Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children's Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2019 Through September 30, 2020, 61157-61160 [2018-25944]
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Federal Register / Vol. 83, No. 229 / Wednesday, November 28, 2018 / Notices
measures of self-sufficiency, and
measures of self-regulation.
The proposed information collection
activity is a second follow-up survey,
which will be available to participants
approximately 21 months after random
assignment. The second follow-up
survey will provide rigorous evidence
on whether the coaching interventions
are effective, for whom, and under what
circumstances.
Respondents: Individuals enrolled in
the Evaluation of Employment Coaching
for TANF and Related Populations. All
61157
participants will be able to opt out of
participating in the data collection
activities.
Annual Burden Estimates:
Instrument
Total number
of respondents
Annual
number of
respondents
Number of
responses per
respondent
Average
burden hours
per response
Annual burden
hours
Second follow-up survey ......................................................
4,800
1,600
1
1
1,600
Estimated Total Annual Burden
Hours: 1,600.
Authority: Section 413 of the Social
Security Act, as amended by the FY 2017
Consolidated Appropriations Act, 2017 (Pub.
L. 115–31).
Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2018–25512 Filed 11–27–18; 8:45 am]
BILLING CODE 4184–09–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Federal Financial Participation in State
Assistance Expenditures; Federal
Matching Shares for Medicaid, the
Children’s Health Insurance Program,
and Aid to Needy Aged, Blind, or
Disabled Persons for October 1, 2019
Through September 30, 2020
Office of the Secretary, DHHS.
Notice.
AGENCY:
ACTION:
The percentages listed in Table
1 will be effective for each of the four
quarter-year periods beginning October
1, 2019 and ending September 30, 2020.
FOR FURTHER INFORMATION CONTACT: Rose
Chu, Office of Health Policy, Office of
the Assistant Secretary for Planning and
Evaluation, Room 447D—Hubert H.
Humphrey Building, 200 Independence
Avenue SW, Washington, DC 20201,
(202) 690–6870.
SUPPLEMENTARY INFORMATION: The
Federal Medical Assistance Percentages
(FMAP), Enhanced Federal Medical
Assistance Percentages (eFMAP), and
disaster-recovery FMAP adjustments for
Fiscal Year 2020 have been calculated
pursuant to the Social Security Act (the
Act). These percentages will be effective
from October 1, 2019 through
September 30, 2020. This notice
announces the calculated FMAP rates,
in accordance with sections 1101(a)(8)
and 1905(b) of the Act, that the U.S.
Department of Health and Human
Services (HHS) will use in determining
the amount of federal matching for state
medical assistance (Medicaid),
DATES:
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Temporary Assistance for Needy
Families (TANF) Contingency Funds,
Child Support Enforcement collections,
Child Care Mandatory and Matching
Funds of the Child Care and
Development Fund, Title IV–E Foster
Care Maintenance payments, Adoption
Assistance payments and Kinship
Guardianship Assistance payments, and
the eFMAP rates for the Children’s
Health Insurance Program (CHIP)
expenditures. Table 1 gives figures for
each of the 50 states, the District of
Columbia, Puerto Rico, the Virgin
Islands, Guam, American Samoa, and
the Commonwealth of the Northern
Mariana Islands. This notice reminds
states of adjustments available for states
meeting requirements for
disproportionate employer pension or
insurance fund contributions and
adjustments for disaster recovery. At
this time, no state qualifies for such
adjustments, and territories are not
eligible.
This notice also contains the
increased eFMAPs for CHIP as
authorized under section 2705(b) of the
Act, as amended by the HEALTHY KIDS
Act of 2017, for fiscal year 2020
(October 1, 2019 through September 30,
2020).
Programs under title XIX of the Act
exist in each jurisdiction. Programs
under titles I, X, and XIV operate only
in Guam and the Virgin Islands. The
percentages in this notice apply to state
expenditures for most medical
assistance and child health assistance,
and assistance payments for certain
social services. The Act provides
separately for federal matching of
administrative costs.
Sections 1905(b) and 1101(a)(8)(B) of
the Social Security Act (the Act) require
the Secretary of HHS to publish the
FMAP rates each year. The Secretary
calculates the percentages, using
formulas in sections 1905(b) and
1101(a)(8), and calculations by the
Department of Commerce of average
income per person in each state and for
the United States (meaning, for this
purpose, the fifty states and the District
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of Columbia). The percentages must fall
within the upper and lower limits
specified in section 1905(b) of the Act.
The percentages for the District of
Columbia, Puerto Rico, the Virgin
Islands, Guam, American Samoa, and
the Northern Mariana Islands are
specified in statute, and thus are not
based on the statutory formula that
determines the percentages for the 50
states.
Federal Medical Assistance Percentage
(FMAP)
Section 1905(b) of the Act specifies
the formula for calculating FMAPs as
follows:
‘‘Federal medical assistance percentage’’
for any state shall be 100 per centum less the
state percentage; and the state percentage
shall be that percentage which bears the same
ratio to 45 per centum as the square of the
per capita income of such state bears to the
square of the per capita income of the
continental United States (including Alaska)
and Hawaii; except that (1) the Federal
medical assistance percentage shall in no
case be less than 50 per centum or more than
83 per centum . . . .
Section 1905(b) further specifies that
the FMAP for Puerto Rico, the Virgin
Islands, Guam, the Northern Mariana
Islands, and American Samoa shall be
55 percent. Section 4725(b) of the
Balanced Budget Act of 1997 amended
section 1905(b) to provide that the
FMAP for the District of Columbia, for
purposes of titles XIX and XXI, shall be
70 percent. For the District of Columbia,
we note under Table 1 that other rates
may apply in certain other programs. In
addition, we note the rate that applies
for Puerto Rico, the Virgin Islands,
Guam, American Samoa, and the
Commonwealth of the Northern Mariana
Islands in certain other programs
pursuant to section 1118 of the Act. The
rates for the States, District of Columbia
and the territories are displayed in
Table 1, Column 1.
Section 1905(y) of the Act, as added
by section 2001 of the Patient Protection
and Affordable Care Act of 2010
(‘‘Affordable Care Act’’), provides for a
significant increase in the FMAP for
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Federal Register / Vol. 83, No. 229 / Wednesday, November 28, 2018 / Notices
medical assistance expenditures for
newly eligible individuals described in
section 1902(a)(10)(A)(i)(VIII) of the Act,
as added by the Affordable Care Act (the
new adult group); ‘‘newly eligible’’ is
defined in section 1905(y)(2)(A) of the
Act. The FMAP for the new adult group
is 100 percent for Calendar Years 2014,
2015, and 2016, gradually declining to
90 percent in 2020, where it remains
indefinitely. In addition, section 1905(z)
of the Act, as added by section 10201 of
the Affordable Care Act, provides that
states that offered substantial health
coverage to certain low-income parents
and nonpregnant, childless adults on
the date of enactment of the Affordable
Care Act, referred to as ‘‘expansion
states,’’ shall receive an enhanced
FMAP beginning in 2014 for medical
assistance expenditures for nonpregnant
childless adults who may be required to
enroll in benchmark coverage under
section 1937 of the Act. These
provisions are discussed in more detail
in the Medicaid Program: Eligibility
Changes Under the Affordable Care Act
of 2010 proposed rule published on
August 17, 2011 (76 FR 51148, 51172)
and the final rule published on March
23, 2012 (77 FR 17144, 17194). This
notice is not intended to set forth the
matching rates for the new adult group
as specified in section 1905(y) of the Act
or the matching rates for nonpregnant,
childless adults in expansion states as
specified in section 1905(z) of the Act.
Other Adjustments to the FMAP
For purposes of Title XIX (Medicaid)
of the Social Security Act, the Federal
Medical Assistance Percentage (FMAP),
defined in section 1905(b) of the Social
Security Act, for each state beginning
with fiscal year 2006, can be subject to
an adjustment pursuant to section 614
of the Children’s Health Insurance
Program Reauthorization Act of 2009
(CHIPRA), Public Law 111–3. Section
614 of CHIPRA stipulates that a state’s
FMAP under Title XIX (Medicaid) must
be adjusted in two situations.
In the first situation, if a state
experiences no growth or positive
growth in total personal income and an
employer in that state has made a
significantly disproportionate
contribution to an employer pension or
insurance fund, the state’s FMAP must
be adjusted. The adjustment involves
disregarding the significantly
disproportionate employer pension or
insurance fund contribution in
computing the per capita income for the
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state (but not in computing the per
capita income for the United States).
Employer pension and insurance fund
contributions are significantly
disproportionate if the increase in
contributions exceeds 25 percent of the
total increase in personal income in that
state. A Federal Register Notice with
comment period was published on June
7, 2010 (75 FR 32182) announcing the
methodology for calculating this
adjustment; a final notice was published
on October 15, 2010 (75 FR 63480).
The second situation arises if a state
experiences negative growth in total
personal income. Beginning with Fiscal
Year 2006, section 614(b)(3) of CHIPRA
specifies that, for the purposes of
calculating the FMAP for a calendar
year in which a state’s total personal
income has declined, the portion of an
employer pension or insurance fund
contribution that exceeds 125 percent of
the amount of such contribution in the
previous calendar year shall be
disregarded in computing the per capita
income for the state (but not in
computing the per capita income for the
United States).
No Federal source of reliable and
timely data on pension and insurance
contributions by individual employers
and states is currently available. We
request that states report employer
pension or insurance fund contributions
to help determine potential FMAP
adjustments for states experiencing
significantly disproportionate pension
or insurance contributions and states
experiencing a negative growth in total
personal income. See also the
information described in the January 21,
2014 Federal Register notice (79 FR
3385).
Section 2006 of the Affordable Care
Act provides a special adjustment to the
FMAP for certain states recovering from
a major disaster. This notice does not
contain an FY 2020 adjustment for a
major statewide disaster for any state
(territories are not eligible for FMAP
adjustments) because no state had a
recent major statewide disaster and had
its FMAP decreased by at least three
percentage points from FY 2019 to FY
2020. See information described in the
December 22, 2010 Federal Register
notice (75 FR 80501).
Enhanced Federal Medical Assistance
Percentage (eFMAP) for CHIP
Section 2105(b) of the Act specifies
the formula for calculating the eFMAP
rates as follows:
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[T]he ‘‘enhanced FMAP’’, for a state for a
fiscal year, is equal to the Federal medical
assistance percentage (as defined in the first
sentence of section 1905(b)) for the state
increased by a number of percentage points
equal to 30 percent of the number of
percentage points by which (1) such Federal
medical assistance percentage for the state, is
less than (2) 100 percent; but in no case shall
the enhanced FMAP for a state exceed 85
percent.
Section 2105(b) of the Social Security
Act, as amended by Section 2101 of the
Affordable Care Act, specifies a
modified eFMAP for FY2016–FY2019,
providing that the FMAP under section
1905(b) for the state for the fiscal year
shall be increased by 23 percentage
points, but in no case shall exceed 100
percent. Section 3005 of the HEALTHY
KIDS Act further amended Section
2105(b) to specify a modified eFMAP for
FY2020, providing that the FMAP under
section 1905(b) for the state for the fiscal
year shall be increased by 11.5
percentage points, with the sum not to
exceed 100 percent, during the period
that begins on October 1, 2019, and ends
on September 30, 2020.
The eFMAP rates are used in the
Children’s Health Insurance Program
under Title XXI, and in the Medicaid
program for expenditures for medical
assistance provided to certain children
as described in sections 1905(u)(2) and
1905(u)(3) of the Act. There is no
specific requirement to publish the
eFMAP rates. We include them in this
notice for the convenience of the states,
and display both the eFMAP rates that
would apply if section 2105(b) had not
been amended by the HEALTHY KIDS
Act (Table 1, Column 2) and the
increased eFMAP rates as calculated
pursuant to the amendments made by
the HEALTHY KIDS Act (Table 1,
Column 3), for comparison.
(Catalog of Federal Domestic Assistance
Program Nos. 93.558: TANF Contingency
Funds; 93.563: Child Support Enforcement;
93.596: Child Care Mandatory and Matching
Funds of the Child Care and Development
Fund; 93.658: Foster Care Title IV–E; 93.659:
Adoption Assistance; 93.769: Ticket-to-Work
and Work Incentives Improvement Act
(TWWIIA) Demonstrations to Maintain
Independence and Employment; 93.778:
Medical Assistance Program; 93.767:
Children’s Health Insurance Program)
Alex M. Azar II,
Secretary, Department of Health and Human
Services.
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Federal Register / Vol. 83, No. 229 / Wednesday, November 28, 2018 / Notices
61159
TABLE 1—FEDERAL MEDICAL ASSISTANCE PERCENTAGES AND ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES,
EFFECTIVE OCTOBER 1, 2019–SEPTEMBER 30, 2020
[Fiscal year 2020]
Federal Medical
Assistance
Percentages
State
Alabama ...................................................................................................
Alaska ......................................................................................................
American Samoa * ...................................................................................
Arizona .....................................................................................................
Arkansas ..................................................................................................
California ..................................................................................................
Colorado ..................................................................................................
Connecticut ..............................................................................................
Delaware ..................................................................................................
District of Columbia ** ..............................................................................
Florida ......................................................................................................
Georgia ....................................................................................................
Guam * .....................................................................................................
Hawaii ......................................................................................................
Idaho ........................................................................................................
Illinois .......................................................................................................
Indiana .....................................................................................................
Iowa .........................................................................................................
Kansas .....................................................................................................
Kentucky ..................................................................................................
Louisiana ..................................................................................................
Maine .......................................................................................................
Maryland ..................................................................................................
Massachusetts .........................................................................................
Michigan ...................................................................................................
Minnesota ................................................................................................
Mississippi ................................................................................................
Missouri ....................................................................................................
Montana ...................................................................................................
Nebraska ..................................................................................................
Nevada .....................................................................................................
New Hampshire .......................................................................................
New Jersey ..............................................................................................
New Mexico .............................................................................................
New York .................................................................................................
North Carolina ..........................................................................................
North Dakota ............................................................................................
Northern Mariana Islands * ......................................................................
Ohio .........................................................................................................
Oklahoma .................................................................................................
Oregon .....................................................................................................
Pennsylvania ............................................................................................
Puerto Rico * ............................................................................................
Rhode Island ............................................................................................
South Carolina .........................................................................................
South Dakota ...........................................................................................
Tennessee ...............................................................................................
Texas .......................................................................................................
Utah .........................................................................................................
Vermont ...................................................................................................
Virgin Islands * .........................................................................................
Virginia .....................................................................................................
Washington ..............................................................................................
West Virginia ............................................................................................
Wisconsin .................................................................................................
Wyoming ..................................................................................................
Enhanced Federal
Medical
Assistance
Percentages
71.97
50.00
55.00
70.02
71.42
50.00
50.00
50.00
57.86
70.00
61.47
67.30
55.00
53.47
70.34
50.14
65.84
61.20
59.16
71.82
66.86
63.80
50.00
50.00
64.06
50.00
76.98
65.65
64.78
54.72
63.93
50.00
50.00
72.71
50.00
67.03
50.05
55.00
63.02
66.02
61.23
52.25
55.00
52.95
70.70
57.62
65.21
60.89
68.19
53.86
55.00
50.00
50.00
74.94
59.36
50.00
80.38
65.00
68.50
79.01
79.99
65.00
65.00
65.00
70.50
79.00
73.03
77.11
68.50
67.43
79.24
65.10
76.09
72.84
71.41
80.27
76.80
74.66
65.00
65.00
74.84
65.00
83.89
75.96
75.35
68.30
74.75
65.00
65.00
80.90
65.00
76.92
65.04
68.50
74.11
76.21
72.86
66.58
68.50
67.07
79.49
70.33
75.65
72.62
77.73
67.70
68.50
65.00
65.00
82.46
71.55
65.00
Enhanced Federal
Medical Assistance
Percentages with 11.5
Pt inc ***
91.88
76.50
80.00
90.51
91.49
76.50
76.50
76.50
82.00
90.50
84.53
88.61
80.00
78.93
90.74
76.60
87.59
84.34
82.91
91.77
88.30
86.16
76.50
76.50
86.34
76.50
95.39
87.46
86.85
79.80
86.25
76.50
76.50
92.40
76.50
88.42
76.54
80.00
85.61
87.71
84.36
78.08
80.00
78.57
90.99
81.83
87.15
84.12
89.23
79.20
80.00
76.50
76.50
93.96
83.05
76.50
* For purposes of section 1118 of the Social Security Act, the percentage used under titles I, X, XIV, and XVI will be 75 per centum.
** The values for the District of Columbia in the table were set for the state plan under titles XIX and XXI and for capitation payments and disproportionate share hospital (DSH) allotments under those titles. For other purposes, the percentage for DC is 50.00, unless otherwise specified
by law.
*** Section 3005 of the HEALTHY KIDS Act amended Section 2105(b) of the Social Security Act specifying that the enhanced FMAP for states
will be calculated by adding 11.5 percentage points to the state’s FMAP as provided under section 1905(b) of the Social Security Act, with the
sum not to exceed 100 percent, for the period that begins on October 1, 2019 and ends on September 30, 2020 (fiscal year 2020).
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61160
Federal Register / Vol. 83, No. 229 / Wednesday, November 28, 2018 / Notices
[FR Doc. 2018–25944 Filed 11–27–18; 8:45 am]
BILLING CODE P
DEPARTMENT OF THE INTERIOR
Fish and Wildlife Service
[FWS–R5–ES–2014–0047;
FXES11160500000–189–FF05E00000]
Habitat Conservation Plan and Draft
Environmental Assessment, North
Allegheny Wind Facility, Incidental
Take Permit Application for Indiana
Bat, Blair and Cambria Counties,
Pennsylvania
Fish and Wildlife Service,
Interior.
ACTION: Notice of availability; notice of
receipt of permit application; request for
public comments.
AGENCY:
We, the U.S. Fish and
Wildlife Service (Service), announce the
availability of several documents related
to an incidental take permit (ITP)
application under the Endangered
Species Act (ESA). We have received an
application from North Allegheny
Wind, LLC (NAW) for a 25-year ITP for
take of the federally endangered Indiana
bat incidental to otherwise lawful
activities associated with operation of
its North Allegheny Wind Facility, an
existing 35-turbine wind farm in Blair
and Cambria Counties, Pennsylvania.
NAW has proposed a conservation
program to minimize and mitigate for
the impacts of the incidental take as
described in its Draft North Allegheny
Wind Indiana Bat Habitat Conservation
Plan (HCP). Pursuant to the ESA and the
National Environmental Policy Act, we
announce the availability of NAW’s ITP
application, including its HCP, and the
Service’s draft environmental
assessment, for public review and
comment. We provide this notice to
seek comments from the public and
Federal, Tribal, State, and local
governments.
SUMMARY:
We will accept comments
received or postmarked on or before
December 28, 2018. Comments
submitted electronically using
regulations.gov (see ADDRESSES) must be
received by 11:59 p.m. Eastern Standard
Time on the closing date.
ADDRESSES: Obtaining documents:
• Internet: You may obtain copies of
the draft HCP and draft environmental
assessment (EA) online in Docket No.
FWS–R5–ES–2014–0047 at https://
www.regulations.gov.
• U.S. Mail: Copies of the draft
documents are available from the U.S.
Fish and Wildlife Service, Pennsylvania
DATES:
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16:19 Nov 27, 2018
Jkt 247001
Field Office, 110 Radnor Road, Suite
101, State College, PA 16801. Please
note that your request is in reference to
the NAW HCP.
• In-person: Copies of the draft
documents are available for public
review during regular business hours at
the Pennsylvania Field Office, 110
Radnor Road, Suite 101, State College,
PA 16801. Call 814–234–4090 to make
an appointment.
Submitting Comments: You may
submit comments by one of the
following methods:
• Online: https://www.regulations.gov.
Follow the instructions for submitting
comments on Docket No. FWS–R5–ES–
2018–0047.
• U.S. mail or hand-delivery: Public
Comments Processing, Attn: Docket No.
FWS–R5–ES–2018–0047; U.S. Fish and
Wildlife Service; MS: BPHC; 5275
Leesburg Pike, Falls Church, VA 22041–
3803.
We will post all comments on https://
www.regulations.gov. This generally
means that we will post any personal
information you provide online (see
Public Availability of Comments under
SUPPLEMENTARY INFORMATION).
We request that you send comments
by only the methods described above.
FOR FURTHER INFORMATION CONTACT:
Robert Anderson, by phone at 814–234–
4090, x7447, or by mail at Pennsylvania
Field Office, U.S. Fish and Wildlife
Service, 110 Radnor Road, Suite 101,
State College, PA 16801.
SUPPLEMENTARY INFORMATION:
of the federally endangered Indiana bat
(Myotis sodalis) for a term of 25 years.
Incidental take of this species may occur
due to operation of 35 wind turbines.
The proposed conservation strategy in
the applicant’s proposed HCP is
designed to avoid, minimize, and
mitigate the impacts of the covered
activity on the covered species. The
biological goals and objectives are to
minimize potential take of Indiana bats
through on-site minimization measures
and to provide habitat conservation
measures for Indiana bats to offset any
unavoidable impacts during operation
of the project.
The HCP provides on-site avoidance
and minimization measures, which
include turbine operational
adjustments. The estimated level of
Indiana bat take from the project is four
Indiana bats and an estimated
reproductive potential of 3.2 bats over
the 25-year project duration. To provide
a conservation benefit to the Indiana
bat, NAW will fund and implement one
or more of the following types of
mitigation projects to meet the
mitigation needs of the Indiana bat:
Protection of a hibernaculum, as well as
surrounding buffer land necessary to
ensure that the protection of the
hibernaculum is successful; Protection
of land that functions as summer habitat
for one or more maternity colonies; and
protection of summer and/or swarming
habitat near a hibernaculum.
Background
The issuance of an ITP is a Federal
action that triggers the need for
compliance with NEPA (42 U.S.C. 4321
et seq.). We have prepared a draft EA
that analyzes the environmental impacts
on the human environment resulting
from three alternatives: A no-action
alternative, the proposed action, and an
alternative consisting of feathering
below the manufacturer’s cut-in wind
speed.
Section 9 of the Endangered Species
Act of 1973, as amended (ESA; 16
U.S.C. 1531 et seq.), and its
implementing regulations prohibit the
‘‘take’’ of animal species listed as
endangered or threatened. Take is
defined under the ESA as to ‘‘harass,
harm, pursue, hunt, shoot, wound, kill,
trap, capture, or collect listed animal
species, or to attempt to engage in such
conduct’’ (16 U.S.C. 1538). However,
under section 10(a) of the ESA, we may
issue permits to authorize incidental
take of listed species. ‘‘Incidental take’’
is defined by the ESA as take that is
incidental to, and not the purpose of,
carrying out an otherwise lawful
activity. Regulations governing
incidental take permits for endangered
and threatened species, respectively, are
found in the Code of Federal
Regulations at 50 CFR 17.22 and 50 CFR
17.32.
Applicant’s Proposed Project
North Allegheny Wind, LLC (NAW) is
seeking a permit for the incidental take
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National Environmental Policy Act
Next Steps
We will evaluate the plan and
comments we receive to determine
whether the permit application meets
the requirements of section 10(a) of the
ESA (16 U.S.C. 1531 et seq.). We will
also evaluate whether issuance of a
section 10(a)(1)(B) permit would comply
with section 7 of the ESA by conducting
an intra-Service section 7 consultation.
We will use the results of this
consultation, in combination with the
above findings, in our final analysis to
determine whether to issue a permit. If
the requirements are met, we will issue
the permit to the applicant.
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]]>Agencies
[Federal Register Volume 83, Number 229 (Wednesday, November 28, 2018)]
[Notices]
[Pages 61157-61160]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-25944]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Federal Financial Participation in State Assistance Expenditures;
Federal Matching Shares for Medicaid, the Children's Health Insurance
Program, and Aid to Needy Aged, Blind, or Disabled Persons for October
1, 2019 Through September 30, 2020
AGENCY: Office of the Secretary, DHHS.
ACTION: Notice.
-----------------------------------------------------------------------
DATES: The percentages listed in Table 1 will be effective for each of
the four quarter-year periods beginning October 1, 2019 and ending
September 30, 2020.
FOR FURTHER INFORMATION CONTACT: Rose Chu, Office of Health Policy,
Office of the Assistant Secretary for Planning and Evaluation, Room
447D--Hubert H. Humphrey Building, 200 Independence Avenue SW,
Washington, DC 20201, (202) 690-6870.
SUPPLEMENTARY INFORMATION: The Federal Medical Assistance Percentages
(FMAP), Enhanced Federal Medical Assistance Percentages (eFMAP), and
disaster-recovery FMAP adjustments for Fiscal Year 2020 have been
calculated pursuant to the Social Security Act (the Act). These
percentages will be effective from October 1, 2019 through September
30, 2020. This notice announces the calculated FMAP rates, in
accordance with sections 1101(a)(8) and 1905(b) of the Act, that the
U.S. Department of Health and Human Services (HHS) will use in
determining the amount of federal matching for state medical assistance
(Medicaid), Temporary Assistance for Needy Families (TANF) Contingency
Funds, Child Support Enforcement collections, Child Care Mandatory and
Matching Funds of the Child Care and Development Fund, Title IV-E
Foster Care Maintenance payments, Adoption Assistance payments and
Kinship Guardianship Assistance payments, and the eFMAP rates for the
Children's Health Insurance Program (CHIP) expenditures. Table 1 gives
figures for each of the 50 states, the District of Columbia, Puerto
Rico, the Virgin Islands, Guam, American Samoa, and the Commonwealth of
the Northern Mariana Islands. This notice reminds states of adjustments
available for states meeting requirements for disproportionate employer
pension or insurance fund contributions and adjustments for disaster
recovery. At this time, no state qualifies for such adjustments, and
territories are not eligible.
This notice also contains the increased eFMAPs for CHIP as
authorized under section 2705(b) of the Act, as amended by the HEALTHY
KIDS Act of 2017, for fiscal year 2020 (October 1, 2019 through
September 30, 2020).
Programs under title XIX of the Act exist in each jurisdiction.
Programs under titles I, X, and XIV operate only in Guam and the Virgin
Islands. The percentages in this notice apply to state expenditures for
most medical assistance and child health assistance, and assistance
payments for certain social services. The Act provides separately for
federal matching of administrative costs.
Sections 1905(b) and 1101(a)(8)(B) of the Social Security Act (the
Act) require the Secretary of HHS to publish the FMAP rates each year.
The Secretary calculates the percentages, using formulas in sections
1905(b) and 1101(a)(8), and calculations by the Department of Commerce
of average income per person in each state and for the United States
(meaning, for this purpose, the fifty states and the District of
Columbia). The percentages must fall within the upper and lower limits
specified in section 1905(b) of the Act. The percentages for the
District of Columbia, Puerto Rico, the Virgin Islands, Guam, American
Samoa, and the Northern Mariana Islands are specified in statute, and
thus are not based on the statutory formula that determines the
percentages for the 50 states.
Federal Medical Assistance Percentage (FMAP)
Section 1905(b) of the Act specifies the formula for calculating
FMAPs as follows:
``Federal medical assistance percentage'' for any state shall be
100 per centum less the state percentage; and the state percentage
shall be that percentage which bears the same ratio to 45 per centum
as the square of the per capita income of such state bears to the
square of the per capita income of the continental United States
(including Alaska) and Hawaii; except that (1) the Federal medical
assistance percentage shall in no case be less than 50 per centum or
more than 83 per centum . . . .
Section 1905(b) further specifies that the FMAP for Puerto Rico,
the Virgin Islands, Guam, the Northern Mariana Islands, and American
Samoa shall be 55 percent. Section 4725(b) of the Balanced Budget Act
of 1997 amended section 1905(b) to provide that the FMAP for the
District of Columbia, for purposes of titles XIX and XXI, shall be 70
percent. For the District of Columbia, we note under Table 1 that other
rates may apply in certain other programs. In addition, we note the
rate that applies for Puerto Rico, the Virgin Islands, Guam, American
Samoa, and the Commonwealth of the Northern Mariana Islands in certain
other programs pursuant to section 1118 of the Act. The rates for the
States, District of Columbia and the territories are displayed in Table
1, Column 1.
Section 1905(y) of the Act, as added by section 2001 of the Patient
Protection and Affordable Care Act of 2010 (``Affordable Care Act''),
provides for a significant increase in the FMAP for
[[Page 61158]]
medical assistance expenditures for newly eligible individuals
described in section 1902(a)(10)(A)(i)(VIII) of the Act, as added by
the Affordable Care Act (the new adult group); ``newly eligible'' is
defined in section 1905(y)(2)(A) of the Act. The FMAP for the new adult
group is 100 percent for Calendar Years 2014, 2015, and 2016, gradually
declining to 90 percent in 2020, where it remains indefinitely. In
addition, section 1905(z) of the Act, as added by section 10201 of the
Affordable Care Act, provides that states that offered substantial
health coverage to certain low-income parents and nonpregnant,
childless adults on the date of enactment of the Affordable Care Act,
referred to as ``expansion states,'' shall receive an enhanced FMAP
beginning in 2014 for medical assistance expenditures for nonpregnant
childless adults who may be required to enroll in benchmark coverage
under section 1937 of the Act. These provisions are discussed in more
detail in the Medicaid Program: Eligibility Changes Under the
Affordable Care Act of 2010 proposed rule published on August 17, 2011
(76 FR 51148, 51172) and the final rule published on March 23, 2012 (77
FR 17144, 17194). This notice is not intended to set forth the matching
rates for the new adult group as specified in section 1905(y) of the
Act or the matching rates for nonpregnant, childless adults in
expansion states as specified in section 1905(z) of the Act.
Other Adjustments to the FMAP
For purposes of Title XIX (Medicaid) of the Social Security Act,
the Federal Medical Assistance Percentage (FMAP), defined in section
1905(b) of the Social Security Act, for each state beginning with
fiscal year 2006, can be subject to an adjustment pursuant to section
614 of the Children's Health Insurance Program Reauthorization Act of
2009 (CHIPRA), Public Law 111-3. Section 614 of CHIPRA stipulates that
a state's FMAP under Title XIX (Medicaid) must be adjusted in two
situations.
In the first situation, if a state experiences no growth or
positive growth in total personal income and an employer in that state
has made a significantly disproportionate contribution to an employer
pension or insurance fund, the state's FMAP must be adjusted. The
adjustment involves disregarding the significantly disproportionate
employer pension or insurance fund contribution in computing the per
capita income for the state (but not in computing the per capita income
for the United States). Employer pension and insurance fund
contributions are significantly disproportionate if the increase in
contributions exceeds 25 percent of the total increase in personal
income in that state. A Federal Register Notice with comment period was
published on June 7, 2010 (75 FR 32182) announcing the methodology for
calculating this adjustment; a final notice was published on October
15, 2010 (75 FR 63480).
The second situation arises if a state experiences negative growth
in total personal income. Beginning with Fiscal Year 2006, section
614(b)(3) of CHIPRA specifies that, for the purposes of calculating the
FMAP for a calendar year in which a state's total personal income has
declined, the portion of an employer pension or insurance fund
contribution that exceeds 125 percent of the amount of such
contribution in the previous calendar year shall be disregarded in
computing the per capita income for the state (but not in computing the
per capita income for the United States).
No Federal source of reliable and timely data on pension and
insurance contributions by individual employers and states is currently
available. We request that states report employer pension or insurance
fund contributions to help determine potential FMAP adjustments for
states experiencing significantly disproportionate pension or insurance
contributions and states experiencing a negative growth in total
personal income. See also the information described in the January 21,
2014 Federal Register notice (79 FR 3385).
Section 2006 of the Affordable Care Act provides a special
adjustment to the FMAP for certain states recovering from a major
disaster. This notice does not contain an FY 2020 adjustment for a
major statewide disaster for any state (territories are not eligible
for FMAP adjustments) because no state had a recent major statewide
disaster and had its FMAP decreased by at least three percentage points
from FY 2019 to FY 2020. See information described in the December 22,
2010 Federal Register notice (75 FR 80501).
Enhanced Federal Medical Assistance Percentage (eFMAP) for CHIP
Section 2105(b) of the Act specifies the formula for calculating
the eFMAP rates as follows:
[T]he ``enhanced FMAP'', for a state for a fiscal year, is equal
to the Federal medical assistance percentage (as defined in the
first sentence of section 1905(b)) for the state increased by a
number of percentage points equal to 30 percent of the number of
percentage points by which (1) such Federal medical assistance
percentage for the state, is less than (2) 100 percent; but in no
case shall the enhanced FMAP for a state exceed 85 percent.
Section 2105(b) of the Social Security Act, as amended by Section
2101 of the Affordable Care Act, specifies a modified eFMAP for FY2016-
FY2019, providing that the FMAP under section 1905(b) for the state for
the fiscal year shall be increased by 23 percentage points, but in no
case shall exceed 100 percent. Section 3005 of the HEALTHY KIDS Act
further amended Section 2105(b) to specify a modified eFMAP for FY2020,
providing that the FMAP under section 1905(b) for the state for the
fiscal year shall be increased by 11.5 percentage points, with the sum
not to exceed 100 percent, during the period that begins on October 1,
2019, and ends on September 30, 2020.
The eFMAP rates are used in the Children's Health Insurance Program
under Title XXI, and in the Medicaid program for expenditures for
medical assistance provided to certain children as described in
sections 1905(u)(2) and 1905(u)(3) of the Act. There is no specific
requirement to publish the eFMAP rates. We include them in this notice
for the convenience of the states, and display both the eFMAP rates
that would apply if section 2105(b) had not been amended by the HEALTHY
KIDS Act (Table 1, Column 2) and the increased eFMAP rates as
calculated pursuant to the amendments made by the HEALTHY KIDS Act
(Table 1, Column 3), for comparison.
(Catalog of Federal Domestic Assistance Program Nos. 93.558: TANF
Contingency Funds; 93.563: Child Support Enforcement; 93.596: Child
Care Mandatory and Matching Funds of the Child Care and Development
Fund; 93.658: Foster Care Title IV-E; 93.659: Adoption Assistance;
93.769: Ticket-to-Work and Work Incentives Improvement Act (TWWIIA)
Demonstrations to Maintain Independence and Employment; 93.778:
Medical Assistance Program; 93.767: Children's Health Insurance
Program)
Alex M. Azar II,
Secretary, Department of Health and Human Services.
[[Page 61159]]
Table 1--Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages, Effective
October 1, 2019-September 30, 2020
[Fiscal year 2020]
----------------------------------------------------------------------------------------------------------------
Enhanced Federal
Federal Medical Enhanced Federal Medical Assistance
State Assistance Medical Assistance Percentages with
Percentages Percentages 11.5 Pt inc ***
----------------------------------------------------------------------------------------------------------------
Alabama....................................... 71.97 80.38 91.88
Alaska........................................ 50.00 65.00 76.50
American Samoa *.............................. 55.00 68.50 80.00
Arizona....................................... 70.02 79.01 90.51
Arkansas...................................... 71.42 79.99 91.49
California.................................... 50.00 65.00 76.50
Colorado...................................... 50.00 65.00 76.50
Connecticut................................... 50.00 65.00 76.50
Delaware...................................... 57.86 70.50 82.00
District of Columbia **....................... 70.00 79.00 90.50
Florida....................................... 61.47 73.03 84.53
Georgia....................................... 67.30 77.11 88.61
Guam *........................................ 55.00 68.50 80.00
Hawaii........................................ 53.47 67.43 78.93
Idaho......................................... 70.34 79.24 90.74
Illinois...................................... 50.14 65.10 76.60
Indiana....................................... 65.84 76.09 87.59
Iowa.......................................... 61.20 72.84 84.34
Kansas........................................ 59.16 71.41 82.91
Kentucky...................................... 71.82 80.27 91.77
Louisiana..................................... 66.86 76.80 88.30
Maine......................................... 63.80 74.66 86.16
Maryland...................................... 50.00 65.00 76.50
Massachusetts................................. 50.00 65.00 76.50
Michigan...................................... 64.06 74.84 86.34
Minnesota..................................... 50.00 65.00 76.50
Mississippi................................... 76.98 83.89 95.39
Missouri...................................... 65.65 75.96 87.46
Montana....................................... 64.78 75.35 86.85
Nebraska...................................... 54.72 68.30 79.80
Nevada........................................ 63.93 74.75 86.25
New Hampshire................................. 50.00 65.00 76.50
New Jersey.................................... 50.00 65.00 76.50
New Mexico.................................... 72.71 80.90 92.40
New York...................................... 50.00 65.00 76.50
North Carolina................................ 67.03 76.92 88.42
North Dakota.................................. 50.05 65.04 76.54
Northern Mariana Islands *.................... 55.00 68.50 80.00
Ohio.......................................... 63.02 74.11 85.61
Oklahoma...................................... 66.02 76.21 87.71
Oregon........................................ 61.23 72.86 84.36
Pennsylvania.................................. 52.25 66.58 78.08
Puerto Rico *................................. 55.00 68.50 80.00
Rhode Island.................................. 52.95 67.07 78.57
South Carolina................................ 70.70 79.49 90.99
South Dakota.................................. 57.62 70.33 81.83
Tennessee..................................... 65.21 75.65 87.15
Texas......................................... 60.89 72.62 84.12
Utah.......................................... 68.19 77.73 89.23
Vermont....................................... 53.86 67.70 79.20
Virgin Islands *.............................. 55.00 68.50 80.00
Virginia...................................... 50.00 65.00 76.50
Washington.................................... 50.00 65.00 76.50
West Virginia................................. 74.94 82.46 93.96
Wisconsin..................................... 59.36 71.55 83.05
Wyoming....................................... 50.00 65.00 76.50
----------------------------------------------------------------------------------------------------------------
* For purposes of section 1118 of the Social Security Act, the percentage used under titles I, X, XIV, and XVI
will be 75 per centum.
** The values for the District of Columbia in the table were set for the state plan under titles XIX and XXI and
for capitation payments and disproportionate share hospital (DSH) allotments under those titles. For other
purposes, the percentage for DC is 50.00, unless otherwise specified by law.
*** Section 3005 of the HEALTHY KIDS Act amended Section 2105(b) of the Social Security Act specifying that the
enhanced FMAP for states will be calculated by adding 11.5 percentage points to the state's FMAP as provided
under section 1905(b) of the Social Security Act, with the sum not to exceed 100 percent, for the period that
begins on October 1, 2019 and ends on September 30, 2020 (fiscal year 2020).
[[Page 61160]]
[FR Doc. 2018-25944 Filed 11-27-18; 8:45 am]
BILLING CODE P
