[Federal Register Volume 61, Number 160 (Friday, August 16, 1996)]
[Notices]
[Pages 42637-42638]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-20918]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[ORD-090-N]


New and Pending Demonstration Project Proposals Submitted 
Pursuant to Section 1115(a) of the Social Security Act: June 1996

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

ACTION: Notice.

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SUMMARY: During the month of June, one new proposal for a Medicaid 
demonstration project was submitted to the Department of Health and 
Human Services, one proposal was approved and one proposal was 
withdrawn. No proposals were disapproved during this time period. (This 
notice can be accessed on the Internet at HTTP://WWW.HCFA.GOV/ORD/
ORDHP1.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, Mail Stop C3-
11-07, 7500 Security Boulevard, Baltimore, MD 21244-1850.

FOR FURTHER INFORMATION CONTACT: Susan Anderson, (410) 786-3996.

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.
    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.

II. Listing of New, Pending, Approved, and Withdrawn Proposals for the 
Month of June 1996

A. Comprehensive Health Reform Programs

1. New Proposals
    The following comprehensive health reform proposal was received 
during the month of June:
    Demonstration Title/State: Community Care Systems--New Hampshire.
    Description: The State submitted a revised proposal for ``Community 
Care Systems.'' This system will provide capitated, managed acute care 
services and coordination for specialty and support services not 
included in the health plan service package. The State proposes to 
implement this program in three phases: Phase 1 will enroll AFDC and 
AFDC-related children and families; Phase 2 will enroll the elderly 
population; and Phase 3 will enroll disabled adults and disabled 
children. The current waiver request is for Phase 1 only.
    Date Received: June 5, 1996.
    State Contact: Lorrie Lutz, Planning and Policy Development, State 
of New Hampshire, Department of Health and Human Services, 6 Hazen 
Drive, Concord, NY 03301-6505, (603) 271-4478.
    Federal Project Officer: Cindy Shirk, Health Care Financing 
Administration, Office of Research and Demonstrations, Office of State 
Health Reform Demonstrations, Mail Stop C3-18-26, 7500 Security 
Boulevard, Baltimore, MD 21244-1850.
2. Pending, Approved and Disapproved Proposals
    We did not approve or disapprove any proposals during the month of 
June. The one new proposal submitted in May and now pending is as 
follows:
    Demonstration Title/State: Maryland Medicaid Reform Proposal--
Maryland.

[[Page 42638]]

    Description: A statewide section 1115 demonstration proposal has 
been developed to: provide a patient-focused system through managed 
care entities; build on the strengths of the current Maryland health 
care system; provide comprehensive, prevention-orientated systems of 
care; hold Managed Care Organizations (MCOs) accountable for high-
quality care; and achieve better value and predictability for State 
expenditures.
    Date Received: May 3, 1996.
    State Contact: Mary Mussman, M.D., M.P.H., Acting Executive 
Director, Center for Health Program Development and Management, Social 
Sciences Building, Room 309A, 5401 Wilkens Avenue, Baltimore, MD 21228-
5398, (410)455-6804.
    Federal Project Officer: Gina Clemons, Health Care Financing 
Administration, Office of Research and Demonstrations, Office of State 
Health Reform Demonstrations, Mail Stop C3-18-26, 7500 Security 
Boulevard, Baltimore, MD 21244-1850.
    Other pending proposals can be found in the Federal Register of 
January 23, 1996, 61 FR 1769.
3. Withdrawn Proposals
    The following proposal was withdrawn June 4, 1996:
    Demonstration Title/State: The Granite State Partnership for Access 
and Affordability in Health Care--New Hampshire.

B. Other Section 1115 Demonstration Proposals

1. New Proposals
    No new proposals were received during the month of June.
2. Approved Proposals
    The following proposal was approved during the month of June:
    Demonstration Title/State: Medicaid Family Planning Services for 
Women of Childbearing Age--Arkansas.
    Description: This State demonstration will provide Medicaid covered 
family planning services for all women of childbearing age with incomes 
at or below 133 percent of the Federal Poverty Level.
    Date Received: September 13, 1995 (October 2, 1995 date listed in 
61 FR 1771 was not correct).
    Date Approved: June 18, 1996.
    State Contact: Thomas Dalton, Director, Arkansas Department of 
Human Services, P.O. Box 1437, Little Rock, Arkansas 72203-1437, (501) 
682-8650.
    Federal Project Officer: Rosemarie Hakim, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-24-
07, 7500 Security Boulevard, Baltimore, MD 21244-1850.
3. Pending and Withdrawn Proposals
    We did not disapprove any Other Section 1115 Demonstration 
Proposals during June nor were any proposals withdrawn during that 
month. Pending proposals for the month of November 1995 published in 
the Federal Register on January 23, 1996, 61 FR 1769, and for the 
months of February and March 1996 published in the Federal Register on 
May 14, 1996, 61 FR 24318 remain unchanged with the exception of the 
approved proposal as shown above.

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: July 24, 1996.
Barbara Cooper,
Acting Director, Office of Research and Demonstrations.
[FR Doc. 96-20918 Filed 8-15-96; 8:45 am]
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