Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children's Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2013 Through September 30, 2014, 71420-71423 [2012-29035]
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71420
Federal Register / Vol. 77, No. 231 / Friday, November 30, 2012 / Notices
Respondents are encouraged to
comment on any part of the exposure
draft. Written comments on the
Exposure Draft are requested by January
31, 2013. Comments on the Exposure
Drafts should be sent to:
fasab@fasab.gov or Wendy M. Payne,
Executive Director, Federal Accounting
Standards Advisory Board, 441 G Street
NW., Suite 6814, Mail Stop 6H19,
Washington, DC 20548.
FOR FURTHER INFORMATION CONTACT:
Wendy Payne, Executive Director, at
(202) 512–7350.
President) 1 Memorial Drive, Kansas
City, Missouri 64198–0001:
1. Hope Bancshares, Inc., Hope,
Kansas, to acquire 100 percent of the
voting shares of ABM Holding
Company, and thereby indirectly
acquire The Citizens State Bank, both in
Miltonvale, Kansas.
Board of Governors of the Federal Reserve
System, November 26, 2012.
Michael J. Lewandowski,
Assistant Secretary of the Board.
[FR Doc. 2012–28922 Filed 11–29–12; 8:45 am]
BILLING CODE 6210–01–P
Authority: Federal Advisory Committee
Act, Pub. L. 92–463.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Dated: November 26, 2012.
Charles Jackson,
Federal Register Liaison Officer.
Federal Financial Participation in State
Assistance Expenditures; Federal
Matching Shares for Medicaid, the
Children’s Health Insurance Program,
and Aid to Needy Aged, Blind, or
Disabled Persons for October 1, 2013
Through September 30, 2014
[FR Doc. 2012–28934 Filed 11–29–12; 8:45 am]
BILLING CODE 1610–02–P
FEDERAL RESERVE SYSTEM
wreier-aviles on DSK5TPTVN1PROD with NOTICES
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 applications will also 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 December 20,
2012.
A. Federal Reserve Bank of Kansas
City (Dennis Denney, Assistant Vice
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Office of the Secretary, DHHS.
Notice.
AGENCY:
ACTION:
The Federal Medical
Assistance Percentages (FMAP),
Enhanced Federal Medical Assistance
Percentages (eFMAP), and disasterrecovery FMAP adjustments for Fiscal
Year 2014 have been calculated
pursuant to the Social Security Act (the
Act). These percentages will be effective
from October 1, 2013 through
September 30, 2014. This notice
announces the calculated FMAP and
eFMAP rates that the U.S. Department
of Health and Human Services (HHS)
will use in determining the amount of
federal matching for state medical
assistance (Medicaid) and Children’s
Health Insurance Program (CHIP)
expenditures, Temporary Assistance for
Needy Families (TANF) Contingency
Funds, Child Support Enforcement
collections, Child Care Mandatory and
Matching Funds of the Child Care and
Development Fund, Foster Care Title
IV–E Maintenance payments, and
Adoption Assistance payments. Table 1
gives figures for each of the 50 States,
the District of Columbia, Puerto Rico,
the Virgin Islands, Guam, American
Samoa, and the Commonwealth of the
Northern Mariana Islands. This notice
also announces the disaster-recovery
FMAP adjustments for qualifying states
for FY 2014 that the U.S. Department of
Health and Human Services (HHS) will
use in determining the amount of
federal matching for state medical
assistance (Medicaid) and title IV–E
Foster Care, Adoption Assistance and
Guardianship Assistance programs.
SUMMARY:
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Programs under title XIX of the Act
exist in each jurisdiction. Programs
under titles I, X, and XIV operate only
in Guam and the Virgin Islands, while
a program under title XVI (Aid to the
Aged, Blind, or Disabled) operates only
in Puerto Rico. The percentages in this
notice apply to state expenditures for
most medical assistance and child
health assistance, and assistance
payments for certain social services. The
Act provides separately for federal
matching of administrative costs.
Sections 1905(b) and 1101(a)(8)(B) of
the Social Security Act (the Act) require
the Secretary of HHS to publish the
FMAP rates each year. The Secretary
calculates the percentages, using
formulas in sections 1905(b) and
1101(a)(8), and calculations by the
Department of Commerce of average
income per person in each state and for
the Nation as a whole. The percentages
must fall within the upper and lower
limits given in section 1905(b) of the
Act. The percentages for 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 Act specifies
the formula for calculating FMAPs as
follows:
‘‘ ‘‘Federal medical assistance percentage’’
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 Federal
medical assistance percentage shall in no
case be less than 50 per centum or more than
83 per centum, (2) the Federal medical
assistance percentage for Puerto Rico, the
Virgin Islands, Guam, the Northern Mariana
Islands, and American Samoa shall be 55
percent * * *’’.
Section 4725(b) 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 and XXI shall be 70 percent.
For the District of Columbia, we note
under Table 1 that other rates may apply
in certain other programs. In addition,
we note the rate that applies for Puerto
Rico, the Virgin Islands, Guam,
American Samoa, and the
Commonwealth of the Northern Mariana
Islands in certain other programs
pursuant to section 1118 of the Act.
Section 1905(y) of the Act, as added
by section 2001 of the Patient Protection
and Affordable Care Act of 2010
E:\FR\FM\30NON1.SGM
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Federal Register / Vol. 77, No. 231 / Friday, November 30, 2012 / Notices
(’’Affordable Care Act’’), provides for a
significant increase in the Federal
Medical Assistance Percentage (FMAP)
for medical expenditures for individuals
determined eligible under the new adult
group in the State and who will be
considered to be ‘‘newly eligible’’ in
2014, as defined in section 1905(y)(2)(A)
of the Act. The FMAP for these newly
eligible individuals will be 100 percent
for Calendar Year (CY) 2014–2016,
gradually declining to 90 percent in
2020 where it remains indefinitely. In
addition, section 1905(z) of the Act, as
added by section 10201 of the
Affordable Care Act, provides that
States that had expanded substantial
coverage to low-income parents and
nonpregnant adults without children
prior to the enactment of the Affordable
Care Act, referred to as ‘‘expansion
States,’’ shall receive an enhanced
FMAP that begins in 2014 for
nonpregnant childless adults who may
be required to enroll in benchmark
coverage. These provisions are
discussed in more detail in the
Medicaid Eligibility proposed rule
published on August 17, 2011 (76 FR
51172) and the final rule published on
March 23, 2012 (77 FR 17143).
Section 2006 of the 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.
The methodology for calculating and
publishing disaster-recovery
adjustments to fiscal year FMAP rates
was published on December 22, 2010
(75 FR 80501).
Section 1905(aa) of the Act 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 assistance 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 first year of
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Jkt 229001
assistance) or the disaster-adjusted
recovery FMAP (for each subsequent
year of assistance) for the preceding
fiscal year by at least three percentage
points.
Qualifying states receive an
adjustment to their annual FMAP rate
based on a formula specified in statute.
In the first year a State qualifies, this
increase is applied to the FMAP as
determined for the fiscal year. Section
2006 of the Affordable Care Act
specified that the disaster-recovery
adjustment in the second or any
succeeding fiscal year a State qualifies
be applied to the prior year’s disasterrecovery adjusted FMAP. This resulted
in increased, rather than phased down,
financial assistance to qualifying states
each year, and allowed states to
continue to qualify for assistance after
their underlying FMAP has stabilized.
Section 3204 of the Middle Class Tax
Relief and Job Creation Act of 2012
(Pub. L. 112–96) revised the formula in
section 1905(aa) to apply the adjustment
for the second or any succeeding fiscal
year that a state qualifies to the FMAP
as determined for the fiscal year,
effective October 1, 2013. Further,
section 100123 of the Moving Ahead for
Progress in the 21st Century Act (Pub.
L. 112–141) revised the formula again,
this time for FY13 only, and changed
the effective date in Public Law 112–96
to October 1, 2012. As a result, HHS has
revised the FY13 disaster-recovery
FMAP adjustment published on
November 30, 2011. Thus, the revised
disaster-recovery FMAP rate for
Louisiana for FY13 (the only qualifying
state, as published in 76 FR 74061) is
included in Table 2 taking into account
the revised formula set forth in section
3204 of the Middle Class Tax Relief and
Job Creation Act of 2012.
Based on the criteria for a qualifying
state, only one State, Louisiana, meets
the requirement for a disaster-recovery
FMAP adjustment in FY14. Hurricane
Gustav caused Louisiana to be declared
a state-wide disaster area on September
2, 2008. In addition, Louisiana’s FMAP
as determined for FY 2014 is less than
the previous year disaster-recovery
adjusted FMAP by at least three
percentage points. Therefore, Louisiana
is the only state that qualifies for a
disaster-recovery adjustment to their
FY2014 FMAP rate. The disasterrecovery adjusted FMAP rate for
Louisiana for FY2014 is included in
Table 2.
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71421
Section 2105(b) of the Act specifies
the formula for calculating the eFMAP
rates as follows:
The ‘‘enhanced FMAP’’, for a State for a
fiscal year, is equal to the Federal medical
assistance percentage (as defined in the first
sentence of section 1905(b)) for the State
increased by a number of percentage points
equal to 30 percent of the number of
percentage points by which (1) such Federal
medical assistance percentage for the State, is
less than (2) 100 percent; but in no case shall
the enhanced FMAP for a state exceed 85
percent.
The eFMAP rates are used in the
Children’s Health Insurance Program
under Title XXI, and in the Medicaid
program for certain children for
expenditures for medical assistance
described in sections 1905(u)(2) and
1905(u)(3) of the Act. There is no
specific requirement to publish the
eFMAP rates. We include them in this
notice for the convenience of the States.
Effective Dates: The percentages
listed in Table 1 will be effective for
each of the four quarter-year periods
beginning October 1, 2013 and ending
September 30, 2014. The FY14 disasterrecovery adjusted FMAP rate in Table 2
will also be effective for each of the four
quarter-year periods beginning October
1, 2013 and ending September 30, 2014.
The FY13 revised disaster-recovery
adjusted FMAP rate in Table 2 will be
effective for each of the four quarteryear periods beginning October 1, 2012
and ending September 30, 2013.
DATES:
FOR FURTHER INFORMATION CONTACT:
Carrie Shelton or Tom 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 Title IV–E; 93.659:
Adoption Assistance; 93.769: Ticket-to-Work
and Work Incentives Improvement Act
(TWWIIA) Demonstrations to Maintain
Independence and Employment; 93.778:
Medical Assistance Program; 93.767:
Children’s Health Insurance Program)
Dated: November 23, 2012.
Kathleen Sebelius,
Secretary.
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71422
Federal Register / Vol. 77, No. 231 / Friday, November 30, 2012 / Notices
TABLE 1—FEDERAL MEDICAL ASSISTANCE PERCENTAGES AND ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES,
EFFECTIVE OCTOBER 1, 2013–SEPTEMBER 30, 2014
[Fiscal year 2014]
Federal
medical
assistance
percentages
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State
Alabama ...................................................................................................................................................................
Alaska ......................................................................................................................................................................
American Samoa* ....................................................................................................................................................
Arizona .....................................................................................................................................................................
Arkansas ..................................................................................................................................................................
California ..................................................................................................................................................................
Colorado ..................................................................................................................................................................
Connecticut ..............................................................................................................................................................
Delaware ..................................................................................................................................................................
District of Columbia** ...............................................................................................................................................
Florida ......................................................................................................................................................................
Georgia ....................................................................................................................................................................
Guam* ......................................................................................................................................................................
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 ............................................................................................................................................................
Northern Mariana Islands* .......................................................................................................................................
Ohio .........................................................................................................................................................................
Oklahoma .................................................................................................................................................................
Oregon .....................................................................................................................................................................
Pennsylvania ............................................................................................................................................................
Puerto Rico* .............................................................................................................................................................
Rhode Island ............................................................................................................................................................
South Carolina .........................................................................................................................................................
South Dakota ...........................................................................................................................................................
Tennessee ...............................................................................................................................................................
Texas .......................................................................................................................................................................
Utah .........................................................................................................................................................................
Vermont ...................................................................................................................................................................
Virgin Islands* ..........................................................................................................................................................
Virginia .....................................................................................................................................................................
Washington ..............................................................................................................................................................
West Virginia ............................................................................................................................................................
Wisconsin .................................................................................................................................................................
Wyoming ..................................................................................................................................................................
68.12
50.00
55.00
67.23
70.10
50.00
50.00
50.00
55.31
70.00
58.79
65.93
55.00
51.85
71.64
50.00
66.92
57.93
56.91
69.83
60.98
61.55
50.00
50.00
66.32
50.00
73.05
62.03
66.33
54.74
63.10
50.00
50.00
69.20
50.00
65.78
50.00
55.00
63.02
64.02
63.14
53.52
55.00
50.11
70.57
53.54
65.29
58.69
70.34
55.11
55.00
50.00
50.00
71.09
59.06
50.00
Enhanced
federal
medical
assistance
percentages
77.68
65.00
68.50
77.06
79.07
65.00
65.00
65.00
68.72
79.00
71.15
76.15
68.50
66.30
80.15
65.00
76.84
70.55
69.84
78.88
72.69
73.09
65.00
65.00
76.42
65.00
81.14
73.42
76.43
68.32
74.17
65.00
65.00
78.44
65.00
76.05
65.00
68.50
74.11
74.81
74.20
67.46
68.50
65.08
79.40
67.48
75.70
71.08
79.24
68.58
68.50
65.00
65.00
79.76
71.34
65.00
* For purposes of section 1118 of the Social Security Act, the percentage used under titles I, X, XIV, and XVI will be 75 per centum.
** The values for the District of Columbia in the table were set for the state plan under titles XIX and XXI and for capitation payments and DSH
allotments under those titles. For other purposes, the percentage for DC is 50.00, unless otherwise specified by law.
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71423
Federal Register / Vol. 77, No. 231 / Friday, November 30, 2012 / Notices
TABLE 2—DISASTER-RECOVERY ADJUSTED FMAP RATES
FISCAL YEAR 2013 REVISED DISASTER-RECOVERY ADJUSTED FMAP RATES
A
B
C
D
E
F
State
FY13 FMAP
FY12 disaster
recovery
adjusted
FMAP
Decrease in
FMAP
Disaster
recovery
adjustment
increase
Disaster
recovery
adjusted
FMAP FY13
Col C¥B
50% × Col D*
Col B + E
8.54
4.27
65.51
Louisiana ..............................................................................
* Percentage
61.24
69.78
determined in accordance with section 1905(aa)(1)(A) of the Social Security Act.
FISCAL YEAR 2014 DISASTER-RECOVERY ADJUSTED FMAP RATES
A
B
C
D
E
F
State
FY14 FMAP
FY13 disaster
recovery
adjusted
FMAP
Decrease in
FMAP
Disaster
recovery
adjustment
increase
Disaster
recovery
adjusted
FMAP FY14
Col C¥B
25% × Col D*
Col B + E
4.53
1.13
62.11
Louisiana ..............................................................................
* Percentage
BILLING CODE 4150–05–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Announcement of Intent To Establish
the 2015 Dietary Guidelines Advisory
Committee and Solicitation of
Nominations for Appointment to the
Committee Membership; Amendment
Office of the Assistant
Secretary for Health, Office of the
Secretary, Department of Health and
Human Services.
ACTION: Notice; amendment.
AGENCY:
A notice was published in the
Federal Register of Friday, October 26,
2012, Vol. 77, No. 208, to announce the
intent to establish the 2015 Dietary
Guidelines Advisory Committee and
solicit nominations of individuals who
are interested in being appointed to the
Committee membership. This notice is
being amended to extend the
solicitation period to allow additional
time for nominations to be received. The
new due date for all nominations to be
received is no later than close of
business on December 11, 2012.
FOR FURTHER INFORMATION CONTACT:
Designated Federal Officer, 2015 DGAC:
Richard D. Olson and/or Alternate
Designated Federal Officer, 2015 DGAC:
Kellie (O’Connell) Casavale, Ph.D., R.D.;
Office of Disease Prevention and Health
Promotion, OASH/DHHS; 1101 Wootton
SUMMARY:
wreier-aviles on DSK5TPTVN1PROD with NOTICES
65.51
determined in accordance with section 1905(aa)(1)(B) of the Social Security Act.
[FR Doc. 2012–29035 Filed 11–29–12; 8:45 am]
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60.98
15:17 Nov 29, 2012
Jkt 229001
Parkway, Suite LL 100 Tower Building;
Rockville, MD 20852; Telephone: (240)
453–8280; Fax: (240) 453–8281. Lead
USDA Co-Executive Secretary: Colette I.
Rihane, M.S., R.D., Director, Nutrition
Guidance and Analysis Division; Center
for Nutrition Policy and Promotion; U.S.
Department of Agriculture; 3101 Park
Center Drive, Room 1034; Alexandria,
VA 22302; Telephone: (703) 305–7600;
Fax: (703) 305–3300. USDA CoExecutive Secretary, Shanthy A.
Bowman, Ph.D., Nutritionist, Food
Surveys Research Group; Beltsville
Human Nutrition Research Center,
Agricultural Research Service, USDA;
10300 Baltimore Avenue, BARC-West
Building 005, Room 125; Beltsville, MD
20705–2350; Telephone: (301) 504–
0619. Additional information about the
2015 DGAC is available on the Internet
at www.dietary guidelines.gov.
Dated: November 26, 2012.
Howard K. Koh,
Assistant Secretary for Health.
[FR Doc. 2012–28928 Filed 11–29–12; 8:45 am]
BILLING CODE 4150–32–P
PO 00000
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–6044–N]
Medicare, Medicaid, and Children’s
Health Insurance Programs; Provider
Enrollment Application Fee Amount for
Calendar Year 2013
Centers for Medicare &
Medicaid Services (CMS), HHS.
AGENCY:
ACTION:
Notice.
This notice announces a
$532.00 calendar year (CY) 2013
application fee for institutional
providers that are initially enrolling in
the Medicare or Medicaid program or
the Children’s Health Insurance
Program (CHIP); revalidating their
Medicare, Medicaid or CHIP enrollment;
or adding a new Medicare practice
location. This fee is required with any
enrollment application submitted on or
after January 1, 2013 and on or before
December 31, 2013.
SUMMARY:
Effective Date: This notice is
effective on January 1, 2013.
DATES:
FOR FURTHER INFORMATION CONTACT:
Frank Whelan, (410) 786–1302 for
Medicare enrollment issues. Claudia
Simonson, (312) 353–2115 for Medicaid
and CHIP enrollment issues.
SUPPLEMENTARY INFORMATION:
Frm 00028
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]]>Agencies
[Federal Register Volume 77, Number 231 (Friday, November 30, 2012)]
[Notices]
[Pages 71420-71423]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-29035]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Federal Financial Participation in State Assistance Expenditures;
Federal Matching Shares for Medicaid, the Children's Health Insurance
Program, and Aid to Needy Aged, Blind, or Disabled Persons for October
1, 2013 Through September 30, 2014
AGENCY: Office of the Secretary, DHHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Federal Medical Assistance Percentages (FMAP), Enhanced
Federal Medical Assistance Percentages (eFMAP), and disaster-recovery
FMAP adjustments for Fiscal Year 2014 have been calculated pursuant to
the Social Security Act (the Act). These percentages will be effective
from October 1, 2013 through September 30, 2014. This notice announces
the calculated FMAP and eFMAP rates that the U.S. Department of Health
and Human Services (HHS) will use in determining the amount of federal
matching for state medical assistance (Medicaid) and Children's Health
Insurance Program (CHIP) expenditures, Temporary Assistance for Needy
Families (TANF) Contingency Funds, Child Support Enforcement
collections, Child Care Mandatory and Matching Funds of the Child Care
and Development Fund, Foster Care Title IV-E Maintenance payments, and
Adoption Assistance payments. Table 1 gives figures for each of the 50
States, the District of Columbia, Puerto Rico, the Virgin Islands,
Guam, American Samoa, and the Commonwealth of the Northern Mariana
Islands. This notice also announces the disaster-recovery FMAP
adjustments for qualifying states for FY 2014 that the U.S. Department
of Health and Human Services (HHS) will use in determining the amount
of federal matching for state medical assistance (Medicaid) and title
IV-E Foster Care, Adoption Assistance and Guardianship Assistance
programs.
Programs under title XIX of the Act exist in each jurisdiction.
Programs under titles I, X, and XIV operate only in Guam and the Virgin
Islands, while a program under title XVI (Aid to the Aged, Blind, or
Disabled) operates only in Puerto Rico. The percentages in this notice
apply to state expenditures for most medical assistance and child
health assistance, and assistance payments for certain social services.
The Act provides separately for federal matching of administrative
costs.
Sections 1905(b) and 1101(a)(8)(B) of the Social Security Act (the
Act) require the Secretary of HHS to publish the FMAP rates each year.
The Secretary calculates the percentages, using formulas in sections
1905(b) and 1101(a)(8), and calculations by the Department of Commerce
of average income per person in each state and for the Nation as a
whole. The percentages must fall within the upper and lower limits
given in section 1905(b) of the Act. The percentages for 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 Act specifies the formula for calculating
FMAPs as follows:
`` ``Federal medical assistance percentage'' 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
Federal medical assistance percentage shall in no case be less than
50 per centum or more than 83 per centum, (2) the Federal medical
assistance percentage for Puerto Rico, the Virgin Islands, Guam, the
Northern Mariana Islands, and American Samoa shall be 55 percent * *
*''.
Section 4725(b) 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 and XXI shall be 70 percent. For the District of
Columbia, we note under Table 1 that other rates may apply in certain
other programs. In addition, we note the rate that applies for Puerto
Rico, the Virgin Islands, Guam, American Samoa, and the Commonwealth of
the Northern Mariana Islands in certain other programs pursuant to
section 1118 of the Act.
Section 1905(y) of the Act, as added by section 2001 of the Patient
Protection and Affordable Care Act of 2010
[[Page 71421]]
(''Affordable Care Act''), provides for a significant increase in the
Federal Medical Assistance Percentage (FMAP) for medical expenditures
for individuals determined eligible under the new adult group in the
State and who will be considered to be ``newly eligible'' in 2014, as
defined in section 1905(y)(2)(A) of the Act. The FMAP for these newly
eligible individuals will be 100 percent for Calendar Year (CY) 2014-
2016, gradually declining to 90 percent in 2020 where it remains
indefinitely. In addition, section 1905(z) of the Act, as added by
section 10201 of the Affordable Care Act, provides that States that had
expanded substantial coverage to low-income parents and nonpregnant
adults without children prior to the enactment of the Affordable Care
Act, referred to as ``expansion States,'' shall receive an enhanced
FMAP that begins in 2014 for nonpregnant childless adults who may be
required to enroll in benchmark coverage. These provisions are
discussed in more detail in the Medicaid Eligibility proposed rule
published on August 17, 2011 (76 FR 51172) and the final rule published
on March 23, 2012 (77 FR 17143).
Section 2006 of the 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.
The methodology for calculating and publishing disaster-recovery
adjustments to fiscal year FMAP rates was published on December 22,
2010 (75 FR 80501).
Section 1905(aa) of the Act 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
assistance 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 first year of assistance) or the disaster-adjusted recovery
FMAP (for each subsequent year of assistance) for the preceding fiscal
year by at least three percentage points.
Qualifying states receive an adjustment to their annual FMAP rate
based on a formula specified in statute. In the first year a State
qualifies, this increase is applied to the FMAP as determined for the
fiscal year. Section 2006 of the Affordable Care Act specified that the
disaster-recovery adjustment in the second or any succeeding fiscal
year a State qualifies be applied to the prior year's disaster-recovery
adjusted FMAP. This resulted in increased, rather than phased down,
financial assistance to qualifying states each year, and allowed states
to continue to qualify for assistance after their underlying FMAP has
stabilized. Section 3204 of the Middle Class Tax Relief and Job
Creation Act of 2012 (Pub. L. 112-96) revised the formula in section
1905(aa) to apply the adjustment for the second or any succeeding
fiscal year that a state qualifies to the FMAP as determined for the
fiscal year, effective October 1, 2013. Further, section 100123 of the
Moving Ahead for Progress in the 21st Century Act (Pub. L. 112-141)
revised the formula again, this time for FY13 only, and changed the
effective date in Public Law 112-96 to October 1, 2012. As a result,
HHS has revised the FY13 disaster-recovery FMAP adjustment published on
November 30, 2011. Thus, the revised disaster-recovery FMAP rate for
Louisiana for FY13 (the only qualifying state, as published in 76 FR
74061) is included in Table 2 taking into account the revised formula
set forth in section 3204 of the Middle Class Tax Relief and Job
Creation Act of 2012.
Based on the criteria for a qualifying state, only one State,
Louisiana, meets the requirement for a disaster-recovery FMAP
adjustment in FY14. Hurricane Gustav caused Louisiana to be declared a
state-wide disaster area on September 2, 2008. In addition, Louisiana's
FMAP as determined for FY 2014 is less than the previous year disaster-
recovery adjusted FMAP by at least three percentage points. Therefore,
Louisiana is the only state that qualifies for a disaster-recovery
adjustment to their FY2014 FMAP rate. The disaster-recovery adjusted
FMAP rate for Louisiana for FY2014 is included in Table 2.
Section 2105(b) of the Act specifies the formula for calculating
the eFMAP rates as follows:
The ``enhanced FMAP'', for a State for a fiscal year, is equal
to the Federal medical assistance percentage (as defined in the
first sentence of section 1905(b)) for the State increased by a
number of percentage points equal to 30 percent of the number of
percentage points by which (1) such Federal medical assistance
percentage for the State, is less than (2) 100 percent; but in no
case shall the enhanced FMAP for a state exceed 85 percent.
The eFMAP rates are used in the Children's Health Insurance Program
under Title XXI, and in the Medicaid program for certain children for
expenditures for medical assistance described in sections 1905(u)(2)
and 1905(u)(3) of the Act. There is no specific requirement to publish
the eFMAP rates. We include them in this notice for the convenience of
the States.
DATES: Effective Dates: The percentages listed in Table 1 will be
effective for each of the four quarter-year periods beginning October
1, 2013 and ending September 30, 2014. The FY14 disaster-recovery
adjusted FMAP rate in Table 2 will also be effective for each of the
four quarter-year periods beginning October 1, 2013 and ending
September 30, 2014. The FY13 revised disaster-recovery adjusted FMAP
rate in Table 2 will be effective for each of the four quarter-year
periods beginning October 1, 2012 and ending September 30, 2013.
FOR FURTHER INFORMATION CONTACT: Carrie Shelton or Tom 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 Title IV-E; 93.659: Adoption Assistance;
93.769: Ticket-to-Work and Work Incentives Improvement Act (TWWIIA)
Demonstrations to Maintain Independence and Employment; 93.778:
Medical Assistance Program; 93.767: Children's Health Insurance
Program)
Dated: November 23, 2012.
Kathleen Sebelius,
Secretary.
[[Page 71422]]
Table 1--Federal Medical Assistance Percentages and Enhanced Federal
Medical Assistance Percentages, Effective October 1, 2013-September 30,
2014
[Fiscal year 2014]
------------------------------------------------------------------------
Enhanced
Federal federal
State medical medical
assistance assistance
percentages percentages
------------------------------------------------------------------------
Alabama................................. 68.12 77.68
Alaska.................................. 50.00 65.00
American Samoa*......................... 55.00 68.50
Arizona................................. 67.23 77.06
Arkansas................................ 70.10 79.07
California.............................. 50.00 65.00
Colorado................................ 50.00 65.00
Connecticut............................. 50.00 65.00
Delaware................................ 55.31 68.72
District of Columbia**.................. 70.00 79.00
Florida................................. 58.79 71.15
Georgia................................. 65.93 76.15
Guam*................................... 55.00 68.50
Hawaii.................................. 51.85 66.30
Idaho................................... 71.64 80.15
Illinois................................ 50.00 65.00
Indiana................................. 66.92 76.84
Iowa.................................... 57.93 70.55
Kansas.................................. 56.91 69.84
Kentucky................................ 69.83 78.88
Louisiana............................... 60.98 72.69
Maine................................... 61.55 73.09
Maryland................................ 50.00 65.00
Massachusetts........................... 50.00 65.00
Michigan................................ 66.32 76.42
Minnesota............................... 50.00 65.00
Mississippi............................. 73.05 81.14
Missouri................................ 62.03 73.42
Montana................................. 66.33 76.43
Nebraska................................ 54.74 68.32
Nevada.................................. 63.10 74.17
New Hampshire........................... 50.00 65.00
New Jersey.............................. 50.00 65.00
New Mexico.............................. 69.20 78.44
New York................................ 50.00 65.00
North Carolina.......................... 65.78 76.05
North Dakota............................ 50.00 65.00
Northern Mariana Islands*............... 55.00 68.50
Ohio.................................... 63.02 74.11
Oklahoma................................ 64.02 74.81
Oregon.................................. 63.14 74.20
Pennsylvania............................ 53.52 67.46
Puerto Rico*............................ 55.00 68.50
Rhode Island............................ 50.11 65.08
South Carolina.......................... 70.57 79.40
South Dakota............................ 53.54 67.48
Tennessee............................... 65.29 75.70
Texas................................... 58.69 71.08
Utah.................................... 70.34 79.24
Vermont................................. 55.11 68.58
Virgin Islands*......................... 55.00 68.50
Virginia................................ 50.00 65.00
Washington.............................. 50.00 65.00
West Virginia........................... 71.09 79.76
Wisconsin............................... 59.06 71.34
Wyoming................................. 50.00 65.00
------------------------------------------------------------------------
* For purposes of section 1118 of the Social Security Act, the
percentage used under titles I, X, XIV, and XVI will be 75 per centum.
** The values for the District of Columbia in the table were set for the
state plan under titles XIX and XXI and for capitation payments and
DSH allotments under those titles. For other purposes, the percentage
for DC is 50.00, unless otherwise specified by law.
[[Page 71423]]
Table 2--Disaster-Recovery Adjusted FMAP Rates
Fiscal Year 2013 Revised Disaster-Recovery Adjusted FMAP Rates
--------------------------------------------------------------------------------------------------------------------------------------------------------
A B C D E F
--------------------------------------------------------------------------------------------------------------------------------------------------------
State FY13 FMAP FY12 disaster Decrease in Disaster Disaster
recovery FMAP recovery recovery
adjusted FMAP adjustment adjusted FMAP
increase FY13
--------------------------------------------------------------------------------------------------------------------------------------------------------
Col C-B 50% x Col D\*\ Col B + E
--------------------------------------------------------------------------------------------------------------------------------------------------------
Louisiana.......................................................... 61.24 69.78 8.54 4.27 65.51
--------------------------------------------------------------------------------------------------------------------------------------------------------
\*\ Percentage determined in accordance with section 1905(aa)(1)(A) of the Social Security Act.
Fiscal Year 2014 Disaster-Recovery Adjusted FMAP Rates
--------------------------------------------------------------------------------------------------------------------------------------------------------
A B C D E F
--------------------------------------------------------------------------------------------------------------------------------------------------------
State FY14 FMAP FY13 disaster Decrease in Disaster Disaster
recovery FMAP recovery recovery
adjusted FMAP adjustment adjusted FMAP
increase FY14
--------------------------------------------------------------------------------------------------------------------------------------------------------
Col C-B 25% x Col D\*\ Col B + E
--------------------------------------------------------------------------------------------------------------------------------------------------------
Louisiana.......................................................... 60.98 65.51 4.53 1.13 62.11
--------------------------------------------------------------------------------------------------------------------------------------------------------
\*\ Percentage determined in accordance with section 1905(aa)(1)(B) of the Social Security Act.
[FR Doc. 2012-29035 Filed 11-29-12; 8:45 am]
BILLING CODE 4150-05-P
