[Federal Register Volume 63, Number 23 (Wednesday, February 4, 1998)]
[Notices]
[Pages 5809-5811]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 98-2636]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration
[HCFA-2011-N]


New and Pending Demonstration Project Proposals Submitted 
Pursuant to Section 1115(a) of the Social Security Act: July, August, 
September, October, and November 1997

AGENCY: Health Care Financing Administration (HCFA).

ACTION: Notice.

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SUMMARY: Two new proposals for Medicaid demonstration projects were 
submitted to the Department of Health and Human Services during the 
months of July, August, September, October, and November 1997 under the 
authority of section 1115 of the Social Security Act. Two pending 
proposals were approved during this time period. No proposals were 
disapproved or withdrawn during the time period. (This notice can be 
accessed on the Internet at http://www.hcfa.gov/cmso/sect115.htm.).

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: Gloria Smiddy, Center for Medicaid 
and State Operations, Health Care Financing Administration, Mail Stop 
C3-18-26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

FOR FURTHER INFORMATION CONTACT:
Gloria Smiddy, (410) 786-7723.

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 principals 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 grant solicitation or other competitive 
process

[[Page 5810]]

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, Disapproved, and Withdrawn 
Proposals for the Month of July, August, September, October, and 
November 1997

A. Comprehensive Health Reform Programs

1. New Proposal
    The following proposal comprehensive health reform proposal was 
received during the month of July 1997.
    Demonstration Title/State: HealthlyKids/Florida;
    Description: The State submitted a proposal that would expand 
Medicaid coverage to the HealthyKids program for children ages 5-19, 
enrolled in school, not on Medicaid, and without comparable health care 
coverage.
    Date Received: July 1, 1997.
    State Contract: Bob Sharpe, Agency for Health Care Administration, 
The Atrium, Suite 301, 325 John Knox Road, Tallahassee, FL 32303-4131, 
(904) 488-9347.
    Federal Project Officer: Alisa Adamo, Health Care Financing 
Administration, Center for Medicaid and State Operations, Family and 
Children's Health Programs, Group Division of Integrated Health 
Systems, 7500 Security Boulevard, Baltimore, MD 21244-1850, (410) 786-
6618.
    No new proposals were received during the months of August, 
September, October, and November 1997.
2. Approved Proposals
    The Following proposals were approved during the months of July and 
August:
    Demonstration Title/State: The New York Partnership Plan--New York.
    Description: The New York Partnership Plan is a statewide section 
1115 demonstration proposal. The Partnership Plan would enroll its 
Medicaid population (excluding individuals who are elderly, disabled, 
and institutionalized) and its Home Relief population (those 
individuals who are financially needy but not Medicaid eligible) into 
managed care programs. The plan also would establish new health plans 
to meet the needs of special populations (i.e., individuals with HIV 
disease and seriously mentally ill adults and children).
    Date Received: March 20, 1995.
    Date Approved: July 15, 1997.
    State Contact: Ellen Anderson, New York Department of Health, 
Office of Managed Care, Empire State Plaza, Corning Tower, Room 2001, 
Albany, NY 12237, (518) 474-5737.
    Federal Project Officer: Debbie VanHoven/Theresa Sachs, Health Care 
Financing Administration, Center for Medicaid and State Operations, 
Family and Children's Health Programs, Mail Stop C3-18-26, 7500 
Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: ARKids First Program--Arkansas.
    Description: The ARKids First Program would expand Medicaid 
eligibility and access to health care services to children age 18 and 
under with gross family income at or below 200 percent of the Federal 
poverty level. The intent of the program is to cover all children 
eligible for Medicaid not otherwise at this income level statewide and 
to expand access to preventive health care.
    Date Received: May 16, 1997.
    Date Approved: August 19, 1997.
    State Contact: Binnie Alberius, Arkansas Department of Human 
Services, Division of Medical Services, Donaghey Plaza South, P.O. Box 
1437, Little Rock, AR 72203-1437, 501-682-8361.
    Federal Project Officer: Joan Peterson, Ph.D., Health Care 
Financing Administration, Center for Medicaid and State Operations, 
Family and Children's Health Programs, Division of Integrated Health 
Systems, Mail Stop C3-18-26, 7500 Security Boulevard, Baltimore, MD 
21244-1850, (410)-786-0621.
    No proposals were approved during the months of September, October, 
and November 1997.
3. Pending Proposals
    Pending proposals for the month of June 1997, referenced in the 
Federal Register of August 14, 1997 (62 FR 43541) remain unchanged 
except for the deletion of The New York Partnership Plan and ARKid 
First Program of Arkansas (which were approved in July and August 1997, 
respectively), and the addition of HealthyKids/Florida (which was 
received in July).
4. Approved Conceptual Proposals (Award for Waivers Pending)
    No conceptual proposals were approved during the months of July, 
August, September, October, and November 1997.
5. Disapproved and Withdrawn Proposals
    No proposals were disapproved or withdrawn during the months of 
July, August, September, October, and November 1997.

B. Other Section 1115 Demonstration Proposals

1. New Proposals
    The following family planning proposal was received during the 
month of September 1997.
    Demonstration Title/State: Extending Medicaid Family Planning 
Benefits for Postpartum Women--Florida.
    Description: The State proposes to extend Medicaid eligibility for 
family planning services only for 2 years to women who lose Medicaid 
eligibility and who have received a pregnancy-related service during 
their eligibility period.
    Date Received: September 22, 1997.
    State Contact: Bob Sharpe, Agency for Health Care Administration, 
The Atrium, Suite 301, 325 John Knox Road, Tallahassee, FL 32303-4131, 
904-488-9347.
    Federal Project Officer: Alisa Adamo, Health Care Financing 
Administration, Center for Medicaid and State Operations, Family and 
Children's Health Programs Group, Division of Integrated Health 
Systems, 7500 Security Boulevard, Baltimore, MD 21244-1850.
    No new proposals were received during the months of July, August, 
October, and November 1997.
2. Pending Proposals
    Pending proposals for the month of June 1997 referenced in the 
Federal Register of August 14, 1997 (62 FR 43541) remain unchanged 
except for the addition of the following proposals.
    Description Title/State: Maine-Net--Integrated Managed Health Care 
Plans--Maine.
    Description: The Maine-Net project is a two-site demonstration 
designed to test the efficiency and effectiveness of financing and 
delivery systems which integrate primary, acute, and long-term care 
services under a combination of Medicaid capitation payments, Medicare 
fee-for-service, and/or primary care case management. Participants will 
be both Medicaid only and dually eligible Medicare/Medicaid 
beneficiaries who are 65 or older or physically disabled. Enrollment 
will be mandatory.
    Date Received: June 2, 1997.
    State Contact: Christine Gianopoulos, Bureau of Elder and Adult 
Services, Maine Department of Human Services, 35 Anthony Avenue, State 
House Station 11, Augusta, ME 04333-0011, (207) 624-5335.
    Federal Project Officer; Kay Lewandowski, Health Care Financing 
Administration, Office of Strategic Planning, Mail Stop C3-23-04, 7500

[[Page 5811]]

Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: Mass Health Senior Care Options--
Massachusetts.
    Description: The Massachusetts Division of Medical Assistance 
submitted a demonstration waiver application for both Medicare (Section 
222) and Medicaid (Section 1115) programs. The application would 
establish integrated care to persons 65 years of age and older who are 
eligible for both Medicare and Medicaid through voluntary enrollment in 
Senior Care Organizations (SCO). SCOs are expected to be available 
statewide. In addition to Federal demonstration waivers, enabling 
legislation in Massachusetts is also necessary.
    Date Received: June 12, 1997.
    State Contact: Kate Willrich, Managed Care Program Development, 
Division of Medical Assistance, 600 Washington Street, Boston, MA 
02111, (617) 210-5466.
    Federal Project Officer: William D. Clark, Health Care Financing 
Administration, Office of Strategic Planning, Mail Stop C3-21-06, 7500 
Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: Extending Medicaid Family Planning 
Benefits for Postpartum Women--Florida (described under B.1. ``New 
Proposals'' for the month of September 1997).
3. Approved, Disapproved, and Withdrawn Proposals
    No proposals were approved, disapproved, and withdrawn during the 
months of July, August, September, October, and November 1997.

III. Requests for Copies for 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: December 30, 1997.
Sally K. Richardson,
Director, Center for Medicaid and State Operations.
[FR Doc. 98-2636 Filed 2-3-98; 8:45 am]
BILLING CODE 4120-01-M