5 2.00 68.76 68.76
Nevada................................................... 52.64 50.00 50.16 52.64 58.84 13.0 4.2 8.8 11.5 5.09 63.93 63.93
New Hampshire............................................ 50.00 50.00 50.00 50.00 56.20 7.0 3.4 3.6 11.5 5.39 61.59 61.59
New Jersey............................................... 50.00 50.00 50.00 50.00 56.20 9.6 4.2 5.4 11.5 5.39 61.59 61.59
New Mexico............................................... 71.04 70.88 71.35 71.35 77.55 7.4 3.5 3.9 11.5 2.94 80.49 80.49
New York................................................. 50.00 50.00 50.00 50.00 56.20 8.8 4.3 4.5 11.5 5.39 61.59 61.59
North Carolina........................................... 64.05 64.60 65.13 65.13 71.33 10.9 4.5 6.4 11.5 3.65 74.98 74.98
North Dakota............................................. 63.75 63.15 63.01 63.75 69.95 4.2 3.0 1.2 0 0.00 69.95 69.95
Ohio..................................................... 60.79 62.14 63.42 63.42 69.62 10.7 5.3 5.4 11.5 3.85 73.47 73.47
Oklahoma................................................. 67.10 65.90 64.43 67.10 73.30 6.7 3.3 3.4 8.5 2.53 75.83 75.83
Oregon................................................... 60.86 62.45 62.74 62.74 68.94 11.7 5.0 6.7 11.5 3.93 72.87 72.87
Pennsylvania............................................. 54.08 54.52 54.81 54.81 61.01 8.6 4.3 4.3 11.5 4.84 65.85 65.85
Rhode Island............................................. 52.51 52.59 52.63 52.63 58.83 12.8 4.8 8.0 11.5 5.09 63.92 63.92
South Carolina........................................... 69.79 70.07 70.32 70.32 76.52 11.6 5.5 6.1 11.5 3.06 79.58 79.58
South Dakota............................................. 60.03 62.55 62.72 62.72 68.92 4.9 2.7 2.2 5.5 1.88 70.80 70.80
Tennessee................................................ 63.71 64.28 65.57 65.57 71.77 10.7 4.5 6.2 11.5 3.60 75.37 75.37
Texas.................................................... 60.56 59.44 58.73 60.56 66.76 8.0 4.4 3.6 11.5 4.18 70.94 70.94
Utah..................................................... 71.63 70.71 71.68 71.68 77.88 6.1 2.5 3.6 11.5 2.90 80.78 80.78
Vermont.................................................. 59.03 59.45 58.73 59.45 65.65 6.8 3.5 3.3 8.5 3.18 68.83 69.96
Virginia................................................. 50.00 50.00 50.00 50.00 56.20 6.7 2.8 3.9 11.5 5.39 61.59 61.59
Washington............................................... 51.52 50.94 50.12 51.52 57.72 9.0 4.4 4.6 11.5 5.22 62.94 62.94
West Virginia............................................ 74.25 73.73 74.04 74.25 80.45 8.9 4.2 4.7 11.5 2.60 83.05 83.05
Wisconsin................................................ 57.62 59.38 60.21 60.21 66.41 8.7 4.4 4.3 11.5 4.22 70.63 70.63
Wyoming.................................................. 50.00 50.00 50.00 50.00 56.20 6.6 2.8 3.8 11.5 5.39 61.59 61.59
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
[[Page 5328]]
[FR Doc. 2010-2177 Filed 2-1-10; 8:45 am]
BILLING CODE 4150-05-P
