[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)
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Federal medical Enhanced federal
State assistance medical assistance
percentages percentages
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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
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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 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