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, 2023 Through September 30, 2024, 74429-74432 [2022-26390]
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Federal Register / Vol. 87, No. 232 / Monday, December 5, 2022 / Notices
TOTAL ESTIMATED ANNUALIZED BURDEN—HOURS
Number of
respondents
Form name
Total
responses
Average
burden per
response
(in hours)
Total burden
hours
Eligible Applications/Application Program Guidance ...........
School Enrollment Verification Form ...................................
Confirmation of Interest Form ..............................................
Data Collection Worksheet Form .........................................
Graduation Close Out Form ................................................
Initial Employment Verification Form ...................................
Employer—Participant Service Verification Form ................
CSF Verification Form .........................................................
2,600
500
250
500
200
500
1,000
200
1
4
1
1
1
1
2
1
2,600
2,000
250
500
200
500
2,000
200
2.00
.33
.20
1.00
.17
.42
.12
.20
5,200
660
50
500
34
210
240
40
Total ..............................................................................
5,750
........................
8,250
........................
6,934
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2022–26342 Filed 12–2–22; 8:45 am]
BILLING CODE 4165–15–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, 2023
Through September 30, 2024
Office of the Secretary, DHHS.
Notice.
AGENCY:
ACTION:
ddrumheller on DSK30NT082PROD with NOTICES
Number of
responses per
respondent
The Federal Medical Assistance
Percentages (FMAP), Enhanced Federal
Medical Assistance Percentages
(eFMAP), and disaster-recovery FMAP
adjustments for Fiscal Year 2024 have
been calculated pursuant to the Social
Security Act (the Act). These
percentages will be effective from
October 1, 2023 through September 30,
2024. 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
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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.
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 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
‘‘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
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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) of the Act further
specifies that the FMAPs 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. Per
section 1905(ff) of the Act, as amended
by the Continuing Appropriations and
Ukraine Supplemental Appropriations
Act, 2023 (Pub. L. 117–180), the
territories’ FMAP is a higher rate
through December 16, 2022. For Puerto
Rico, the FMAP is 76 percent and, for
the other territories, it is 83 percent. The
FMAP for all territories reverts back to
55 percent beginning December 17,
2022, absent Congressional action. 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
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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.
Section 6008 of the Families First
Coronavirus Response Act (FFCRA)
(Pub. L. 116–127) as amended by
section 3720 of the CARES Act (Pub. L.
116–136), provides a temporary 6.2
percentage point FMAP increase to each
qualifying State and territory’s FMAP
under section 1905(b) of the Act,
effective January 1, 2020 and extending
through the last day of the calendar
quarter in which the public health
emergency declared by the Secretary of
HHS for COVID–19, including any
extensions, terminates. The FY 2023
FMAP rates listed in Table 1 do not
include the 6.2 percentage point
increase in the FMAP that qualifying
States may receive under Section 6008
of the FFCRA (Pub. L. 116–127).
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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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 1905(aa) of the Social
Security Act, as amended by section
2006 of the Affordable Care Act
specifies that the annual FMAP rate
shall be increased for a ‘‘disasterrecovery FMAP adjustment [s]tate.’’ The
statute defines a ‘‘disaster-recovery
FMAP adjustment [s]tate’’ as one of the
50 States or District of Columbia for
which, at any time during the preceding
7 fiscal years, the President has declared
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a major disaster under section 401 of the
Robert T. Stafford Disaster Relief and
Emergency Assistance Act under which
every county or parish in the State is
eligible for individual and public or
public assistance from the Federal
Government, and for which the FMAP
as determined for the fiscal year is less
than the FMAP for the preceding fiscal
year by at least three percentage points.
This notice does not contain disaster
recovery adjustments since no State
qualifies as a ‘‘disaster-recovery FMAP
adjustment [s]tate.’’. See more
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 CHIP
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).
DATES: The percentages listed in Table
1 will be applicable for each of the four
quarter-year periods beginning October
1, 2023 and ending September 30, 2024.
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.
(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-toWork and Work Incentives
Improvement Act (TWWIIA)
Demonstrations to Maintain
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Federal Register / Vol. 87, No. 232 / Monday, December 5, 2022 / Notices
Independence and Employment; 93.778:
74431
Medical Assistance Program; 93.767:
Children’s Health Insurance Program)
Xavier Becerra
Secretary, Department of Health and Human
Services.
TABLE 1—FEDERAL MEDICAL ASSISTANCE PERCENTAGES AND ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES,
EFFECTIVE OCTOBER 1, 2023–SEPTEMBER 30, 2024
[Fiscal Year 2024]
Federal medical
assistance
percentages
ddrumheller on DSK30NT082PROD 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 .........................................................................................................................
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 ..................................................................................................................................
73.12
50.01
55.00
66.29
72.00
50.00
50.00
50.00
59.71
70.00
57.96
65.89
55.00
58.56
69.72
51.09
65.62
64.13
60.97
71.78
67.67
62.65
50.00
50.00
64.94
51.49
77.27
66.07
63.91
58.60
60.77
50.00
50.00
72.59
50.00
65.91
53.82
55.00
64.30
67.53
59.31
54.12
55.00
55.01
69.53
54.98
65.28
60.15
65.90
56.75
55.00
51.22
50.00
74.10
60.66
50.00
Enhanced Federal
medical assistance
percentages
81.18
65.01
68.50
76.40
80.40
65.00
65.00
65.00
71.80
79.00
70.57
76.12
68.50
70.99
78.80
65.76
75.93
74.89
72.68
80.25
77.37
73.86
65.00
65.00
75.46
66.04
84.09
76.25
74.74
71.02
72.54
65.00
65.00
80.81
65.00
76.14
67.67
68.50
75.01
77.27
71.52
67.88
68.50
68.51
78.67
68.49
75.70
72.11
76.13
69.73
68.50
65.85
65.00
81.87
72.46
65.00
* 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 D.C. is 50.00, unless otherwise specified
by law.
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E:\FR\FM\05DEN1.SGM
05DEN1
74432
Federal Register / Vol. 87, No. 232 / Monday, December 5, 2022 / Notices
[FR Doc. 2022–26390 Filed 12–1–22; 8:45 am]
BILLING CODE P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Office of the Director, National
Institutes of Health; Notice of Meeting
ddrumheller on DSK30NT082PROD with NOTICES
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended, notice is hereby given of a
meeting of the Council of Councils.
The meeting will be held as a virtual
meeting and will be open to the public
to attend virtually as indicated below.
Individuals who plan to view the virtual
meeting and need special assistance or
other reasonable accommodations to
view the meeting, should notify the
Contact Person listed below in advance
of the meeting. The open session will be
videocast and can be accessed from the
NIH Videocasting and Podcasting
website (https://videocast.nih.gov).
A portion of the meeting will be
closed to the public in accordance with
the provisions set forth in sections
552b(c)(4), and 552b(c)(6), Title 5
U.S.C., as amended. The grant
applications and the discussions could
disclose confidential trade secrets or
commercial property such as patentable
material, and personal information
concerning individuals associated with
the grant applications, the disclosure of
which would constitute a clearly
unwarranted invasion of personal
privacy.
Name of Committee: Council of Councils.
Date: January 19–20, 2023.
Open: January 19, 2023, 10:15 a.m. to 3:20
p.m.
Agenda: Call to Order and Introductions;
Announcements; NIH Program Updates;
Strategic Plans; and Other Business of the
Committee.
Place: National Institutes of Health,
Building 1, 1 Center Drive, Bethesda, MD
20892 (Virtual Meeting).
Closed: January 20, 2023, 10:30 a.m. to
11:30 a.m.
Agenda: To review and evaluate review of
Grant Applications.
Place: National Institutes of Health,
Building 1, 1 Center Drive, Bethesda, MD
20892 (Virtual Meeting).
Open: January 20, 2023, 11:45 a.m. to 2:00
p.m.
Agenda: NIH Program Updates and Other
Business of the Committee.
Place: National Institutes of Health,
Building 1, 1 Center Drive, Bethesda, MD
20892 (Virtual Meeting).
Contact Person: Franziska Grieder, D.V.M.,
Ph.D., Executive Secretary, Council of
Councils, Director, Office of Research
Infrastructure Programs, Division of Program
Coordination, Planning, and Strategic
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Initiatives, Office of the Director, NIH, 6701
Democracy Boulevard, Room 948, Bethesda,
MD 20892, GriederF@mail.nih.gov, 301–435–
0744.
Any interested person may file written
comments with the committee by forwarding
the statement to the Contact Person listed on
this notice. The statement should include the
name, address, telephone number and when
applicable, the business or professional
affiliation of the interested person.
Information is also available on the
Council of Council’s home page at https://
dpcpsi.nih.gov/council/ where an agenda
will be posted before the meeting date.
(Catalogue of Federal Domestic Assistance
Program Nos. 93.14, Intramural Research
Training Award; 93.22, Clinical Research
Loan Repayment Program for Individuals
from Disadvantaged Backgrounds; 93.232,
Loan Repayment Program for Research
Generally; 93.39, Academic Research
Enhancement Award; 93.936, NIH Acquired
Immunodeficiency Syndrome Research Loan
Repayment Program; 93.187, Undergraduate
Scholarship Program for Individuals from
Disadvantaged Backgrounds, National
Institutes of Health, HHS)
Dated: November 29, 2022.
David W Freeman,
Program Analyst, Office of Federal Advisory
Committee Policy.
[FR Doc. 2022–26346 Filed 12–2–22; 8:45 am]
BILLING CODE 4140–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Cancer Institute; Notice of
Closed Meetings
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended, notice is hereby given of the
following meetings.
The meetings will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
applications, the disclosure of which
would constitute a clearly unwarranted
invasion of personal privacy.
Name of Committee: National Cancer
Institute Special Emphasis Panel; Assay
Validation of Biomarkers.
Date: January 25, 2023.
Time: 11:00 a.m. to 4:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Cancer Institute at Shady
Grove, 9609 Medical Center Drive, Room
7W106, Rockville, Maryland 20850
(Telephone Conference Call).
PO 00000
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Fmt 4703
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Contact Person: Eduardo Emilio Chufan,
Ph.D., Scientific Review Officer, Research
Technology and Contract Review Branch,
Division of Extramural Activities, National
Cancer Institute, NIH 9609, Medical Center
Drive, Room 7W106, Rockville, Maryland
20850, 240–276–7975, chufanee@
mail.nih.gov.
Name of Committee: National Cancer
Institute Special Emphasis Panel; Innovative
Molecular Analysis Technologies (IMAT).
Date: January 26, 2023.
Time: 10:00 a.m. to 6:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Cancer Institute at Shady
Grove, 9609 Medical Center Drive, Room
7W236, Rockville, Maryland 20850
(Telephone Conference Call).
Contact Person: Shuli Xia, Ph.D., Scientific
Review Officer, Research Technology and
Contract Review Branch, Division of
Extramural Activities, National Cancer
Institute, NIH 9609, Medical Center Drive,
Room 7W236, Rockville, Maryland 20850,
240–276–5256, shuli.xia@nih.gov.
Name of Committee: National Cancer
Institute Special Emphasis Panel; NCI
Transition Career Development Award and
Institutional Research Training Grants.
Date: January 26, 2023.
Time: 10:00 a.m. to 7:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Cancer Institute at Shady
Grove, 9609 Medical Center Drive, Room
7W234, Rockville, Maryland 20850
(Telephone Conference Call).
Contact Person: Adriana Stoica, Ph.D.,
Scientific Review Officer, Resources and
Training Review Branch, Division of
Extramural Activities, National Cancer
Institute, NIH 9609, Medical Center Drive,
Room 7W234, Rockville, Maryland 20850,
240–276–6368, Stoicaa2@mail.nih.gov.
Name of Committee: National Cancer
Institute Special Emphasis Panel; Radiation
Oncology-Biology Integration Network
(ROBIN) Centers Review.
Date: January 27, 2023.
Time: 9:30 a.m. to 6:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Cancer Institute at Shady
Grove, 9609 Medical Center Drive, Room
7W640, Rockville, Maryland 20850
(Telephone Conference Call).
Contact Person: Saejeong J. Kim, Ph.D.,
Scientific Review Officer, Special Review
Branch, Division of Extramural Activities,
National Cancer Institute, NIH 9609, Medical
Center Drive, Room 7W640, Rockville,
Maryland 20850, 240–276–7684,
saejeong.kim@nih.gov.
Name of Committee: National Cancer
Institute Special Emphasis Panel; NCI SPORE
(P50) Review I.
Date: January 31–February 1, 2023.
Time: 9:00 a.m. to 6:00 p.m.
Agenda: To review and evaluate grant
applications.
Place: National Cancer Institute at Shady
Grove, 9609 Medical Center Drive, Room
7W248, Rockville, Maryland 20850
(Telephone Conference Call).
E:\FR\FM\05DEN1.SGM
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]]>Agencies
[Federal Register Volume 87, Number 232 (Monday, December 5, 2022)]
[Notices]
[Pages 74429-74432]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-26390]
-----------------------------------------------------------------------
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, 2023 Through September 30, 2024
AGENCY: Office of the Secretary, DHHS.
ACTION: Notice.
-----------------------------------------------------------------------
The Federal Medical Assistance Percentages (FMAP), Enhanced Federal
Medical Assistance Percentages (eFMAP), and disaster-recovery FMAP
adjustments for Fiscal Year 2024 have been calculated pursuant to the
Social Security Act (the Act). These percentages will be effective from
October 1, 2023 through September 30, 2024. 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.
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 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 ``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) of the Act further specifies that the FMAPs 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. Per section
1905(ff) of the Act, as amended by the Continuing Appropriations and
Ukraine Supplemental Appropriations Act, 2023 (Pub. L. 117-180), the
territories' FMAP is a higher rate through December 16, 2022. For
Puerto Rico, the FMAP is 76 percent and, for the other territories, it
is 83 percent. The FMAP for all territories reverts back to 55 percent
beginning December 17, 2022, absent Congressional action. 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
[[Page 74430]]
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.
Section 6008 of the Families First Coronavirus Response Act (FFCRA)
(Pub. L. 116-127) as amended by section 3720 of the CARES Act (Pub. L.
116-136), provides a temporary 6.2 percentage point FMAP increase to
each qualifying State and territory's FMAP under section 1905(b) of the
Act, effective January 1, 2020 and extending through the last day of
the calendar quarter in which the public health emergency declared by
the Secretary of HHS for COVID-19, including any extensions,
terminates. The FY 2023 FMAP rates listed in Table 1 do not include the
6.2 percentage point increase in the FMAP that qualifying States may
receive under Section 6008 of the FFCRA (Pub. L. 116-127).
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 1905(aa) of the Social Security Act, as amended by section
2006 of the Affordable Care Act specifies that the annual FMAP rate
shall be increased for a ``disaster-recovery FMAP adjustment [s]tate.''
The statute defines a ``disaster-recovery FMAP adjustment [s]tate'' as
one of the 50 States or District of Columbia for which, at any time
during the preceding 7 fiscal years, the President has declared a major
disaster under section 401 of the Robert T. Stafford Disaster Relief
and Emergency Assistance Act under which every county or parish in the
State is eligible for individual and public or public assistance from
the Federal Government, and for which the FMAP as determined for the
fiscal year is less than the FMAP for the preceding fiscal year by at
least three percentage points. This notice does not contain disaster
recovery adjustments since no State qualifies as a ``disaster-recovery
FMAP adjustment [s]tate.''. See more 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 CHIP 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).
DATES: The percentages listed in Table 1 will be applicable for each of
the four quarter-year periods beginning October 1, 2023 and ending
September 30, 2024.
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.
(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
[[Page 74431]]
Independence and Employment; 93.778: Medical Assistance Program;
93.767: Children's Health Insurance Program)
Xavier Becerra
Secretary, Department of Health and Human Services.
Table 1--Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages, Effective
October 1, 2023-September 30, 2024
[Fiscal Year 2024]
----------------------------------------------------------------------------------------------------------------
Enhanced Federal
State Federal medical medical assistance
assistance percentages percentages
----------------------------------------------------------------------------------------------------------------
Alabama....................................................... 73.12 81.18
Alaska........................................................ 50.01 65.01
American Samoa *.............................................. 55.00 68.50
Arizona....................................................... 66.29 76.40
Arkansas...................................................... 72.00 80.40
California.................................................... 50.00 65.00
Colorado...................................................... 50.00 65.00
Connecticut................................................... 50.00 65.00
Delaware...................................................... 59.71 71.80
District of Columbia **....................................... 70.00 79.00
Florida....................................................... 57.96 70.57
Georgia....................................................... 65.89 76.12
Guam *........................................................ 55.00 68.50
Hawaii........................................................ 58.56 70.99
Idaho......................................................... 69.72 78.80
Illinois...................................................... 51.09 65.76
Indiana....................................................... 65.62 75.93
Iowa.......................................................... 64.13 74.89
Kansas........................................................ 60.97 72.68
Kentucky...................................................... 71.78 80.25
Louisiana..................................................... 67.67 77.37
Maine......................................................... 62.65 73.86
Maryland...................................................... 50.00 65.00
Massachusetts................................................. 50.00 65.00
Michigan...................................................... 64.94 75.46
Minnesota..................................................... 51.49 66.04
Mississippi................................................... 77.27 84.09
Missouri...................................................... 66.07 76.25
Montana....................................................... 63.91 74.74
Nebraska...................................................... 58.60 71.02
Nevada........................................................ 60.77 72.54
New Hampshire................................................. 50.00 65.00
New Jersey.................................................... 50.00 65.00
New Mexico.................................................... 72.59 80.81
New York...................................................... 50.00 65.00
North Carolina................................................ 65.91 76.14
North Dakota.................................................. 53.82 67.67
Northern Mariana Islands *.................................... 55.00 68.50
Ohio.......................................................... 64.30 75.01
Oklahoma...................................................... 67.53 77.27
Oregon........................................................ 59.31 71.52
Pennsylvania.................................................. 54.12 67.88
Puerto Rico *................................................. 55.00 68.50
Rhode Island.................................................. 55.01 68.51
South Carolina................................................ 69.53 78.67
South Dakota.................................................. 54.98 68.49
Tennessee..................................................... 65.28 75.70
Texas......................................................... 60.15 72.11
Utah.......................................................... 65.90 76.13
Vermont....................................................... 56.75 69.73
Virgin Islands *.............................................. 55.00 68.50
Virginia...................................................... 51.22 65.85
Washington.................................................... 50.00 65.00
West Virginia................................................. 74.10 81.87
Wisconsin..................................................... 60.66 72.46
Wyoming....................................................... 50.00 65.00
----------------------------------------------------------------------------------------------------------------
* 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 D.C. is 50.00, unless otherwise specified by law.
[[Page 74432]]
[FR Doc. 2022-26390 Filed 12-1-22; 8:45 am]
BILLING CODE P
