[Federal Register Volume 59, Number 34 (Friday, February 18, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-3885]


[[Page Unknown]]

[Federal Register: February 18, 1994]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

42 CFR Parts 435, 436, and 440

[MB-001-N]
RIN 0938-AA58

 

Medicaid Program; Eligibility and Coverage Requirements

AGENCY: Health Care Financing Administration (HCFA), HHS.

ACTION: Notice of delay of effective dates and compliance dates.

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SUMMARY: This document delays by an additional 6 months the effective 
dates of the final rule with comment period on Medicaid Eligibility and 
Coverage Requirements published January 19, 1993, in the Federal 
Register (58 FR 4908). It also extends the compliance dates for this 
rule in light of the delay in the effective dates. This delay will give 
the administration additional time necessary to fully review the 
policies in these regulations.

DATES: Effective February 17, 1994, the effective and compliance dates 
are delayed as follows:
    Effective Dates: The regulations published January 19, 1993, at 58 
FR 4908, are effective on August 18, 1994, except for Secs. 435.604, 
435.606, 436.604, and 436.606, which are effective October 19, 1994.
    Compliance Dates: We will not hold a State out of compliance with 
the requirements of this final rule published January 19, 1993, at 58 
FR 4908, if the State submits preprinted plan amendments and required 
attachments by October 19, 1994, for all provisions other than 
Secs. 435.604, 435.606, 436.604, and 436.606. States must comply with 
Secs. 435.604, 435.606, 436.604, and 436.606, and submit preprinted 
plan amendments and required attachments for these sections, by the 
latest of: (1) January 19, 1995; (2) the first day of the next fiscal 
year following July 19, 1994, if State legislation is needed to 
appropriate funds to implement the provisions of these sections; or (3) 
the first day of the calendar quarter following the end of the next 
session of the State legislature that convenes after July 19, 1994, if 
the State needs authorizing legislation to implement the provisions of 
these sections.

FOR FURTHER INFORMATION CONTACT: Marinos Svolos, (410) 966-4451.

SUPPLEMENTARY INFORMATION: On January 19, 1993, we published in the 
Federal Register a final rule with comment period that amends the 
requirements for coverage of certain groups of individuals under 
Medicaid and the requirements for determining Medicaid eligibility. 
Because the new administration wanted to fully review the policies in 
these regulations, on February 19, 1993, we published a notice in the 
Federal Register (58 FR 9120) delaying the effective dates and 
compliance dates of the final rule with comment period for 6 months. On 
August 23, 1993, we published a second notice (58 FR 44457) delaying 
these effective dates and compliance dates an additional 6 months. 
Because this review is not complete, we are now issuing a third 
extension. We are extending the effective dates of the rule an 
additional 6 months. We also have extended the compliance dates for all 
provisions other than Secs. 435.604, 435.606, 436.604, and 436.606 for 
an additional 6 months. For Secs. 435.604, 435.606, 436.604, and 
436.606, we have extended the compliance dates to the latest of: (1) 
January 19, 1995; (2) the first day of the next fiscal year following 
July 19, 1994, if State legislation is needed to appropriate funds to 
implement the provisions of these sections; or (3) the first day of the 
calendar quarter following the end of the next session of the State 
legislature that convenes after July 19, 1994, if the State needs 
authorizing legislation to implement the provisions of these sections.
    These regulations incorporate into the Medicaid regulations 
substantive changes made in the composition of eligibility groups of 
individuals and in the criteria used to determine their financial 
eligibility under Medicaid. The substantive changes were initially made 
by the Omnibus Budget Reconciliation Act of 1981 (OBRA '81), Public Law 
97-35 and the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA), 
Public Law 97-248, and further amended by the Deficit Reduction Act of 
1984 (DRA), Public Law 98-369; the Consolidated Omnibus Budget 
Reconciliation Act of 1985 (COBRA), Public Law 99-272; the Omnibus 
Budget Reconciliation Act of 1986 (OBRA '86), Public Law 99-509; the 
Medicare and Medicaid Patient and Program Protection Act of 1987, 
Public Law 100-93; the Omnibus Budget Reconciliation Act of 1987 (OBRA 
'87), Public Law 100-203; the Medicare Catastrophic Coverage Act of 
1988 (MCCA), Public Law 100-360; the Family Support Act of 1988, Public 
Law 100-485; the Omnibus Budget Reconciliation Act of 1989 (OBRA '89), 
Public Law 101-239; and the Omnibus Budget Reconciliation Act of 1990 
(OBRA '90), Public Law 101-508. In addition, the document contains 
changes made as a result of administrative decisions to improve program 
administration and efficiency.

(Catalog of Federal Domestic Assistance Program No. 93.778--Medical 
Assistance Program)

    Dated: February 15, 1994.
Bruce C. Vladeck,
Administrator, Health Care Financing Administration.

    Dated: February 16, 1994.
Donna E. Shalala,
Secretary.
[FR Doc. 94-3885 Filed 2-17-94; 8:45 am]
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