Medicaid Program; State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals (QIs): Federal Fiscal Years 2012 and 2013, 45213-45216 [2013-17962]
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Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices
45213
/1 Final CHIP Allotments for FY 2013 based on reported expenditures for quarters 1 through 4 of FY 2012.
/2 MA expenditures adjusted to only include amounts claimed on FY 2012 expenditure reports up to FY 2012 ten percent limit.
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Budget review under the authority of
the Paperwork Reduction Act of 1995
(44 U.S.C. 3501 et seq.).
Authority: (Section 1102 of the Social
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(Catalog of Federal Domestic Assistance
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Program)
(Catalog of Federal Domestic Assistance
Program No. 93.767, State Children’s Health
Insurance Program))
Dated: May 15, 2013.
Marilyn Tavenner,
Administrator, Centers for Medicare &
Medicaid Services.
Dated: June 28, 2013.
Kathleen Sebelius,
Secretary. Department of Health and Human
Services.
[FR Doc. 2013–17966 Filed 7–25–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–2387–N]
RIN 0938–AR78
Medicaid Program; State Allotments
for Payment of Medicare Part B
Premiums for Qualifying Individuals
(QIs): Federal Fiscal Years 2012 and
2013
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
This notice sets forth the
States’ final allotments available to pay
the Medicare Part B premiums for
Qualifying Individuals (QIs) for the
Federal fiscal year (FY) 2012 and the
tkelley on DSK3SPTVN1PROD with NOTICES
SUMMARY:
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preliminary QI allotments for FY 2013.
The amounts of these QI allotments
were determined in accordance with the
methodology set forth in regulations and
reflect funding for the QI program made
available under recent legislation.
DATES: The final QI allotments for
payment of Medicare Part B premiums
for FY 2012 are effective October 1,
2011. The preliminary QI allotments for
FY 2013 are effective October 1, 2012.
FOR FURTHER INFORMATION CONTACT:
Richard Strauss, (410) 786–2019.
SUPPLEMENTARY INFORMATION:
I. Background
A. QI Allotments for FY 2012
Section 110 of the Medicare and
Medicaid Extenders Act of 2010 (Pub. L.
111–309, enacted on December 15,
2010) (MMEA) extended the authority
and funding for the QI program for the
first quarter of FY 2012 (that is, through
December 31, 2011) by providing $280
million available for the first quarter of
FY 2012. Section 310 of the Temporary
Payroll Tax Cut Continuation Act of
2011 (Pub. L. 112–78, enacted on
December 23, 2011) (TPTCA) provided
temporary continued authority and an
additional $150 million in funding for
the QI program for the period January 1,
2012 through February 29, 2012. With
the enactment of TPTCA, the QI
program was authorized and funded at
a total amount nationally of $430
million ($280 million plus $150 million)
for FY 2012 through February 29, 2012.
Section 3101 of the Middle Class Tax
Relief and Job Creation Act of 2012
(Pub. L. 112–96, enacted on February
22, 2012) (MCTRJCA) extended the
authority and funding for the QI
program for FY 2012; in particular,
authority for the QI program was
extended for all of FY 2012 and funding
for the program for the period January
1, 2012 through September 30, 2012 was
increased to $450 million. Therefore,
the total funding available for the QI
program for FY 2012 is $730 million
($280 million plus $450 million).
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B. QI Allotments for FY 2013 and
Thereafter
Section 3101 of the MCTRJCA
extended the authority and funding for
the QI program by providing $280
million, available for the period October
1, 2012 through December 31, 2012, the
first quarter of FY 2013. Most recently,
section 621 of the American Taxpayer
Relief Act of 2012 (Pub. L. 112–240,
enacted on January 2, 2013) (ATRA),
extended the authority for the QI
program for all of FY 2013 and provided
$485 million in additional funding for
the program for the period January 1,
2013 through September 30, 2013.
Therefore the total funding available for
the QI program for FY 2013 is $765
million ($280 million plus $485
million).
Finally, section 621 of ATRA further
extended the authority and funding for
the QI program by providing $300
million, available for the period October
1, 2013 through December 31, 2013, the
first quarter of FY 2014.
C. Methodology for Calculating the
Fiscal Year QI Allotments.
The amounts of the states’ final FY
2012 and preliminary FY 2013 QI
allotments, contained in this notice,
were determined in accordance with the
methodology set forth in existing
regulations at 42 CFR 433.10(c)(5) and
reflect funding for the QI program made
available under the legislation discussed
above.
II. Charts
The final QI allotments for FY 2012
and the preliminary QI allotments for
FY 2013 are shown by state in Chart 1
and Chart 2 below, respectively:
Chart 1—Final Qualifying Individuals
Allotments for October 1, 2011 through
September 30, 2012.
Chart 2—Preliminary Qualifying
Individuals Allotments for October 1,
2012 through September 30, 2013.
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26JYN1
B
43
2
14
21
89
16
15
4
2
83
35
5
6
64
39
16
19
32
28
6
19
34
39
21
19
35
7
7
9
5
29
10
78
47
3
58
17
17
66
5
26
4
32
105
5
2
25
26
16
27
3
1,335
Number of individuals/3
(000s)
3.22
0.15
1.05
1.57
6.67
1.20
1.12
0.30
0.15
6.22
2.62
0.37
0.45
4.79
2.92
1.20
1.42
2.40
2.10%
0.45
1.42
2.55
2.92
1.57
1.42
2.62
0.52
0.52
0.67
0.37
2.17
0.75
5.84
3.52
0.22
4.34
1.27
1.27
4.94
0.37
1.95
0.30
2.40
7.87
0.37
0.15
1.87
1.95
1.20
2.02
0.22
100.00
C
Percentage of
total Col B/Tot.
Col B
$23,513,109
1,093,633
7,655,431
11,483,146
48,666,667
8,749,064
8,202,247
2,187,266
1,093,633
45,385,768
19,138,577
2,734,082
3,280,899
34,996,255
21,325,843
8,749,064
10,389,513
17,498,127
15,310,861
3,280,899
10,389,513
18,591,760
21,325,843
11,483,146
10,389,513
19,138,577
3,827,715
3,827,715
4,921,348
2,734,082
15,857,678
5,468,165
42,651,685
25,700,375
1,640,449
31,715,356
9,295,880
9,295,880
36,089,888
2,734,082
14,217,228
2,187,266
17,498,127
57,415,730
2,734,082
1,093,633
13,670,412
14,217,228
8,749,064
14,764,045
1,640,449
730,000,000
D
$730,000,000
Initial QI allotment Col C x
Initial QI allotments for FY 2012
$21,324,574
283,429
16,592,682
12,996,962
27,247,615
5,418,415
2,292,128
3,030,541
0
66,783,222
35,076,093
1,308,325
2,501,976
23,748,898
6,522,130
4,338,994
4,613,481
15,249,091
19,883,851
5,308,878
7,562,402
10,276,939
16,321,547
5,943,209
14,400,900
4,570,341
1,425,081
2,313,332
4,662,209
2,212,296
9,166,126
4,058,656
44,692,419
28,365,556
629,590
24,831,767
10,241,906
13,072,852
32,079,327
2,388,025
13,359,233
1,915,993
29,077,199
34,868,400
2,429,445
3,331,803
13,050,355
6,502,266
6,165,223
4,954,841
771,814
630,162,333
E
FY 2012 estimated QI expenditures/1
NA .........................
NA .........................
8,937,252 ..............
1,513,816 ..............
NA .........................
NA .........................
NA .........................
843,275 .................
NA .........................
21,397,454 ............
15,937,516 ............
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
4,572,989 ..............
2,027,979 ..............
NA .........................
NA .........................
NA .........................
NA .........................
4,011,386 ..............
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
2,040,734 ..............
2,665,181 ..............
NA .........................
NA .........................
946,026 .................
3,776,972 ..............
NA .........................
NA .........................
NA .........................
NA .........................
11,579,072 ............
NA .........................
NA .........................
2,238,170 ..............
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
82,487,822 ............
F
Need
(difference)
If E>D, E–D
NA .........................
NA .........................
10.8346 .................
1.8352 ...................
NA .........................
NA .........................
NA .........................
1.0223 ...................
NA .........................
25.9401 .................
19.3211 .................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
5.5438 ...................
2.4585 ...................
NA .........................
NA .........................
NA .........................
NA .........................
4.8630 ...................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
2.4740 ...................
3.2310 ...................
NA .........................
NA .........................
1.1469 ...................
4.5788 ...................
NA .........................
NA .........................
NA .........................
NA .........................
14.0373 .................
NA .........................
NA .........................
2.7133 ...................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
100.0000 ...............
G
Pct of Tot. need
states
F/(Tot. of F)
$2,188,535 ............
810,204 .................
Need ......................
Need ......................
21,419,052 ............
3,330,649 ..............
5,910,119 ..............
Need ......................
1,093,633 ..............
Need ......................
Need ......................
1,425,758 ..............
778,923 .................
11,247,356 ............
14,803,712 ............
4,410,070 ..............
5,776,032 ..............
2,249,037 ..............
Need ......................
Need ......................
2,827,111 ..............
8,314,821 ..............
5,004,296 ..............
5,539,937 ..............
Need ......................
14,568,235 ............
2,402,634 ..............
1,514,383 ..............
259,140 .................
521,787 .................
6,691,552 ..............
1,409,509 ..............
Need ......................
Need ......................
1,010,859 ..............
6,883,589 ..............
Need ......................
Need ......................
4,010,560 ..............
346,058 .................
857,995 .................
271,273 .................
Need ......................
22,547,330 ............
304,638 .................
Need ......................
620,057 .................
7,714,963 ..............
2,583,841 ..............
9,809,204 ..............
868,636 .................
182,325,489 ..........
H
Reduction pool for
non-need states
If D >= E, D–E
1.2003 ...................
0.4444 ...................
Need ......................
Need ......................
11.7477 .................
1.8268 ...................
3.2415 ...................
Need ......................
0.5998 ...................
Need ......................
Need ......................
0.7820 ...................
0.4272 ...................
6.1688 ...................
8.1194 ...................
2.4188 ...................
3.1680 ...................
1.2335 ...................
Need ......................
Need ......................
1.5506 ...................
4.5604% ................
2.7447 ...................
3.0385 ...................
Need ......................
7.9902 ...................
1.3178 ...................
0.8306 ...................
0.1421 ...................
0.2862 ...................
3.6701 ...................
0.7731 ...................
Need ......................
Need ......................
0.5544 ...................
3.7754 ...................
Need ......................
Need ......................
2.1997 ...................
0.1898 ...................
0.4706 ...................
0.1488 ...................
Need ......................
12.3665 .................
0.1671 ...................
Need ......................
0.3401 ...................
4.2314 ...................
1.4172 ...................
5.3801 ...................
0.4764 ...................
100.0000 ...............
I
Pct of Tot. nonneed states
H/(Tot. of H)
$990,139 ...............
366,553 .................
Need ......................
Need ......................
9,690,422 ..............
1,506,854 ..............
2,673,860 ..............
Need ......................
494,782 .................
Need ......................
Need ......................
645,042 .................
352,401 .................
5,088,537 ..............
6,697,506 ..............
1,995,207 ..............
2,613,196 ..............
1,017,511 ..............
Need ......................
Need ......................
1,279,044 ..............
3,761,797 ..............
2,264,047 ..............
2,506,382 ..............
Need ......................
6,590,971 ..............
1,087,001 ..............
685,138 .................
117,240 .................
236,067 .................
3,027,397 ..............
637,691 .................
Need ......................
Need ......................
457,334 .................
3,114,278 ..............
Need ......................
Need ......................
1,814,460 ..............
156,564 .................
388,175 .................
122,729 .................
Need ......................
10,200,879 ............
137,824 .................
Need ......................
280,526 .................
3,490,409 ..............
1,168,983 ..............
4,437,887 ..............
392,989 .................
82,487,822 ............
J
Reduction adj. for
non-need states
Col. I x
$82,487,822
TABLE 1—FINAL QUALIFYING INDIVIDUALS ALLOTMENTS FOR OCTOBER 1, 2011 THROUGH SEPTEMBER 30, 2012
Footnotes:
/1 FY 2012 Estimates from July 2012 CMS Survey of States; Estimates Are For Months October 2011 Through September 2012.
/2 For Need States, Final FY 2012 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K.
For Non-Need States, Final FY 2012 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J.
/3 Three-year average (2008–2010) of number (000) of Medicare beneficiaries in State who are not enrolled in Medicaid but whose incomes are at least 120% but less than 135% of federal poverty level.
Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2011 Current Population Survey (CPS).
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 ....................................
Total ....................................
A
State
tkelley on DSK3SPTVN1PROD with NOTICES
NA .........................
NA .........................
8,937,252 ..............
1,513,816 ..............
NA .........................
NA .........................
NA .........................
843,275 .................
NA .........................
21,397,454 ............
15,937,516 ............
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
4,572,989 ..............
2,027,979 ..............
NA .........................
NA .........................
NA .........................
NA .........................
4,011,386 ..............
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
2,040,734 ..............
2,665,181 ..............
NA .........................
NA .........................
946,026 .................
3,776,972 ..............
NA .........................
NA .........................
NA .........................
NA .........................
11,579,072 ............
NA .........................
NA .........................
2,238,170 ..............
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
82,487,822 ............
K
Increase adj. for
need states
Col. G x
$82,487,822
$22,522,970
727,080
16,592,682
12,996,962
38,976,244
7,242,209
5,528,387
3,030,541
598,851
66,783,222
35,076,093
2,089,040
$2,928,498
29,907,718
14,628,336
6,753,857
7,776,317
16,480,617
19,883,851
5,308,878
9,110,470
14,829,963
19,061,796
8,976,764
14,400,900
12,547,606
2,740,714
3,142,577
4,804,108
2,498,015
12,830,281
4,830,474
44,692,419
28,365,556
1,183,116
28,601,078
10,241,906
13,072,852
34,275,427
2,577,519
13,829,054
2,064,536
29,077,199
47,214,851
2,596,258
3,331,803
13,389,886
10,726,820
7,580,080
10,326,158
1,247,461
730,000,000
L
Final FY 2012
QI allotment/2
45214
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38
2
21
27
107
16
15
4
2
96
45
6
7
68
43
16
18
34
29
7
24
28
38
22
18
39
6
6
10
6
40
9
85
38
3
54
27
17
78
6
33
4
48
106
6
2
23
23
17
22
3
1,442
2.64
0.14
1.46
1.87
7.42
1.11
1.04
0.28
0.14
6.66
3.12
0.42
0.49
4.72
2.98
1.11
1.25
2.36
2.01
0.49
1.66
1.94
2.64
1.53
1.25
2.70
0.42
0.42
0.69
0.42
2.77
0.62
5.89
2.64
0.21
3.74
1.87
1.18
5.41
0.42
2.29
0.28
3.33
7.35
0.42
0.14
1.60
1.60
1.18
1.53
0.21
100.00
C
Percentage of
total Col B/Tot.
Col B
$20,159,501
1,061,026
11,140,777
14,323,856
56,764,910
8,488,211
7,957,698
2,122,053
1,061,026
50,929,265
23,873,093
3,183,079
3,713,592
36,074,896
22,812,067
8,488,211
9,549,237
18,037,448
15,384,882
3,713,592
12,732,316
14,854,369
20,159,501
11,671,290
9,549,237
20,690,014
3,183,079
3,183,079
5,305,132
3,183,079
21,220,527
4,774,619
45,093,620
20,159,501
1,591,540
28,647,712
14,323,856
9,018,724
41,380,028
3,183,079
17,506,935
2,122,053
25,464,632
56,234,397
3,183,079
1,061,026
12,201,803
12,201,803
9,018,724
11,671,290
1,591,540
765,000,000
D
$765,000,000
Initial QI allotment Col C x
$24,188,697
378,052
20,302,279
14,968,578
30,667,238
6,261,250
4,295,522
3,516,899
0
75,922,288
37,187,452
1,502,678
2,746,709
28,872,870
6,951,308
4,940,141
5,443,274
18,127,195
22,144,578
7,045,460
8,602,875
10,893,600
20,967,835
6,559,682
16,529,838
4,700,909
1,512,121
2,506,770
5,177,080
2,861,766
9,901,642
4,787,611
50,481,630
28,897,791
692,912
28,435,844
11,348,409
16,832,070
34,628,979
2,625,070
13,456,800
2,344,945
30,163,578
35,884,800
2,680,802
4,047,877
14,387,068
7,274,362
6,550,585
5,416,651
810,736
707,425,105
E
FY 2013 estimated QI expenditures/1
$4,029,197 ............
NA .........................
9,161,503 ..............
644,722 .................
NA .........................
NA .........................
NA .........................
1,394,847 ..............
NA .........................
24,993,023 ............
13,314,359 ............
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
89,747 ...................
6,759,696 ..............
3,331,867 ..............
NA .........................
NA .........................
808,334 .................
NA .........................
6,980,601 ..............
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
12,993 ...................
5,388,010 ..............
8,738,290 ..............
NA .........................
NA .........................
NA .........................
7,813,346 ..............
NA .........................
NA .........................
NA .........................
222,892 .................
4,698,945 ..............
NA .........................
NA .........................
2,986,851 ..............
2,185,265 ..............
NA .........................
NA .........................
NA .........................
NA .........................
103,554,487 ..........
F
Need
(difference)
If E>D, E–D
3.8909 ...................
NA .........................
8.8470 ...................
0.6226 ...................
NA .........................
NA .........................
NA .........................
1.3470 ...................
NA .........................
24.1351 .................
12.8573 .................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
0.0867 ...................
6.5277 ...................
3.2175 ...................
NA .........................
NA .........................
0.7806 ...................
NA .........................
6.7410 ...................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
0.0125 ...................
5.2031 ...................
8.4383 ...................
NA .........................
NA .........................
NA .........................
7.5452 ...................
NA .........................
NA .........................
NA .........................
0.2152 ...................
4.5377 ...................
NA .........................
NA .........................
2.8843 ...................
2.1103 ...................
NA .........................
NA .........................
NA .........................
NA .........................
100.0000 ...............
G
Pct of Tot. need
states
F/(Tot. of F)
Need ......................
682,974 .................
Need ......................
Need ......................
26,097,672 ............
2,226,960 ..............
3,662,176 ..............
Need ......................
1,061,026 ..............
Need ......................
Need ......................
1,680,401 ..............
966,883 .................
7,202,026 ..............
15,860,759 ............
3,548,070 ..............
4,105,963 ..............
Need ......................
Need ......................
Need ......................
4,129,441 ..............
3,960,769 ..............
Need ......................
5,111,608 ..............
Need ......................
15,989,105 ............
1,670,958 ..............
676,309 .................
128,052 .................
321,313 .................
11,318,885 ............
Need ......................
Need ......................
Need ......................
898,628 .................
211,867 .................
2,975,446 ..............
Need ......................
6,751,049 ..............
558,009 .................
4,050,135 ..............
Need ......................
Need ......................
20,349,597 ............
502,277 .................
Need ......................
Need ......................
4,927,441 ..............
2,468,139 ..............
6,254,639 ..............
780,803 .................
161,129,382 ..........
H
Reduction pool for
non-need states
If D > = E, D–E
Need ......................
0.4239 ...................
Need ......................
Need ......................
16.1967 .................
1.3821 ...................
2.2728 ...................
Need ......................
0.6585 ...................
Need ......................
Need ......................
1.0429 ...................
0.6001 ...................
4.4697 ...................
9.8435 ...................
2.2020 ...................
2.5482 ...................
Need ......................
Need ......................
Need ......................
2.5628 ...................
2.4581 ...................
Need ......................
3.1724 ...................
Need ......................
9.9231 ...................
1.0370 ...................
0.4197 ...................
0.0795 ...................
0.1994 ...................
7.0247 ...................
Need ......................
Need ......................
Need ......................
0.5577 ...................
0.1315 ...................
1.8466% ................
Need ......................
4.1898 ...................
0.3463 ...................
2.5136 ...................
Need ......................
Need ......................
12.6294 .................
0.3117 ...................
Need ......................
Need ......................
3.0581 ...................
1.5318 ...................
3.8817 ...................
0.4846 ...................
100.0000 ...............
I
Pct of Tot. nonneed states
H/(Tot. of H)
Need ......................
438,933 .................
Need ......................
Need ......................
16,772,428 ............
1,431,221 ..............
2,353,604 ..............
Need ......................
681,899 .................
Need ......................
Need ......................
1,079,959 ..............
621,396 .................
4,628,592 ..............
10,193,378 ............
2,280,271 ..............
2,638,817 ..............
Need ......................
Need ......................
Need ......................
2,653,906 ..............
2,545,503 ..............
Need ......................
3,285,124 ..............
Need ......................
10,275,864 ............
1,073,890 ..............
434,650 .................
82,296 ...................
206,501 .................
7,274,411 ..............
Need ......................
Need ......................
Need ......................
577,529 .................
136,163 .................
1,912,257 ..............
Need ......................
4,338,758 ..............
358,621 .................
2,602,937 ..............
Need ......................
Need ......................
13,078,261 ............
322,803 .................
Need ......................
Need ......................
3,166,764 ..............
1,586,221 ..............
4,019,726 ..............
501,806 .................
103,554,487 ..........
J
Reduction adj. for
non-need states
Col. I x
$103,554,487
Footnotes:
/1 FY 2013 Estimates from July 2012 CMS Survey of States; Estimates Are For Months October 2012 Through September 2013.
/2 For Need States, Preliminary FY 2013 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K.
For Non-Need States, Preliminary FY 2013 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J.
/3 Three-year average (2009–2011) of number (000) of Medicare beneficiaries in State who are not enrolled in Medicaid but whose incomes are at least 120% but less than 135% of federal poverty level.
Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2012 Current Population Survey (CPS).
B
Number of individuals/3
(000s)
Initial QI allotments for FY 2013
$4,029,197 ............
NA .........................
9,161,503 ..............
644,722 .................
NA .........................
NA .........................
NA .........................
1,394,847 ..............
NA .........................
24,993,023 ............
13,314,359 ............
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
89,747 ...................
6,759,696 ..............
3,331,867 ..............
NA .........................
NA .........................
808,334 .................
NA .........................
6,980,601 ..............
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
NA .........................
12,993 ...................
5,388,010 ..............
8,738,290 ..............
NA .........................
NA .........................
NA .........................
7,813,346 ..............
NA .........................
NA .........................
NA .........................
222,892 .................
4,698,945 ..............
NA .........................
NA .........................
2,986,851 ..............
2,185,265 ..............
NA .........................
NA .........................
NA .........................
NA .........................
103,554,487 ..........
K
Increase adj. for
need states
Col. G x
$103,554,487
TABLE 2—PRELIMINARY QUALIFYING INDIVIDUALS ALLOTMENTS FOR OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013
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 ....................................
Total ....................................
A
State
tkelley on DSK3SPTVN1PROD with NOTICES
$24,188,697
622,093
20,302,279
14,968,578
39,992,482
7,056,990
5,604,094
3,516,899
379,127
75,922,288
37,187,452
2,103,120
3,092,197
31,446,304
12,618,688
6,207,940
6,910,420
18,127,195
22,144,578
7,045,460
10,078,411
12,308,866
20,967,835
8,386,166
16,529,838
10,414,150
2,109,189
2,748,429
5,222,836
2,976,578
13,946,116
4,787,611
50,481,630
28,897,791
1,014,010
28,511,549
12,411,598
16,832,070
37,041,270
2,824,458
14,903,998
2,344,945
30,163,578
43,156,136
2,860,276
4,047,877
14,387,068
9,035,039
7,432,503
7,651,564
1,089,734
765,000,000
L
Preliminary FY
2013 QI allotment/2
Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices
45215
tkelley on DSK3SPTVN1PROD with NOTICES
45216
Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices
The following describes the
information contained in the columns of
Chart 1 and Chart 2:
Column A—State. Column A shows
the name of each state. Columns B
through D show the determination of an
Initial QI Allotment for FY 2012 (Chart
1) or FY 2013 (Chart 2) for each state,
based only on the indicated Census
Bureau data.
Column B—Number of Individuals.
Column B contains the estimated
average number of Medicare
beneficiaries for each state that are not
covered by Medicaid whose family
income is at least 120 but less than 135
percent of the federal poverty level.
With respect to the final FY 2012 QI
allotment (Chart 1), Column B contains
the number of such individuals for the
years 2008 through 2010, as obtained
from the Census Bureau’s Annual Social
and Economic Supplement to the 2011
Current Population Survey. With
respect to the preliminary FY 2013 QI
allotment (Chart 2), Column B contains
the number of such individuals for the
years 2009 through 2012, as obtained
from the Census Bureau’s Annual Social
and Economic Supplement to the
Current Population Survey.
Column C—Percentage of Total.
Column C provides the percentage of
the total number of individuals for each
state, that is, the Number of Individuals
for the state in Column B divided by the
sum total of the Number of Individuals
for all States in Column B.
Column D—Initial QI Allotment.
Column D contains each state’s Initial
QI Allotment for FY 2012 (Chart 1) or
FY 2013 (Chart 2), calculated as the
state’s Percentage of Total in Column C
multiplied by the total amount available
nationally for QI allotments for the
fiscal year. The total amount available
nationally for QI allotments each fiscal
year is $730,000,000 for FY 2012 (Chart
1) and $765,000,000 for FY 2013 (Chart
2).
Columns E through L show the
determination of the States’ Final QI
Allotments for FY 2012 (Chart 1) or
Preliminary QI Allotments for FY 2013
(Chart 2).
Column E —FY 2012 or FY 2013
Estimated QI Expenditures. Column E
contains the states’ estimates of their
total QI expenditures for FY 2012 (Chart
1) or FY 2013 (Chart 2) based on
information obtained from states in the
summer of 2012 and as updated.
Column F—Need (Difference).
Column F contains the additional
amount of QI allotment needed for those
states whose estimated expenditures in
Column E exceeded their Initial QI
allotments in Column D for FY 2012
(Chart 1) or for FY 2013 (Chart 2) for
VerDate Mar<15>2010
18:54 Jul 25, 2013
Jkt 229001
such states, Column F shows the
amount in Column E minus the amount
in Column D. For other ‘‘Non-Need’’
States, Column F shows ‘‘NA’’.
Column G—Percent of Total Need
States. For states whose projected QI
expenditures in Column E are greater
than their initial QI allotment in
Column D for FY 2012 (Chart 1) or FY
2013 (Chart 2), respectively, Column G
shows the percentage of total need,
determined as the amount for each Need
State in Column F divided by the sum
of the amounts for all states in Column
F. For Non-Need States, the entry in
Column G is ‘‘NA’’.
Column H —Reduction Pool for NonNeed States. Column H shows the
amount of the pool of surplus QI
allotments for FY 2012 (Chart 1) or FY
2013 (Chart 2), respectively, for those
states that project QI expenditures for
the fiscal year that are less than the
Initial QI allotment for the fiscal year
(referred to as non-need States). For
states for which the estimates in
Column E of QI expenditures for FY
2012 or FY 2013, respectively, are equal
to or less than their Initial QI allotments
in Column D for FY 2012 or FY 2013,
respectively, Column H shows the
amount in Column D minus the amount
in Column E. For the states with a need,
Column H shows ‘‘Need’’. The
reduction pool of excess QI allotments
is equal to the sum of the amounts in
Column H.
Column I—Percent of Total Non-Need
States. For states whose projected QI
expenditures in Column E are less than
their Initial QI allotment in Column D
for FY 2012 (Chart 1) or FY 2013 (Chart
2), Column I shows the percentage of
the total reduction pool in Column H,
determined as the amount for each NonNeed State in Column H divided by the
sum of the amounts for all States in
Column H. For Need States, the entry in
Column I is ‘‘Need’’.
Column J—Reduction Adjustment for
Non-Need States. Column J shows the
amount of adjustment needed to reduce
the Initial QI allotments in Column D
for FY 2012 (Chart 1) or FY 2013 (Chart
2) for Non-Need States in order to
address the total need shown in Column
F. The amount in Column J is
determined as the percentage in column
I for Non-Need States multiplied by the
lesser of the total need in Column F
(equal to the sum of Needs in Column
F) or the total Reduction Pool in
Column H (equal to the sum of the NonNeed amounts in Column H). For Need
States, the entry in Column J is ‘‘Need’’.
Column K—Increase Adjustment for
Need States. Column K shows the
amount of adjustment to increase the
Initial QI Allotment in Column D for FY
PO 00000
Frm 00048
Fmt 4703
Sfmt 9990
2012 (Chart 1) or FY 2013 (Chart 2) for
Need States in order to address the total
need shown for the fiscal year in
Column F. The amount in Column K is
determined as the percentage in Column
G for Need States multiplied by the
lesser of the total need in Column F
(equal to the sum of Needs in Column
F) or the total Reduction Pool in
Column H (equal to the sum of the NonNeed amounts in Column H). For NonNeed States, the entry in Column K is
‘‘NA’’.
Column L—Final FY 2012 QI
Allotment (Chart 1) or Preliminary FY
2013 QI Allotment (Chart 2). Column L
contains the Final QI Allotment for each
state for FY 2012 (Chart 1) or the
Preliminary QI Allotment for FY 2013
(Chart 2). For states that need additional
QI allotment amounts for the fiscal year
based on Estimated QI Expenditures in
Column E as compared to their Initial QI
allotments in Column D for the fiscal
year (states with a projected need
amount are shown in Column F),
Column L is equal to the Initial QI
allotment in Column D for FY 2012
(Chart 1) or FY 2013 (Chart 2) plus the
amount determined in Column K for
Need States. For Non-Need States (states
with a projected surplus in Column H),
Column L is equal to the QI Allotment
in Column D reduced by the Reduction
Adjustment amount in Column J.
III. Collection of Information
Requirements
This notice does not impose any
information collection or recordkeeping
requirements. Consequently, it does not
need Office of Management and Budget
review under the authority of the
Paperwork Reduction Act of 1995 (44
U.S.C. 3501 et seq.).
Authority: (Section 1102 of the Social
Security Act (42 U.S.C. 1302))
(Catalog of Federal Domestic Assistance
Program No. 93.778, Medical Assistance
Program)
Dated: May 15, 2013.
Marilyn Tavenner,
Administrator, Centers for Medicare &
Medicaid Services.
Dated: June 28, 2013.
Kathleen Sebelius,
Secretary, Department of Health and Human
Services.
[FR Doc. 2013–17962 Filed 7–25–13; 8:45 am]
BILLING CODE 4120–01–P
E:\FR\FM\26JYN1.SGM
26JYN1
]]>Agencies
[Federal Register Volume 78, Number 144 (Friday, July 26, 2013)]
[Notices]
[Pages 45213-45216]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-17962]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-2387-N]
RIN 0938-AR78
Medicaid Program; State Allotments for Payment of Medicare Part B
Premiums for Qualifying Individuals (QIs): Federal Fiscal Years 2012
and 2013
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice sets forth the States' final allotments available
to pay the Medicare Part B premiums for Qualifying Individuals (QIs)
for the Federal fiscal year (FY) 2012 and the preliminary QI allotments
for FY 2013. The amounts of these QI allotments were determined in
accordance with the methodology set forth in regulations and reflect
funding for the QI program made available under recent legislation.
DATES: The final QI allotments for payment of Medicare Part B premiums
for FY 2012 are effective October 1, 2011. The preliminary QI
allotments for FY 2013 are effective October 1, 2012.
FOR FURTHER INFORMATION CONTACT: Richard Strauss, (410) 786-2019.
SUPPLEMENTARY INFORMATION:
I. Background
A. QI Allotments for FY 2012
Section 110 of the Medicare and Medicaid Extenders Act of 2010
(Pub. L. 111-309, enacted on December 15, 2010) (MMEA) extended the
authority and funding for the QI program for the first quarter of FY
2012 (that is, through December 31, 2011) by providing $280 million
available for the first quarter of FY 2012. Section 310 of the
Temporary Payroll Tax Cut Continuation Act of 2011 (Pub. L. 112-78,
enacted on December 23, 2011) (TPTCA) provided temporary continued
authority and an additional $150 million in funding for the QI program
for the period January 1, 2012 through February 29, 2012. With the
enactment of TPTCA, the QI program was authorized and funded at a total
amount nationally of $430 million ($280 million plus $150 million) for
FY 2012 through February 29, 2012. Section 3101 of the Middle Class Tax
Relief and Job Creation Act of 2012 (Pub. L. 112-96, enacted on
February 22, 2012) (MCTRJCA) extended the authority and funding for the
QI program for FY 2012; in particular, authority for the QI program was
extended for all of FY 2012 and funding for the program for the period
January 1, 2012 through September 30, 2012 was increased to $450
million. Therefore, the total funding available for the QI program for
FY 2012 is $730 million ($280 million plus $450 million).
B. QI Allotments for FY 2013 and Thereafter
Section 3101 of the MCTRJCA extended the authority and funding for
the QI program by providing $280 million, available for the period
October 1, 2012 through December 31, 2012, the first quarter of FY
2013. Most recently, section 621 of the American Taxpayer Relief Act of
2012 (Pub. L. 112-240, enacted on January 2, 2013) (ATRA), extended the
authority for the QI program for all of FY 2013 and provided $485
million in additional funding for the program for the period January 1,
2013 through September 30, 2013. Therefore the total funding available
for the QI program for FY 2013 is $765 million ($280 million plus $485
million).
Finally, section 621 of ATRA further extended the authority and
funding for the QI program by providing $300 million, available for the
period October 1, 2013 through December 31, 2013, the first quarter of
FY 2014.
C. Methodology for Calculating the Fiscal Year QI Allotments.
The amounts of the states' final FY 2012 and preliminary FY 2013 QI
allotments, contained in this notice, were determined in accordance
with the methodology set forth in existing regulations at 42 CFR
433.10(c)(5) and reflect funding for the QI program made available
under the legislation discussed above.
II. Charts
The final QI allotments for FY 2012 and the preliminary QI
allotments for FY 2013 are shown by state in Chart 1 and Chart 2 below,
respectively:
Chart 1--Final Qualifying Individuals Allotments for October 1,
2011 through September 30, 2012.
Chart 2--Preliminary Qualifying Individuals Allotments for October
1, 2012 through September 30, 2013.
[[Page 45214]]
Table 1--Final Qualifying Individuals Allotments for October 1, 2011 Through September 30, 2012
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Initial QI allotments for FY 2012
------------------------------------------------
Initial QI FY 2012 Pct of Tot. need Reduction pool for Pct of Tot. non- Reduction adj. for Increase adj. for
State Number of Percentage of allotment Col estimated QI Need (difference) states F/(Tot. of non-need states If need states H/ non-need states need states Col. Final FY 2012
individuals/3 total Col B/ C x expenditures/1 If E>D, E-D F) D >= E, D-E (Tot. of H) Col. I x G x $82,487,822 QI allotment/2
(000s) Tot. Col B ---------------- $82,487,822
$730,000,000
A B C D E F................. G................. H................. I................. J................. K................. L
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Alabama......................... 43 3.22 $23,513,109 $21,324,574 NA................ NA................ $2,188,535........ 1.2003............ $990,139.......... NA................ $22,522,970
Alaska.......................... 2 0.15 1,093,633 283,429 NA................ NA................ 810,204........... 0.4444............ 366,553........... NA................ 727,080
Arizona......................... 14 1.05 7,655,431 16,592,682 8,937,252......... 10.8346........... Need.............. Need.............. Need.............. 8,937,252......... 16,592,682
Arkansas........................ 21 1.57 11,483,146 12,996,962 1,513,816......... 1.8352............ Need.............. Need.............. Need.............. 1,513,816......... 12,996,962
California...................... 89 6.67 48,666,667 27,247,615 NA................ NA................ 21,419,052........ 11.7477........... 9,690,422......... NA................ 38,976,244
Colorado........................ 16 1.20 8,749,064 5,418,415 NA................ NA................ 3,330,649......... 1.8268............ 1,506,854......... NA................ 7,242,209
Connecticut..................... 15 1.12 8,202,247 2,292,128 NA................ NA................ 5,910,119......... 3.2415............ 2,673,860......... NA................ 5,528,387
Delaware........................ 4 0.30 2,187,266 3,030,541 843,275........... 1.0223............ Need.............. Need.............. Need.............. 843,275........... 3,030,541
District of Columbia............ 2 0.15 1,093,633 0 NA................ NA................ 1,093,633......... 0.5998............ 494,782........... NA................ 598,851
Florida......................... 83 6.22 45,385,768 66,783,222 21,397,454........ 25.9401........... Need.............. Need.............. Need.............. 21,397,454........ 66,783,222
Georgia......................... 35 2.62 19,138,577 35,076,093 15,937,516........ 19.3211........... Need.............. Need.............. Need.............. 15,937,516........ 35,076,093
Hawaii.......................... 5 0.37 2,734,082 1,308,325 NA................ NA................ 1,425,758......... 0.7820............ 645,042........... NA................ 2,089,040
Idaho........................... 6 0.45 3,280,899 2,501,976 NA................ NA................ 778,923........... 0.4272............ 352,401........... NA................ $2,928,498
Illinois........................ 64 4.79 34,996,255 23,748,898 NA................ NA................ 11,247,356........ 6.1688............ 5,088,537......... NA................ 29,907,718
Indiana......................... 39 2.92 21,325,843 6,522,130 NA................ NA................ 14,803,712........ 8.1194............ 6,697,506......... NA................ 14,628,336
Iowa............................ 16 1.20 8,749,064 4,338,994 NA................ NA................ 4,410,070......... 2.4188............ 1,995,207......... NA................ 6,753,857
Kansas.......................... 19 1.42 10,389,513 4,613,481 NA................ NA................ 5,776,032......... 3.1680............ 2,613,196......... NA................ 7,776,317
Kentucky........................ 32 2.40 17,498,127 15,249,091 NA................ NA................ 2,249,037......... 1.2335............ 1,017,511......... NA................ 16,480,617
Louisiana....................... 28 2.10% 15,310,861 19,883,851 4,572,989......... 5.5438............ Need.............. Need.............. Need.............. 4,572,989......... 19,883,851
Maine........................... 6 0.45 3,280,899 5,308,878 2,027,979......... 2.4585............ Need.............. Need.............. Need.............. 2,027,979......... 5,308,878
Maryland........................ 19 1.42 10,389,513 7,562,402 NA................ NA................ 2,827,111......... 1.5506............ 1,279,044......... NA................ 9,110,470
Massachusetts................... 34 2.55 18,591,760 10,276,939 NA................ NA................ 8,314,821......... 4.5604%........... 3,761,797......... NA................ 14,829,963
Michigan........................ 39 2.92 21,325,843 16,321,547 NA................ NA................ 5,004,296......... 2.7447............ 2,264,047......... NA................ 19,061,796
Minnesota....................... 21 1.57 11,483,146 5,943,209 NA................ NA................ 5,539,937......... 3.0385............ 2,506,382......... NA................ 8,976,764
Mississippi..................... 19 1.42 10,389,513 14,400,900 4,011,386......... 4.8630............ Need.............. Need.............. Need.............. 4,011,386......... 14,400,900
Missouri........................ 35 2.62 19,138,577 4,570,341 NA................ NA................ 14,568,235........ 7.9902............ 6,590,971......... NA................ 12,547,606
Montana......................... 7 0.52 3,827,715 1,425,081 NA................ NA................ 2,402,634......... 1.3178............ 1,087,001......... NA................ 2,740,714
Nebraska........................ 7 0.52 3,827,715 2,313,332 NA................ NA................ 1,514,383......... 0.8306............ 685,138........... NA................ 3,142,577
Nevada.......................... 9 0.67 4,921,348 4,662,209 NA................ NA................ 259,140........... 0.1421............ 117,240........... NA................ 4,804,108
New Hampshire................... 5 0.37 2,734,082 2,212,296 NA................ NA................ 521,787........... 0.2862............ 236,067........... NA................ 2,498,015
New Jersey...................... 29 2.17 15,857,678 9,166,126 NA................ NA................ 6,691,552......... 3.6701............ 3,027,397......... NA................ 12,830,281
New Mexico...................... 10 0.75 5,468,165 4,058,656 NA................ NA................ 1,409,509......... 0.7731............ 637,691........... NA................ 4,830,474
New York........................ 78 5.84 42,651,685 44,692,419 2,040,734......... 2.4740............ Need.............. Need.............. Need.............. 2,040,734......... 44,692,419
North Carolina.................. 47 3.52 25,700,375 28,365,556 2,665,181......... 3.2310............ Need.............. Need.............. Need.............. 2,665,181......... 28,365,556
North Dakota.................... 3 0.22 1,640,449 629,590 NA................ NA................ 1,010,859......... 0.5544............ 457,334........... NA................ 1,183,116
Ohio............................ 58 4.34 31,715,356 24,831,767 NA................ NA................ 6,883,589......... 3.7754............ 3,114,278......... NA................ 28,601,078
Oklahoma........................ 17 1.27 9,295,880 10,241,906 946,026........... 1.1469............ Need.............. Need.............. Need.............. 946,026........... 10,241,906
Oregon.......................... 17 1.27 9,295,880 13,072,852 3,776,972......... 4.5788............ Need.............. Need.............. Need.............. 3,776,972......... 13,072,852
Pennsylvania.................... 66 4.94 36,089,888 32,079,327 NA................ NA................ 4,010,560......... 2.1997............ 1,814,460......... NA................ 34,275,427
Rhode Island.................... 5 0.37 2,734,082 2,388,025 NA................ NA................ 346,058........... 0.1898............ 156,564........... NA................ 2,577,519
South Carolina.................. 26 1.95 14,217,228 13,359,233 NA................ NA................ 857,995........... 0.4706............ 388,175........... NA................ 13,829,054
South Dakota.................... 4 0.30 2,187,266 1,915,993 NA................ NA................ 271,273........... 0.1488............ 122,729........... NA................ 2,064,536
Tennessee....................... 32 2.40 17,498,127 29,077,199 11,579,072........ 14.0373........... Need.............. Need.............. Need.............. 11,579,072........ 29,077,199
Texas........................... 105 7.87 57,415,730 34,868,400 NA................ NA................ 22,547,330........ 12.3665........... 10,200,879........ NA................ 47,214,851
Utah............................ 5 0.37 2,734,082 2,429,445 NA................ NA................ 304,638........... 0.1671............ 137,824........... NA................ 2,596,258
Vermont......................... 2 0.15 1,093,633 3,331,803 2,238,170......... 2.7133............ Need.............. Need.............. Need.............. 2,238,170......... 3,331,803
Virginia........................ 25 1.87 13,670,412 13,050,355 NA................ NA................ 620,057........... 0.3401............ 280,526........... NA................ 13,389,886
Washington...................... 26 1.95 14,217,228 6,502,266 NA................ NA................ 7,714,963......... 4.2314............ 3,490,409......... NA................ 10,726,820
West Virginia................... 16 1.20 8,749,064 6,165,223 NA................ NA................ 2,583,841......... 1.4172............ 1,168,983......... NA................ 7,580,080
Wisconsin....................... 27 2.02 14,764,045 4,954,841 NA................ NA................ 9,809,204......... 5.3801............ 4,437,887......... NA................ 10,326,158
Wyoming......................... 3 0.22 1,640,449 771,814 NA................ NA................ 868,636........... 0.4764............ 392,989........... NA................ 1,247,461
Total....................... 1,335 100.00 730,000,000 630,162,333 82,487,822........ 100.0000.......... 182,325,489....... 100.0000.......... 82,487,822........ 82,487,822........ 730,000,000
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Footnotes:
/1 FY 2012 Estimates from July 2012 CMS Survey of States; Estimates Are For Months October 2011 Through September 2012.
/2 For Need States, Final FY 2012 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K.
For Non-Need States, Final FY 2012 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J.
/3 Three-year average (2008-2010) of number (000) of Medicare beneficiaries in State who are not enrolled in Medicaid but whose incomes are at least 120% but less than 135% of federal poverty level.
Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2011 Current Population Survey (CPS).
[[Page 45215]]
Table 2--Preliminary Qualifying Individuals Allotments for October 1, 2012 Through September 30, 2013
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Initial QI allotments for FY 2013
------------------------------------------------
Initial QI FY 2013 Pct of Tot. need Reduction pool for Pct of Tot. non- Reduction adj. for Increase adj. for Preliminary FY
State Number of Percentage of allotment Col estimated QI Need (difference) states F/(Tot. of non-need states If need states H/ non-need states need states Col. G 2013 QI
individuals/3 total Col B/ C x expenditures/1 If E>D, E-D F) D > = E, D-E (Tot. of H) Col. I x x $103,554,487 allotment/2
(000s) Tot. Col B ---------------- $103,554,487
$765,000,000
A B C D E F................. G................. H................. I................. J................. K................. L
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Alabama......................... 38 2.64 $20,159,501 $24,188,697 $4,029,197........ 3.8909............ Need.............. Need.............. Need.............. $4,029,197........ $24,188,697
Alaska.......................... 2 0.14 1,061,026 378,052 NA................ NA................ 682,974........... 0.4239............ 438,933........... NA................ 622,093
Arizona......................... 21 1.46 11,140,777 20,302,279 9,161,503......... 8.8470............ Need.............. Need.............. Need.............. 9,161,503......... 20,302,279
Arkansas........................ 27 1.87 14,323,856 14,968,578 644,722........... 0.6226............ Need.............. Need.............. Need.............. 644,722........... 14,968,578
California...................... 107 7.42 56,764,910 30,667,238 NA................ NA................ 26,097,672........ 16.1967........... 16,772,428........ NA................ 39,992,482
Colorado........................ 16 1.11 8,488,211 6,261,250 NA................ NA................ 2,226,960......... 1.3821............ 1,431,221......... NA................ 7,056,990
Connecticut..................... 15 1.04 7,957,698 4,295,522 NA................ NA................ 3,662,176......... 2.2728............ 2,353,604......... NA................ 5,604,094
Delaware........................ 4 0.28 2,122,053 3,516,899 1,394,847......... 1.3470............ Need.............. Need.............. Need.............. 1,394,847......... 3,516,899
District of Columbia............ 2 0.14 1,061,026 0 NA................ NA................ 1,061,026......... 0.6585............ 681,899........... NA................ 379,127
Florida......................... 96 6.66 50,929,265 75,922,288 24,993,023........ 24.1351........... Need.............. Need.............. Need.............. 24,993,023........ 75,922,288
Georgia......................... 45 3.12 23,873,093 37,187,452 13,314,359........ 12.8573........... Need.............. Need.............. Need.............. 13,314,359........ 37,187,452
Hawaii.......................... 6 0.42 3,183,079 1,502,678 NA................ NA................ 1,680,401......... 1.0429............ 1,079,959......... NA................ 2,103,120
Idaho........................... 7 0.49 3,713,592 2,746,709 NA................ NA................ 966,883........... 0.6001............ 621,396........... NA................ 3,092,197
Illinois........................ 68 4.72 36,074,896 28,872,870 NA................ NA................ 7,202,026......... 4.4697............ 4,628,592......... NA................ 31,446,304
Indiana......................... 43 2.98 22,812,067 6,951,308 NA................ NA................ 15,860,759........ 9.8435............ 10,193,378........ NA................ 12,618,688
Iowa............................ 16 1.11 8,488,211 4,940,141 NA................ NA................ 3,548,070......... 2.2020............ 2,280,271......... NA................ 6,207,940
Kansas.......................... 18 1.25 9,549,237 5,443,274 NA................ NA................ 4,105,963......... 2.5482............ 2,638,817......... NA................ 6,910,420
Kentucky........................ 34 2.36 18,037,448 18,127,195 89,747............ 0.0867............ Need.............. Need.............. Need.............. 89,747............ 18,127,195
Louisiana....................... 29 2.01 15,384,882 22,144,578 6,759,696......... 6.5277............ Need.............. Need.............. Need.............. 6,759,696......... 22,144,578
Maine........................... 7 0.49 3,713,592 7,045,460 3,331,867......... 3.2175............ Need.............. Need.............. Need.............. 3,331,867......... 7,045,460
Maryland........................ 24 1.66 12,732,316 8,602,875 NA................ NA................ 4,129,441......... 2.5628............ 2,653,906......... NA................ 10,078,411
Massachusetts................... 28 1.94 14,854,369 10,893,600 NA................ NA................ 3,960,769......... 2.4581............ 2,545,503......... NA................ 12,308,866
Michigan........................ 38 2.64 20,159,501 20,967,835 808,334........... 0.7806............ Need.............. Need.............. Need.............. 808,334........... 20,967,835
Minnesota....................... 22 1.53 11,671,290 6,559,682 NA................ NA................ 5,111,608......... 3.1724............ 3,285,124......... NA................ 8,386,166
Mississippi..................... 18 1.25 9,549,237 16,529,838 6,980,601......... 6.7410............ Need.............. Need.............. Need.............. 6,980,601......... 16,529,838
Missouri........................ 39 2.70 20,690,014 4,700,909 NA................ NA................ 15,989,105........ 9.9231............ 10,275,864........ NA................ 10,414,150
Montana......................... 6 0.42 3,183,079 1,512,121 NA................ NA................ 1,670,958......... 1.0370............ 1,073,890......... NA................ 2,109,189
Nebraska........................ 6 0.42 3,183,079 2,506,770 NA................ NA................ 676,309........... 0.4197............ 434,650........... NA................ 2,748,429
Nevada.......................... 10 0.69 5,305,132 5,177,080 NA................ NA................ 128,052........... 0.0795............ 82,296............ NA................ 5,222,836
New Hampshire................... 6 0.42 3,183,079 2,861,766 NA................ NA................ 321,313........... 0.1994............ 206,501........... NA................ 2,976,578
New Jersey...................... 40 2.77 21,220,527 9,901,642 NA................ NA................ 11,318,885........ 7.0247............ 7,274,411......... NA................ 13,946,116
New Mexico...................... 9 0.62 4,774,619 4,787,611 12,993............ 0.0125............ Need.............. Need.............. Need.............. 12,993............ 4,787,611
New York........................ 85 5.89 45,093,620 50,481,630 5,388,010......... 5.2031............ Need.............. Need.............. Need.............. 5,388,010......... 50,481,630
North Carolina.................. 38 2.64 20,159,501 28,897,791 8,738,290......... 8.4383............ Need.............. Need.............. Need.............. 8,738,290......... 28,897,791
North Dakota.................... 3 0.21 1,591,540 692,912 NA................ NA................ 898,628........... 0.5577............ 577,529........... NA................ 1,014,010
Ohio............................ 54 3.74 28,647,712 28,435,844 NA................ NA................ 211,867........... 0.1315............ 136,163........... NA................ 28,511,549
Oklahoma........................ 27 1.87 14,323,856 11,348,409 NA................ NA................ 2,975,446......... 1.8466%........... 1,912,257......... NA................ 12,411,598
Oregon.......................... 17 1.18 9,018,724 16,832,070 7,813,346......... 7.5452............ Need.............. Need.............. Need.............. 7,813,346......... 16,832,070
Pennsylvania.................... 78 5.41 41,380,028 34,628,979 NA................ NA................ 6,751,049......... 4.1898............ 4,338,758......... NA................ 37,041,270
Rhode Island.................... 6 0.42 3,183,079 2,625,070 NA................ NA................ 558,009........... 0.3463............ 358,621........... NA................ 2,824,458
South Carolina.................. 33 2.29 17,506,935 13,456,800 NA................ NA................ 4,050,135......... 2.5136............ 2,602,937......... NA................ 14,903,998
South Dakota.................... 4 0.28 2,122,053 2,344,945 222,892........... 0.2152............ Need.............. Need.............. Need.............. 222,892........... 2,344,945
Tennessee....................... 48 3.33 25,464,632 30,163,578 4,698,945......... 4.5377............ Need.............. Need.............. Need.............. 4,698,945......... 30,163,578
Texas........................... 106 7.35 56,234,397 35,884,800 NA................ NA................ 20,349,597........ 12.6294........... 13,078,261........ NA................ 43,156,136
Utah............................ 6 0.42 3,183,079 2,680,802 NA................ NA................ 502,277........... 0.3117............ 322,803........... NA................ 2,860,276
Vermont......................... 2 0.14 1,061,026 4,047,877 2,986,851......... 2.8843............ Need.............. Need.............. Need.............. 2,986,851......... 4,047,877
Virginia........................ 23 1.60 12,201,803 14,387,068 2,185,265......... 2.1103............ Need.............. Need.............. Need.............. 2,185,265......... 14,387,068
Washington...................... 23 1.60 12,201,803 7,274,362 NA................ NA................ 4,927,441......... 3.0581............ 3,166,764......... NA................ 9,035,039
West Virginia................... 17 1.18 9,018,724 6,550,585 NA................ NA................ 2,468,139......... 1.5318............ 1,586,221......... NA................ 7,432,503
Wisconsin....................... 22 1.53 11,671,290 5,416,651 NA................ NA................ 6,254,639......... 3.8817............ 4,019,726......... NA................ 7,651,564
Wyoming......................... 3 0.21 1,591,540 810,736 NA................ NA................ 780,803........... 0.4846............ 501,806........... NA................ 1,089,734
Total....................... 1,442 100.00 765,000,000 707,425,105 103,554,487....... 100.0000.......... 161,129,382....... 100.0000.......... 103,554,487....... 103,554,487....... 765,000,000
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Footnotes:
/1 FY 2013 Estimates from July 2012 CMS Survey of States; Estimates Are For Months October 2012 Through September 2013.
/2 For Need States, Preliminary FY 2013 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K.
For Non-Need States, Preliminary FY 2013 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J.
/3 Three-year average (2009-2011) of number (000) of Medicare beneficiaries in State who are not enrolled in Medicaid but whose incomes are at least 120% but less than 135% of federal poverty level.
Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2012 Current Population Survey (CPS).
[[Page 45216]]
The following describes the information contained in the columns of
Chart 1 and Chart 2:
Column A--State. Column A shows the name of each state. Columns B
through D show the determination of an Initial QI Allotment for FY 2012
(Chart 1) or FY 2013 (Chart 2) for each state, based only on the
indicated Census Bureau data.
Column B--Number of Individuals. Column B contains the estimated
average number of Medicare beneficiaries for each state that are not
covered by Medicaid whose family income is at least 120 but less than
135 percent of the federal poverty level. With respect to the final FY
2012 QI allotment (Chart 1), Column B contains the number of such
individuals for the years 2008 through 2010, as obtained from the
Census Bureau's Annual Social and Economic Supplement to the 2011
Current Population Survey. With respect to the preliminary FY 2013 QI
allotment (Chart 2), Column B contains the number of such individuals
for the years 2009 through 2012, as obtained from the Census Bureau's
Annual Social and Economic Supplement to the Current Population Survey.
Column C--Percentage of Total. Column C provides the percentage of
the total number of individuals for each state, that is, the Number of
Individuals for the state in Column B divided by the sum total of the
Number of Individuals for all States in Column B.
Column D--Initial QI Allotment. Column D contains each state's
Initial QI Allotment for FY 2012 (Chart 1) or FY 2013 (Chart 2),
calculated as the state's Percentage of Total in Column C multiplied by
the total amount available nationally for QI allotments for the fiscal
year. The total amount available nationally for QI allotments each
fiscal year is $730,000,000 for FY 2012 (Chart 1) and $765,000,000 for
FY 2013 (Chart 2).
Columns E through L show the determination of the States' Final QI
Allotments for FY 2012 (Chart 1) or Preliminary QI Allotments for FY
2013 (Chart 2).
Column E --FY 2012 or FY 2013 Estimated QI Expenditures. Column E
contains the states' estimates of their total QI expenditures for FY
2012 (Chart 1) or FY 2013 (Chart 2) based on information obtained from
states in the summer of 2012 and as updated.
Column F--Need (Difference). Column F contains the additional
amount of QI allotment needed for those states whose estimated
expenditures in Column E exceeded their Initial QI allotments in Column
D for FY 2012 (Chart 1) or for FY 2013 (Chart 2) for such states,
Column F shows the amount in Column E minus the amount in Column D. For
other ``Non-Need'' States, Column F shows ``NA''.
Column G--Percent of Total Need States. For states whose projected
QI expenditures in Column E are greater than their initial QI allotment
in Column D for FY 2012 (Chart 1) or FY 2013 (Chart 2), respectively,
Column G shows the percentage of total need, determined as the amount
for each Need State in Column F divided by the sum of the amounts for
all states in Column F. For Non-Need States, the entry in Column G is
``NA''.
Column H --Reduction Pool for Non-Need States. Column H shows the
amount of the pool of surplus QI allotments for FY 2012 (Chart 1) or FY
2013 (Chart 2), respectively, for those states that project QI
expenditures for the fiscal year that are less than the Initial QI
allotment for the fiscal year (referred to as non-need States). For
states for which the estimates in Column E of QI expenditures for FY
2012 or FY 2013, respectively, are equal to or less than their Initial
QI allotments in Column D for FY 2012 or FY 2013, respectively, Column
H shows the amount in Column D minus the amount in Column E. For the
states with a need, Column H shows ``Need''. The reduction pool of
excess QI allotments is equal to the sum of the amounts in Column H.
Column I--Percent of Total Non-Need States. For states whose
projected QI expenditures in Column E are less than their Initial QI
allotment in Column D for FY 2012 (Chart 1) or FY 2013 (Chart 2),
Column I shows the percentage of the total reduction pool in Column H,
determined as the amount for each Non-Need State in Column H divided by
the sum of the amounts for all States in Column H. For Need States, the
entry in Column I is ``Need''.
Column J--Reduction Adjustment for Non-Need States. Column J shows
the amount of adjustment needed to reduce the Initial QI allotments in
Column D for FY 2012 (Chart 1) or FY 2013 (Chart 2) for Non-Need States
in order to address the total need shown in Column F. The amount in
Column J is determined as the percentage in column I for Non-Need
States multiplied by the lesser of the total need in Column F (equal to
the sum of Needs in Column F) or the total Reduction Pool in Column H
(equal to the sum of the Non-Need amounts in Column H). For Need
States, the entry in Column J is ``Need''.
Column K--Increase Adjustment for Need States. Column K shows the
amount of adjustment to increase the Initial QI Allotment in Column D
for FY 2012 (Chart 1) or FY 2013 (Chart 2) for Need States in order to
address the total need shown for the fiscal year in Column F. The
amount in Column K is determined as the percentage in Column G for Need
States multiplied by the lesser of the total need in Column F (equal to
the sum of Needs in Column F) or the total Reduction Pool in Column H
(equal to the sum of the Non-Need amounts in Column H). For Non-Need
States, the entry in Column K is ``NA''.
Column L--Final FY 2012 QI Allotment (Chart 1) or Preliminary FY
2013 QI Allotment (Chart 2). Column L contains the Final QI Allotment
for each state for FY 2012 (Chart 1) or the Preliminary QI Allotment
for FY 2013 (Chart 2). For states that need additional QI allotment
amounts for the fiscal year based on Estimated QI Expenditures in
Column E as compared to their Initial QI allotments in Column D for the
fiscal year (states with a projected need amount are shown in Column
F), Column L is equal to the Initial QI allotment in Column D for FY
2012 (Chart 1) or FY 2013 (Chart 2) plus the amount determined in
Column K for Need States. For Non-Need States (states with a projected
surplus in Column H), Column L is equal to the QI Allotment in Column D
reduced by the Reduction Adjustment amount in Column J.
III. Collection of Information Requirements
This notice does not impose any information collection or
recordkeeping requirements. Consequently, it does not need Office of
Management and Budget review under the authority of the Paperwork
Reduction Act of 1995 (44 U.S.C. 3501 et seq.).
Authority: (Section 1102 of the Social Security Act (42 U.S.C.
1302))
(Catalog of Federal Domestic Assistance Program No. 93.778, Medical
Assistance Program)
Dated: May 15, 2013.
Marilyn Tavenner,
Administrator, Centers for Medicare & Medicaid Services.
Dated: June 28, 2013.
Kathleen Sebelius,
Secretary, Department of Health and Human Services.
[FR Doc. 2013-17962 Filed 7-25-13; 8:45 am]
BILLING CODE 4120-01-P
