[Federal Register Volume 76, Number 230 (Wednesday, November 30, 2011)]
[Notices]
[Pages 74061-74063]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-30860]


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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, 2012 Through September 30, 2013

AGENCY: Office of the Secretary, DHHS.

ACTION: Notice.

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SUMMARY: The Federal Medical Assistance Percentages (FMAP), Enhanced 
Federal Medical Assistance Percentages (eFMAP), and disaster-recovery 
FMAP adjustments for Fiscal Year 2013 have been calculated pursuant to 
the Social Security Act (the Act). These percentages will be effective 
from October 1, 2012 through September 30, 2013. 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. Table 1 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. This notice also announces the disaster-recovery FMAP 
adjustments for qualifying states for FY 2013 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 title 
IV-E Foster Care, Adoption Assistance and Guardianship Assistance 
programs.
    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 assistance and child 
health assistance, 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 Social Security Act (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), 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 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 55 percent* * *''.

    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

[[Page 74062]]

under Table 1 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.
    Section 2006 of the Patient Protection and Affordable Care Act of 
2010 (``Affordable Care Act'') amended section 1905 of the Social 
Security Act by adding section (aa) to provide for an increase in the 
FMAP rate for qualifying States for Medicaid and title IV-E Foster 
Care, Adoption Assistance and Guardianship Assistance programs. The 
purpose of the increase to the FMAP rate is to provide increased 
Federal financial participation for qualifying States that have 
experienced a major, statewide disaster. The methodology for 
calculating and publishing disaster-recovery adjustments to fiscal year 
FMAP rates was published on December 22, 2010 (75 FR 80501).
    Section 2006 defines a ``disaster-recovery FMAP adjustment state'' 
as one of the 50 states or District of Columbia for which, at any time 
during the preceding 7 fiscal years, the President has declared a major 
disaster under section 401 of the Robert T. Stafford Disaster Relief 
and Emergency Assistance Act under which every county or parish in the 
state is eligible for individual and public assistance or public 
assistance from the federal government, and for which the FMAP as 
determined for the fiscal year is less than the FMAP (for the first 
year of assistance) or the disaster-adjusted recovery FMAP (for each 
subsequent year of assistance) for the preceding fiscal year by at 
least three percentage points.
    Qualifying States receive an adjustment to their annual FMAP rate 
based on a formula specified in statute. In the first year a State 
qualifies, this increase is applied to the FMAP as determined for the 
fiscal year. In the second or any succeeding fiscal year a State 
qualifies, the adjustment is applied to the prior year's disaster-
adjusted recovery FMAP. This results in increased, rather than phased 
down, financial assistance to qualifying States each year, and allows 
States to continue to qualify for assistance after their underlying 
FMAP has stabilized. The resulting assistance will be higher than 
initially projected.
    Based on the criteria for a qualifying state, only two States meet 
the requirement that the FMAP as determined for FY 2013 is less than 
the previous year FMAP by at least three percentage points. Of the two 
States, only one, Louisiana, has had a Presidential disaster 
declaration that applies to all counties and parishes within the state 
in the preceding 7 fiscal years. Hurricane Gustav was declared a state-
wide disaster in Louisiana on September 2, 2008. Therefore, Louisiana 
is the only state that qualifies for a disaster-recovery adjustment to 
their FY2013 FMAP rate. The disaster-recovery adjusted FMAP rate for 
Louisiana for FY2013 is provided in Table 2.

DATES: Effective Dates: The percentages listed will be effective for 
each of the four quarter-year periods beginning October 1, 2012 and 
ending September 30, 2013.

FOR FURTHER INFORMATION CONTACT: Carrie Shelton or Tom Musco, 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 23, 2011.
Kathleen Sebelius,
Secretary.

  Table 1--Federal Medical Assistance Percentages and Enhanced Federal
 Medical Assistance Percentages, Effective October 1, 2012-September 30,
                         2013 (Fiscal Year 2013)
------------------------------------------------------------------------
                                 Federal medical      Enhanced federal
            State                  assistance        medical assistance
                                   percentages           percentages
------------------------------------------------------------------------
Alabama.....................                 68.53                 77.97
Alaska......................                 50.00                 65.00
American Samoa*.............                 55.00                 68.50
Arizona.....................                 65.68                 75.98
Arkansas....................                 70.17                 79.12
California..................                 50.00                 65.00
Colorado....................                 50.00                 65.00
Connecticut.................                 50.00                 65.00
Delaware....................                 55.67                 68.97
District of Columbia**......                 70.00                 79.00
Florida.....................                 58.08                 70.66
Georgia.....................                 65.56                 75.89
Guam*.......................                 55.00                 68.50
Hawaii......................                 51.86                 66.30
Idaho.......................                 71.00                 79.70
Illinois....................                 50.00                 65.00
Indiana.....................                 67.16                 77.01
Iowa........................                 59.59                 71.71

[[Page 74063]]

 
Kansas......................                 56.51                 69.56
Kentucky....................                 70.55                 79.39
Louisiana...................                 61.24                 72.87
Maine.......................                 62.57                 73.80
Maryland....................                 50.00                 65.00
Massachusetts...............                 50.00                 65.00
Michigan....................                 66.39                 76.47
Minnesota...................                 50.00                 65.00
Mississippi.................                 73.43                 81.40
Missouri....................                 61.37                 72.96
Montana.....................                 66.00                 76.20
Nebraska....................                 55.76                 69.03
Nevada......................                 59.74                 71.82
New Hampshire...............                 50.00                 65.00
New Jersey..................                 50.00                 65.00
New Mexico..................                 69.07                 78.35
New York....................                 50.00                 65.00
North Carolina..............                 65.51                 75.86
North Dakota................                 52.27                 66.59
Northern Mariana Islands*...                 55.00                 68.50
Ohio........................                 63.58                 74.51
Oklahoma....................                 64.00                 74.80
Oregon......................                 62.44                 73.71
Pennsylvania................                 54.28                 68.00
Puerto Rico*................                 55.00                 68.50
Rhode Island................                 51.26                 65.88
South Carolina..............                 70.43                 79.30
South Dakota................                 56.19                 69.33
Tennessee...................                 66.13                 76.29
Texas.......................                 59.30                 71.51
Utah........................                 69.61                 78.73
Vermont.....................                 56.04                 69.23
Virgin Islands*.............                 55.00                 68.50
Virginia....................                 50.00                 65.00
Washington..................                 50.00                 65.00
West Virginia...............                 72.04                 80.43
Wisconsin...................                 59.74                 71.82
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, the percentage
  for DC is 50.00, unless otherwise specified by law.


                                             Table 2--Fiscal Year 2013 Disaster-Recovery Adjusted FMAP Rates
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                          A                                    B                   C                   D                   E                   F
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                        State                              FY13 FMAP        FY12 Disaster-    Difference in FMAP  Disaster- recovery    FY13 Disaster-
-------------------------------------------------------------------------  recovery adjusted --------------------     adjustment       recovery adjusted
                                                                                 FMAP                                  increase              FMAP
                                                                         --------------------       Col C-B      ---------------------------------------
                                                                                                                      25% x Col D          Col C + E
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Louisiana...........................................              61.24               69.78                8.54                2.14               71.92
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[FR Doc. 2011-30860 Filed 11-29-11; 8:45 am]
BILLING CODE 4150-05-P