[Federal Register Volume 61, Number 237 (Monday, December 9, 1996)]
[Notices]
[Pages 64914-64918]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-31139]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
[ORD-094-N]


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

AGENCY: Health Care Financing Administration (HCFA).

ACTION: Notice.

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SUMMARY: This notice identifies proposals submitted during the month of 
October 1996 under the authority of section 1115 of the Social Security 
Act and those that were approved, disapproved, pending, or withdrawn 
during this time period. (This notice can be accessed on the Internet 
at HTTP://WWW.HCFA.GOV/ORD/ORDHP1.HTML.)

DATES: 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 October 1996

A. Comprehensive Health Reform Programs

1. New Proposals
    The following comprehensive health reform proposal was received 
during the month of October:
    Demonstration Title/State: State of Washington Medicaid Section 
1115(a) Waiver Request--Washington.
    Description: Under ``The State of Washington Medicaid Section 
1115(a) Waiver Request,'' the State is requesting waivers of the 75/25 
and lock-in requirements. The State's intent is for the demonstration 
to subsume the current 1915(b) Healthy Options Program. The State is 
planning innovations with encounter data, Medicaid HEDIS, and quality 
measures for the disabled population.
    Date Received: October 2, 1996.
    State Contact: Jane Beyer, Assistant Secretary, Medical Assistance 
Administration, Department of Social and Health Services, P.O. Box 
45500, Olympia, Washington 98504-5500, (360) 586-6513.
    Federal Project Officer: Nancy Goetschius, Health Care Financing 
Administration, Office of Research & Demonstration, Office of State 
Health Reform Demonstrations, Mail Stop C3-18-26, 7500 Security 
Boulevard, Baltimore, MD 21244-1850.
2. Pending Proposals
    Demonstration Title/State: Better Access for You (BAY) Health Plan 
Demonstration--Alabama.
    Description: Alabama proposes to create a mandatory managed care 
delivery system in Mobile County for non-institutionalized Medicaid 
beneficiaries and an expansion population of low-income women and 
children. The network, called the Bay Health Network, would be 
administered by the PrimeHealth Organization, which is owned by the 
University of South Alabama Foundation. The State also proposes to 
expand family planning benefits for pregnant women whose income is less 
than 133 percent of the Federal poverty level.
    Date Received: July 10, 1995.
    State Contact: Vicki Huff, Director, Managed Care Division, Alabama 
Medicaid Agency, P.O. Box 5624, Montgomery, AL 36103-5624, (334) 242-
5011.
    Federal Project Officer: Maria Boulmetis, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    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 individuals 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, AZ 85034, (602) 271-
4422.
    Federal Project Officer: Joan Peterson, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: The Georgia Behavioral Health Plan--
Georgia.

[[Page 64915]]

    Description: Georgia proposes to provide behavioral health services 
under a managed care system through a section 1115 demonstration. The 
plan would be implemented by regional boards that would contract with 
third party administrators to develop a network of behavioral health 
providers. The currently eligible Medicaid population would be enrolled 
in the program and would have access to a full range of behavioral 
health services. Once the program realizes savings, the State proposes 
to expand coverage to individuals who are not otherwise eligible for 
Medicaid.
    Date Received: September 1, 1995.
    State Contact: Margaret Taylor, Coordinator for Strategic Planning, 
Department of Medical Assistance, 1 Peachtree Street, NW, Suite 27-100, 
Atlanta, GA 30303-3159, (404) 657-2012.
    Federal Project Officer: Nancy Goetschius, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    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 persons currently eligible in the 
Aid to Families with Dependent Children (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 Southwest Harrison Street, Topeka, KS 
66612, (913) 296-4719.
    Federal Project Officer: Jane Forman, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-21-
04, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    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; those with incomes above 133 percent of the Federal 
poverty level 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, 
P.O. Box 2870, Baton Rouge, LA 70821-2871, (504) 342-2964.
    Federal Project Officer: Gina Clemons, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    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, MO 65102-6500, (314) 751-6922.
    Federal Project Officer: Nancy Goetschius, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    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 not included in the health plan service package. The State 
proposed 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.

    Demonstration Title/State: The Partnership Plan--New York.
    Description: New York proposes to move most of the currently 
eligible Medicaid population and Home Relief (General Assistance) 
populations from a primarily fee-for-service system to a managed care 
environment. The State also proposes to establish special needs plans 
to serve individuals with HIV/AIDS and certain children with mental 
illnesses.
    Date Received: March 17, 1995.
    State Contact: Richard T. Cody, Deputy Commissioner, Division of 
Health and Long Term Care, 40 North Pearl Street, Albany, NY 12243, 
(518) 474-9132.
    Federal Project Officer: Debbie Van Hoven, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: State of Texas Access Reform (STAR)--
Texas.
    Description: Texas is proposing a section 1115 demonstration that 
will restructure the Medicaid program using competitive managed care 
principles. A focal point of the proposal is to utilize local 
governmental entities (referred to as Intergovernmental Initiatives 
(IGIs)) and to make the IGI responsible for designing and administering 
a managed care system in its region. Approximately 876,636 new 
beneficiaries would be served during the 5-year demonstration in 
addition to the current Medicaid population. Texas proposes to 
implement the program in June 1996.
    Date Received: September 6, 1995.
    State Contact: Cathy Rossberg, State Medicaid Office, P.O. Box 
13247, Austin, TX 78711, (512) 502-3224.
    Federal Project Officer: Alisa Adamo, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: Section 1115 Demonstration Waiver for 
Medicaid Expansion--Utah.
    Description: Utah proposes to expand eligibility for Medicaid to 
all individuals with incomes up to 100 percent of the Federal poverty 
level (subject to limited cost sharing) and to enroll all Medicaid 
beneficiaries in managed care plans. The State also proposes to 
streamline eligibility and administrative processes and to develop a 
subsidized small employer health insurance plan.
    Date Received: July 5, 1995.
    State Contact: Michael Deily, Acting Division Director, Utah 
Department of Health, Division of Health Care

[[Page 64916]]

Financing, 288 North 1460 West, P.O. Box 142901, Salt Lake City, UT 
84114-2901, (801) 538-6406.
    Federal Project Officer: David Walsh, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.
3. Approved Proposals
    No conceptual proposals were approved during the month of October. 
The following comprehensive health reform proposal was approved during 
that month:

    Demonstration Title/State: Maryland Medicaid Reform Proposal--
Maryland.
    Description: A statewide section 1115 demonstration proposal has 
been developed to: provide a patient-focused system with a medical home 
for all beneficiaries; 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.
    Date Approved: October 30, 1996.
    State Contact: Mary Mussman, MD, M.P.H., Acting Executive Director, 
Center for Health Program Development and Management, UMBC, 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.

4. Disapproved and Withdrawn Proposals
    No comprehensive health reform proposals were disapproved or 
withdrawn during the month of October.

B. Other Section 1115 Demonstration Proposals

1. New Proposals
    No new proposals were received during the month of October.
2. Pending Proposals
    Demonstration Title/State: Alternatives in Medicaid Home Care 
Demonstration--Colorado.
    Description: Colorado proposes to conduct a pilot project that 
eliminates the restriction on provision of Medicaid home health 
services in locations other than the beneficiary's place of residence. 
The proposal would also permit nursing aides to perform functions that 
historically have been provided only by skilled nursing staff. Medicaid 
beneficiaries participating in the project will be adults (including 
both frail elderly clients and younger clients with disabilities) who 
can live independently and self-direct their own care. The project 
would provide for delegation of specific functions from nurses to 
certified nurses aides, pay nurses for shorter supervision and 
monitoring visits, and allow higher payments to aides performing 
delegated nursing tasks. Currently, home health agency nursing and 
nurse aide services are paid on a per visit basis. Each visit is 
approximately 2-4 hours in duration, and recipients must require 
skilled, hands-on care.
    Date Received: June 3, 1995.
    State Contact: Dann Milne, Director, Department of Health Care 
Policy and Financing, 1575 Sherman Street, Denver, CO 80203-1714, (303) 
866-5912.
    Federal Project Officer: Phyllis Nagy, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-21-
06, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration/Title: Integrated Care and Financing Project 
Demonstration--Colorado.
    Description: Colorado proposes to conduct an Integrated Care and 
Financing Project demonstration. Specifically, the Colorado Department 
of Health Care Policy and Financing proposes to add institutional and 
community-based long-term care services to a health maintenance 
organization (HMO) and make the HMO responsible for providing 
comprehensive medical and supportive services through one capitated 
rate. The project would include all Medicaid eligibility groups, 
including individuals with dual eligibility.
    Date Received: September 28, 1995.
    State Contact: Dann Milne, Office of Long-Term Care System 
Development, State of Colorado Department of Health Care Policy and 
Financing, 1575 Sherman Street, Denver, CO 80203-1714, (303) 866-5912.
    Federal Project Officer: Melissa McNiff, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    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 with 
incomes 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 Northwest, Atlanta, GA 30303-3159, (404) 
651-5785.
    Federal Project Officer: Maria Boulmetis, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: Family Planning Services Section 1115 
Waiver Request--Michigan.
    Description: Michigan seeks 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, 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, MI 48909, (517) 335-5117.
    Federal Project Officer: Suzanne Rotwein, Ph.D., Health Care 
Financing Administration, Office of Research and Demonstrations, Mail 
Stop C3-24-07, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: Montana Mental Health Access Plan--
Montana.
    Description: Montana proposes to provide all mental health services 
for current Medicaid-eligible individuals through managed care and to 
expand Medicaid eligibility to persons with incomes up to 200 percent 
of the Federal poverty level. Newly eligible individuals would receive 
only mental health benefits, and would not be eligible for other health 
services under the demonstration. A single statewide contractor would 
provide the mental health services and also determine eligibility, 
perform inspections, and handle credentialing.
    Date Received: June 16, 1995.
    State Contact: Nancy Ellery, State Medicaid Director, Department of 
Social and Rehabilitation Services, P.O. Box 4210, 111 North Sanders, 
Helena, MT 59604-4210, (406) 444-4540.
    Federal Project Officer: Nancy Goetschius, Health Care Financing

[[Page 64917]]

Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    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, NM 87504-2348, (505) 827-3106.
    Federal Project Officer: Suzanne Rotwein, Ph.D., Health Care 
Financing Administration, Office of Research and Demonstrations, Mail 
Stop C3-24-07, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: Continuing Care Networks (CCN) 
Demonstration--Monroe County, New York.
    Description: The CCN project is designed to test the efficiency and 
effectiveness of financing and delivery systems which integrate 
primary, acute and long term care services under combined Medicare and 
Medicaid capitation payments. Participants will be both Medicare only, 
and dually eligible Medicare/Medicaid beneficiaries, who are 65 or 
older. Enrollment will be voluntary for all participants.
    Date Received: July 1, 1996.
    State Contact: C. Christopher Rush, Assistant Bureau Director, 
Bureau of Long Term Care, Division of Health and Long Term Care, New 
York State Department of Social Services, 40 North Pearl Street, 
Albany, New York 12243-0001, (518) 473-5507.
    Federal Project Officer: Kay Lewandowski, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-23-
04, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    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, RI 02920, (401) 464-3234.
    Federal Project Officer: Melissa McNiff, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-21-
06, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: Family Planning Services Eligibility 
Requirements Waiver--South Carolina.
    Description: South Carolina proposes to extend Medicaid coverage 
for family planning services for 22 additional months to postpartum 
women with monthly incomes under 185 percent of the Federal poverty 
level. The objectives of the demonstration are to increase the number 
of reproductive age women receiving either Title XIX or Title X funded 
family planning services following the completion of a pregnancy, 
increase the period between pregnancies among mothers eligible for 
maternity services under the expanded eligibility provisions of 
Medicaid, and estimate the overall savings in Medicaid spending 
attributable to providing family planning services to women for 2 years 
postpartum. The duration of the proposed project would be 5 years.
    Date Received: May 4, 1995.
    State Contact: Eugene A. Laurent, Executive Director, State Health 
and Human Services Finance Commission, P.O. Box 8206, Columbia, SC 
29202-8206, (803) 253-6100.
    Federal Project Officer: Suzanne Rotwein, Ph.D., Health Care 
Financing Administration, Office of Research and Demonstrations, Mail 
Stop C3-24-07, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    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 beneficiaries.
    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, WI 53707, (608) 266-0613.
    Federal Project Officer: J. Donald Sherwood, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-16-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.
    Demonstration Title/State: Wisconsin Partnership Program--
Wisconsin.
    Description: Wisconsin has submitted Medicare section 222 
demonstration and Medicaid section 1115 waiver requests to implement 
the ``Wisconsin Partnership Program'' in specific counties of the 
State. This program will test two innovative models of care, one for 
frail elderly and one for persons with disabilities, utilizing a multi-
disciplinary team to manage care. The team is to include the 
beneficiary, a nurse practitioner, the beneficiary's choice of primary 
care physician, and a social worker or independent living coordinator. 
Consumer choice of care, settings and the manner of service delivery is 
a key component of the program. The demonstration will test the use of 
consumer-defined quality indicators to measure and improve the quality 
of service provided to people who are elderly and people with 
disabilities.
    Date Received: February 28, 1996.
    State Contact: Mary Rowin, State of Wisconsin, Department of Health 
and Social Services, 1 West Wilson Street, P.O. Box 7850, Madison, WI 
53707, (608) 261-8885.
    Federal Contact: William Clark, Health Care Financing 
Administration, Office of Research and Demonstrations, Office of 
Beneficiary and Program Research and Demonstrations, Mail Stop C3-21-
06, 7500 Security Boulevard, Baltimore, MD 21244-1850.
3. Approved and Disapproved Proposals
    No proposals were approved or disapproved during the month of 
October.
4. Withdrawn Proposals
    Demonstration Title/State: Maryland High Cost/High Risk 
Initiative--Maryland.
    Description: The goal of the demonstration is to test whether new 
forms of case management and managed care can significantly lower the 
cost of care for clinically-focused groups of high-cost/high risk 
patients, while maintaining or improving service quality. The State 
plans to incorporate the structure of the High Cost User Program into 
the Rare and Expensive Case Management Program. The High Cost User 
Program will operate prior to the implementation of the 1115 waiver, 
and parallel with it after 1115 implementation until phase-in is 
completed.
    Date Received: July 8, 1994.
    Date Approved: October 6, 1995.
    Date Withdrawn: October 16, 1996.
    State Contact: John Folkemer, Maryland Department of Health and 
Mental Hygiene, Office of Medical Assistance Policy, 201 West Preston 
Street, Baltimore, MD 21201, (410) 225-5206.
    Federal Project Officer: William Clark, Health Care Financing 
Administration, Office of Research and Demonstrations,

[[Page 64918]]

Mail Stop: C3-21-06, 7500 Security Boulevard, Baltimore, MD 21244.

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: November 27, 1996.
Barbara Cooper,
Acting Director, Office of Research and Demonstrations.
[FR Doc. 96-31139 Filed 12-6-96; 8:45 am]
BILLING CODE 4120-01-P