[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disapproved or withdrawn during the time period.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]
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