[Federal Register Volume 68, Number 232 (Wednesday, December 3, 2003)]
[Notices]
[Pages 67676-67678]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-30095]


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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, 2004 Through September 30, 2005

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 2005 have been 
calculated pursuant to the Social Security Act (the Act). These 
percentages will be effective from October 1, 2004 through September 
30, 2005. 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 of the Child Care and Development Fund, Foster Care Title IV-E 
Maintenance payments, and Adoption Assistance payments. 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; 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 operating 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 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 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 percentages 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 
percentage 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

[[Page 67677]]

2000 modified the formula to calculate the percentages to be applied to 
Alaska for purposes of titles XIX and XXI of the Act for fiscal years 
2001 through 2005. For Alaska only, the formula requires dividing the 
state's three-year average per capita income by 1.05 instead of 1.0. In 
addition, section 4725 of the Balanced Budget Act of 1997 amended 
section 1905(b) to provide that the Federal Medical Assistance 
Percentage for the District of Columbia for purposes of titles XIX and 
XXI shall be 70 percent. For both Alaska and the District of Columbia, 
we note under the table of Federal Medical Assistance Percentages the 
rates that apply in certain other programs calculated using the formula 
otherwise applicable, and the rates that apply in certain other 
programs pursuant to section 1118 of the Social Security Act.
    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 1905(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, 2004 and 
ending September 30, 2005.

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 of the Child Care and Development 
Fund; 93.658: Foster Care Title IV-E; 93.659: Adoption Assistance; 
93.769: Ticket-to-Work and Work Incentives Improvement Act (TWWIIA) 
Demonstrations to Maintain Independence and Employment; 93.778: 
Medical Assistance Program; 93.767: State Children's Health 
Insurance Program)


    Dated: November 26, 2003.
Tommy G. Thompson,
Secretary of Health and Human Services.

Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages, Effective October 1,
                                             2004-September 30, 2005
                                               [Fiscal year 2005]
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                                                                                                Enhanced Federal
                                                                               Federal medical       medical
                                    State                                        assistance        assistance
                                                                                 percentages       percentages
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Alabama.....................................................................             70.83             79.58
Alaska**....................................................................             57.58             70.31
American Samoa*.............................................................             50.00             65.00
Arizona.....................................................................             67.45             77.22
Arkansas....................................................................             74.75             82.33
California..................................................................             50.00             65.00
Colorado....................................................................             50.00             65.00
Connecticut.................................................................             50.00             65.00
Delaware....................................................................             50.38             65.27
District of Columbia**......................................................             70.00             79.00
Florida.....................................................................             58.90             71.23
Georgia.....................................................................             60.44             72.31
Guam*.......................................................................             50.00             65.00
Hawaii......................................................................             58.47             70.93
Idaho.......................................................................             70.62             79.43
Illinois....................................................................             50.00             65.00
Indiana.....................................................................             62.78             73.95
Iowa........................................................................             63.55             74.49
Kansas......................................................................             61.01             72.71
Kentucky....................................................................             69.60             78.72
Louisiana...................................................................             71.04             79.73
Maine.......................................................................             64.89             75.42
Maryland....................................................................             50.00             65.00
Massachusetts...............................................................             50.00             65.00
Michigan....................................................................             56.71             69.70
Minnesota...................................................................             50.00             65.00
Mississippi.................................................................             77.08             83.96
Missouri....................................................................             61.15             72.81
Montana.....................................................................             71.90             80.33
Nebraska....................................................................             59.64             71.75
Nevada......................................................................             55.90             69.13
New Hampshire...............................................................             50.00             65.00
New Jersey..................................................................             50.00             65.00
New Mexico..................................................................             74.30             82.01
New York....................................................................             50.00             65.00
North Carolina..............................................................             63.63             74.54
North Dakota................................................................             67.49             77.24

[[Page 67678]]

 
Northern Mariana Islands*...................................................             50.00             65.00
Ohio........................................................................             59.68             71.78
Oklahoma....................................................................             70.18             79.13
Oregon......................................................................             61.12             72.78
Pennsylvania................................................................             53.84             67.69
Puerto Rico*................................................................             50.00             65.00
Rhode Island................................................................             55.38             68.77
South Carolina..............................................................             69.89             78.92
South Dakota................................................................             66.03             76.22
Tennessee...................................................................             64.81             75.37
Texas.......................................................................             60.87             72.61
Utah........................................................................             72.14             80.50
Vermont.....................................................................             60.11             72.08
Virgin Islands*.............................................................             50.00             65.00
Virginia....................................................................             50.00             65.00
Washington..................................................................             50.00             65.00
West Virginia...............................................................             74.65             82.26
Wisconsin...................................................................             58.32             70.82
Wyoming.....................................................................             57.90            70.53
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* 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 Alaska is 53.23 and for D.C is 50.00.

[FR Doc. 03-30095 Filed 11-28-03; 12:19 pm]
BILLING CODE 4120-03-P