Adjustments for Disaster-Recovery States to the Fourth Quarter of Fiscal Year 2011 and Fiscal Year 2012 Federal Medical Assistance Percentage (FMAP) Rates for Federal Matching Shares for Medicaid and Title IV-E Foster Care, Adoption Assistance and Guardianship Assistance Programs, 80501-80503 [2010-32054]

Download as PDF srobinson on DSKHWCL6B1PROD with NOTICES Federal Register / Vol. 75, No. 245 / Wednesday, December 22, 2010 / Notices Date Revoked: November 6, 2010. Reason: Failed to maintain a valid bond. License Number: 018456N. Name: Trico Forwarding-USA, Inc. Address: 172 East Manville Street, Compton, CA 90220. Date Revoked: November 1, 2010. Reason: Surrendered license voluntarily. License Number: 018487N. Name: Quality One International Shipping, Inc. Address: 3913 Dyre Avenue, Bronx, NY 10466. Date Revoked: November 7, 2010. Reason: Failed to maintain a valid bond. License Number: 019871NF. Name: WLG (USA) LLC dba Kay O’Neill (USA) LLC dba WLG Line. Address: 920 East Algonquin Road, Suite 120, Schaumburg, IL 60173. Date Revoked: August 31, 2010. Reason: Surrendered license voluntarily. License Number: 020264F. Name: Empire Shipping Co. Inc. Address: 100 East Peddie Street, Newark, NJ 07114. Date Revoked: November 6, 2010. Reason: Failed to maintain a valid bond. License Number: 020667F. Name: Atlas Logistics (U.S.A.), Inc. Address: 2401 E. Atlantic Blvd., Suite 310, Pompano Beach, FL 33062. Date Revoked: November 18, 2010. Reason: Failed to maintain a valid bond. License Number: 020883NF. Name: Zai Cargo, Inc. dba Zai Ocean Services dba Zai Container Line dba Zai Cargo, Inc. Address: 6324 NW 97th Avenue, Doral, FL 33178. Date Revoked: November 19, 2010. Reason: Failed to maintain valid bonds. License Number: 021351F. Name: Cil Forwarding, LLC. Address: 1420 Vantage Way, Suite 112, Jacksonville, FL 32218. Date Revoked: November 18, 2010. Reason: Failed to maintain a valid bond. License Number: 021407NF. Name: Smartex Corp. dba Smartex. Address: 5055 NW 74th Avenue, Suite 5, Miami, FL 33166. Date Revoked: November 18, 2010. Reason: Failed to maintain valid bonds. License Number: 021885F. Name: SeaForward Logistics, LLC. Address: 2769 S. Oakland Circle West, Aurora, CO 80014. Date Revoked: November 30, 2010. Reason: Surrendered license voluntarily. VerDate Mar<15>2010 20:24 Dec 21, 2010 Jkt 223001 License Number: 022244F. Name: Golden Freight, Inc. dba Saigon Express. Address: 510 Parrott Street, Suite 2, San Jose, CA 95112. Date Revoked: November 15, 2010. Reason: Failed to maintain a valid bond. Sandra L. Kusumoto, Director, Bureau of Certification and Licensing. [FR Doc. 2010–32171 Filed 12–21–10; 8:45 am] BILLING CODE 6730–01–P 80501 In connection with this application, Applicant also has applied to acquire Nikko Am Americas Holding Co., Inc., Nikko Asset Management Americas, Inc., and Cho Mitsui Investment, all in New York, New York, and thereby engage in investment advisory activities, pursuant to section 225.24(b)(6) of Regulation Y. Board of Governors of the Federal Reserve System, December 17, 2010. Robert deV. Frierson, Deputy Secretary of the Board. [FR Doc. 2010–32092 Filed 12–21–10; 8:45 am] FEDERAL RESERVE SYSTEM Formations of, Acquisitions by, and Mergers of Bank Holding Companies The companies listed in this notice have applied to the Board for approval, pursuant to the Bank Holding Company Act of 1956 (12 U.S.C. 1841 et seq.) (BHC Act), Regulation Y (12 CFR part 225), and all other applicable statutes and regulations to become a bank holding company and/or to acquire the assets or the ownership of, control of, or the power to vote shares of a bank or bank holding company and all of the banks and nonbanking companies owned by the bank holding company, including the companies listed below. The applications listed below, as well as other related filings required by the Board, are available for immediate inspection at the Federal Reserve Bank indicated. The application also will be available for inspection at the offices of the Board of Governors. Interested persons may express their views in writing on the standards enumerated in the BHC Act (12 U.S.C. 1842(c)). If the proposal also involves the acquisition of a nonbanking company, the review also includes whether the acquisition of the nonbanking company complies with the standards in section 4 of the BHC Act (12 U.S.C. 1843). Unless otherwise noted, nonbanking activities will be conducted throughout the United States. Unless otherwise noted, comments regarding each of these applications must be received at the Reserve Bank indicated or the offices of the Board of Governors not later than January 18, 2011. A. Federal Reserve Bank of New York (Ivan Hurwitz, Vice President) 33 Liberty Street, New York, New York 10045–0001: 1. Chuo Mitsui Trust Holding, Inc., Tokyo, Japan; to become a bank holding Company by acquiring The Sumitomo Trust and Banking Co., Ltd, Osaka, Japan, and thereby acquire Sumitomo Trust and Banking Co. (USA), Hoboken, New Jersey. PO 00000 Frm 00047 Fmt 4703 Sfmt 4703 BILLING CODE 6210–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Adjustments for Disaster-Recovery States to the Fourth Quarter of Fiscal Year 2011 and Fiscal Year 2012 Federal Medical Assistance Percentage (FMAP) 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: This notice describes the methodology for calculating the higher federal matching funding that is made available under section 1905(aa) of the Social Security Act, as amended by section 2006 of the Patient Protection and Affordable Care Act of 2010 (‘‘Affordable Care Act’’) and provides the adjusted Federal Medical Assistance Percentage (FMAP) rates for the fourth quarter of Fiscal Year 2011 and Fiscal Year 2012 for disaster-recovery FMAP adjustment states. Section 1905(aa) of the Social Security Act provides for an increase in the FMAP rate for qualifying states that have experienced a major, statewide disaster. DATES: Effective Date: The percentages listed are for the fourth quarter of Fiscal Year 2011 beginning July 1, 2011 and ending September 30, 2011, and for Fiscal Year 2012. SUMMARY: A. Background The Federal Medical Assistance Percentage (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 E:\FR\FM\22DEN1.SGM 22DEN1 80502 Federal Register / Vol. 75, No. 245 / Wednesday, December 22, 2010 / Notices sections 1905(b) and 1101(a)(8)(B), 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 in statute, and thus are not based on the statutory formula that determines the percentages for the 50 States. Section 1905(b) of the Social Security Act specifies the formula for calculating 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. srobinson on DSKHWCL6B1PROD with NOTICES Section 2006 of the Patient Protection and Affordable Care Act of 2010 (‘‘Affordable Care Act’’) amended section 1905 of the Social Security Act by adding section (aa) to provide for an increase in the FMAP rate for qualifying states for Medicaid and title IV–E Foster Care, Adoption Assistance and Guardianship Assistance programs. The purpose of the increase to the FMAP rate is to provide increased Federal financial participation for qualifying states that have experienced a major, statewide disaster. B. Definition of a Disaster-Recovery FMAP Adjustment State Section 1905(aa) of the Social Security Act, as added by section 2006 of the Affordable Care Act specifies that the annual FMAP rate shall be increased for a ‘‘disaster-recovery FMAP adjustment state.’’ The statute defines a ‘‘disaster-recovery FMAP adjustment state’’ as one of the 50 states or District of Columbia for which, at any time during the preceding 7 fiscal years, the President has declared a major disaster under section 401 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act under which every county or parish in the state is eligible for individual and public or public assistance from the federal government, and for which the FMAP as determined VerDate Mar<15>2010 20:24 Dec 21, 2010 Jkt 223001 for the fiscal year is less than the FMAP for the preceding fiscal year by at least three percentage points. For Fiscal Year 2011 (FY11), the first fiscal year in which a state can qualify for the disaster adjustment, the FMAP for FY11 must be less than the FMAP for the preceding fiscal year after the application of the ‘‘hold harmless’’ provision under subsection (a) of Section 5001 of the American Recovery and Reinvestment Act of 2009 (ARRA) (Pub. L. 111–5), by at least three percentage points. For Fiscal Year 2012 (FY12) and beyond, the FMAP rate for the state for the fiscal year, as determined based on the annual FMAP calculation (without regard to section 1905(aa)), must be less than the preceding year FMAP rate, including the applicable disaster-recovery adjustment, by at least three percentage points. C. Calculation of the Increased FMAP Rates for Disaster-Recovery FMAP Adjustment States For the first year in which a state qualifies for the disaster-recovery FMAP adjustment, the FMAP shall be equal to the FMAP as determined for the fiscal year, plus 50% of the number of percentage points by which the FMAP is less than the preceding fiscal year FMAP. For FY11, the preceding fiscal year FMAP includes the application of the ‘‘hold harmless’’ provision under subsection (a) of Section 5001 of the ARRA. In year two or any succeeding fiscal year in the qualifying 7-year period, the FMAP shall be equal to the FMAP as determined for the preceding fiscal year, including any disasterrecovery adjustment for that year, plus 25% of the number of percentage points by which the FMAP as determined for the fiscal year (without any disasterrecovery adjustment) is less than the FMAP for the previous year (including any applicable disaster-recovery adjustments). Expenditures for which the increased FMAP is not available under title XIX include expenditures for disproportionate share hospital payments and expenditures that are paid at an enhanced FMAP rate, as well as any payments made under Title XXI. The increased FMAP is available for expenditures under part E of title IV only. Disaster-recovery FMAP adjustments will be included in the annual publication of the FMAP rates for the succeeding fiscal year. Beginning in the fall of 2011, the annual Federal Register Notice will include the FMAP rates for the succeeding fiscal year, as well as disaster-recovery adjustments to the FMAP rates. PO 00000 Frm 00048 Fmt 4703 Sfmt 4703 D. Disaster-Recovery FMAP Adjustments for the Fourth Quarter of Fiscal Year 2011 and Fiscal Year 2012 The application of the disasterrecovery FMAP adjustment is effective January 1, 2011. Due to the extension of the ARRA FMAP adjustments, which extended the recession adjustment period to June 30, 2011 (the end of the third quarter of FY11), no state will qualify for the disaster-recovery adjustment until the fourth quarter of FY11. As such, any adjustments that are made to the FY11 FMAP rates are effective for the fourth fiscal quarter only. Disaster-recovery FMAP adjustments made in future fiscal years will be applicable for all four quarters of the year. Based on the criteria for a qualifying state, only three states meet the requirement that the FMAP as determined for FY11 is less than the previous year FMAP, after the application of subsection (a) of Section 5001 of the ARRA, by at least three percentage points. Of the three states, only one state, Louisiana, has had a presidential disaster declaration that applies to all counties and parishes within the state in the preceding 7 fiscal years. Therefore, this notice only provides a disaster-recovery FMAP adjustment for the state of Louisiana for fourth quarter of FY11. The disasterrecovery adjusted FMAP rate is shown in the accompanying table. Based on the criteria for a qualifying state, only two states meet the requirement that the FMAP as determined for FY12 is less than the previous year FMAP by at least three percentage points. Of the two states, only one state, Louisiana, has had a presidential disaster declaration that applies to all counties and parishes within the state in the preceding 7 fiscal years. Therefore, this notice only provides a disaster-recovery FMAP adjustment for the state of Louisiana for FY12. The disaster-recovery adjusted FMAP rate is shown in the accompanying table. This is the second fiscal year for which Louisiana has qualified for the disaster-recovery adjustment; the adjusted FMAP rate for FY12 reflects the calculation as prescribed in statute for succeeding qualifying years. FOR FURTHER INFORMATION CONTACT: Carrie Shelton, 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. 93.658: Foster Care; 93.659: E:\FR\FM\22DEN1.SGM 22DEN1 Federal Register / Vol. 75, No. 245 / Wednesday, December 22, 2010 / Notices Adoption Assistance; 93.090: Guardianship Assistance; 93.778: Medical Assistance Program) 80503 Dated: November 12, 2010. Kathleen Sebelius, Secretary. FISCAL YEAR 2011 (Q4) DISASTER-RECOVERY ADJUSTED FMAP RATES State FY11 FMAP ARRA Hold harmless FY 08–10 FMAP Decrease in FMAP Disaster-recovery adjusted FMAP FY11 (Q4) Louisiana .................................................................................. 63.61 72.47 8.86 68.04 FISCAL YEAR 2012 DISASTER-RECOVERY ADJUSTED FMAP RATES State FY12 FMAP FY11 FMAP/Disaster recovery adjusted FMAP Decrease in FMAP Disaster-recovery adjusted FMAP FY12 Louisiana .................................................................................. 61.09 68.04 6.95 69.78 [FR Doc. 2010–32054 Filed 12–21–10; 8:45 am] BILLING CODE 4150–05–P DEPARTMENT OF HEALTH AND HUMAN SERVICES [Document Identifier CMS–10321] Emergency Clearance; Public Information Collection Requirements Submitted to the Office of Management and Budget (OMB) Office of Consumer Information and Insurance Oversight, HHS. In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Office of Consumer Information and Insurance Oversight (OCIIO), the U.S. Department of Health and Human Services, is publishing the following summary of proposed collections 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 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. We are, however, requesting an emergency review of the information requested below. In compliance with the requirement of Section 3506(c)(2)(a) of the Paperwork Reduction Act of 1995, we have submitted to the Office of Management and Budget (OMB) the following requirements for emergency review. In accordance with 5 CFR 1320.13, we are requesting an srobinson on DSKHWCL6B1PROD with NOTICES AGENCY: VerDate Mar<15>2010 20:24 Dec 21, 2010 Jkt 223001 emergency review to ensure compliance with an initiative of the Administration. 1. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Early Retiree Reinsurance Program; Use: Under the Section 1102 of the Affordable Care Act and implementing regulations at 45 CFR Part 149, employment-based plans that offer health benefits to early retirees and their spouses, surviving spouses and dependents are eligible under a temporary program to receive a tax-free reimbursement for the costs of certain health benefits for such individuals. In order to qualify, plan sponsors must submit a complete application to the HHS. In order to receive reimbursement under the program, they must also submit documentation of actual costs for health care benefits, which consists of documentation of actual costs for the items and services involved, and a list of individuals to whom the documentation applies. Once HHS reviews and analyzes the information on the application, notification will be sent to the plan sponsor about its eligibility to participate in the program. Once HHS reviews and analyzes each reimbursement request, reimbursement under the program will be made to the sponsor, as appropriate. Form Number: CMS–10321 (OMB–0938–1087); Frequency: Occasionally; Affected Public: Private Sector: Business or other for-profits and Not-for-profit institutions; State, Local, or Tribal Governments; Number of Respondents: 13,200; Number of Responses: 71,330; Total Annual Hours: 1,927,575. (For policy questions regarding this collection, contact Dave Mlawsky at (410) 786–6851. For all other issues call (410) 786–1326.) OCIIO is requesting OMB approval by January 3, 2011, with a 180-day PO 00000 Frm 00049 Fmt 4703 Sfmt 4703 approval period. Written comments and recommendations will be considered from the public if received by the individuals designated below by January 3, 2011. To obtain copies of the supporting statement and any related forms for the proposed paperwork collections references above, access CMS’ Web site address at https://www.cms.hhs.gov/ PaperworkReductionActof1995 or Email your request, including your address, phone number, OMB Number, and CMS document identifier to Paperwork@cms.hhs.gov, or call the Reports Clearance Office on (410) 786– 1326. Interested parties are invited to send comments regarding the burden or any other aspect of these collections of information requirements. To be assured consideration, comments and recommendations must be submitted in one of the following ways by January 3, 2011: 1. Electronically. You may submit your comments electronically to https:// Regulations.gov. Follow the instructions for ‘‘Comment or Submission’’ or ‘‘More Search Options’’ to find the information collection document(s) accepting comments. 2. By regular mail. Office of Consumer Information and Insurance Oversight, Department of Health and Human Services, Attention: Paperwork Reduction Act, Room 445–G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201. Please allow sufficient time for mailed comments to be received before the close of the comment period. (Because access to the interior of the Hubert H. Humphrey Building is not readily available to persons without Federal government identification, commenters are encouraged to leave their comments in the OCIIO drop slots located in the E:\FR\FM\22DEN1.SGM 22DEN1

Agencies

[Federal Register Volume 75, Number 245 (Wednesday, December 22, 2010)]
[Notices]
[Pages 80501-80503]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-32054]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES


Adjustments for Disaster-Recovery States to the Fourth Quarter of 
Fiscal Year 2011 and Fiscal Year 2012 Federal Medical Assistance 
Percentage (FMAP) 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 describes the methodology for calculating the 
higher federal matching funding that is made available under section 
1905(aa) of the Social Security Act, as amended by section 2006 of the 
Patient Protection and Affordable Care Act of 2010 (``Affordable Care 
Act'') and provides the adjusted Federal Medical Assistance Percentage 
(FMAP) rates for the fourth quarter of Fiscal Year 2011 and Fiscal Year 
2012 for disaster-recovery FMAP adjustment states. Section 1905(aa) of 
the Social Security Act provides for an increase in the FMAP rate for 
qualifying states that have experienced a major, statewide disaster.

DATES: Effective Date: The percentages listed are for the fourth 
quarter of Fiscal Year 2011 beginning July 1, 2011 and ending September 
30, 2011, and for Fiscal Year 2012.

A. Background

    The Federal Medical Assistance Percentage (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

[[Page 80502]]

sections 1905(b) and 1101(a)(8)(B), 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 in 
statute, and thus are not based on the statutory formula that 
determines the percentages for the 50 States.
    Section 1905(b) of the Social Security Act specifies the formula 
for calculating 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.

    Section 2006 of the Patient Protection and Affordable Care Act of 
2010 (``Affordable Care Act'') amended section 1905 of the Social 
Security Act by adding section (aa) to provide for an increase in the 
FMAP rate for qualifying states for Medicaid and title IV-E Foster 
Care, Adoption Assistance and Guardianship Assistance programs. The 
purpose of the increase to the FMAP rate is to provide increased 
Federal financial participation for qualifying states that have 
experienced a major, statewide disaster.

B. Definition of a Disaster-Recovery FMAP Adjustment State

    Section 1905(aa) of the Social Security Act, as added by section 
2006 of the Affordable Care Act specifies that the annual FMAP rate 
shall be increased for a ``disaster-recovery FMAP adjustment state.'' 
The statute defines a ``disaster-recovery FMAP adjustment state'' as 
one of the 50 states or District of Columbia for which, at any time 
during the preceding 7 fiscal years, the President has declared a major 
disaster under section 401 of the Robert T. Stafford Disaster Relief 
and Emergency Assistance Act under which every county or parish in the 
state is eligible for individual and public or public assistance from 
the federal government, and for which the FMAP as determined for the 
fiscal year is less than the FMAP for the preceding fiscal year by at 
least three percentage points. For Fiscal Year 2011 (FY11), the first 
fiscal year in which a state can qualify for the disaster adjustment, 
the FMAP for FY11 must be less than the FMAP for the preceding fiscal 
year after the application of the ``hold harmless'' provision under 
subsection (a) of Section 5001 of the American Recovery and 
Reinvestment Act of 2009 (ARRA) (Pub. L. 111-5), by at least three 
percentage points. For Fiscal Year 2012 (FY12) and beyond, the FMAP 
rate for the state for the fiscal year, as determined based on the 
annual FMAP calculation (without regard to section 1905(aa)), must be 
less than the preceding year FMAP rate, including the applicable 
disaster-recovery adjustment, by at least three percentage points.

C. Calculation of the Increased FMAP Rates for Disaster-Recovery FMAP 
Adjustment States

    For the first year in which a state qualifies for the disaster-
recovery FMAP adjustment, the FMAP shall be equal to the FMAP as 
determined for the fiscal year, plus 50% of the number of percentage 
points by which the FMAP is less than the preceding fiscal year FMAP. 
For FY11, the preceding fiscal year FMAP includes the application of 
the ``hold harmless'' provision under subsection (a) of Section 5001 of 
the ARRA. In year two or any succeeding fiscal year in the qualifying 
7-year period, the FMAP shall be equal to the FMAP as determined for 
the preceding fiscal year, including any disaster-recovery adjustment 
for that year, plus 25% of the number of percentage points by which the 
FMAP as determined for the fiscal year (without any disaster-recovery 
adjustment) is less than the FMAP for the previous year (including any 
applicable disaster-recovery adjustments).
    Expenditures for which the increased FMAP is not available under 
title XIX include expenditures for disproportionate share hospital 
payments and expenditures that are paid at an enhanced FMAP rate, as 
well as any payments made under Title XXI. The increased FMAP is 
available for expenditures under part E of title IV only.
    Disaster-recovery FMAP adjustments will be included in the annual 
publication of the FMAP rates for the succeeding fiscal year. Beginning 
in the fall of 2011, the annual Federal Register Notice will include 
the FMAP rates for the succeeding fiscal year, as well as disaster-
recovery adjustments to the FMAP rates.

D. Disaster-Recovery FMAP Adjustments for the Fourth Quarter of Fiscal 
Year 2011 and Fiscal Year 2012

    The application of the disaster-recovery FMAP adjustment is 
effective January 1, 2011. Due to the extension of the ARRA FMAP 
adjustments, which extended the recession adjustment period to June 30, 
2011 (the end of the third quarter of FY11), no state will qualify for 
the disaster-recovery adjustment until the fourth quarter of FY11. As 
such, any adjustments that are made to the FY11 FMAP rates are 
effective for the fourth fiscal quarter only. Disaster-recovery FMAP 
adjustments made in future fiscal years will be applicable for all four 
quarters of the year.
    Based on the criteria for a qualifying state, only three states 
meet the requirement that the FMAP as determined for FY11 is less than 
the previous year FMAP, after the application of subsection (a) of 
Section 5001 of the ARRA, by at least three percentage points. Of the 
three states, only one state, Louisiana, has had a presidential 
disaster declaration that applies to all counties and parishes within 
the state in the preceding 7 fiscal years. Therefore, this notice only 
provides a disaster-recovery FMAP adjustment for the state of Louisiana 
for fourth quarter of FY11. The disaster-recovery adjusted FMAP rate is 
shown in the accompanying table.
    Based on the criteria for a qualifying state, only two states meet 
the requirement that the FMAP as determined for FY12 is less than the 
previous year FMAP by at least three percentage points. Of the two 
states, only one state, Louisiana, has had a presidential disaster 
declaration that applies to all counties and parishes within the state 
in the preceding 7 fiscal years. Therefore, this notice only provides a 
disaster-recovery FMAP adjustment for the state of Louisiana for FY12. 
The disaster-recovery adjusted FMAP rate is shown in the accompanying 
table. This is the second fiscal year for which Louisiana has qualified 
for the disaster-recovery adjustment; the adjusted FMAP rate for FY12 
reflects the calculation as prescribed in statute for succeeding 
qualifying years.

FOR FURTHER INFORMATION CONTACT: Carrie Shelton, 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. 93.658: Foster 
Care; 93.659:

[[Page 80503]]

Adoption Assistance; 93.090: Guardianship Assistance; 93.778: 
Medical Assistance Program)

    Dated: November 12, 2010.
Kathleen Sebelius,
Secretary.

                           Fiscal Year 2011 (Q4) Disaster-Recovery Adjusted FMAP Rates
----------------------------------------------------------------------------------------------------------------
                                                                                               Disaster-recovery
              State                    FY11 FMAP      ARRA Hold harmless   Decrease in FMAP   adjusted FMAP FY11
                                                         FY 08-10 FMAP                               (Q4)
----------------------------------------------------------------------------------------------------------------
Louisiana.......................              63.61               72.47                8.86               68.04
----------------------------------------------------------------------------------------------------------------


                             Fiscal Year 2012 Disaster-Recovery Adjusted FMAP Rates
----------------------------------------------------------------------------------------------------------------
                                                      FY11 FMAP/Disaster
              State                    FY12 FMAP       recovery adjusted   Decrease in FMAP    Disaster-recovery
                                                             FMAP                             adjusted FMAP FY12
----------------------------------------------------------------------------------------------------------------
Louisiana.......................              61.09               68.04                6.95               69.78
----------------------------------------------------------------------------------------------------------------

[FR Doc. 2010-32054 Filed 12-21-10; 8:45 am]
BILLING CODE 4150-05-P
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