Medicaid Program; State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals (QIs): Federal Fiscal Years 2013 and 2014, 31034-31039 [2015-13043]
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31034
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and public health, and are appointed by
the CDC Director. The Task Force was
convened in 1996 by the Department of
Health and Human Services (HHS) to
identify community preventive
programs, services, and policies that
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Force’s recommendations, along with
the systematic reviews of the scientific
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compiled in the Guide to Community
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Wednesday, June 17, 2015 from 8:30
a.m. to 6:00 p.m. EDT and Thursday,
June 18, 2015 from 8:30 a.m. to 1:00
p.m. EDT.
ADDRESSES: The Task Force Meeting
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Conference Call. Individuals may view
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FOR FURTHER INFORMATION CONTACT:
Onslow Smith, The Community Guide
Branch; Division of Public Health
Information Dissemination; Center for
Surveillance, Epidemiology and
Laboratory Services; Office of Public
Health Scientific Services; Centers for
Disease Control and Prevention, 1600
Clifton Road, MS–E–69, Atlanta, GA
30333, phone: (404) 498–6778, email:
CPSTF@cdc.gov (also contact to RSVP).
SUPPLEMENTARY INFORMATION:
Purpose
The purpose of the meeting is for the
Task Force to consider the findings of
systematic reviews and issue findings
and recommendations. Task Force
recommendations provide information
about evidence-based options that
decision makers and stakeholders can
consider when determining what best
meets the specific needs, preferences,
available resources, and constraints of
their jurisdictions and constituents.
Matters To Be Discussed
Task Force Prioritization and
Communication of Community
Preventive Services Task Force
Insufficient Evidence (IE) Findings.
Roybal Campus Security Guidelines
The Edward R. Roybal Campus is the
headquarters of the U.S. Centers for
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located at 1600 Clifton Road NE.,
Atlanta, Georgia. The meeting is being
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Meeting Accessibility.
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badge, state driver’s license, state nondriver’s identification card, or passport).
Non-United States citizens must
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complete the required security
paperwork prior to the meeting date and
must present a valid passport, visa,
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Dated: May 26, 2015.
Ron A. Otten,
Acting Deputy Associate Director for Science,
Centers for Disease Control and Prevention.
[FR Doc. 2015–13080 Filed 5–27–15; 11:15 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–2395–N]
RIN 0938Z
Medicaid Program; State Allotments
for Payment of Medicare Part B
Premiums for Qualifying Individuals
(QIs): Federal Fiscal Years 2013 and
2014
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) 2013 and the
preliminary QI allotments for FY 2014.
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 2013 are effective October 1,
2012. The preliminary QI allotments for
FY 2014 are effective October 1, 2013.
FOR FURTHER INFORMATION CONTACT:
Diana Kuhn, (410) 786–1914 or Toni
Cincibus at (410) 786–2997.
SUPPLEMENTARY INFORMATION:
SUMMARY:
I. Background
A. QI Allotments for FY 2013
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 by providing $280 million,
E:\FR\FM\01JNN1.SGM
01JNN1
Federal Register / Vol. 80, No. 104 / Monday, June 1, 2015 / Notices
available for the period October 1, 2012
through December 31, 2012, the first
quarter of FY 2013. 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).
Lhorne on DSK2VPTVN1PROD with NOTICES
B. QI Allotments for FY 2014 and
Thereafter
As amended by section 621 of the
American Taxpayer Relief Act of 2012
(ATRA, Pub. L. 112–240, enacted on
January 2, 2013), section 1933(g)(2) of
the Social Security Act provided $300
million in funding for the period
October 1, 2013 through December 31,
2013, the first quarter of FY 2014.
Section 1201 of Division B of the
legislation ‘‘Pathway for SGR Reform
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Act of 2013’’ (Pub. L. 113–67 enacted on
December 26, 2013) provided an
additional $200 million and authority
for the QI program for the period
January 1, 2014 through March 31, 2014
(second quarter of FY 2014). In addition,
section 201 of the Protecting Access to
Medicare Act of 2014 (PAMA) (Pub. L.
113–93 enacted on April 1, 2014)
revised the $200 to $485 million and
extended the period for which such
funds were available to the end of
September 2014. Therefore, a total of
$785 million is now available for all of
FY 2014 ($300 million for the first
quarter of FY 2014, and $485 million for
the second through fourth quarters of
FY 2014). Finally, section 201 of PAMA
further extended the authority and
funding for the QI program for FY 2015
as follows: $300 million for the period
October 1, 2014 through December 31,
2014 (first quarter of FY 2015); and,
$250 million for the period January 1,
2015 through March 31, 2015 (second
quarter FY 2015). Therefore, a total of
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31035
$550 million is available for the QI
program for FY 2015.
C. Methodology for Calculating the
Fiscal Year QI Allotments
The amounts of the states’ final FY
2013 and preliminary FY 2014 QI
allotments, contained in this notice,
were determined in accordance with the
methodology set forth in existing
regulations at 42 CFR 433.10(c)(5) and
reflect funding for the QI program made
available under the legislation discussed
above.
II. Tables
The final QI allotments for FY 2013
and the preliminary QI allotments for
FY 2014 are shown by state in Table 1
and Table 2, respectively:
Table 1—Final Qualifying Individuals
Allotments for October 1, 2012 through
September 30, 2013.
Table 2—Preliminary Qualifying
Individuals Allotments for October 1,
2013 through September 30, 2014.
E:\FR\FM\01JNN1.SGM
01JNN1
VerDate Sep<11>2014
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
B
A
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 ..............
Number of
individuals 3
(000s)
C
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
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
D
Initial QI
allotment
Col C ×
$765,000,000
Initial QI allotments for FY 2013
$22,544,081
326,300
19,563,390
13,956,348
28,189,619
6,005,621
3,902,339
3,211,361
0
72,316,568
34,507,397
1,409,689
2,677,626
24,744,637
5,829,210
4,584,319
5,023,657
15,065,051
20,831,932
6,075,634
8,959,072
9,694,545
14,816,534
6,389,653
15,212,658
4,395,160
1,543,785
2,283,431
5,391,707
2,269,086
7,810,549
4,117,952
46,198,147
29,670,994
670,202
26,381,913
10,320,039
14,297,554
33,265,180
2,439,790
14,903,998
1,623,719
31,271,663
78,081,412
2,018,266
3,574,197
14,128,876
5,963,337
E
FY 2013
estimated
QI
expenditures 1
$2,384,580
NA
8,422,614
NA
NA
NA
NA
1,089,308
NA
21,387,303
10,634,304
NA
NA
NA
NA
NA
NA
NA
5,447,049
2,362,042
NA
NA
NA
NA
5,663,421
NA
NA
NA
86,575
NA
NA
NA
1,104,527
9,511,493
NA
NA
NA
5,278,830
NA
NA
NA
NA
5,807,030
21,847,015
NA
2,513,171
1,927,073
NA
F
Need
(difference)
If E > D,
E¥D
2.2610
NA
7.9861
NA
NA
NA
NA
1.0328
NA
20.2788
10.0831
NA
NA
NA
NA
NA
NA
NA
5.1647
2.2396
NA
NA
NA
NA
5.3699
NA
NA
NA
0.0821
NA
NA
NA
1.0473
9.0185
NA
NA
NA
5.0052
NA
NA
NA
NA
5.5061
20.7147
NA
2.3829
1.8272
NA
G
Percentage
of total
need
states
F/(tot. of F)
Need
$734,726
Need
367,508
28,575,291
2,482,589
4,055,359
Need
1,061,026
Need
Need
1,773,390
1,035,967
11,330,259
16,982,857
3,903,892
4,525,580
2,972,397
Need
Need
3,773,244
5,159,824
5,342,966
5,281,637
Need
16,294,854
1,639,294
899,648
Need
913,993
13,409,979
656,667
Need
Need
921,338
2,265,799
4,003,816
Need
8,114,848
743,289
2,602,937
498,334
Need
Need
1,164,813
Need
Need
6,238,466
H
Reduction
pool for
non-need
states
If D >= E,
D¥E
Need
0.4320
Need
0.2161
16.8015
1.4597
2.3844
Need
0.6239
Need
Need
1.0427
0.6091
6.6619
9.9854
2.2954
2.6609
1.7477
Need
Need
2.2186
3.0338
3.1415
3.1055
Need
9.5809
0.9639
0.5290
Need
0.5374
7.8847
0.3861
Need
Need
0.5417
1.3322
2.3541
Need
4.7713
0.4370
1.5305
0.2930
Need
Need
0.6849
Need
Need
3.6680
I
Percentage
of total
non-need
states H/
(tot. of H)
Need
$455,613
Need
227,896
17,719,883
1,539,484
2,514,777
Need
657,955
Need
Need
1,099,701
642,415
7,026,031
10,531,275
2,420,851
2,806,367
1,843,219
Need
Need
2,339,834
3,199,669
3,313,238
3,275,207
Need
10,104,636
1,016,546
557,882
Need
566,778
8,315,690
407,207
Need
Need
571,333
1,405,049
2,482,815
Need
5,032,115
460,923
1,614,113
309,023
Need
Need
722,315
Need
Need
3,868,548
J
Reduction
adj. for
non-need
states
Col. I ×
$105,466,335
$2,384,580
NA
8,422,614
NA
NA
NA
NA
1,089,308
NA
21,387,303
10,634,304
NA
NA
NA
NA
NA
NA
NA
5,447,049
2,362,042
NA
NA
NA
NA
5,663,421
NA
NA
NA
86,575
NA
NA
NA
1,104,527
9,511,493
NA
NA
NA
5,278,830
NA
NA
NA
NA
5,807,030
21,847,015
NA
2,513,171
1,927,073
NA
K
Increase
adj. for
need states
Col. G ×
$105,466,335
TABLE 1—FINAL QUALIFYING INDIVIDUALS ALLOTMENTS FOR OCTOBER 1, 2012 THROUGH SEPTEMBER 30, 2013
State
Lhorne on DSK2VPTVN1PROD with NOTICES
$22,544,081
605,414
19,563,390
14,095,960
39,045,026
6,948,727
5,442,921
3,211,361
403,071
72,316,568
34,507,397
2,083,378
3,071,177
29,048,864
12,280,791
6,067,360
6,742,870
16,194,229
20,831,932
6,075,634
10,392,482
11,654,700
16,846,263
8,396,083
15,212,658
10,585,377
2,166,533
2,625,197
5,391,707
2,616,301
12,904,836
4,367,412
46,198,147
29,670,994
1,020,207
27,242,662
11,841,041
14,297,554
36,347,913
2,722,156
15,892,822
1,813,030
31,271,663
78,081,412
2,460,765
3,574,197
14,128,876
8,333,255
L
Final
FY 2013
QI
allotment 2
31036
Federal Register / Vol. 80, No. 104 / Monday, June 1, 2015 / Notices
14:50 May 29, 2015
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01JNN1
17
22
3
VerDate Sep<11>2014
Total ..................
100.00
1.18
1.53
0.21
765,000,000
9,018,724
11,671,290
1,591,540
700,390,091
6,218,910
4,839,536
873,450
105,466,335
NA
NA
NA
100.0000
NA
NA
NA
170,076,244
2,799,814
6,831,754
718,090
100.0000
1.6462
4.0169
0.4222
105,466,335
1,736,199
4,236,453
445,296
105,466,335
NA
NA
NA
765,000,000
7,282,525
7,434,837
1,146,244
Frm 00041
33
2
29
25
130
12
15
5
2
133
46
6
8
63
41
17
18
35
29
7
22
27
37
18
20
44
6
7
7
6
45
9
102
48
4
B
A
PO 00000
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 ...........
Number of
individuals 3
(000s)
Jkt 235001
C
2.13
0.13
1.88
1.62
8.41
0.78
0.97
0.32
0.13
8.60
2.98
0.39
0.52
4.08
2.65
1.10
1.16
2.26
1.88
0.45
1.42
1.75
2.39
1.16
1.29
2.85
0.39
0.45
0.45
0.39
2.91
0.58
6.60
3.10
0.26
Percentage
of total
Col B/tot.
Col B
$16,756,145
1,015,524
14,725,097
12,694,049
66,009,056
6,093,144
7,616,429
2,538,810
1,015,524
67,532,342
23,357,050
3,046,572
4,062,096
31,989,004
20,818,241
8,631,953
9,139,715
17,771,669
14,725,097
3,554,334
11,170,763
13,709,573
18,787,193
9,139,715
10,155,239
22,341,527
3,046,572
3,554,334
3,554,334
3,046,572
22,849,288
4,569,858
51,791,721
24,372,574
2,031,048
D
Initial QI
allotment
Col C ×
$785,000,000
Initial QI allotments for FY 2014
State
14:50 May 29, 2015
$24,304,910
374,073
21,719,024
14,283,289
29,497,236
6,744,021
5,030,002
3,208,262
0
78,905,990
37,475,498
1,472,570
2,684,609
28,168,168
6,077,393
4,924,019
5,698,955
17,488,089
22,748,614
7,632,104
10,821,904
10,070,400
18,446,036
6,901,960
16,214,118
6,154,273
1,617,663
2,347,662
6,220,570
2,755,828
8,686,979
4,491,904
47,248,495
31,199,358
708,704
E
FY 2014
estimated
QI
expenditures 1
$7,548,766
NA
6,993,927
1,589,240
NA
650,877
NA
669,452
NA
11,373,648
14,118,447
NA
NA
NA
NA
NA
NA
NA
8,023,517
4,077,771
NA
NA
NA
NA
6,058,879
NA
NA
NA
2,666,236
NA
NA
NA
NA
6,826,784
NA
F
Need
(difference)
if E > D,
E¥D
6.5027
NA
6.0247
1.3690
NA
0.5607
NA
0.5767
NA
9.7975
12.1619
NA
NA
NA
NA
NA
NA
NA
6.9116
3.5127
NA
NA
NA
NA
5.2192
NA
NA
NA
2.2968
NA
NA
NA
NA
5.8807
NA
G
Percentage
of total need
states
F/(tot. of F)
Need
$641,451
Need
Need
36,511,819
Need
2,586,428
Need
1,015,524
Need
Need
1,574,002
1,377,487
3,820,836
14,740,848
3,707,935
3,440,760
283,580
Need
Need
348,860
3,639,173
341,157
2,237,755
Need
16,187,253
1,428,909
1,206,672
Need
290,744
14,162,310
77,953
4,543,226
Need
1,322,343
H
Reduction
pool for nonneed states
if D >= E,
D¥E
Need
0.4288
Need
Need
24.4061
Need
1.7289
Need
0.6788
Need
Need
1.0521
0.9208
2.5540
9.8534
2.4785
2.3000
0.1896
Need
Need
0.2332
2.4326
0.2280
1.4958
Need
10.8203
0.9551
0.8066
Need
0.1943
9.4667
0.0521
3.0369
Need
0.8839
I
Percent of
total nonneed states
H/(tot. of H)
Need
$497,751
Need
Need
28,332,367
Need
2,007,011
Need
788,024
Need
Need
1,221,391
1,068,899
2,964,885
11,438,573
2,877,276
2,669,954
220,052
Need
Need
270,707
2,823,918
264,730
1,736,449
Need
12,560,952
1,108,802
936,351
Need
225,611
10,989,640
60,490
3,525,443
Need
1,026,109
J
Reduction
adj. for nonneed states
Col. I ×
$116,087,180
$7,548,766
NA
6,993,927
1,589,240
NA
650,877
NA
669,452
NA
11,373,648
14,118,447
NA
NA
NA
NA
NA
NA
NA
8,023,517
4,077,771
NA
NA
NA
NA
6,058,879
NA
NA
NA
2,666,236
NA
NA
NA
NA
6,826,784
NA
K
Increase adj.
for need
states
Col. G ×
$116,087,180
TABLE 2—PRELIMINARY QUALIFYING INDIVIDUALS ALLOTMENTS FOR OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2014
$24,304,910
517,772
21,719,024
14,283,289
37,676,689
6,744,021
5,609,418
3,208,262
227,500
78,905,990
37,475,499
1,825,181
2,993,196
29,024,119
9,379,668
5,754,678
6,469,761
17,551,617
22,748,614
7,632,104
10,900,056
10,885,655
18,522,462
7,403,266
16,214,118
9,780,575
1,937,770
2,617,983
6,220,570
2,820,961
11,859,648
4,509,368
48,266,278
31,199,358
1,004,938
L
Preliminary
FY 2014 QI
allotment 2
Footnotes:
1 FY 2013 Estimates from July 2013 CMS Survey of States; Estimates Are For Months October 2012 Through September 2013.
2 For Need States, Final FY 2013 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K; For Non-Need States, Final 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).
1,442
West Virginia ...........
Wisconsin ................
Wyoming ..................
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B
A
59
23
16
83
5
33
3
43
108
7
3
33
26
20
22
4
Number of
individuals 3
(000s)
State
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Total ..................
100.00
3.82
1.49
1.03
5.37
0.32
2.13
0.19
2.78
6.99
0.45
0.19
2.13
1.68
1.29
1.42
0.26
785,000,000
29,957,956
11,678,525
8,124,191
42,144,243
2,538,810
16,756,145
1,523,286
21,833,765
54,838,292
3,554,334
1,523,286
16,756,145
13,201,811
10,155,239
11,170,763
2,031,048
D
Initial QI
allotment
Col C ×
$785,000,000
751,486,048
27,260,048
11,187,585
16,228,030
33,836,544
2,519,698
15,105,600
2,110,798
32,496,447
78,683,812
2,394,138
3,813,371
14,627,256
6,660,311
6,415,789
4,908,586
915,357
E
FY 2014
estimated
QI
expenditures 1
116,087,180
NA
NA
8,103,839
NA
NA
NA
587,512
10,662,682
23,845,519
NA
2,290,085
NA
NA
NA
NA
NA
F
Need
(difference)
if E > D,
E¥D
100.0000
NA
NA
6.9808
NA
NA
NA
0.5061
9.1851
20.5410
NA
1.9727
NA
NA
NA
NA
NA
G
Percentage
of total need
states
F/(tot. of F)
149,601,132
2,697,908
490,940
Need
8,307,699
19,112
1,650,545
Need
Need
Need
1,160,196
Need
2,128,889
6,541,500
3,739,450
6,262,178
1,115,690
H
Reduction
pool for nonneed states
if D >= E,
D¥E
100.0000
1.8034
0.3282
Need
5.5532
0.0128
1.1033
Need
Need
Need
0.7755
Need
1.4230
4.3726
2.4996
4.1859
0.7458
I
Percent of
total nonneed states
H/(tot. of H)
116,087,180
2,093,517
380,959
Need
6,446,591
14,830
1,280,786
Need
Need
Need
900,286
Need
1,651,971
5,076,060
2,901,731
4,859,312
865,751
J
Reduction
adj. for nonneed states
Col. I ×
$116,087,180
116,087,180
NA
NA
8,103,839
NA
NA
NA
587,512
10,662,682
23,845,519
NA
2,290,085
NA
NA
NA
NA
NA
K
Increase adj.
for need
states
Col. G ×
$116,087,180
785,000,000
27,864,439
11,297,566
16,228,030
35,697,652
2,523,979
15,475,358
2,110,798
32,496,447
78,683,813
2,654,047
3,813,371
15,104,174
8,125,751
7,253,508
6,311,452
1,165,297
L
Preliminary
FY 2014 QI
allotment 2
Footnotes:
1 FY 2014 Estimates in Column E are from July 2013 CMS Survey of States; Estimates are for months October 2013 through September 2014.
2 For Need States, Preliminary FY 2014 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K; For Non-Need States, Preliminary FY 2014 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J.
3 Three-year average (2010–2012) 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).
1,546
Ohio .........................
Oklahoma ................
Oregon .....................
Pennsylvania ...........
Rhode Island ...........
South Carolina .........
South Dakota ...........
Tennessee ...............
Texas .......................
Utah .........................
Vermont ...................
Virginia .....................
Washington ..............
West Virginia ...........
Wisconsin ................
Wyoming ..................
C
Percentage
of total
Col B/tot.
Col B
Initial QI allotments for FY 2014
TABLE 2—PRELIMINARY QUALIFYING INDIVIDUALS ALLOTMENTS FOR OCTOBER 1, 2013 THROUGH SEPTEMBER 30, 2014—Continued
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The following describes the
information contained in the columns of
Table 1 and Table 2:
Column A—State. Column A shows
the name of each state. Columns B
through D show the determination of an
Initial QI Allotment for FY 2013 (Table
1) or FY 2014 (Table 2) for each state,
based only on the indicated Census
Bureau data.
Column B—Number of Individuals.
Column B contains the estimated
average number of Medicare
beneficiaries for each state that are not
covered by Medicaid whose family
income is at least 120 but less than 135
percent of the federal poverty level.
With respect to the final FY 2013 QI
allotment (Table1), Column B contains
the number of such individuals for the
years 2009 through 2011, as obtained
from the Census Bureau’s Annual Social
and Economic Supplement to the 2012
Current Population Survey. With
respect to the preliminary FY 2014 QI
allotment (Table 2), Column B contains
the number of such individuals for the
years 2010 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 2013 (Table 1) or
FY 2014 (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 $765,000,000 for FY 2013 (Table
1) and $785,000,000 for FY 2014 (Table
2).
Columns E through L show the
determination of the States’ Final QI
Allotments for FY 2013 (Table 1) or
Preliminary QI Allotments for FY 2014
(Table 2).
Column E—FY 2013 or FY 2014
Estimated QI Expenditures. Column E
contains the states’ estimates of their
total QI expenditures for FY 2013 (Table
1) or FY 2014 (Table 2) based on
information obtained from states in the
summer of 2013 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 2013
(Table 1) or for FY 2014 (Table 2) for
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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 2013 (Table 1) or FY
2014 (Table 2), respectively, Column G
shows the percentage of total need,
determined as the amount for each Need
State in Column F divided by the sum
of the amounts for all states in Column
F. For Non-Need states, the entry in
Column G is ‘‘NA.’’
Column H—Reduction Pool for NonNeed States. Column H shows the
amount of the pool of surplus QI
allotments for FY 2013 (Table 1) or FY
2014 (Table 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
2013 or FY 2014, respectively, are equal
to or less than their Initial QI allotments
in Column D for FY 2013 or FY 2014,
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 2013 (Table 1) or FY 2014 (Table
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 2013 (Table 1) or FY 2014 (Table
2) for Non-Need States in order to
address the total need shown in Column
F. The amount in Column J is
determined as the percentage in column
I for Non-Need States multiplied by the
lesser of the total need in Column F
(equal to the sum of Needs in Column
F) or the total Reduction Pool in
Column H (equal to the sum of the 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
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31039
FY 2013 (Table 1) or FY 2014 (Table 2)
for Need States in order to address the
total need shown for the fiscal year in
Column F. The amount in Column K is
determined as the percentage in Column
G for Need States multiplied by the
lesser of the total need in Column F
(equal to the sum of Needs in Column
F) or the total Reduction Pool in
Column H (equal to the sum of the NonNeed amounts in Column H). For NonNeed States, the entry in Column K is
‘‘NA.’’
Column L—Final FY 2013 QI
Allotment (Chart 1) or Preliminary FY
2014 QI Allotment (Table 2). Column L
contains the Final QI Allotment for each
state for FY 2013 (Table 1) or the
Preliminary QI Allotment for FY 2014
(Table 2). For states that need additional
QI allotment amounts for the fiscal year
based on Estimated QI Expenditures in
Column E as compared to their Initial QI
allotments in Column D for the fiscal
year (states with a projected need
amount are shown in Column F),
Column L is equal to the Initial QI
allotment in Column D for FY 2013
(Table 1) or FY 2014 (Table 2) plus the
amount determined in Column K for
Need States. For Non-Need States (states
with a projected surplus in Column H),
Column L is equal to the QI Allotment
in Column D reduced by the Reduction
Adjustment amount in Column J.
III. Collection of Information
Requirements
This notice does not impose any
information collection or recordkeeping
requirements. Consequently, it does not
need Office of Management and Budget
review under the authority of the
Paperwork Reduction Act of 1995 (44
U.S.C. 3501 et seq.).
Dated: April 17, 2015.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare
& Medicaid Services.
Dated: May 21, 2015.
Sylvia M. Burwell,
Secretary, Department of Health and Human
Services.
[FR Doc. 2015–13043 Filed 5–28–15; 11:15 am]
BILLING CODE 4120–01–P
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]]>Agencies
[Federal Register Volume 80, Number 104 (Monday, June 1, 2015)]
[Notices]
[Pages 31034-31039]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-13043]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-2395-N]
RIN 0938Z
Medicaid Program; State Allotments for Payment of Medicare Part B
Premiums for Qualifying Individuals (QIs): Federal Fiscal Years 2013
and 2014
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) 2013 and the preliminary QI allotments
for FY 2014. 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 2013 are effective October 1, 2012. The preliminary QI
allotments for FY 2014 are effective October 1, 2013.
FOR FURTHER INFORMATION CONTACT: Diana Kuhn, (410) 786-1914 or Toni
Cincibus at (410) 786-2997.
SUPPLEMENTARY INFORMATION:
I. Background
A. QI Allotments for FY 2013
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 by providing $280 million,
[[Page 31035]]
available for the period October 1, 2012 through December 31, 2012, the
first quarter of FY 2013. 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).
B. QI Allotments for FY 2014 and Thereafter
As amended by section 621 of the American Taxpayer Relief Act of
2012 (ATRA, Pub. L. 112-240, enacted on January 2, 2013), section
1933(g)(2) of the Social Security Act provided $300 million in funding
for the period October 1, 2013 through December 31, 2013, the first
quarter of FY 2014. Section 1201 of Division B of the legislation
``Pathway for SGR Reform Act of 2013'' (Pub. L. 113-67 enacted on
December 26, 2013) provided an additional $200 million and authority
for the QI program for the period January 1, 2014 through March 31,
2014 (second quarter of FY 2014). In addition, section 201 of the
Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. 113-93
enacted on April 1, 2014) revised the $200 to $485 million and extended
the period for which such funds were available to the end of September
2014. Therefore, a total of $785 million is now available for all of FY
2014 ($300 million for the first quarter of FY 2014, and $485 million
for the second through fourth quarters of FY 2014). Finally, section
201 of PAMA further extended the authority and funding for the QI
program for FY 2015 as follows: $300 million for the period October 1,
2014 through December 31, 2014 (first quarter of FY 2015); and, $250
million for the period January 1, 2015 through March 31, 2015 (second
quarter FY 2015). Therefore, a total of $550 million is available for
the QI program for FY 2015.
C. Methodology for Calculating the Fiscal Year QI Allotments
The amounts of the states' final FY 2013 and preliminary FY 2014 QI
allotments, contained in this notice, were determined in accordance
with the methodology set forth in existing regulations at 42 CFR
433.10(c)(5) and reflect funding for the QI program made available
under the legislation discussed above.
II. Tables
The final QI allotments for FY 2013 and the preliminary QI
allotments for FY 2014 are shown by state in Table 1 and Table 2,
respectively:
Table 1--Final Qualifying Individuals Allotments for October 1,
2012 through September 30, 2013.
Table 2--Preliminary Qualifying Individuals Allotments for October
1, 2013 through September 30, 2014.
[[Page 31036]]
Table 1--Final Qualifying Individuals Allotments for October 1, 2012 Through September 30, 2013
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Initial QI allotments for FY 2013
---------------------------------------- FY 2013 Need Percentage Reduction Percentage Reduction Increase Final FY
Percentage Initial QI estimated QI (difference) of total pool for non- of total adj. for non- adj. for 2013 QI
State Number of of total allotment expenditures If E > D, E need states need states non-need need states need states allotment
individuals Col B/ Tot. Col C x \1\ - D F/(tot. of If D >= E, D states H/ Col. I x Col. G x \2\
\3\ (000s) Col B $765,000,000 F) - E (tot. of H) $105,466,335 $105,466,335
A B C D E F G H I J K L
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Alabama.................................... 38 2.64 $20,159,501 $22,544,081 $2,384,580 2.2610 Need Need Need $2,384,580 $22,544,081
Alaska..................................... 2 0.14 1,061,026 326,300 NA NA $734,726 0.4320 $455,613 NA 605,414
Arizona.................................... 21 1.46 11,140,777 19,563,390 8,422,614 7.9861 Need Need Need 8,422,614 19,563,390
Arkansas................................... 27 1.87 14,323,856 13,956,348 NA NA 367,508 0.2161 227,896 NA 14,095,960
California................................. 107 7.42 56,764,910 28,189,619 NA NA 28,575,291 16.8015 17,719,883 NA 39,045,026
Colorado................................... 16 1.11 8,488,211 6,005,621 NA NA 2,482,589 1.4597 1,539,484 NA 6,948,727
Connecticut................................ 15 1.04 7,957,698 3,902,339 NA NA 4,055,359 2.3844 2,514,777 NA 5,442,921
Delaware................................... 4 0.28 2,122,053 3,211,361 1,089,308 1.0328 Need Need Need 1,089,308 3,211,361
District of Columbia....................... 2 0.14 1,061,026 0 NA NA 1,061,026 0.6239 657,955 NA 403,071
Florida.................................... 96 6.66 50,929,265 72,316,568 21,387,303 20.2788 Need Need Need 21,387,303 72,316,568
Georgia.................................... 45 3.12 23,873,093 34,507,397 10,634,304 10.0831 Need Need Need 10,634,304 34,507,397
Hawaii..................................... 6 0.42 3,183,079 1,409,689 NA NA 1,773,390 1.0427 1,099,701 NA 2,083,378
Idaho...................................... 7 0.49 3,713,592 2,677,626 NA NA 1,035,967 0.6091 642,415 NA 3,071,177
Illinois................................... 68 4.72 36,074,896 24,744,637 NA NA 11,330,259 6.6619 7,026,031 NA 29,048,864
Indiana.................................... 43 2.98 22,812,067 5,829,210 NA NA 16,982,857 9.9854 10,531,275 NA 12,280,791
Iowa....................................... 16 1.11 8,488,211 4,584,319 NA NA 3,903,892 2.2954 2,420,851 NA 6,067,360
Kansas..................................... 18 1.25 9,549,237 5,023,657 NA NA 4,525,580 2.6609 2,806,367 NA 6,742,870
Kentucky................................... 34 2.36 18,037,448 15,065,051 NA NA 2,972,397 1.7477 1,843,219 NA 16,194,229
Louisiana.................................. 29 2.01 15,384,882 20,831,932 5,447,049 5.1647 Need Need Need 5,447,049 20,831,932
Maine...................................... 7 0.49 3,713,592 6,075,634 2,362,042 2.2396 Need Need Need 2,362,042 6,075,634
Maryland................................... 24 1.66 12,732,316 8,959,072 NA NA 3,773,244 2.2186 2,339,834 NA 10,392,482
Massachusetts.............................. 28 1.94 14,854,369 9,694,545 NA NA 5,159,824 3.0338 3,199,669 NA 11,654,700
Michigan................................... 38 2.64 20,159,501 14,816,534 NA NA 5,342,966 3.1415 3,313,238 NA 16,846,263
Minnesota.................................. 22 1.53 11,671,290 6,389,653 NA NA 5,281,637 3.1055 3,275,207 NA 8,396,083
Mississippi................................ 18 1.25 9,549,237 15,212,658 5,663,421 5.3699 Need Need Need 5,663,421 15,212,658
Missouri................................... 39 2.70 20,690,014 4,395,160 NA NA 16,294,854 9.5809 10,104,636 NA 10,585,377
Montana.................................... 6 0.42 3,183,079 1,543,785 NA NA 1,639,294 0.9639 1,016,546 NA 2,166,533
Nebraska................................... 6 0.42 3,183,079 2,283,431 NA NA 899,648 0.5290 557,882 NA 2,625,197
Nevada..................................... 10 0.69 5,305,132 5,391,707 86,575 0.0821 Need Need Need 86,575 5,391,707
New Hampshire.............................. 6 0.42 3,183,079 2,269,086 NA NA 913,993 0.5374 566,778 NA 2,616,301
New Jersey................................. 40 2.77 21,220,527 7,810,549 NA NA 13,409,979 7.8847 8,315,690 NA 12,904,836
New Mexico................................. 9 0.62 4,774,619 4,117,952 NA NA 656,667 0.3861 407,207 NA 4,367,412
New York................................... 85 5.89 45,093,620 46,198,147 1,104,527 1.0473 Need Need Need 1,104,527 46,198,147
North Carolina............................. 38 2.64 20,159,501 29,670,994 9,511,493 9.0185 Need Need Need 9,511,493 29,670,994
North Dakota............................... 3 0.21 1,591,540 670,202 NA NA 921,338 0.5417 571,333 NA 1,020,207
Ohio....................................... 54 3.74 28,647,712 26,381,913 NA NA 2,265,799 1.3322 1,405,049 NA 27,242,662
Oklahoma................................... 27 1.87 14,323,856 10,320,039 NA NA 4,003,816 2.3541 2,482,815 NA 11,841,041
Oregon..................................... 17 1.18 9,018,724 14,297,554 5,278,830 5.0052 Need Need Need 5,278,830 14,297,554
Pennsylvania............................... 78 5.41 41,380,028 33,265,180 NA NA 8,114,848 4.7713 5,032,115 NA 36,347,913
Rhode Island............................... 6 0.42 3,183,079 2,439,790 NA NA 743,289 0.4370 460,923 NA 2,722,156
South Carolina............................. 33 2.29 17,506,935 14,903,998 NA NA 2,602,937 1.5305 1,614,113 NA 15,892,822
South Dakota............................... 4 0.28 2,122,053 1,623,719 NA NA 498,334 0.2930 309,023 NA 1,813,030
Tennessee.................................. 48 3.33 25,464,632 31,271,663 5,807,030 5.5061 Need Need Need 5,807,030 31,271,663
Texas...................................... 106 7.35 56,234,397 78,081,412 21,847,015 20.7147 Need Need Need 21,847,015 78,081,412
Utah....................................... 6 0.42 3,183,079 2,018,266 NA NA 1,164,813 0.6849 722,315 NA 2,460,765
Vermont.................................... 2 0.14 1,061,026 3,574,197 2,513,171 2.3829 Need Need Need 2,513,171 3,574,197
Virginia................................... 23 1.60 12,201,803 14,128,876 1,927,073 1.8272 Need Need Need 1,927,073 14,128,876
Washington................................. 23 1.60 12,201,803 5,963,337 NA NA 6,238,466 3.6680 3,868,548 NA 8,333,255
[[Page 31037]]
West Virginia.............................. 17 1.18 9,018,724 6,218,910 NA NA 2,799,814 1.6462 1,736,199 NA 7,282,525
Wisconsin.................................. 22 1.53 11,671,290 4,839,536 NA NA 6,831,754 4.0169 4,236,453 NA 7,434,837
Wyoming.................................... 3 0.21 1,591,540 873,450 NA NA 718,090 0.4222 445,296 NA 1,146,244
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Total.................................. 1,442 100.00 765,000,000 700,390,091 105,466,335 100.0000 170,076,244 100.0000 105,466,335 105,466,335 765,000,000
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Footnotes:
\1\ FY 2013 Estimates from July 2013 CMS Survey of States; Estimates Are For Months October 2012 Through September 2013.
\2\ For Need States, Final FY 2013 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K; For Non-Need States, Final 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).
Table 2--Preliminary Qualifying Individuals Allotments for October 1, 2013 Through September 30, 2014
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Initial QI allotments for FY 2014
---------------------------------------- FY 2014 Need Percentage Reduction Percent of Reduction Increase Preliminary
Percentage Initial QI estimated QI (difference) of total pool for non- total non- adj. for non- adj. for FY 2014 QI
State Number of of total allotment expenditures if E > D, E- need states need states need states need states need states allotment
individuals Col B/tot. Col C x \1\ D F/(tot. of if D >= E, H/(tot. of Col. I x Col. G x \2\
\3\ (000s) Col B $785,000,000 F) D - E H) $116,087,180 $116,087,180
A B C D E F G H I J K L
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Alabama.................................... 33 2.13 $16,756,145 $24,304,910 $7,548,766 6.5027 Need Need Need $7,548,766 $24,304,910
Alaska..................................... 2 0.13 1,015,524 374,073 NA NA $641,451 0.4288 $497,751 NA 517,772
Arizona.................................... 29 1.88 14,725,097 21,719,024 6,993,927 6.0247 Need Need Need 6,993,927 21,719,024
Arkansas................................... 25 1.62 12,694,049 14,283,289 1,589,240 1.3690 Need Need Need 1,589,240 14,283,289
California................................. 130 8.41 66,009,056 29,497,236 NA NA 36,511,819 24.4061 28,332,367 NA 37,676,689
Colorado................................... 12 0.78 6,093,144 6,744,021 650,877 0.5607 Need Need Need 650,877 6,744,021
Connecticut................................ 15 0.97 7,616,429 5,030,002 NA NA 2,586,428 1.7289 2,007,011 NA 5,609,418
Delaware................................... 5 0.32 2,538,810 3,208,262 669,452 0.5767 Need Need Need 669,452 3,208,262
District of Columbia....................... 2 0.13 1,015,524 0 NA NA 1,015,524 0.6788 788,024 NA 227,500
Florida.................................... 133 8.60 67,532,342 78,905,990 11,373,648 9.7975 Need Need Need 11,373,648 78,905,990
Georgia.................................... 46 2.98 23,357,050 37,475,498 14,118,447 12.1619 Need Need Need 14,118,447 37,475,499
Hawaii..................................... 6 0.39 3,046,572 1,472,570 NA NA 1,574,002 1.0521 1,221,391 NA 1,825,181
Idaho...................................... 8 0.52 4,062,096 2,684,609 NA NA 1,377,487 0.9208 1,068,899 NA 2,993,196
Illinois................................... 63 4.08 31,989,004 28,168,168 NA NA 3,820,836 2.5540 2,964,885 NA 29,024,119
Indiana.................................... 41 2.65 20,818,241 6,077,393 NA NA 14,740,848 9.8534 11,438,573 NA 9,379,668
Iowa....................................... 17 1.10 8,631,953 4,924,019 NA NA 3,707,935 2.4785 2,877,276 NA 5,754,678
Kansas..................................... 18 1.16 9,139,715 5,698,955 NA NA 3,440,760 2.3000 2,669,954 NA 6,469,761
Kentucky................................... 35 2.26 17,771,669 17,488,089 NA NA 283,580 0.1896 220,052 NA 17,551,617
Louisiana.................................. 29 1.88 14,725,097 22,748,614 8,023,517 6.9116 Need Need Need 8,023,517 22,748,614
Maine...................................... 7 0.45 3,554,334 7,632,104 4,077,771 3.5127 Need Need Need 4,077,771 7,632,104
Maryland................................... 22 1.42 11,170,763 10,821,904 NA NA 348,860 0.2332 270,707 NA 10,900,056
Massachusetts.............................. 27 1.75 13,709,573 10,070,400 NA NA 3,639,173 2.4326 2,823,918 NA 10,885,655
Michigan................................... 37 2.39 18,787,193 18,446,036 NA NA 341,157 0.2280 264,730 NA 18,522,462
Minnesota.................................. 18 1.16 9,139,715 6,901,960 NA NA 2,237,755 1.4958 1,736,449 NA 7,403,266
Mississippi................................ 20 1.29 10,155,239 16,214,118 6,058,879 5.2192 Need Need Need 6,058,879 16,214,118
Missouri................................... 44 2.85 22,341,527 6,154,273 NA NA 16,187,253 10.8203 12,560,952 NA 9,780,575
Montana.................................... 6 0.39 3,046,572 1,617,663 NA NA 1,428,909 0.9551 1,108,802 NA 1,937,770
Nebraska................................... 7 0.45 3,554,334 2,347,662 NA NA 1,206,672 0.8066 936,351 NA 2,617,983
Nevada..................................... 7 0.45 3,554,334 6,220,570 2,666,236 2.2968 Need Need Need 2,666,236 6,220,570
New Hampshire.............................. 6 0.39 3,046,572 2,755,828 NA NA 290,744 0.1943 225,611 NA 2,820,961
New Jersey................................. 45 2.91 22,849,288 8,686,979 NA NA 14,162,310 9.4667 10,989,640 NA 11,859,648
New Mexico................................. 9 0.58 4,569,858 4,491,904 NA NA 77,953 0.0521 60,490 NA 4,509,368
New York................................... 102 6.60 51,791,721 47,248,495 NA NA 4,543,226 3.0369 3,525,443 NA 48,266,278
North Carolina............................. 48 3.10 24,372,574 31,199,358 6,826,784 5.8807 Need Need Need 6,826,784 31,199,358
North Dakota............................... 4 0.26 2,031,048 708,704 NA NA 1,322,343 0.8839 1,026,109 NA 1,004,938
[[Page 31038]]
Ohio....................................... 59 3.82 29,957,956 27,260,048 NA NA 2,697,908 1.8034 2,093,517 NA 27,864,439
Oklahoma................................... 23 1.49 11,678,525 11,187,585 NA NA 490,940 0.3282 380,959 NA 11,297,566
Oregon..................................... 16 1.03 8,124,191 16,228,030 8,103,839 6.9808 Need Need Need 8,103,839 16,228,030
Pennsylvania............................... 83 5.37 42,144,243 33,836,544 NA NA 8,307,699 5.5532 6,446,591 NA 35,697,652
Rhode Island............................... 5 0.32 2,538,810 2,519,698 NA NA 19,112 0.0128 14,830 NA 2,523,979
South Carolina............................. 33 2.13 16,756,145 15,105,600 NA NA 1,650,545 1.1033 1,280,786 NA 15,475,358
South Dakota............................... 3 0.19 1,523,286 2,110,798 587,512 0.5061 Need Need Need 587,512 2,110,798
Tennessee.................................. 43 2.78 21,833,765 32,496,447 10,662,682 9.1851 Need Need Need 10,662,682 32,496,447
Texas...................................... 108 6.99 54,838,292 78,683,812 23,845,519 20.5410 Need Need Need 23,845,519 78,683,813
Utah....................................... 7 0.45 3,554,334 2,394,138 NA NA 1,160,196 0.7755 900,286 NA 2,654,047
Vermont.................................... 3 0.19 1,523,286 3,813,371 2,290,085 1.9727 Need Need Need 2,290,085 3,813,371
Virginia................................... 33 2.13 16,756,145 14,627,256 NA NA 2,128,889 1.4230 1,651,971 NA 15,104,174
Washington................................. 26 1.68 13,201,811 6,660,311 NA NA 6,541,500 4.3726 5,076,060 NA 8,125,751
West Virginia.............................. 20 1.29 10,155,239 6,415,789 NA NA 3,739,450 2.4996 2,901,731 NA 7,253,508
Wisconsin.................................. 22 1.42 11,170,763 4,908,586 NA NA 6,262,178 4.1859 4,859,312 NA 6,311,452
Wyoming.................................... 4 0.26 2,031,048 915,357 NA NA 1,115,690 0.7458 865,751 NA 1,165,297
----------------------------------------------------------------------------------------------------------------------------------------------------
Total.................................. 1,546 100.00 785,000,000 751,486,048 116,087,180 100.0000 149,601,132 100.0000 116,087,180 116,087,180 785,000,000
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Footnotes:
\1\ FY 2014 Estimates in Column E are from July 2013 CMS Survey of States; Estimates are for months October 2013 through September 2014.
\2\ For Need States, Preliminary FY 2014 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K; For Non-Need States, Preliminary FY 2014 QI Allotment is
equal to Initial QI Allotment in Column D reduced by amount in Column J.
\3\ Three-year average (2010-2012) 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 31039]]
The following describes the information contained in the columns of
Table 1 and Table 2:
Column A--State. Column A shows the name of each state. Columns B
through D show the determination of an Initial QI Allotment for FY 2013
(Table 1) or FY 2014 (Table 2) for each state, based only on the
indicated Census Bureau data.
Column B--Number of Individuals. Column B contains the estimated
average number of Medicare beneficiaries for each state that are not
covered by Medicaid whose family income is at least 120 but less than
135 percent of the federal poverty level. With respect to the final FY
2013 QI allotment (Table1), Column B contains the number of such
individuals for the years 2009 through 2011, as obtained from the
Census Bureau's Annual Social and Economic Supplement to the 2012
Current Population Survey. With respect to the preliminary FY 2014 QI
allotment (Table 2), Column B contains the number of such individuals
for the years 2010 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 2013 (Table 1) or FY 2014 (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 $765,000,000 for FY 2013 (Table 1) and $785,000,000 for
FY 2014 (Table 2).
Columns E through L show the determination of the States' Final QI
Allotments for FY 2013 (Table 1) or Preliminary QI Allotments for FY
2014 (Table 2).
Column E--FY 2013 or FY 2014 Estimated QI Expenditures. Column E
contains the states' estimates of their total QI expenditures for FY
2013 (Table 1) or FY 2014 (Table 2) based on information obtained from
states in the summer of 2013 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 2013 (Table 1) or for FY 2014 (Table 2) for such states,
Column F shows the amount in Column E minus the amount in Column D. For
other ``Non-Need'' states, Column F shows ``NA.''
Column G--Percent of Total Need States. For states whose projected
QI expenditures in Column E are greater than their Initial QI allotment
in Column D for FY 2013 (Table 1) or FY 2014 (Table 2), respectively,
Column G shows the percentage of total need, determined as the amount
for each Need State in Column F divided by the sum of the amounts for
all states in Column F. For Non-Need states, the entry in Column G is
``NA.''
Column H--Reduction Pool for Non-Need States. Column H shows the
amount of the pool of surplus QI allotments for FY 2013 (Table 1) or FY
2014 (Table 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
2013 or FY 2014, respectively, are equal to or less than their Initial
QI allotments in Column D for FY 2013 or FY 2014, 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 2013 (Table 1) or FY 2014 (Table 2),
Column I shows the percentage of the total reduction pool in Column H,
determined as the amount for each Non-Need state in Column H divided by
the sum of the amounts for all states in Column H. For Need states, the
entry in Column I is ``Need''.
Column J--Reduction Adjustment for Non-Need States. Column J shows
the amount of adjustment needed to reduce the Initial QI allotments in
Column D for FY 2013 (Table 1) or FY 2014 (Table 2) for Non-Need States
in order to address the total need shown in Column F. The amount in
Column J is determined as the percentage in column I for Non-Need
States multiplied by the lesser of the total need in Column F (equal to
the sum of Needs in Column F) or the total Reduction Pool in Column H
(equal to the sum of the Non-Need amounts in Column H). For Need
States, the entry in Column J is ``Need.''
Column K--Increase Adjustment for Need States. Column K shows the
amount of adjustment to increase the Initial QI Allotment in Column D
for FY 2013 (Table 1) or FY 2014 (Table 2) for Need States in order to
address the total need shown for the fiscal year in Column F. The
amount in Column K is determined as the percentage in Column G for Need
States multiplied by the lesser of the total need in Column F (equal to
the sum of Needs in Column F) or the total Reduction Pool in Column H
(equal to the sum of the Non-Need amounts in Column H). For Non-Need
States, the entry in Column K is ``NA.''
Column L--Final FY 2013 QI Allotment (Chart 1) or Preliminary FY
2014 QI Allotment (Table 2). Column L contains the Final QI Allotment
for each state for FY 2013 (Table 1) or the Preliminary QI Allotment
for FY 2014 (Table 2). For states that need additional QI allotment
amounts for the fiscal year based on Estimated QI Expenditures in
Column E as compared to their Initial QI allotments in Column D for the
fiscal year (states with a projected need amount are shown in Column
F), Column L is equal to the Initial QI allotment in Column D for FY
2013 (Table 1) or FY 2014 (Table 2) plus the amount determined in
Column K for Need States. For Non-Need States (states with a projected
surplus in Column H), Column L is equal to the QI Allotment in Column D
reduced by the Reduction Adjustment amount in Column J.
III. Collection of Information Requirements
This notice does not impose any information collection or
recordkeeping requirements. Consequently, it does not need Office of
Management and Budget review under the authority of the Paperwork
Reduction Act of 1995 (44 U.S.C. 3501 et seq.).
Dated: April 17, 2015.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare & Medicaid Services.
Dated: May 21, 2015.
Sylvia M. Burwell,
Secretary, Department of Health and Human Services.
[FR Doc. 2015-13043 Filed 5-28-15; 11:15 am]
BILLING CODE 4120-01-P
