[Federal Register Volume 60, Number 113 (Tuesday, June 13, 1995)]
[Notices]
[Pages 31158-31161]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-14434]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[ORD-075-N]


New and Pending Demonstration Project Proposals Submitted 
Pursuant to Section 1115(a) of the Social Security Act: February and 
March 1995

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 February and March 1995 under the authority of section 1115 
of the Social Security Act. This notice also lists approved, 
disapproved, pending, and withdrawn proposals. (This notice can also be 
accessed on the Internet at HTTP://WWW.SSA.GOV/HCFA/HCFAHP2.HTML.)

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 any new proposal for at least 30 days after the 
date of this notice 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) 966-3996.

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, Pending, Approved, and Withdrawn Proposals for the 
Months of February and March 1995

    As part of our procedures, we publish a notice in the Federal 
Register with a monthly listing of all new submissions, pending 
proposals, approvals, disapprovals, and withdrawn proposals. Proposals 
submitted in response to a grant solicitation or other competitive 
process are reported as received during the month that such grant or 
bid is awarded, so as to prevent interference with the awards process. 
We have added a new category in this notice entitled ``Withdrawn 
Proposals'' to identify project proposals that the States have 
withdrawn from consideration for approval under section 1115.

A. Comprehensive Health Reform Programs

1. New Proposals
    Demonstration Title/State: Arizona Health Care Cost Containment 
System (AHCCCS)--Arizona.
    Description: Arizona proposes to expand eligibility under its 
current section 1115 AHCCCS program to persons with incomes up to 100 
percent of the Federal poverty level.
    Date Received: March 17, 1995
    State Contact: Mabel Chen, M.D., Director, Arizona Health Care Cost 
Containment System, 801 East Jefferson, Phoenix, Arizona 85034, (602) 
271-4422.
    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: Community Care of Kansas--Kansas.
    Description: Kansas proposes to implement a ``managed cooperation 
demonstration project'' in four predominantly rural counties, and to 
assess the success of a non-competitive managed care model in rural 
areas. The demonstration would enroll recipients currently eligible in 
the AFDC and AFDC-related eligibility categories, and expand Medicaid 
eligibility to children ages 5 and under with family incomes up to 200 
percent of the Federal poverty level.
    Date Received: March 23, 1995.
    State Contact: Karl Hockenbarger, Kansas Department of Social and 
Rehabilitation Services, 915 SW Harrison Street, Topeka, Kansas 66612, 
(913) 296-4719.
    Federal Project Officer: Jane Forman, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.

    Demonstration Title/State: Health Access Plan Demonstration--
Vermont.
    Description: Vermont proposes to integrate Medicaid recipients into 
managed care plans and expand coverage to uninsured individuals up to 
150 percent of the Federal poverty level. The State also proposes to 
provide pharmacy coverage to low income Medicare beneficiaries.
    Date Received: February 24, 1995.
    State Contact: Veronica Celani, Health Policy Director, Vermont 
Agency of Human Services, 103 State Street, Waterbury, Vermont 05671, 
(802) 828-2949.
    Federal Project Officer: Sherrie Fried, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
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.

    Demonstration Title/State: MediPlan Plus--Illinois.
    Description: Illinois seeks to develop a managed care delivery 
system using a [[Page 31159]] 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: Louisiana Health Access--Louisiana.
    Description: Louisiana proposes to implement a fully capitated 
statewide managed care program. A basic benefit package and a 
behavioral health and pharmacy wrap-around would be administered 
through the managed care plans. The State intends to expand eligibility 
of persons with incomes up to 250 percent of the Federal poverty level 
(FPL), with persons with incomes above 133 percent of the FPL paying 
all or a portion of premiums. To fund the demonstration, the State is 
seeking a waiver of Federal Medical Assistance Payments (FMAP) 
requirements, which would effectively create a block grant whereby the 
Federal share of the demonstration would be fixed over the course of 
the demonstration and the State would assume the cost of increases as 
they occurred.
    Date Received: January 3, 1995.
    State Contact: Carolyn Maggio, Executive Director, Bureau of 
Research and Development, Louisiana Department of Health and Hospitals, 
Post Office 2870, Baton Rouge, Louisiana 70821-2871, (504) 342-2964.
    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 a range of strategies that 
would extend Medicaid coverage to its low-income and 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 that would 
promote market forces to address the needs of the uninsured, by 
providing subsidies to employers and low-income 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, PO Box 6500, 
Jefferson City, Missouri 65102-6500, (314) 751-6922.
    Federal Project Officer:  Nancy Goetschius, 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:  SoonerCare--Oklahoma.
    Description:  Oklahoma proposes to implement a 5-year statewide 
managed care demonstration using both fully and partially capitated 
delivery systems. The emphasis of the program is to address access 
problems in rural areas by encouraging the development of rural-based 
managed care initiatives. The State will employ traditional fully 
capitated managed care delivery models for urban areas and will 
introduce a series of partial capitation models in the rural areas of 
the State. All currently eligible, non-institutionalized individuals 
will be enrolled during the first 2 years of the project.
    Date Received:  January 6, 1995.
    State Contact:  Dr. Garth Splinter, Oklahoma Health Care Authority, 
Lincoln Plaza, 4545 N. Lincoln Blvd., Suite 124, Oklahoma City, 
Oklahoma 73105, (405) 530-3439.
    Federal Project Officer:  Helaine I. Fingold, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
3. Approved Conceptual Proposals (Awards of Waivers Pending)
    No conceptual proposals were approved during the months of February 
and March.
4. Approved Grant Proposals (Award of Waivers Pending)
    No grant proposals were awarded during the months of February and 
March.
5. Approved Proposals
    No comprehensive health reform proposals were approved during the 
months of February and March.
6. Disapproved Proposals
    No comprehensive health reform proposals have been disapproved 
since January 1, 1993.
7. Withdrawn Proposals
    No comprehensive health reform proposals were withdrawn during the 
months of February and March. [[Page 31160]] 

B. Other Section 1115 Demonstration Proposals

1. New Proposals
    Demonstration Title/State: Family Planning Services Section 1115 
Waiver Request--Michigan.
    Description: Michigan seeks to extend Medicaid coverage for family 
planning services to all women of childbearing age living in families 
with incomes at or below 185 percent of the Federal poverty level, and 
provide an additional benefit package consisting of home visits, 
outreach services to identify eligibility, and reinforced support for 
utilization of services. The duration of the project is 5 years.
    Date Received: March 27, 1995.
    State Contact: Gerald Miller, Director, Department of Social 
Services, 235 South Grand Avenue, Lansing, Michigan 48909, (517) 335-
5117.
    Federal Project Officer: Suzanne Rotwein, Ph.D., Health Care 
Financing Administration, Office of Research and Demonstrations, 2306 
Oak Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
2. Pending Proposals
    Demonstration Title/State: Georgia's Children's Benefit Plan--
Georgia.
    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 the 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, 2 Peachtree Street NW., 201 South Grand Avenue East, 
Atlanta, Georgia 30303-3159, (404) 651-5785.
    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: High Cost User Initiative--Maryland.
    Description: Maryland proposes to implement an integrated case 
management system for high-cost, high-risk Medicaid recipients.
    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: Family Planning Proposal--New Mexico.
    Description: New Mexico proposes to extend Medicaid eligibility for 
family planning services to all women of childbearing age with incomes 
at or below 185 percent of the Federal poverty level.
    Date Received: November 1, 1994.
    State Contact: Bruce Weydemeyer, Director, Division of Medical 
Assistance, PO Box 2348, Santa Fe, New Mexico 87504-2348, (505) 827-
3106.
    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: 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: 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)
    No conceptual proposals were awarded during the months of February 
and March.
4. Approved Proposals
    No proposals were approved during the months of February and March.
5. Disapproved Proposals
    No proposals were disapproved during the months of February and 
March.
6. Withdrawn Proposals
    The following proposals were withdrawn from consideration by their 
respective States.

    Demonstration Title/State: Pay-in Spenddown Pilot--Ohio.
    Description: Ohio proposed 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.
    Date Withdrawn: February 15, 1995.
    State Contact: Jeanne Carroll, Ohio Department of Human Services, 
30 East Broad Street, Columbus, Ohio 43266, (614) 466-6024. 
[[Page 31161]] 
    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: Family Planning Demonstration--
Washington.
    Description: The State proposed 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.
    Date Withdrawn: January 20, 1995.
    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.

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 HCFA at the 
address above.

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

    Dated: May 22, 1995.
Bruce C. Vladeck,
Administrator, Health Care Financing Administration.
[FR Doc. 95-14434 Filed 6-12-95; 8:45 am]
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