[Federal Register Volume 60, Number 123 (Tuesday, June 27, 1995)]
[Notices]
[Pages 33221-33224]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-15342]



-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[ORD-076-N]


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

AGENCY: Health Care Financing Administration (HCFA).

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: This notice lists new proposals for Medicaid demonstration 
projects submitted to the Department of Health and Human Services 
during the month of April 1995 under the authority of section 1115 of 
the Social Security Act. This notice also lists proposals that were 
approved, disapproved, pending, or withdrawn during this time period. 
(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 
Month of April 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 [[Page 33222]] awarded, so as to prevent interference with the 
awards process.

A. Comprehensive Health Reform Programs

1. New Proposals
    No new comprehensive health reform proposals were received during 
the month of April.
2. Pending 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: Mike Fiore, Health Care Financing 
Administration, Office of Research and Demonstrations, 2302 Oak 
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
    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 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: 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: 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 Medicaid 
eligibility to persons with incomes up to 250 percent of the Federal 
poverty level (FPL); those with incomes above 133 percent of the FPL 
would pay all or a portion of premiums.
    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: Missouri.
    Description: Missouri proposes to require Medicaid beneficiaries to 
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: 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 Medicaid 
beneficiaries 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. [[Page 33223]] 
    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.
3. Approved Conceptual Proposals (Awards of Waivers Pending)
    No conceptual proposals were approved during the month of April.
4. Approved Grant Proposals (Award of Waivers Pending)
    No grant proposals were awarded during the month of April.
5. Approved Proposals
    Demonstration Title/State: MassHealth--Massachusetts.
    Description: Massachusetts plans to implement a range of strategies 
to extend Medicaid coverage of its low-income citizens, including the 
employed and the unemployed. The program would employ direct provision 
of health services and promote market forces to address the needs of 
the uninsured, including providing subsidies to employers and employees 
with incomes up to 200 percent of the Federal poverty level.
    Date Received: April 15, 1994.
    Date Approved: April 24, 1995.
    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 plans to expand its Medicaid managed care 
delivery system and to extend Medicaid eligibility to children with 
incomes up to 275 percent of the Federal poverty level.
    Date Received: July 28, 1994.
    Date Approved: April 27, 1995.
    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.
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 
month of April.

B. Other Section 1115 Demonstration Proposals

1. New Proposals
    No new proposals were received during the month of April.
2. Pending Proposals
    Demonstration Title/State: Georgia's Children's Benefit Plan--
Georgia.
    Description: Georgia submitted a Section 1115 proposal entitled 
``Georgia Children's Benefit Plan'' to provide preventive and primary 
care services to children aged 1 through 5 living in families between 
133 percent and 185 percent of the Federal poverty level. The duration 
of the project 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: 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 
to 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.
    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, P.O. 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, [[Page 33224]] 6325 Security Boulevard, Baltimore, Maryland 
21207.
    Demonstration Title/State: Wisconsin.
    Description: Wisconsin 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 month of April.
4. Approved Proposals
    Demonstration Title/State: Minnesota Long-Term Care Options 
Project--Minnesota.
    Description: Minnesota plans 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.
    Date Approved: April 27, 1995.
    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.
5. Disapproved Proposals
    No proposals were disapproved during the month of April.
6. Withdrawn Proposals
    The following proposal was withdrawn from consideration.
    Demonstration Title/State: KIDS CARE--Virginia
    Description: Virginia proposed 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.
    Date Withdrawn: April 27, 1995.
    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.

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: June 14, 1995.
Bruce C. Vladeck,
Administrator, Health Care Financing Administration.
[FR Doc. 95-15342 Filed 6-26-95; 8:45 am]
BILLING CODE 4120-01-P