[Federal Register Volume 67, Number 221 (Friday, November 15, 2002)]
[Notices]
[Pages 69223-69225]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-28985]


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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 Medicaid, the State Children's Health 
Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons 
for October 1, 2003 Through September 30, 2004

AGENCY: Office of the Secretary, DHHS.

ACTION: Notice.

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SUMMARY: The Federal Medical Assistance Percentages and Enhanced 
Federal Medical Assistance Percentages for Fiscal Year 2004 have been 
calculated pursuant to the Social Security Act (the Act). These 
percentages will be effective from October 1, 2003 through September 
30, 2004. 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 for State medical assistance (Medicaid) and State Children's 
Health Insurance Program (SCHIP) expenditures, and Temporary Assistance 
for Needy Families (TANF) Contingency Funds, the federal share of Child 
Support Enforcement collections, Child Care Mandatory and Matching 
Funds for the Child Care and Development Fund, Foster Care Title IV-E 
Maintenance payments, and Adoption Assistance payments. The table give 
figures for each of the 50 States, the District of Columbia, Puerto

[[Page 69224]]

Rico, the Virgin Islands, Guam, American Samoa, and the Commonwealth of 
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 (Aid to 
the Aged, Blind, or Disabled) operates only in Puerto Rico. Programs 
under title XXI began functioning in fiscal year 1998. The percentages 
in this notice apply to State expenditures for most medical services 
and medical insurance services, and assistance payments for certain 
social services. The statute provides separately for Federal matching 
of administrative costs.
    Sections 1905(b) and 1101(a)(8)(B) of the Act require the Secretary 
of Health and Human Services to publish the Federal Medical Assistance 
Percentages each year. The Secretary is to figure the percentages, by 
formulas in sections 1905(b) and 1101(a)(8)(B), from a 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 section 1905(b) of the Act. The percentages to be 
applied to the District of Columbia, Puerto Rico, the Virgin Islands, 
Guam, American Samoa, and the Northern Mariana Islands are specified in 
statute, and thus are not based on the statutory formula that 
determines the percentage for the 50 states.
    The ``Federal Medical Assistance Percentages'' are for Medicaid. 
Section 1905(b) of the Act specifies the formula for calculating 
Federal Medical Assistance Percentages as follows:

    ``Federal medical assistance percentage'' for any State shall be 
100 per centum less the State percentage; and the State percentage 
shall be that percentage which bears the same ratio to 45 per centum 
as the square of the per capita income of such State bears to the 
square of the per capita income of the continental United States 
(including Alaska) and Hawaii; except that (1) the Federal medical 
assistance percentage shall in no case be less than 50 per centum or 
more than 83 per centum, (2) the Federal medical assistance for 
Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, 
and American Samoa shall be 50 per centum.

    A provision in the Medicare, Medicaid, and SCHIP Benefits 
Improvement and Protection Act of 2000 modified the formula to 
calculate the percentages to be applied to Alaska for fiscal years 2001 
through 2005. For Alaska only, the formula requires dividing the 
state's three-year average per capita income by 10.5 instead of 1.0. 
Section 2105(b) of the Act specifies the formula for calculating the 
Enhanced Federal Medical Assistance Percentages as follows:

    The ``enhanced FMAP'', for a State for a fiscal year, is equal 
to the Federal medical assistance percentage (as defined in the 
first sentence of section 1905(b)) for the State increased by a 
number of percentage points equal to 30 percent of the number of 
percentage points by which (1) such Federal medical assistance 
percentage for the State, is less than (2) 100 percent; but in no 
case shall the enhanced FMAP for a State exceed 85 percent.

    The ``Enhanced Federal Medical Assistance Percentages'' are for use 
in the State Children's Health Insurance Program under Title XXI, and 
in the Medicaid program for certain children for expenditures for 
medical assistance described in sections 1095(u)(2) and 1905(u)(3) of 
the Act. There is no specific requirement to publish the Enhanced 
Federal Medical Assistance Percentages. We include them in this notice 
for the convenience of the States.

EFFECTIVE DATES: The percentages listed will be effective for each of 
the 4 quarter-year periods in the period beginning October 1, 2003 and 
ending September 30, 2004.

FOR FURTHER INFORMATION CONTACT: Adelle Simmons or Robert Stewart, 
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, (202) 690-6870.

(Catalog of Federal Domestic Assistance Program Nos. 93.558: TANF 
Contingency Funds; 93.563: Child Support Enforcement; 93-596: Child 
Care Mandatory and Matching Funds for the Child Care and Development 
Fund; 93.658: Foster Care Title IV-E; 93.659: Adoption Assistance; 
93.778: Medical Assistance Program; 93.767: State Children's Health 
Insurance Program)

    Dated: October 30, 2002.
Tommy G. Thompson,
Secretary of Health and Human Services.

   Federal Medical Assistance Percentages and Enhanced Federal Medical
                         Assistance Percentages
    [Effective October 1, 2003-September 30, 2004 (Fiscal Year 2004)
------------------------------------------------------------------------
                                                               Enhanced
                                                  Federal      Federal
                     State                        medical      medical
                                                 assistance   assistance
                                                percentages  percentages
------------------------------------------------------------------------
Alabama.......................................       70.75        79.53
Alaska**......................................       58.39        70.87
American Samoa*...............................       50.00        65.00
Arizona.......................................       67.26        77.08
Arkansas......................................       74.67        82.27
California....................................       50.00        65.00
Colorado......................................       50.00        65.00
Connecticut...................................       50.00        65.00
Delaware......................................       50.00        65.00
District of Columbia**........................       70.00        79.00
Florida.......................................       58.93        71.25
Georgia.......................................       59.58        71.71
Guam*.........................................       50.00        65.00
Hawaii........................................       58.90        71.23
Idaho.........................................       70.46        79.32
Illinois......................................       50.00        65.00
Indiana.......................................       62.32        73.62
Iowa..........................................       63.93        74.75
Kansas........................................       60.82        72.57
Kentucky......................................       70.09        79.06
Louisiana.....................................       71.63        80.14
Maine.........................................       66.01        76.21
Maryland......................................       50.00        65.00
Massachusetts.................................       50.00        65.00
Michigan......................................       55.89        69.12
Minnesota.....................................       50.00        65.00
Mississippi...................................       77.08        83.96
Missouri......................................       61.47        73.03
Montana.......................................       72.85        81.00
Nebraska......................................       59.89        71.92
Nevada........................................       54.93        68.45
New Hampshire.................................       50.00        65.00
New Jersey....................................       50.00        65.00
New Mexico....................................       74.85        82.40
New York......................................       50.00        65.00
North Carolina................................       62.85        74.00
North Dakota..................................       68.31        77.82
Northern Mariana Islands*.....................       50.00        65.00
Ohio..........................................       59.23        71.46
Oklahoma......................................       70.24        79.17
Oregon........................................       60.81        72.57
Pennsylvania..................................       54.76        68.33
Puerto Rico*..................................       50.00        65.00
Rhode Island..................................       56.03        69.22
South Carolina................................       69.86        78.90
South Dakota..................................       65.67        75.97
Tennessee.....................................       64.40        75.08
Texas.........................................       60.22        72.15
Utah..........................................       71.72        80.20
Vermont.......................................       61.34        72.94
Virgin Islands*...............................       50.00        65.00
Virginia......................................       50.00        65.00
Washington....................................       50.00        65.00
West Virginia.................................       75.19        82.63
Wisconsin.....................................       58.41        70.89
Wyoming.......................................       59.77       71.84
------------------------------------------------------------------------
\*\ For purposes of section 1118 of the Social Security Act, the
  percentage used under titles I, X, XIV, and XVI will be 75 per centum.
 
\**\ The values for Alaska and the District of Columbia in the table
  were set for the state plan under titles XIX and XXI and for
  capitation payments and DSH allotments under those titles. For other
  purposes, including programs remaining in Title IV of the Act, the
  percentage for D.C. is 50.00.


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[FR Doc. 02-28985 Filed 11-14-02; 8:45 am]
BILLING CODE 4154-05-M