[Federal Register Volume 68, Number 116 (Tuesday, June 17, 2003)]
[Notices]
[Pages 35889-35890]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-15274]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Office of the Secretary


Federal Financial Participation in State Assistance Expenditures; 
Temporary Increase of Federal Matching Shares for Medicaid for the Last 
2 Calendar Quarters of Fiscal Year 2003 and the First 3 Quarters of 
Fiscal Year 2004

AGENCY: Office of the Secretary, DHHS.

ACTION:  Notice.

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SUMMARY: The revised Medicaid ``Federal Medical Assistance 
Percentages'' (FMAP) for the last 2 calendar quarters of Fiscal Year 
2003 and the first 3 calendar quarters of Fiscal Year 2004 have been 
calculated pursuant to Title IV of the Jobs and Growth Tax Relief 
Reconciliation Act of 2003. These revised Federal Medical Assistance 
Percentages replace the percentages previously published for the 
applicable quarters during Fiscal Year 2003 (Federal Register, November 
30, 2001) and Fiscal Year 2004 (Federal Register, November 15, 2002). 
This notice announces the revised Federal Medical Assistance 
Percentages that we will use in determining the amount of Federal 
matching for State medical assistance (Medicaid) expenditures under 
Title XIX, effective only for the 2 calendar quarters from April 1 
through September 30, 2003, and the 3 quarters from October 1, 2003 
through June 30, 2004. The table gives figures for each of the 50 
States, the District of Columbia, Puerto 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. The percentages in this notice apply to State 
expenditures for most medical services only for the last 2 quarters of 
Fiscal Year 2003 and the first 3 quarters of Fiscal Year 2004.
    Federal Medical Assistance Percentages are normally used to 
determine the amount of Federal matching for State expenditures for 
assistance payments for certain social services including 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

[[Page 35890]]

Development Fund, Foster Care Title IV-E Maintenance payments, and 
Adoption Assistance payments, and State medical and medical insurance 
expenditures for Medicaid and the State Children's Health Insurance 
Program (SCHIP). However, the temporary increases in the Federal 
Medical Assistance Percentages under the Jobs and Growth Tax Relief 
Reconciliation Act of 2003 affect only Medicaid medical expenditure 
payments under Title XIX. The percentages in this notice do not apply 
to disproportionate share hospital payments, payments under Title IV or 
XXI of the Act, or any payments under Title XIX that are based on the 
enhanced FMAP described in section 2105(b) of such Act. In addition, 
the statute provides separately for Federal matching of administrative 
costs, which is not affected by the Jobs and Growth Tax Relief 
Reconciliation Act of 2003.
    Section 401 of the Jobs and Growth Tax Relief Reconciliation Act of 
2003 provides for a temporary increase of the Medicaid FMAP. The 
provisions permit a maintenance of Fiscal Year 2002 FMAP for the last 2 
calendar quarters of Fiscal Year 2003 for a State whose 2003 FMAP as 
calculated pursuant to section 1905(b) of the Act is less than its 2002 
FMAP, and a maintenance of Fiscal Year 2003 FMAP for the first 3 
calendar quarters of Fiscal Year 2004 for a State whose 2004 FMAP as 
calculated pursuant to section 1905(b) of the Act is less than its 2003 
FMAP. In addition, after adjusting FMAP due to the maintenance of the 
2002 or 2003 FMAP where applicable, each State is eligible to receive a 
2.95 percentage point increase for each of the last 2 calendar quarters 
of Fiscal Year 2003 and the first 3 calendar quarters of Fiscal Year 
2004.
    There are conditions that a State must meet in order to receive the 
2.95 percentage point FMAP increase for the last 2 calendar quarters of 
Fiscal Year 2003 and the first 3 calendar quarters of Fiscal Year 2004. 
Eligibility under its Medicaid State plan (including any waiver under 
title XIX of the Social Security Act or under section 1115 of the Act) 
can be no more restrictive than the eligibility under such plan or 
waiver as in effect on September 2, 2003. If any State has restricted 
eligibility under its Medicaid State plan (including any waiver under 
title XIX of the Social Security Act or under section 1115 of the Act) 
after September 2, 2003, it will become eligible for the 2.95 
percentage point increase in its FMAP in the first calendar quarter 
(and subsequent calendar quarters) in which the State has reinstated 
eligibility that is no more restrictive than the eligibility in effect 
on September 2, 2003. These rules do not affect States' flexibility 
with respect to benefits offered under their Medicaid State plan 
(including any waiver under title XIX of the Social Security Act or 
under section 1115 of the Act).
    In addition, in order to receive the 2.95 percentage point FMAP 
increase, in the case of a State that requires political subdivisions 
within the State to contribute toward the non-Federal share of 
expenditures under the State Medicaid plan, the State cannot require 
that such political subdivisions pay a greater percentage of the non-
Federal share of such expenditures for the last 2 calendar quarters of 
Fiscal Year 2003 and the first 3 calendar quarters of Fiscal Year 2004, 
than the percentage that was required by the State under such plan on 
April 1, 2003.
    In addition to the increases in FMAP, Title IV of the Jobs and 
Growth Tax Relief Reconciliation Act of 2003 increases the amounts of 
Medicaid payments to territories pursuant to section 1108 of the Social 
Security Act by 5.90 percent of such amounts, for the last 2 calendar 
quarters of Fiscal Year 2003 and the first 3 calendar quarters of 
Fiscal Year 2004.
    The Jobs and Growth Tax Relief Reconciliation Act of 2003 also 
provides $10 billion for other temporary state fiscal relief payments 
based on population. These payments are under the jurisdiction of the 
Secretary of the Treasury, and are not reflected in the Federal Medical 
Assistance Percentages.

EFFECTIVE DATES: The percentages listed will be effective only for the 
last 2 calendar quarters of Fiscal Year 2003 and the first 3 calendar 
quarters of Fiscal Year 2004.

FOR FURTHER INFORMATION CONTACT: Adelle Simmons or Robert Stewart, 
Office of Health Policy, Office of the Assistant Secretary for Planning 
and Evaluation, Hubert H. Humphrey Building, 200 Independence Avenue, 
SW., Room 442E, Washington, DC 20201, (202) 690-6870.

(Catalog of Federal Domestic Assistance Program No. 93.778: Medical 
Assistance Program)

    Dated: June 12, 2003.
Tommy G. Thompson,
Secretary of Health and Human Services.

   Revised Federal Medical Assistance Percentage (Title IV of Jobs and
              Growth Tax Relief Reconciliation Act of 2003)
 [Temporary Increase in Medicaid FMAP for the last 2 Quarters of FY 2003
                    and First 3 Quarters of FY 2004]
------------------------------------------------------------------------
                                                          2003     2004
                                                          Qtrs     Qtrs
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Alabama...............................................    73.55    73.70
Alaska................................................    61.22    61.34
American Samoa........................................    52.95    52.95
Arizona...............................................    70.20    70.21
Arkansas..............................................    77.23    77.62
California............................................    54.35    52.95
Colorado..............................................    52.95    52.95
Connecticut...........................................    52.95    52.95
Delaware..............................................    52.95    52.95
District of Columbia..................................    72.95    72.95
Florida...............................................    61.78    61.88
Georgia...............................................    62.55    62.55
Guam..................................................    52.95    52.95
Hawaii................................................    61.72    61.85
Idaho.................................................    73.97    73.91
Illinois..............................................    52.95    52.95
Indiana...............................................    64.99    65.27
Iowa..................................................    66.45    66.88
Kansas................................................    63.15    63.77
Kentucky..............................................    72.89    73.04
Louisiana.............................................    74.23    74.58
Maine.................................................    69.53    69.17
Maryland..............................................    52.95    52.95
Massachusetts.........................................    52.95    52.95
Michigan..............................................    59.31    58.84
Minnesota.............................................    52.95    52.95
Mississippi...........................................    79.57    80.03
Missouri..............................................    64.18    64.42
Montana...............................................    75.91    75.91
Nebraska..............................................    62.50    62.84
Nevada................................................    55.34    57.88
New Hampshire.........................................    52.95    52.95
New Jersey............................................    52.95    52.95
New Mexico............................................    77.51    77.80
New York..............................................    52.95    52.95
North Carolina........................................    65.51    65.80
North Dakota..........................................    72.82    71.31
Northern Mariana Islands..............................    52.95    52.95
Ohio..................................................    61.78    62.18
Oklahoma..............................................    73.51    73.51
Oregon................................................    63.11    63.76
Pennsylvania..........................................    57.64    57.71
Puerto Rico...........................................    52.95    52.95
Rhode Island..........................................    58.35    58.98
South Carolina........................................    72.76    72.81
South Dakota..........................................    68.88    68.62
Tennessee.............................................    67.54    67.54
Texas.................................................    63.12    63.17
Utah..................................................    74.19    74.67
Vermont...............................................    66.01    65.36
Virgin Islands........................................    52.95    52.95
Virginia..............................................    54.40    53.48
Washington............................................    53.32    52.95
West Virginia.........................................    78.22    78.14
Wisconsin.............................................    61.52    61.38
Wyoming...............................................    64.92    64.27
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[FR Doc. 03-15274 Filed 6-13-03; 8:45 am]
BILLING CODE 4150-05-P