Notice of Hearing: Reconsideration of Disapproval South Carolina Medicaid State Plan Amendments (SPAs) 16-0012-A, 17-0006-A, and 18-0011-A, 54905-54906 [2019-22319]
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Federal Register / Vol. 84, No. 198 / Friday, October 11, 2019 / Notices
December 29, 2012, Irene K. Neighbor as
Family Business Advisor, both of
Winthrop, Iowa; and Marva J. Neighbor
Irrevocable Trust dated December 28,
2012, Douglas N. Neighbor as Family
Business Advisor, both of Marion, Iowa;
together with Justin M. Waring, Marion,
Iowa; Amber K. Waring, Toddville, Iowa;
Shannon M. Waring, Woodbury,
Minnesota; Brandon K. Waring,
Toddville, Iowa; Callie I. Neighbor,
Center Point, Iowa; Chloe A. Neighbor,
Center Point, Iowa; Allyssa K. Dierks,
Central City, Iowa; Jordan S. Neighbor,
Marion, Iowa; Austin K. Neighbor,
Marion, Iowa; Jenna L. Neighbor, Center
Point, Iowa; Grant E. Neighbor, Central
City, Iowa; Luke C. Neighbor, Central
City, Iowa; and 11 minor grandchildren;
to be approved as members acting in
concert with the Neighbor Family
Control Group to retain voting shares of
Neighbor Insurance Agency, Inc., and
thereby indirectly retain voting shares of
Farmers State Bank, both of Marion,
Iowa.
Board of Governors of the Federal Reserve
System, October 8, 2019.
Yao-Chin Chao,
Assistant Secretary of the Board.
[FR Doc. 2019–22321 Filed 10–10–19; 8:45 am]
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FEDERAL RESERVE SYSTEM
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Formations of, Acquisitions by, and
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have applied to the Board for approval,
pursuant to the Bank Holding Company
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(BHC Act), Regulation Y (12 CFR part
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and regulations to become a bank
holding company and/or to acquire the
assets or the ownership of, control of, or
the power to vote shares of a bank or
bank holding company and all of the
banks and nonbanking companies
owned by the bank holding company,
including the companies listed below.
The applications listed below, as well
as other related filings required by the
Board, if any, are available for
immediate inspection at the Federal
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applications will also be available for
inspection at the offices of the Board of
Governors. Interested persons may
express their views in writing on the
standards enumerated in the BHC Act
(12 U.S.C. 1842(c)).
Comments regarding each of these
applications must be received at the
Reserve Bank indicated or the offices of
the Board of Governors, Ann E.
Misback, Secretary of the Board, 20th
VerDate Sep<11>2014
17:56 Oct 10, 2019
Jkt 250001
and Constitution Avenue NW,
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than November 13, 2019.
A. Federal Reserve Bank of St. Louis
(David L. Hubbard, Senior Manager)
P.O. Box 442, St. Louis, Missouri
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electronically to
Comments.applications@stls.frb.org:
1. Central Bancompany, Inc., Jefferson
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acquire Platte Valley Bank of Missouri,
both of Platte City, Missouri.
B. Federal Reserve Bank of
Minneapolis (Chris Wangen, Assistant
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1. Keweenaw Financial Corporation,
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thereby indirectly acquire Main Street
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C. Federal Reserve Bank of New York
(Ivan Hurwitz, Senior Vice President) 33
Liberty Street, New York, New York
10045–0001. Comments can also be sent
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1. The Adirondack Trust Company
Employee Stock Ownership Trust,
Saratoga Springs, New York; to acquire
fifty additional voting shares of 473
Broadway Holding Corporation and two
thousand additional voting shares of
The Adirondack Trust Company, both of
Saratoga Springs, New York.
Board of Governors of the Federal Reserve
System, October 7, 2019.
Yao-Chin Chao,
Assistant Secretary of the Board.
[FR Doc. 2019–22233 Filed 10–10–19; 8:45 am]
BILLING CODE P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
Notice of Hearing: Reconsideration of
Disapproval South Carolina Medicaid
State Plan Amendments (SPAs) 16–
0012–A, 17–0006–A, and 18–0011–A
Centers for Medicare &
Medicaid Services (CMS), Department
of Health and Human Services (HHS).
ACTION: Notice of hearing:
Reconsideration of disapproval.
AGENCY:
SUMMARY: This notice announces an
administrative hearing to be held on
November 20, 2019, at the Department
of Health and Human Services, Division
of Medicaid Field Operations, South,
Centers for Medicare & Medicaid
PO 00000
Frm 00073
Fmt 4703
Sfmt 4703
54905
Services, Division of Medicaid and
Children’s Health Operations, 61
Forsyth St., Suite 4T20, Atlanta, Georgia
30303–8909 to reconsider CMS’s
decision to disapprove South Carolina’s
Medicaid SPAs 16–0012–A, 17–0006–A,
and 18–0011–A.
DATES: Requests to participate in the
hearing as a party must be received by
the presiding officer by October 28,
2019.
FOR FURTHER INFORMATION CONTACT:
Benjamin R. Cohen, Presiding Officer,
CMS, 1508 Woodlawn Drive, Suite 100,
Baltimore, Maryland 21207, Telephone:
(410) 786–3169.
SUPPLEMENTARY INFORMATION: This
notice announces an administrative
hearing to reconsider CMS’ decision to
disapprove South Carolina’s Medicaid
state plan amendments (SPAs) 16–
0012–A, 17–0006–A, and 18–0011–A,
which were submitted to the Centers for
Medicare & Medicaid Services (CMS) on
December 21, 2016, June 28, 2017, and
June 29, 2018, respectively, and
disapproved on July 9, 2019. These
SPAs requested CMS approval to add
new eligible physicians associated with
Greenville Memorial Hospital and
Palmetto Health Richland to the current
physician teaching supplemental
payment methodology. Specifically,
SPAs 16–0012–A, 17–0006–A, and 18–
0011–A proposed to use amounts
transferred from the Greenville Health
Authority to the state Medicaid Agency
for use as the non-federal share of the
proposed payments. The source of the
transfers would be from the ‘‘Setoff Debt
Collection Program,’’ which garnishes
state individual income tax refunds to
satisfy medical debt liabilities for
services furnished by certain providers,
rather than state or local tax revenue as
required by Section 1903(w)(6)(A) of the
Social Security Act. The revenue
collected from the Setoff Debt Collection
Program is derived from previously
uncollected patient revenue.
The issues to be considered at the
hearing are whether South Carolina
SPAs 16–0012–A, 17–0006–A, and 18–
0011–A are inconsistent with the
requirements of:
• Section 1902(a)(2) of the Act, which
provides that the state plan must assure
adequate funding for the non-federal
share of expenditures from state or local
sources, such that the lack of adequate
funds from local sources will not result
in lowering the amount, duration,
scope, or quality of care and services
available under the plan.
• Sections 1903(a) and 1905(b) of the
Act, which provide that states receive a
statutorily determined Federal Medicaid
Assistance Percentage (FMAP) for
E:\FR\FM\11OCN1.SGM
11OCN1
54906
Federal Register / Vol. 84, No. 198 / Friday, October 11, 2019 / Notices
jbell on DSK3GLQ082PROD with NOTICES
allowable state expenditures on medical
assistance.
• Section 1903(w)(6)(A) of the Act,
which allows states to use funds derived
from state or local taxes, which are then
transferred from units of government to
the Medicaid Agency, as the non-federal
share of Medicaid payments unless the
transferred funds are derived by the unit
of government from donations or taxes
that would not otherwise be recognized
as the non-federal share under section
1903 of the Act.
Section 1116 of the Act and federal
regulations at 42 CFR part 430 establish
Department procedures that provide an
administrative hearing for
reconsideration of a disapproval of a
state plan or plan amendment. CMS is
required to publish in the Federal
Register a copy of the notice to a state
Medicaid agency that informs the
agency of the time and place of the
hearing, and the issues to be considered.
If we subsequently notify the state
Medicaid agency of additional issues
that will be considered at the hearing,
we will also publish that notice in the
Federal Register.
Any interested individual or group
that wants to participate in the hearing
as a party must petition the presiding
officer within 15 days after publication
of this notice, in accordance with the
requirements contained at 42 CFR
430.76(b)(2). Any interested person or
organization that wants to participate as
amicus curiae must petition the
presiding officer before the hearing
begins in accordance with the
requirements contained at 42 CFR
430.76(c). If the hearing is later
rescheduled or moved, the presiding
officer will notify all participants.
The notice to South Carolina
announcing an administrative hearing to
reconsider the disapproval of its SPAs
reads as follows:
Joshua D. Baker,
Director, South Carolina Department of
Health and Human Services, Post Office Box
8206, Columbia, SC 29202–8206.
Dear Mr. Baker:
I am responding to the request for
reconsideration (dated September 5, 2019) of
the decision to disapprove South Carolina’s
state plan amendments (SPAs) 16–0012–A,
17–0006–A, and 18–0011–A, which we
received on September 6, 2019. South
Carolina SPAs 16–0012–A, 17–0006–A, and
18–0011–A were submitted to the Centers for
Medicare & Medicaid Services (CMS) on
December 21, 2016, June 28, 2017, and June
29, 2018, respectively, and disapproved on
July 9, 2019. I am scheduling a hearing on
the request for reconsideration to be held on
November 20, 2019 at the Department of
Health and Human Services, Division of
Medicaid Field Operations, South, Centers
for Medicare & Medicaid Services, Division
VerDate Sep<11>2014
17:56 Oct 10, 2019
Jkt 250001
of Medicaid and Children’s Health
Operations, 61 Forsyth St., Suite 4T20,
Atlanta, Georgia 30303–8909.
I am designating Mr. Benjamin R. Cohen as
the presiding officer. If these arrangements
present any problems, please contact Mr.
Cohen at (410) 786–3169. In order to
facilitate any communication that may be
necessary between the parties prior to the
hearing, please notify the presiding officer to
indicate acceptability of the hearing date and
location that has been established and
provide names of the individuals who will
represent the State at the hearing. If the
hearing date or location is not acceptable, Mr.
Cohen can set another date mutually
agreeable to the parties and may designate
another location, with due regard for the
convenience and necessity of the parties and
their representatives. The hearing will be
governed by the procedures prescribed by
federal regulations at 42 CFR part 430.
These SPAs requested CMS approval to
add new eligible physicians associated with
Greenville Memorial Hospital and Palmetto
Health Richland (since merged into a single
entity, Prisma Health) to the current
physician teaching supplemental payment
methodology. Specifically, SPAs 16–0012–A,
17–0006–A, and 18–0011–A proposed to use
intergovernmental transfers from the
Greenville Health Authority to the state
Medicaid Agency as the non-federal share of
the proposed payments.1 The source of the
transfers would be from the ‘‘Setoff Debt
Collection Program,’’ which garnishes state
individual income tax refunds to satisfy
medical debt liabilities for services furnished
by certain providers, rather than state or local
tax revenue as required by Section
1903(w)(6)(A) of the Social Security Act (the
Act). The revenue collected from the Setoff
Debt Collection Program is derived from
previously uncollected patient revenue.
The issues to be considered at the hearing
are whether South Carolina SPAs 16–0012–
A, 17–0006–A, and 18–0011–A are
inconsistent with the requirements of:
• Section 1902(a)(2) of the Act, which
provides that the state plan must assure
adequate funding for the non-federal share of
expenditures from state or local sources, such
that the lack of adequate funds from local
sources will not result in lowering the
amount, duration, scope, or quality of care
and services available under the plan.
• Sections 1903(a) and 1905(b) of the Act,
which provide that states receive a statutorily
determined Federal Medicaid Assistance
Percentage (FMAP) for allowable state
expenditures on medical assistance.
• Section 1903(w)(6)(A) of the Act, which
allows States to use funds derived from State
or local taxes, which are then transferred
from units of government to the Medicaid
Agency, as the non-federal share of Medicaid
payments unless the transferred funds are
derived by the unit of government from
donations or taxes that would not otherwise
be recognized as the non-federal share under
section 1903 of the Act.
1 As reflected in the July 9, 2019 disapproval
letter, CMS did not examine, or reach a conclusion
with respect to, whether the Greenville Health
Authority is a unit of government eligible to make
an intergovernmental transfer.
PO 00000
Frm 00074
Fmt 4703
Sfmt 4703
In the event that CMS and the State come
to agreement on resolution of the issues that
formed the basis for disapproval, these SPAs
may be moved to approval prior to the
scheduled hearing.
Sincerely,
Seema Verma,
Administrator.
cc: Benjamin R. Cohen.
Section 1116 of the Social Security
Act (42 U.S.C. 1316; 42 CFR 430.18)
(Catalog of Federal Domestic Assistance
program No. 13.714. Medicaid Assistance
Program.)
Dated: October 4, 2019.
Seema Verma,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2019–22319 Filed 10–8–19; 4:15 pm]
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]]>Agencies
[Federal Register Volume 84, Number 198 (Friday, October 11, 2019)]
[Notices]
[Pages 54905-54906]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-22319]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
Notice of Hearing: Reconsideration of Disapproval South Carolina
Medicaid State Plan Amendments (SPAs) 16-0012-A, 17-0006-A, and 18-
0011-A
AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of
Health and Human Services (HHS).
ACTION: Notice of hearing: Reconsideration of disapproval.
-----------------------------------------------------------------------
SUMMARY: This notice announces an administrative hearing to be held on
November 20, 2019, at the Department of Health and Human Services,
Division of Medicaid Field Operations, South, Centers for Medicare &
Medicaid Services, Division of Medicaid and Children's Health
Operations, 61 Forsyth St., Suite 4T20, Atlanta, Georgia 30303-8909 to
reconsider CMS's decision to disapprove South Carolina's Medicaid SPAs
16-0012-A, 17-0006-A, and 18-0011-A.
DATES: Requests to participate in the hearing as a party must be
received by the presiding officer by October 28, 2019.
FOR FURTHER INFORMATION CONTACT: Benjamin R. Cohen, Presiding Officer,
CMS, 1508 Woodlawn Drive, Suite 100, Baltimore, Maryland 21207,
Telephone: (410) 786-3169.
SUPPLEMENTARY INFORMATION: This notice announces an administrative
hearing to reconsider CMS' decision to disapprove South Carolina's
Medicaid state plan amendments (SPAs) 16-0012-A, 17-0006-A, and 18-
0011-A, which were submitted to the Centers for Medicare & Medicaid
Services (CMS) on December 21, 2016, June 28, 2017, and June 29, 2018,
respectively, and disapproved on July 9, 2019. These SPAs requested CMS
approval to add new eligible physicians associated with Greenville
Memorial Hospital and Palmetto Health Richland to the current physician
teaching supplemental payment methodology. Specifically, SPAs 16-0012-
A, 17-0006-A, and 18-0011-A proposed to use amounts transferred from
the Greenville Health Authority to the state Medicaid Agency for use as
the non-federal share of the proposed payments. The source of the
transfers would be from the ``Setoff Debt Collection Program,'' which
garnishes state individual income tax refunds to satisfy medical debt
liabilities for services furnished by certain providers, rather than
state or local tax revenue as required by Section 1903(w)(6)(A) of the
Social Security Act. The revenue collected from the Setoff Debt
Collection Program is derived from previously uncollected patient
revenue.
The issues to be considered at the hearing are whether South
Carolina SPAs 16-0012-A, 17-0006-A, and 18-0011-A are inconsistent with
the requirements of:
Section 1902(a)(2) of the Act, which provides that the
state plan must assure adequate funding for the non-federal share of
expenditures from state or local sources, such that the lack of
adequate funds from local sources will not result in lowering the
amount, duration, scope, or quality of care and services available
under the plan.
Sections 1903(a) and 1905(b) of the Act, which provide
that states receive a statutorily determined Federal Medicaid
Assistance Percentage (FMAP) for
[[Page 54906]]
allowable state expenditures on medical assistance.
Section 1903(w)(6)(A) of the Act, which allows states to
use funds derived from state or local taxes, which are then transferred
from units of government to the Medicaid Agency, as the non-federal
share of Medicaid payments unless the transferred funds are derived by
the unit of government from donations or taxes that would not otherwise
be recognized as the non-federal share under section 1903 of the Act.
Section 1116 of the Act and federal regulations at 42 CFR part 430
establish Department procedures that provide an administrative hearing
for reconsideration of a disapproval of a state plan or plan amendment.
CMS is required to publish in the Federal Register a copy of the notice
to a state Medicaid agency that informs the agency of the time and
place of the hearing, and the issues to be considered. If we
subsequently notify the state Medicaid agency of additional issues that
will be considered at the hearing, we will also publish that notice in
the Federal Register.
Any interested individual or group that wants to participate in the
hearing as a party must petition the presiding officer within 15 days
after publication of this notice, in accordance with the requirements
contained at 42 CFR 430.76(b)(2). Any interested person or organization
that wants to participate as amicus curiae must petition the presiding
officer before the hearing begins in accordance with the requirements
contained at 42 CFR 430.76(c). If the hearing is later rescheduled or
moved, the presiding officer will notify all participants.
The notice to South Carolina announcing an administrative hearing
to reconsider the disapproval of its SPAs reads as follows:
Joshua D. Baker,
Director, South Carolina Department of Health and Human Services,
Post Office Box 8206, Columbia, SC 29202-8206.
Dear Mr. Baker:
I am responding to the request for reconsideration (dated
September 5, 2019) of the decision to disapprove South Carolina's
state plan amendments (SPAs) 16-0012-A, 17-0006-A, and 18-0011-A,
which we received on September 6, 2019. South Carolina SPAs 16-0012-
A, 17-0006-A, and 18-0011-A were submitted to the Centers for
Medicare & Medicaid Services (CMS) on December 21, 2016, June 28,
2017, and June 29, 2018, respectively, and disapproved on July 9,
2019. I am scheduling a hearing on the request for reconsideration
to be held on November 20, 2019 at the Department of Health and
Human Services, Division of Medicaid Field Operations, South,
Centers for Medicare & Medicaid Services, Division of Medicaid and
Children's Health Operations, 61 Forsyth St., Suite 4T20, Atlanta,
Georgia 30303-8909.
I am designating Mr. Benjamin R. Cohen as the presiding officer.
If these arrangements present any problems, please contact Mr. Cohen
at (410) 786-3169. In order to facilitate any communication that may
be necessary between the parties prior to the hearing, please notify
the presiding officer to indicate acceptability of the hearing date
and location that has been established and provide names of the
individuals who will represent the State at the hearing. If the
hearing date or location is not acceptable, Mr. Cohen can set
another date mutually agreeable to the parties and may designate
another location, with due regard for the convenience and necessity
of the parties and their representatives. The hearing will be
governed by the procedures prescribed by federal regulations at 42
CFR part 430.
These SPAs requested CMS approval to add new eligible physicians
associated with Greenville Memorial Hospital and Palmetto Health
Richland (since merged into a single entity, Prisma Health) to the
current physician teaching supplemental payment methodology.
Specifically, SPAs 16-0012-A, 17-0006-A, and 18-0011-A proposed to
use intergovernmental transfers from the Greenville Health Authority
to the state Medicaid Agency as the non-federal share of the
proposed payments.\1\ The source of the transfers would be from the
``Setoff Debt Collection Program,'' which garnishes state individual
income tax refunds to satisfy medical debt liabilities for services
furnished by certain providers, rather than state or local tax
revenue as required by Section 1903(w)(6)(A) of the Social Security
Act (the Act). The revenue collected from the Setoff Debt Collection
Program is derived from previously uncollected patient revenue.
---------------------------------------------------------------------------
\1\ As reflected in the July 9, 2019 disapproval letter, CMS did
not examine, or reach a conclusion with respect to, whether the
Greenville Health Authority is a unit of government eligible to make
an intergovernmental transfer.
---------------------------------------------------------------------------
The issues to be considered at the hearing are whether South
Carolina SPAs 16-0012-A, 17-0006-A, and 18-0011-A are inconsistent
with the requirements of:
Section 1902(a)(2) of the Act, which provides that the
state plan must assure adequate funding for the non-federal share of
expenditures from state or local sources, such that the lack of
adequate funds from local sources will not result in lowering the
amount, duration, scope, or quality of care and services available
under the plan.
Sections 1903(a) and 1905(b) of the Act, which provide
that states receive a statutorily determined Federal Medicaid
Assistance Percentage (FMAP) for allowable state expenditures on
medical assistance.
Section 1903(w)(6)(A) of the Act, which allows States
to use funds derived from State or local taxes, which are then
transferred from units of government to the Medicaid Agency, as the
non-federal share of Medicaid payments unless the transferred funds
are derived by the unit of government from donations or taxes that
would not otherwise be recognized as the non-federal share under
section 1903 of the Act.
In the event that CMS and the State come to agreement on
resolution of the issues that formed the basis for disapproval,
these SPAs may be moved to approval prior to the scheduled hearing.
Sincerely,
Seema Verma,
Administrator.
cc: Benjamin R. Cohen.
Section 1116 of the Social Security Act (42 U.S.C. 1316; 42 CFR
430.18)
(Catalog of Federal Domestic Assistance program No. 13.714. Medicaid
Assistance Program.)
Dated: October 4, 2019.
Seema Verma,
Administrator, Centers for Medicare & Medicaid Services.
[FR Doc. 2019-22319 Filed 10-8-19; 4:15 pm]
BILLING CODE 4120-01-P
