[Federal Register Volume 64, Number 7 (Tuesday, January 12, 1999)]
[Notices]
[Pages 1805-1808]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-663]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary


Federal Financial Participation in State Assistance Expenditures; 
Federal Matching Shares for Temporary Assistance to Needy Families, 
Medicaid, Aid to Needy Aged, Blind, or Disabled Persons and for the new 
Children's Health Insurance Programs for October 1, 1999 through 
September 30, 2000

AGENCY: Office of the Secretary, HHS.

ACTION: Notice.

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SUMMARY: The Federal Medical Assistance Percentages and Enhanced 
Federal Medical Assistance Percentages for Fiscal Year 2000 have been 
calculated pursuant to the Social Security Act (the Act). These 
percentages will be effective from October 1, 1999 through September 
30, 2000. This notice announces the calculated ``Federal Medical 
Assistance Percentages'' and ``Enhanced Federal Medical Assistance 
Percentages'' that we will use in determining the amount of Federal 
matching in State medical and medical insurance expenditures and for 
the annual reconciliation of contingency funds under Title IV-A. The 
table gives figures for each of the 50 States, the District of 
Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and 
the Northern Mariana Islands. Programs under title XIX of the Act exist 
in each jurisdiction; programs under titles I, X, and XIV operate only 
in Guam and the Virgin Islands; while a program under title XVI (AABD) 
operates only in Puerto Rico. Programs under title XXI are new. They 
began functioning in 1998. The percentages in this notice apply to 
State expenditures for assistance payments, medical services and 
medical insurance services (except family planning which is subject to 
a higher matching rate). The statute provides separately for Federal 
matching of administrative costs.
    Section 1905(b) and 2105(b) of the Act, as revised by section 9528 
of Pub. L. 99-272, require the Secretary of Health and Human Services 
to publish these percentages each year. The Secretary is to figure the 
percentages, by formulas in sections 1905(b) and 2105(b) of the Act, 
from the Department of Commerce's statistics of average income per 
person in each State and in the Nation as a whole. The percentages are 
within the upper and lower limits given in those two sections of the 
Act. The statute specifies the percentages to be applied to Puerto 
Rico, the Virgin

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Islands, Guam, American Samoa, and the Northern Mariana Islands.
    The ``Federal medical assistance percentages'' are for Medicaid. 
States may claim at the Federal medical assistance percentage without 
regard to any maximum on the dollar amounts per recipient which may be 
counted under paragraph (2) of sections 3(a), 1003(a), and 1403(a) of 
the Act. These percentages will also be used for the annual 
reconciliation of any Contingency funds received under the Temporary 
Assistance for Needy Families program.
    The ``Enhanced Federal Medical Assistance Percentages'' are for use 
in the new Children's Health Insurance Program under Title XXI, and for 
some or all of children's medical assistance under the new Medicaid 
sections 1905(u)(2) and 1905(u)(3).

DATES: The percentages listed will be effective for each of the 4 
quarter-year periods in the period beginning October 1, 1999 and ending 
September 30, 2000.

FOR FURTHER INFORMATION CONTACT: Mr. Gene Moyer, Office of Health 
Policy, Office of the Assistant Secretary for Planning and Evaluation, 
Room 442E Hubert H. Humphrey Building, 200 Independence Avenue SW, 
Washington, DC 20201, Telephone (202) 690-7861.

(Catalog of Federal Domestic Assistance Program Nos. 93.588- 
Temporary Assistance for Needy Families; 93.563-Child Support 
Enforcement; 93.659-Adoption Assistance; 93.778-Medical Assistance 
Program; 93.767-Children's Health Insurance Programs)

    Dated: January 5, 1999.
Donna E. Shalala,
Secretary of Health and Human Services.

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[FR Doc. 99-663 Filed 1-11-99; 8:45 am]
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