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, 2020 Through September 30, 2021, 66204-66206 [2019-26207]
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66204
Federal Register / Vol. 84, No. 232 / Tuesday, December 3, 2019 / Notices
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, 2020
Through September 30, 2021
Office of the Secretary, DHHS.
Notice.
AGENCY:
ACTION:
This notice announces the
calculated Federal Medical Assistance
Percentages (FMAP) rates, in accordance
with sections 1101(a)(8) and 1905(b) of
the Social Security Act (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 Enhanced Federal Medical
Assistance Percentages (eFMAP) rates
for the Children’s Health Insurance
Program (CHIP) expenditures.
DATES: The percentages listed in Table
1 of this notice will be effective for each
of the four quarter-year periods
beginning October 1, 2020 and ending
September 30, 2021.
FOR FURTHER INFORMATION CONTACT: Ann
Conmy, 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
FMAP, Enhanced Federal Medical
Assistance Percentages eFMAP, and
disaster-recovery FMAP adjustments for
Fiscal Year 2021 have been calculated
pursuant to the Act. These percentages
will be effective from October 1, 2020
through September 30, 2021.
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.
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SUMMARY:
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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 2021
(October 1, 2020 through September 30,
2021).
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
the 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 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
PO 00000
Frm 00059
Fmt 4703
Sfmt 4703
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’’) (Pub. L. 111–
148), provides for a significant increase
in the FMAP for 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.
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03DEN1
66205
Federal Register / Vol. 84, No. 232 / Tuesday, December 3, 2019 / Notices
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 2021 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 the ‘‘enhanced FMAP’’, for a
state for a fiscal year, is equal to the
Federal medical assistance percentage
(as defined in the first sentence of
section 1905(b)) for the state increased
by a number of percentage points equal
to 30 percent of the number of
percentage points by which (1) such
Federal medical assistance percentage
for the state, is less than (2) 100 percent;
but in no case shall the enhanced FMAP
for a state exceed 85 percent.
The eFMAP rates are used in the
Children’s Health Insurance Program
under Title XXI, and in the Medicaid
program for 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
(Table 1, Column 2).
(Catalog of Federal Domestic Assistance
Program Nos. 93.558: TANF Contingency
Funds; 93.563: Child Support Enforcement;
93.596: Child Care Mandatory and Matching
Funds of the Child Care and Development
Fund; 93.658: Foster Care Title IV–E; 93.659:
Adoption Assistance; 93.769: Ticket-to-Work
and Work Incentives Improvement Act
(TWWIIA) Demonstrations to Maintain
Independence and Employment; 93.778:
Medical Assistance Program; 93.767:
Children’s Health Insurance Program)
Dated: November 27, 2019.
Alex M. Azar II,
Secretary.
TABLE 1—FEDERAL MEDICAL ASSISTANCE PERCENTAGES AND ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES,
EFFECTIVE OCTOBER 1, 2020–SEPTEMBER 30, 2021
[Fiscal year 2021]
Federal medical
assistance
percentages
lotter on DSKBCFDHB2PROD with NOTICES
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 .............................................................................................................................................
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Sfmt 4703
E:\FR\FM\03DEN1.SGM
72.58
50.00
55.00
70.01
71.23
50.00
50.00
50.00
57.74
70.00
61.96
67.03
55.00
53.02
70.41
50.96
65.83
61.75
59.68
72.05
67.42
63.69
50.00
50.00
03DEN1
Enhanced
federal medical
assistance
percentages
80.81
65.00
68.50
79.01
79.86
65.00
65.00
65.00
70.42
79.00
73.37
76.92
68.50
67.11
79.29
65.67
76.08
73.23
71.78
80.44
77.19
74.58
65.00
65.00
66206
Federal Register / Vol. 84, No. 232 / Tuesday, December 3, 2019 / Notices
TABLE 1—FEDERAL MEDICAL ASSISTANCE PERCENTAGES AND ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES,
EFFECTIVE OCTOBER 1, 2020–SEPTEMBER 30, 2021—Continued
[Fiscal year 2021]
Federal medical
assistance
percentages
State
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 ......................................................................................................................................................
[FR Doc. 2019–26207 Filed 11–29–19; 4:15 pm]
SUPPLEMENTARY INFORMATION:
BILLING CODE P
I. Background
Office of the Secretary
Findings of Research Misconduct;
Correction
Office of the Secretary, HHS
ACTION: Correction of notice.
AGENCY:
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VerDate Sep<11>2014
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In FR Doc. 2019–24715 of November
14, 2019 (84 FR 61916–61917), make the
following corrections:
1. On page 61916, first column, in FR
Doc. 2019–24715, SUMMARY section, first
paragraph, lines 20–21, and page 61916,
Supplementary Information section,
second paragraph, line 18, change ‘‘P30
ES003891–25’’ to ‘‘P30 ES003819–25.’’
2. On page 61916, SUPPLEMENTARY
INFORMATION section, second paragraph,
lines 20–21, delete ‘‘NCI, NIH, grant R01
CA122737–01A2.’’
PO 00000
Frm 00061
Fmt 4703
Sfmt 4703
74.86
65.00
84.43
75.47
75.92
69.53
74.31
65.00
65.00
81.42
65.00
77.18
66.68
68.50
74.54
77.59
72.59
66.54
68.50
67.86
79.44
70.80
76.27
73.27
77.26
68.20
68.50
65.00
65.00
82.49
71.56
65.00
[FR Doc. 2019–26072 Filed 12–2–19; 8:45 am]
BILLING CODE 4150–31–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Information Technology
Advisory Committee 2020 Schedule
Office of the National
Coordinator for Health Information
Technology (ONC), HHS.
ACTION: 2020 public meeting dates of
the Health Information Technology
Advisory Committee.
AGENCY:
II. Correction of Errors
This document corrects errors
that appeared in the notice published in
the November 14, 2019, Federal
Register entitled ‘‘Findings of Research
Misconduct.’’
DATES:
Correction Date: December 3, 2019.
Applicability Date: The correction
notice is applicable for the Findings of
Research Misconduct notice published
on November 14, 2019.
FOR FURTHER INFORMATION CONTACT: Ms.
Karen Gorirossi or Dr. Alexander Runko
at 240–453–8800.
SUMMARY:
64.08
50.00
77.76
64.96
65.60
56.47
63.30
50.00
50.00
73.46
50.00
67.40
52.40
55.00
63.63
67.99
60.84
52.20
55.00
54.09
70.63
58.28
66.10
61.81
67.52
54.57
55.00
50.00
50.00
74.99
59.37
50.00
Dated: November 25, 2019.
Elisabeth A. Handley,
Interim Director, Office of Research Integrity.
In FR Doc. 2019–24715 of November
14, 2019 (84 FR 61916–61917), there
were errors involving incorrect grant
numbers affecting the first paragraph of
the SUMMARY section and the second
paragraph of the SUPPLEMENTARY
INFORMATION section. The errors are
identified and corrected in the
Correction of Errors section below.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Enhanced
federal medical
assistance
percentages
The Health Information
Technology Advisory Committee
(HITAC) was established in accordance
with section 4003(e) of the 21st Century
Cures Act and the Federal Advisory
Committee Act. The HITAC, among
other things, identifies priorities for
standards adoption and makes
recommendations to the National
SUMMARY:
E:\FR\FM\03DEN1.SGM
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]]>Agencies
[Federal Register Volume 84, Number 232 (Tuesday, December 3, 2019)]
[Notices]
[Pages 66204-66206]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-26207]
[[Page 66204]]
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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, 2020 Through September 30, 2021
AGENCY: Office of the Secretary, DHHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: This notice announces the calculated Federal Medical
Assistance Percentages (FMAP) rates, in accordance with sections
1101(a)(8) and 1905(b) of the Social Security Act (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 Enhanced Federal
Medical Assistance Percentages (eFMAP) rates for the Children's Health
Insurance Program (CHIP) expenditures.
DATES: The percentages listed in Table 1 of this notice will be
effective for each of the four quarter-year periods beginning October
1, 2020 and ending September 30, 2021.
FOR FURTHER INFORMATION CONTACT: Ann Conmy, 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 FMAP, Enhanced Federal Medical
Assistance Percentages eFMAP, and disaster-recovery FMAP adjustments
for Fiscal Year 2021 have been calculated pursuant to the Act. These
percentages will be effective from October 1, 2020 through September
30, 2021.
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 2021 (October 1, 2020 through
September 30, 2021).
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 the 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 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'')
(Pub. L. 111-148), provides for a significant increase in the FMAP for
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.
[[Page 66205]]
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 2021 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 the ``enhanced FMAP'', for a state for a fiscal
year, is equal to the Federal medical assistance percentage (as defined
in the first sentence of section 1905(b)) for the state increased by a
number of percentage points equal to 30 percent of the number of
percentage points by which (1) such Federal medical assistance
percentage for the state, is less than (2) 100 percent; but in no case
shall the enhanced FMAP for a state exceed 85 percent.
The eFMAP rates are used in the Children's Health Insurance Program
under Title XXI, and in the Medicaid program for 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 (Table 1, Column 2).
(Catalog of Federal Domestic Assistance Program Nos. 93.558: TANF
Contingency Funds; 93.563: Child Support Enforcement; 93.596: Child
Care Mandatory and Matching Funds of the Child Care and Development
Fund; 93.658: Foster Care Title IV-E; 93.659: Adoption Assistance;
93.769: Ticket-to-Work and Work Incentives Improvement Act (TWWIIA)
Demonstrations to Maintain Independence and Employment; 93.778:
Medical Assistance Program; 93.767: Children's Health Insurance
Program)
Dated: November 27, 2019.
Alex M. Azar II,
Secretary.
Table 1--Federal Medical Assistance Percentages and Enhanced Federal
Medical Assistance Percentages, Effective October 1, 2020-September 30,
2021
[Fiscal year 2021]
------------------------------------------------------------------------
Enhanced federal
Federal medical medical
State assistance assistance
percentages percentages
------------------------------------------------------------------------
Alabama........................... 72.58 80.81
Alaska............................ 50.00 65.00
American Samoa.................... 55.00 68.50
Arizona........................... 70.01 79.01
Arkansas.......................... 71.23 79.86
California........................ 50.00 65.00
Colorado.......................... 50.00 65.00
Connecticut....................... 50.00 65.00
Delaware.......................... 57.74 70.42
District of Columbia.............. 70.00 79.00
Florida........................... 61.96 73.37
Georgia........................... 67.03 76.92
Guam.............................. 55.00 68.50
Hawaii............................ 53.02 67.11
Idaho............................. 70.41 79.29
Illinois.......................... 50.96 65.67
Indiana........................... 65.83 76.08
Iowa.............................. 61.75 73.23
Kansas............................ 59.68 71.78
Kentucky.......................... 72.05 80.44
Louisiana......................... 67.42 77.19
Maine............................. 63.69 74.58
Maryland.......................... 50.00 65.00
Massachusetts..................... 50.00 65.00
[[Page 66206]]
Michigan.......................... 64.08 74.86
Minnesota......................... 50.00 65.00
Mississippi....................... 77.76 84.43
Missouri.......................... 64.96 75.47
Montana........................... 65.60 75.92
Nebraska.......................... 56.47 69.53
Nevada............................ 63.30 74.31
New Hampshire..................... 50.00 65.00
New Jersey........................ 50.00 65.00
New Mexico........................ 73.46 81.42
New York.......................... 50.00 65.00
North Carolina.................... 67.40 77.18
North Dakota...................... 52.40 66.68
Northern Mariana Islands.......... 55.00 68.50
Ohio.............................. 63.63 74.54
Oklahoma.......................... 67.99 77.59
Oregon............................ 60.84 72.59
Pennsylvania...................... 52.20 66.54
Puerto Rico....................... 55.00 68.50
Rhode Island...................... 54.09 67.86
South Carolina.................... 70.63 79.44
South Dakota...................... 58.28 70.80
Tennessee......................... 66.10 76.27
Texas............................. 61.81 73.27
Utah.............................. 67.52 77.26
Vermont........................... 54.57 68.20
Virgin Islands.................... 55.00 68.50
Virginia.......................... 50.00 65.00
Washington........................ 50.00 65.00
West Virginia..................... 74.99 82.49
Wisconsin......................... 59.37 71.56
Wyoming........................... 50.00 65.00
------------------------------------------------------------------------
[FR Doc. 2019-26207 Filed 11-29-19; 4:15 pm]
BILLING CODE P
