[Federal Register Volume 60, Number 14 (Monday, January 23, 1995)]
[Notices]
[Pages 4418-4423]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-1550]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[ORD-070-N]


New and Pending Demonstration Project Proposals Submitted 
Pursuant to Section 1115(a) of the Social Security Act: November and 
December 1994

AGENCY: Health Care Financing Administration (HCFA).

ACTION: Notice.

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SUMMARY: This notice lists new proposals for demonstration projects 
submitted to the Department of Health and Human Services during the 
months of November and December 1994 under the authority of section 
1115 of the Social Security Act. This notice also lists proposals that 
have been submitted, approved, or disapproved since January 1993.
    Comments: We will accept written comments on these proposals. We 
will, if feasible, acknowledge receipt of all comments, but we will not 
provide written responses to comments. We will, however, neither 
approve nor disapprove a proposal received after the publication of the 
Department of Health and Human Services' public notice guidelines in 
the Federal Register on September 27, 1994, for at least 30 days after 
publication of the notice of that proposal in the Federal Register, in 
order to allow time to receive and consider comments. Direct comments 
as indicated below.

ADDRESSES: Mail correspondence to: Susan Anderson, Office of Research 
and Demonstrations, Health Care Financing Administration, 2230 Oak 
Meadows, 6325 Security Boulevard, Baltimore, MD 21207.

FOR FURTHER INFORMATION CONTACT: Susan Anderson, (410) 966-5181.

SUPPLEMENTARY INFORMATION:

I. Background

    Under Section 1115 of the Social Security Act (the Act), the 
Department of Health and Human Services (HHS) may consider and approve 
research and demonstration proposals with a broad range of policy 
objectives. These demonstrations can lead to improvements in achieving 
the purposes of the Act.
    In exercising her discretionary authority, the Secretary has 
developed a number of policies and procedures for reviewing proposals. 
On September 27, 1994, we published a notice in the Federal Register 
(59 FR 49249) that specified (1) the principles that we ordinarily will 
consider when approving or disapproving demonstration projects under 
the authority in section 1115(a) of the Act; (2) the procedures we 
expect States to use in involving the public in the development of 
proposed demonstration projects under section 1115; and (3) the 
procedures we ordinarily will follow in reviewing demonstration 
proposals. We are committed to a thorough and expeditious review of 
State requests to conduct such demonstrations.

II. Listing of New and Pending Proposals for the Months of November and 
December 1994

    As part of our procedures, we are publishing a monthly notice in 
the Federal Register of all new and pending proposals. This notice 
contains proposals for the months of November and December 1994. This 
initial publication of information on section 1115 demonstration 
proposals lists all proposals submitted, approved or disapproved since 
January 1, 1993. Future notices will only list actions occurring in a 
single month, including new submissions, pending proposals, approvals, 
and disapprovals. Proposals submitted in response to a grant 
solicitation or other competitive process will be reported as received 
during the month that such grant or bid is awarded, so as to prevent 
interference with the awards process.

A. Comprehensive Health Reform Programs

1. New Proposals
    No new proposals were submitted during the months of November and 
December 1994.
2. Pending Proposals
    Demonstration Title/State: The Diamond State Health Plan--Delaware.
    Description: Delaware proposes to expand eligibility for Medicaid 
to persons with incomes up to 100 percent of the Federal poverty level 
and require that the Medicaid population enroll in managed care 
delivery systems. The State's current section 1115 demonstration 
project, the Delaware Health Care Partnership for Children, would be 
incorporated into the statewide program as an optional provider for 
eligible children.
    Date Received: July 29, 1994.
    State Contact: Kay Holmes, DSHP Coordinator, DHSS Medicaid Unit, 
Biggs Building, P.O. Box 906, New Castle, Delaware 19720, (302) 577-
4900.
    Federal Project Officer: Rosana Hernandez, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207. 
[[Page 4419]] 
    Demonstration Title/State: MediPlan Plus--Illinois.
    Description: Illinois seeks to develop a managed care delivery 
system using a series of networks, either local or statewide, to tailor 
its Medicaid delivery system to the needs of local urban neighborhoods 
or large rural areas.
    Date Received: September 15, 1994.
    State Contact: Tom Toberman, Manager, Federal/State Monitoring, 201 
South Grand Avenue East, Springfield, Illinois 62763, (217) 782-2570.
    Federal Project Officer: Gina Clemons, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: MassHealth--Massachusetts.
    Description: Massachusetts proposes to implement a range of 
strategies to extend Medicaid coverage of its uninsured citizens, 
including the employed, the short-term unemployed, and the long-term 
unemployed. The proposed program would employ direct provision of 
health services as well as indirect strategies to promote market forces 
to address the needs of the uninsured, including providing subsidies to 
employees with incomes up to 200 percent of the Federal poverty level.
    Date Received: April 15, 1994.
    State Contact: Laurie Burgess, Director, Managed Care Program 
Development, Division of Medical Assistance, 600 Washington Street, 
Boston, Massachusetts 02111, (617) 348-5695.
    Federal Project Officer: Ed Hutton, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: MinnesotaCare--Minnesota.
    Description: Minnesota proposes to expand its use of managed care 
service delivery and to extend Medicaid eligibility to families and 
children with incomes up to 275 percent of the Federal poverty level. 
The State would also integrate Medicaid with other public entities that 
deliver health services.
    Date Received: July 28, 1994.
    State Contact: Maria Gomez, Commissioner, Health Care Services 
Delivery, Minnesota Department of Human Services, 444 Lafayette Road N, 
St. Paul, Minnesota 55155, (612) 297-4113.
    Federal Project Officer: Penny Pine, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Missouri.
    Description: Missouri proposes to require that beneficiaries enroll 
in managed care delivery systems, and extend Medicaid eligibility to 
persons with incomes below 200 percent of the Federal poverty level. As 
part of the program, Missouri would create a fully capitated managed 
care pilot program to serve non-institutionalized persons with 
permanent disabilities on a voluntary basis.
    Date Received: June 30, 1994.
    State Contact: Donna Checkett, Director, Division of Medical 
Services, Missouri Department of Social Services, P.O. Box 6500, 
Jefferson City, Missouri 65102-6500, (314) 751-6922.
    Federal Project Officer: Suzanne Rotwein, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: The Granite State Partnership for Access 
and Affordability in Health Care--New Hampshire.
    Description: New Hampshire proposes to extend Medicaid eligibility 
to adults with incomes below the AFDC cash standard and to create a 
public insurance product for low income workers. The State also seeks 
to implement a number of pilot initiatives to help redesign its health 
care delivery system.
    Date Received: June 14, 1994.
    State Contact: Barry Bodell, New Hampshire Department of Health and 
Human Services, Office of the Commissioner, 6 Hazen Drive, Concord, New 
Hampshire 03301-6505, (603) 271-4332.
    Federal Project Officer: Maria Boulmetis, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: OhioCare--Ohio.
    Description: Ohio proposes to expand Medicaid eligibility to 
include uninsured persons with incomes up to 100 percent of the Federal 
poverty level. New and current eligibles in this statewide program 
would receive services through managed care. Certain special health 
related services, such as mental health and drug and alcohol addiction 
services, would also be provided through managed care.
    Date Received: March 2, 1994.
    State Contact: Kathi Glynn, Director, Ohio Medicaid, 30 East Broad 
Street, Columbus, Ohio 43266, (614) 644-0140.
    Federal Project Officer: David Walsh, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    3. Approved Conceptual Proposals (Award of Waivers Pending)
    Demonstration Title/State: Palmetto Health Initiative--South 
Carolina.
    Description: South Carolina proposes to expand Medicaid eligibility 
to include uninsured persons with incomes of up to 100 percent of the 
Federal poverty level. New and current eligibles in this statewide 
program would receive services through either a fully capitated managed 
health plan or a partially capitated primary care provider. South 
Carolina also proposes to implement a managed care program, with a 
focus on home and community-based services, for persons requiring, or 
at risk of requiring, placement in a nursing facility.
    The Health Care Financing Administration (HCFA) will be working 
with South Carolina over the next year to develop the infrastructure 
necessary for the proposed demonstration. HCFA will consider the 
State's request for waivers once the State has successfully completed a 
set of agreed upon milestones.
    Date Received: March 1, 1994.
    Date Concept Approved: November 18, 1994.
    State Contact: Eugene A. Laurent, Ph.D., Executive Director, State 
Health and Human Services Finance Commission, P.O. Box 8206, Columbia, 
South Carolina 29202, (803) 253-6100.
    Federal Project Officer: Sherrie Fried, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
4. Approved Proposals
    Demonstration Title/State: Florida Health Security Program--
Florida.
    Description: The Florida Health Security Program is a voluntary, 
employer-based, discounted premium program designed to provide access 
to private health insurance for employed but uninsured Floridians. The 
program will use a managed competition model and will provide health 
insurance for 1.1 million uninsured Floridians with incomes at or below 
250 percent of the Federal poverty level. Health plans (indemnity and 
HMO) will be offered by Accountable Health Partnerships and 
administered by Community Health Purchasing Alliances.
    Date Received: February 10, 1994.
    Date Awarded: September 15, 1994.
    Implementation Date: The implementation date has not yet been set, 
pending approval by the State legislature. [[Page 4420]] 
    State Contact: Tom Wallace, Agency for Health Care Administration, 
325 John Knox Road, Tallahassee, Florida 32303-4131, (904) 922-5760.
    Federal Project Officer: Alisa Adamo, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: QUEST--Hawaii.
    Description: The Hawaii QUEST program provides seamless coverage to 
those persons previously covered through Federal and State programs and 
those who are uninsured. This is accomplished through expansion of the 
Medicaid income eligibility level to 300 percent of the Federal poverty 
level and an elimination of categorical requirements and the assets 
test. The State is providing Medicaid services through a managed care 
delivery system.
    Date Received: April 20, 1993.
    Date Awarded: July 16, 1993.
    Implementation Date: August 1, 1994.
    State Contact: Winifred N. Odo, Administrator, Med-QUEST Division, 
Department of Human Services, P.O. Box 339, Honolulu, Hawaii 96809-
0339, (808) 586-5391.
    Federal Project Officer: Ron Lambert, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Kentucky Medicaid Access and Cost 
Containment Demonstration Project--Kentucky.
    Description: The Kentucky program will expand Medicaid eligibility 
to 100 percent of the Federal poverty level.
    Date Received: March 30, 1993.
    Date Awarded: December 9, 1993.
    Implementation Date: An implementation date has not yet been set, 
pending approval by the State legislature.
    State Contact: Masten Childers, II, Commissioner, Department for 
Medicaid Services, Cabinet for Human Resources, Commonwealth of 
Kentucky, Frankfort, Kentucky 40621-0001, (502) 564-4321.
    Federal Project Officer: Penny Pine, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Oregon.
    Description: Oregon's demonstration program expands Medicaid 
eligibility and shifts delivery of Medicaid services into fully and 
partially capitated plans and primary care case management programs. 
The State utilized a public prioritization process to establish the 
service package provided under Medicaid.
    Date Received: August 19, 1991.
    Date Awarded: March 19, 1993.
    Implementation Date: February 1, 1994.
    State Contact: Lynn Read, Office of Medical Assistance Programs, 
500 Summer Street NE., Salem, Oregon 97310-1014, (513) 945-6587.
    Federal Project Officer: Ron Deacon, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: RIte Care--Rhode Island.
    Description: The RIte Care program provides coverage to pregnant 
women and children up to 6 years of age with family incomes at or below 
250 percent of the Federal poverty level. Individuals eligible for the 
program are required to enroll in prepaid health plans which contract 
with the State to provide comprehensive health services for a fixed 
cost per enrollee per month. Eligible individuals are offered a choice 
of health plans in which they will enroll.
    Date Received: July 2, 1993.
    Date Awarded: November 1, 1993.
    Implementation Date: August 1, 1994.
    State Contact: Robert J. Fallon, Director, Department of Human 
Services, 600 New London Avenue, Cranston, Rhode Island 02920. (401) 
464-2121.
    Federal Project Officer: Debbie Van Hoven, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: TennCare--State of Tennessee.
    Description: TennCare is a statewide program to provide health care 
benefits to Medicaid beneficiaries, uninsured State residents, and 
those whose medical conditions make them uninsurable. All TennCare 
enrollees receive services through capitated managed care plans that 
are either health maintenance organizations (HMOs) or preferred 
provider organizations (PPOs).
    Date Received: June 17, 1993.
    Date Awarded: November 18, 1993.
    Implementation Date: January 1, 1994.
    State Contact: Manny Martins, Tennessee Department of Health, 
Bureau of Medicaid, 729 Church Street, Nashville, Tennessee 37247-6501, 
(615) 741-0213.
    Federal Project Officer: Rose Hatten, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
5. Disapproved Proposals
    No comprehensive health reform proposals have been disapproved 
since January 1, 1993.

B. Other Section 1115 Demonstration Proposals

1. New Proposals
    Demonstration Title/State: Family Planning Proposal--New Mexico.
    Description: New Mexico proposes to extend Medicaid eligibility for 
family planning services to all women of childbearing age with income 
at or below 185 percent of the federal poverty level.
    Date Received: November 1, 1994.
    State Contact: Bruce Weydemeyer, Director, Division of Medical 
Assistance, P.O. Box 2348, Santa Fe, New Mexico 87504-2348, (505) 827-
3106.
    Federal Project Officers: Alisa Adamo, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Georgia's Children's Benefit Plan.
    Description: The State of Georgia submitted a Section 1115 proposal 
entitled ``Georgia Children's Benefit Plan'' that provides preventive 
and primary care services for children 1 through 5 years of age who are 
between 133 and 185 percent of Federal poverty level. The duration of 
the waiver is 5 years with proposed project dates of July 1, 1995 to 
June 30, 2000.
    Date Received: December 12, 1994.
    State Contact: Jacquelyn Foster-Rice, Georgia Department of Medical 
Assistance, Maternal and Child Health, 2 Peachtree Street NW., 27th 
Floor, Atlanta, Georgia 30303, phone: (404) 651-5785, FAX: (404) 656-
4913.
    Federal Project Officer: Maria Boulmetis, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak Meadows 
Building, 6325 Security Boulevard, Baltimore, Maryland 21207.
2. Pending Proposals
    Demonstration Title/State: Demonstration Project for Family 
Planning and Reproductive Services--Maryland.
    Description: Maryland proposes to extend Medicaid eligibility for 
family planning and preventive reproductive services for a 5-year 
period to women who are Medicaid eligible due to their pregnancy and 
remain Medicaid eligible 60 days postpartum.
    Date Received: June 11, 1994.
    State Contact: Jane Forman, Department of Health and Mental 
[[Page 4421]] Hygiene, room 137, 201 West Preston Street, Baltimore, 
Maryland 21201, (410) 225-6538.
    Federal Project Officer: Alisa Adamo, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: High Cost User Initiative--Maryland.
    Description: Maryland proposes to implement an integrated case 
management system for high-cost, high-risk Medicaid beneficiaries.
    Date Received: July 8, 1994.
    State Contact: John Folkemer, Maryland Department of Health and 
Mental Hygiene, Office of Medical Assistance Policy, 201 West Preston 
Street, Baltimore, Maryland 21201, (410) 225-5206.
    Federal Project Officer: Rosana Hernandez, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Minnesota Long Term Care Options 
Project/Minnesota.
    Description: The State proposes to integrate long-term care and 
acute care services under combined Medicare and Medicaid capitation 
payments for elderly dual eligibles.
    Date Received: April 18, 1994.
    State Contact: Pamela Parker, Minnesota Department of Human 
Services, Human Services Building, 444 Lafayette Road North, St. Paul, 
Minnesota 55155, (612) 296-2140.
    Federal Project Officer: Melissa McNiff, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Pay-in Spenddown Pilot--Ohio.
    Description: Ohio proposes to implement a one-county pilot program 
to allow the medically needy to pay in spenddown amounts in order to 
qualify for Medicaid to simplify eligibility administration.
    Date Received: April 28, 1994.
    State Contact: Jeanne Carroll, Ohio Department of Human Services, 
30 East Broad Street, Columbus, Ohio 43266, (614) 466-6024.
    Federal Project Officer: David Walsh, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: CHOICES--Citizenship, Health, 
Opportunities, Interdependence, Choices and Supports--Rhode Island.
    Description: Rhode Island proposes to consolidate all current State 
and Federal funding streams for adults with developmental disabilities 
under one program using managed care/managed competition.
    Date Received: April 5, 1994.
    State Contact: Susan Babin, Department of Mental Health, 
Retardation, and Hospitals, Division of Developmental Disabilities, 600 
New London Avenue, Cranston, Rhode Island 02920, (401) 464-3234.
    Federal Project Officer: Melissa McNiff, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Virginia.
    Description: Virginia proposes to expand Medicaid eligibility to 
children in the State funded KIDS CARE program, and provide them with a 
limited Medicaid benefit restricted to ambulatory services.
    Date Received: May 18, 1994.
    State Contact: Janet Kennedy, Suite 1300, 600 East Broad Street, 
Richmond, Virginia 23219, (804) 371-8855.
    Federal Project Officer: Maria Boulmetis, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Family Planning Demonstration--
Washington.
    Description: The State proposes to provide family planning services 
to low-income women for an additional 10 months postpartum, extending 
total coverage for such services to one year.
    Date Received: April 21, 1994.
    State Contact: Claudia Lewis, Medical Assistance Administration, 
Division of Client Services, P.O. Box 45530, Olympia, Washington 98504-
5530, (206) 586-2751.
    Federal Project Officer: Maria Boulmetis, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Wisconsin.
    Description: The State proposes to limit the amount of exempt funds 
that may be set aside as burial and related expenses for SSI-related 
Medicaid recipients.
    Date Received: March 9, 1994.
    State Contact: Jean Sheil, Division of Economic Support, Wisconsin 
Department of Health and Social Services, 1 West Wilson Street, room 
650, P.O. Box 7850, Madison, Wisconsin 53707, (608) 266-0613.
    Federal Project Officer: J. Donald Sherwood, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
3. Approved Conceptual Proposals (Award of Waivers Pending)
    Demonstration Title/State: Health Services for Children with 
Special Needs--District of Columbia.
    Description: The District of Columbia proposes to implement a 
specialized managed care program, targeted to the needs of Medicaid-
eligible disabled children. Enrollment would be mandatory. The District 
has been given a 1-year grant to help further develop the model 
proposed in its application.
    Date Received: March 25, 1994.
    Date Awarded: August 5, 1994.
    State Contact: Deborah Jones, Project Officer, Commission on Health 
Care Finance, 2100 Martin Luther King Jr. Avenue, SE., suite 302, 
Washington, DC 20020, (202) 727-2240.
    Federal Project Officer: Phyllis Nagy, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
4. Approved Proposals
    Demonstration Title/State: The Program for All-Inclusive Care for 
the Elderly (PACE)--California (Sutter SeniorCare, Sacramento).
    Description: The PACE program is a managed care service delivery 
system for the frail elderly who live in the community but are 
certified for institutionalization in a nursing home. Most of the 300 
participants are dually eligible for Medicare and Medicaid, and all are 
being assessed for eligibility for nursing home placement according to 
State standards.
    Date Received: July 14, 1993.
    Date Awarded: May 1, 1994.
    Implementation Date: May 1, 1994.
    State Contact: John Rodriguez, Deputy Director, Medical Care 
Services, California Department of Health Services, 7140 P Street, room 
600, Sacramento, California 95814, (916) 654-2254.
    Federal Project Officer: Stefan Miller, Health Care Financing 
Administration, Office of Research and Demonstrations, room 2-F-4 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Nemours Children's Program--Delaware.
    Description: The State has developed a public/private managed care 
system which enrolls, on a capitated basis, Medicaid-eligible children 
in pediatric clinics. The Nemours Foundation developed the clinics and 
is subsidizing a portion of the service cost. [[Page 4422]] 
    Date Received: October 13, 1992.
    Date Awarded: July 27, 1993.
    Implementation Date: December 1993.
    State Contact: Phillip P. Soule, Deputy Director, Delaware 
Department of Social Services, 1901 North Dupont Highway, New Castle, 
Delaware 19720, (301) 577-4900.
    Federal Project Officer: David Walsh, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Preconception Project--Florida.
    Description: This project is a demonstration and evaluation of a 
preconceptional intervention program. Resource mothers will guide high-
risk clients, during home visits, through various risk reduction 
activities over a 2-year period. The objective is to significantly 
reduce the incidence of low birth weight infants in the target 
population.
    Date Received: July 31, 1991.
    Date Awarded: June 28, 1994.
    Implementation Date: June 1, 1994.
    State Contact: Marshall E. Kelley, Director of Medicaid, P.O. Box 
12800, Tallahassee, Florida 32317-2800, (904) 488-3560.
    Federal Project Officer: Rosana Hernandez, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Drug Utilization Review Program--Iowa.
    Description: Under this program, the State conducts on-line 
prospective drug utilization review. There are 250 pharmacies that 
participate in the project either as randomized control or experimental 
entities.
    Date Received: June 1992.
    Date Awarded: September 30, 1992.
    Implementation Date: June 13, 1994.
    State Contact: Don Herman, State Medicaid Director, East 13th and 
Walnut, Hoover Building, 5th Floor, Des Moines, Iowa 50319, (515) 281-
8794.
    Federal Project Officer: Kathleen Gondek, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Primary and Preventive Care for. Kids--
Maryland.
    Description: Maryland has developed a primary and preventive care 
program that expands Medicaid eligibility for those services provided 
to children born after September 30, 1983, with family incomes below 
185 percent of the Federal poverty level.
    Date Received: February 8, 1993.
    Date Awarded: August 9, 1993.
    Implementation Date: October 1993.
    State Contact: Joseph M. Millstone, Director, Medical Care Policy 
Administration, Maryland Department of Health and Mental Hygiene, 201 
West Preston Street, Baltimore, Maryland 21201, (410) 235-1432.
    Federal Project Officer: Sherrie Fried, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore. Maryland 21207.
    Demonstration Title/State: Family Planning Project--South Carolina.
    Description: South Carolina's project extends Medicaid eligibility 
for family planning services to all women with incomes below 185 
percent of the Federal poverty level who have had one or more Medicaid 
reimbursed pregnancies.
    Date Received: June 23, 1993.
    Date Awarded: December 7, 1993.
    Implementation Date: October 1994.
    State Contact: Rob Erlich, Health and Human Services Finance 
Commission. P.O. Box 8206, Columbia, South Carolina 29202-8206, (803) 
253-4129.
    Federal Project Officer: Alisa Adamo, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Medicaid Direct Purchase Vaccine Program 
(MDPVP)--Virginia.
    Description: The MDPVP streamlines the reimbursement process for 
vaccine, by allowing States to directly reimburse manufacturers for 
vaccines. Vaccine manufacturers send to each private physician who 
treats children on Medicaid a shipment of vaccines on consignment at no 
cost to the physician. Physicians then bill Medicaid for the office 
visit when they inoculate children, but not for the cost of the 
vaccine. The Medicaid program reimburses the manufacturer at a 
discounted rate, according to the number of vaccines administered. The 
manufacturer then sends quantities of the vaccines to the private 
physicians to replace the amounts used.
    Date Received: August 25, 1992.
    Date Awarded: November 4, 1992.
    Implementation Date: March 1, 1993.
    State Contact: Dee Holmes, Department of Medical Assistance 
Services, 600 East Broad Street, Richmond, Virginia 23219, (804) 371-
8850.
    Federal Project Officer: Alisa Adamo, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Drug Utilization Program--Washington.
    Description: Under this program, the State allows for pharmacy 
reimbursement to cognitive services, including pharmacist intervention 
with patient's drug-related problems. The project encompasses 200 
pharmacies, half of which are experimental and the rest are the control 
group.
    Date Received: June 1992.
    Date Awarded: September 30, 1992.
    Implementation Date: February 1, 1994.
    State Contact: Garth Holmes, Medical Assistance Administrator, 623 
8th Avenue SE., P.O. Box 45510, Olympia, Washington 98504, (206) 586-
7034.
    Federal Project Officer: Kathleen Gondek, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
5. Disapproved Proposals
    Demonstration Title/State: Iowa.
    Description: Iowa sought to waive the transfer of assets 
requirements, to extend the look-back and penalty periods from 30 to 60 
months, and make other changes related to the penalty periods.
    Date Received: April 5, 1993.
    Date of Disapproval: December 23, 1993.
    Federal Project Officer: J. Donald Sherwood, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Long Term Care--Maine.
    Description: Maine sought to continue Medicaid eligibility of 
persons residing in nursing homes to coincide with the State's efforts 
to eliminate State plan coverage of certain optional eligibility 
groups. A waiver would have protected current beneficiaries from the 
proposed change in the State plan.
    Date Received: May 11, 1993.
    Date of Disapproval: July 13, 1993.
    Federal Project Officer: J. Donald Sherwood, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Minnesota.
    Description: The State sought to: (1) increase the look-back period 
for asset transfers in determining Medicaid nursing facility 
eligibility from 36 to 60 months; (2) to treat the uncompensated 
transfers of excluded assets in the same manner as non-excluded assets; 
and (3) to apply any resulting penalty period to [[Page 4423]] the loss 
of coverage of all Medicaid services, not just long term care services.
    Date Received: October 14, 1993.
    Date of Disapproval: April 7, 1994.
    Federal Project Officer: J. Donald Sherwood, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    Demonstration Title/State: Project TOOTH--The Project Toward 
Occupational Opportunity Through Health--New Hampshire.
    Description: The State proposed to provide comprehensive dental 
treatment for approximately 200 AFDC/JOBS program participants whose 
disfiguring dental status presented the major impediment to their 
employment following job training.
    Date Received: December 6, 1993.
    Date of Disapproval: April 19, 1994.
    Federal Project Officer: Debbie Van Hoven, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.

III. Requests for Copies of a Proposal

    Requests for copies of a specific Medicaid proposal should be made 
to the State contact listed for the specific proposal. If further help 
or information is needed, inquiries should be directed to the HCFA at 
the address above.

(Catalog of Federal Domestic Assistance Program, No. 93.779; Health 
Financing Research, Demonstrations, and Experiments.)

    Dated: January 13, 1995.
Bruce C. Vladeck,
Administrator, Health Care Financing Administration.
[FR Doc. 95-1550 Filed 1-20-95; 8:45 am]
BILLING CODE 4120-01-P