[Federal Register Volume 73, Number 229 (Wednesday, November 26, 2008)]
[Notices]
[Pages 72051-72053]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-28233]


=======================================================================
-----------------------------------------------------------------------

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, 2009 Through September 30, 2010

AGENCY: Office of the Secretary, DHHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Federal Medical Assistance Percentages and Enhanced 
Federal Medical Assistance Percentages for Fiscal Year 2010 have been 
calculated pursuant to the Social Security Act (the Act). These 
percentages will be effective from October 1, 2009 through September 
30, 2010. This notice announces the calculated ``Federal Medical 
Assistance Percentages'' and ``Enhanced Federal Medical Assistance 
Percentages'' that The U.S. Department of Health and Human Services 
(HHS) 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, HHS to publish the Federal Medical Assistance Percentages 
each year. The Secretary is to calculate the percentages, using 
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 
for 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. * * *

    Section 4725(b) 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 the District of Columbia, we note under the table of 
Federal Medical Assistance Percentages the rate that applies in certain 
other programs calculated using the formula otherwise applicable, and 
the rate that applies 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.

DATES: Effective Dates: The percentages listed will be effective for 
each of the 4 quarter-year periods in the period beginning October 1, 
2009 and ending September 30, 2010.

FOR FURTHER INFORMATION CONTACT: Thomas Musco or Carrie Shelton, Office 
of Health Policy, Office of the Assistant Secretary for Planning and 
Evaluation, Room 447D--Hubert H. Humphrey Building, 200 Independence 
Avenue, SW., Washington, DC 20201 (202) 690-6870.


[[Page 72052]]


(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: October 30, 2008.
Michael O. Leavitt,
Secretary of Health and Human Services.

   Federal Medical Assistance Percentages and Enhanced Federal Medical
  Assistance Percentages, Effective October 1, 2009-September 30, 2010
                           [Fiscal year 2010]
------------------------------------------------------------------------
                                                        Enhanced federal
                                     Federal medical        medical
               State                    assistance         assistance
                                       percentages        percentages
------------------------------------------------------------------------
Alabama...........................              68.01              77.61
Alaska............................              51.43              66.00
American Samoa\*\.................              50.00              65.00
Arizona...........................              65.75              76.03
Arkansas..........................              72.78              80.95
California........................              50.00              65.00
Colorado..........................              50.00              65.00
Connecticut.......................              50.00              65.00
Delaware..........................              50.21              65.15
District of Columbia\**\..........              70.00              79.00
Florida...........................              54.98              68.49
Georgia...........................              65.10              75.57
Guam\*\...........................              50.00              65.00
Hawaii............................              54.24              67.97
Idaho.............................              69.40              78.58
Illinois..........................              50.17              65.12
Indiana...........................              65.93              76.15
Iowa..............................              63.51              74.46
Kansas............................              60.38              72.27
Kentucky..........................              70.96              79.67
Louisiana.........................              67.61              77.33
Maine.............................              64.99              75.49
Maryland..........................              50.00              65.00
Massachusetts.....................              50.00              65.00
Michigan..........................              63.19              74.23
Minnesota.........................              50.00              65.00
Mississippi.......................              75.67              82.97
Missouri..........................              64.51              75.16
Montana...........................              67.42              77.19
Nebraska..........................              60.56              72.39
Nevada............................              50.16              65.11
New Hampshire.....................              50.00              65.00
New Jersey........................              50.00              65.00
New Mexico........................              71.35              79.95
New York..........................              50.00              65.00
North Carolina....................              65.13              75.59
North Dakota......................              63.01              74.11
Northern Mariana Islands\*\.......              50.00              65.00
Ohio..............................              63.42              74.39
Oklahoma..........................              64.43              75.10
Oregon............................              62.74              73.92
Pennsylvania......................              54.81              68.37
Puerto Rico\*\....................              50.00              65.00
Rhode Island......................              52.63              66.84
South Carolina....................              70.32              79.22
South Dakota......................              62.72              73.90
Tennessee.........................              65.57              75.90
Texas.............................              58.73              71.11
Utah..............................              71.68              80.18
Vermont...........................              58.73              71.11
Virgin Islands\*\.................              50.00              65.00
Virginia..........................              50.00              65.00
Washington........................              50.12              65.08
West Virginia.....................              74.04              81.83
Wisconsin.........................              60.21              72.15
Wyoming...........................              50.00             65.00
------------------------------------------------------------------------
\*\ 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 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.


[[Page 72053]]

 [FR Doc. E8-28233 Filed 11-25-08; 8:45 am]
BILLING CODE 4150-28-P