[Federal Register Volume 74, Number 227 (Friday, November 27, 2009)]
[Notices]
[Pages 62315-62317]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-28438]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES


Federal Financial Participation in State Assistance Expenditures; 
Federal Matching Shares for Medicaid, the Children's Health Insurance 
Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 
1, 2010 through September 30, 2011

AGENCY: Office of the Secretary, DHHS.

ACTION: Notice.

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

SUMMARY: The Federal Medical Assistance Percentages (FMAP) and Enhanced 
Federal Medical Assistance Percentages (eFMAP) for Fiscal Year 2011 
have been calculated pursuant to the Social Security Act (the Act). 
These percentages will be effective from October 1, 2010 through 
September 30, 2011. This notice announces the calculated FMAP and eFMAP 
rates 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 Children's Health Insurance Program (CHIP) 
expenditures, Temporary Assistance for Needy Families (TANF) 
Contingency Funds, 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. 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 Act provides separately for Federal matching of 
administrative costs.
    Sections 1905(b) and 1101(a)(8)(B) of the Act require the Secretary 
of HHS to publish the FMAP rates each year. The Secretary calculates 
the percentages, using formulas in sections 1905(b) and 1101(a)(8)(B), 
and calculations by the Department of Commerce of average income per 
person in each State and for the Nation as a whole. The percentages 
must fall within the upper and lower limits given in section 1905(b) of 
the Act. The percentages for the District of

[[Page 62316]]

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.
    Section 1905(b) of the Act specifies the formula for calculating 
FMAPs 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 FMAP 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 FMAPs that other rates may apply 
in certain other programs. In addition, we note the rate that applies 
for Puerto Rico, the Virgin Islands, Guam, American Samoa, and the 
Commonwealth of the Northern Mariana Islands in certain other programs 
pursuant to section 1118 of the Act.
    Section 2105(b) of the Act specifies the formula for calculating 
the eFMAP rates 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 eFMAP rates are used in the 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 eFMAP rates. 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 four quarter-year periods beginning October 1, 2010 and 
ending September 30, 2011.

FOR FURTHER INFORMATION CONTACT: 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.

(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: Children's Health Insurance 
Program)

    Dated: November 20, 2009.
Kathleen Sebelius,
Secretary.

   Federal Medical Assistance Percentages and Enhanced Federal Medical
  Assistance Percentages, Effective October 1, 2010-September 30, 2011
                           [Fiscal year 2011]
------------------------------------------------------------------------
                                    Federal medical    Enhanced federal
              State                   assistance      medical assistance
                                      percentages         percentages
------------------------------------------------------------------------
Alabama.........................               68.54               77.98
Alaska..........................               50.00               65.00
American Samoa *................               50.00               65.00
Arizona.........................               65.85               76.10
Arkansas........................               71.37               79.96
California......................               50.00               65.00
Colorado........................               50.00               65.00
Connecticut.....................               50.00               65.00
Delaware........................               53.15               67.21
District of Columbia **.........               70.00               79.00
Florida.........................               55.45               68.82
Georgia.........................               65.33               75.73
Guam *..........................               50.00               65.00
Hawaii..........................               51.79               66.25
Idaho...........................               68.85               78.20
Illinois........................               50.20               65.14
Indiana.........................               66.52               76.56
Iowa............................               62.63               73.84
Kansas..........................               59.05               71.34
Kentucky........................               71.49               80.04
Louisiana.......................               63.61               74.53
Maine...........................               63.80               74.66
Maryland........................               50.00               65.00
Massachusetts...................               50.00               65.00
Michigan........................               65.79               76.05
Minnesota.......................               50.00               65.00
Mississippi.....................               74.73               82.31
Missouri........................               63.29               74.30
Montana.........................               66.81               76.77
Nebraska........................               58.44               70.91
Nevada..........................               51.61               66.13
New Hampshire...................               50.00               65.00
New Jersey......................               50.00               65.00

[[Page 62317]]

 
New Mexico......................               69.78               78.85
New York........................               50.00               65.00
North Carolina..................               64.71               75.30
North Dakota....................               60.35               72.25
Northern Mariana Islands *......               50.00               65.00
Ohio............................               63.69               74.58
Oklahoma........................               64.94               75.46
Oregon..........................               62.85               74.00
Pennsylvania....................               55.64               68.95
Puerto Rico *...................               50.00               65.00
Rhode Island....................               52.97               67.08
South Carolina..................               70.04               79.03
South Dakota....................               61.25               72.88
Tennessee.......................               65.85               76.10
Texas...........................               60.56               72.39
Utah............................               71.13               79.79
Vermont.........................               58.71               71.10
Virgin Islands *................               50.00               65.00
Virginia........................               50.00               65.00
Washington......................               50.00               65.00
West Virginia...................               73.24               81.27
Wisconsin.......................               60.16               72.11
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 75.00 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, the percentage
  for DC is 50.00 per centum, unless otherwise specified by law.

[FR Doc. E9-28438 Filed 11-25-09; 8:45 am]
BILLING CODE 4150-05-P