[Federal Register Volume 78, Number 144 (Friday, July 26, 2013)]
[Notices]
[Pages 45213-45216]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-17962]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-2387-N]
RIN 0938-AR78


Medicaid Program; State Allotments for Payment of Medicare Part B 
Premiums for Qualifying Individuals (QIs): Federal Fiscal Years 2012 
and 2013

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Notice.

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SUMMARY: This notice sets forth the States' final allotments available 
to pay the Medicare Part B premiums for Qualifying Individuals (QIs) 
for the Federal fiscal year (FY) 2012 and the preliminary QI allotments 
for FY 2013. The amounts of these QI allotments were determined in 
accordance with the methodology set forth in regulations and reflect 
funding for the QI program made available under recent legislation.

DATES: The final QI allotments for payment of Medicare Part B premiums 
for FY 2012 are effective October 1, 2011. The preliminary QI 
allotments for FY 2013 are effective October 1, 2012.

FOR FURTHER INFORMATION CONTACT: Richard Strauss, (410) 786-2019.

SUPPLEMENTARY INFORMATION:

I. Background

A. QI Allotments for FY 2012

    Section 110 of the Medicare and Medicaid Extenders Act of 2010 
(Pub. L. 111-309, enacted on December 15, 2010) (MMEA) extended the 
authority and funding for the QI program for the first quarter of FY 
2012 (that is, through December 31, 2011) by providing $280 million 
available for the first quarter of FY 2012. Section 310 of the 
Temporary Payroll Tax Cut Continuation Act of 2011 (Pub. L. 112-78, 
enacted on December 23, 2011) (TPTCA) provided temporary continued 
authority and an additional $150 million in funding for the QI program 
for the period January 1, 2012 through February 29, 2012. With the 
enactment of TPTCA, the QI program was authorized and funded at a total 
amount nationally of $430 million ($280 million plus $150 million) for 
FY 2012 through February 29, 2012. Section 3101 of the Middle Class Tax 
Relief and Job Creation Act of 2012 (Pub. L. 112-96, enacted on 
February 22, 2012) (MCTRJCA) extended the authority and funding for the 
QI program for FY 2012; in particular, authority for the QI program was 
extended for all of FY 2012 and funding for the program for the period 
January 1, 2012 through September 30, 2012 was increased to $450 
million. Therefore, the total funding available for the QI program for 
FY 2012 is $730 million ($280 million plus $450 million).

B. QI Allotments for FY 2013 and Thereafter

    Section 3101 of the MCTRJCA extended the authority and funding for 
the QI program by providing $280 million, available for the period 
October 1, 2012 through December 31, 2012, the first quarter of FY 
2013. Most recently, section 621 of the American Taxpayer Relief Act of 
2012 (Pub. L. 112-240, enacted on January 2, 2013) (ATRA), extended the 
authority for the QI program for all of FY 2013 and provided $485 
million in additional funding for the program for the period January 1, 
2013 through September 30, 2013. Therefore the total funding available 
for the QI program for FY 2013 is $765 million ($280 million plus $485 
million).
    Finally, section 621 of ATRA further extended the authority and 
funding for the QI program by providing $300 million, available for the 
period October 1, 2013 through December 31, 2013, the first quarter of 
FY 2014.

C. Methodology for Calculating the Fiscal Year QI Allotments.

    The amounts of the states' final FY 2012 and preliminary FY 2013 QI 
allotments, contained in this notice, were determined in accordance 
with the methodology set forth in existing regulations at 42 CFR 
433.10(c)(5) and reflect funding for the QI program made available 
under the legislation discussed above.

II. Charts

    The final QI allotments for FY 2012 and the preliminary QI 
allotments for FY 2013 are shown by state in Chart 1 and Chart 2 below, 
respectively:
    Chart 1--Final Qualifying Individuals Allotments for October 1, 
2011 through September 30, 2012.
    Chart 2--Preliminary Qualifying Individuals Allotments for October 
1, 2012 through September 30, 2013.

[[Page 45214]]



                                                                     Table 1--Final Qualifying Individuals Allotments for October 1, 2011 Through September 30, 2012
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                         Initial QI allotments for FY 2012
                                 ------------------------------------------------
                                                                    Initial QI        FY 2012                          Pct of Tot. need   Reduction pool for   Pct of Tot. non-   Reduction adj. for   Increase adj. for
              State                  Number of     Percentage of   allotment Col   estimated QI    Need (difference)   states F/(Tot. of  non-need states If    need states H/      non-need states    need states  Col.   Final FY 2012
                                   individuals/3   total Col B/         C x       expenditures/1      If E>D, E-D             F)              D >= E, D-E         (Tot. of H)          Col. I x        G x  $82,487,822   QI allotment/2
                                      (000s)        Tot. Col B   ----------------                                                                                                     $82,487,822
                                                                   $730,000,000
A                                              B               C               D               E  F.................  G.................  H.................  I.................  J.................  K.................               L
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Alabama.........................              43            3.22     $23,513,109     $21,324,574  NA................  NA................  $2,188,535........  1.2003............  $990,139..........  NA................     $22,522,970
Alaska..........................               2            0.15       1,093,633         283,429  NA................  NA................  810,204...........  0.4444............  366,553...........  NA................         727,080
Arizona.........................              14            1.05       7,655,431      16,592,682  8,937,252.........  10.8346...........  Need..............  Need..............  Need..............  8,937,252.........      16,592,682
Arkansas........................              21            1.57      11,483,146      12,996,962  1,513,816.........  1.8352............  Need..............  Need..............  Need..............  1,513,816.........      12,996,962
California......................              89            6.67      48,666,667      27,247,615  NA................  NA................  21,419,052........  11.7477...........  9,690,422.........  NA................      38,976,244
Colorado........................              16            1.20       8,749,064       5,418,415  NA................  NA................  3,330,649.........  1.8268............  1,506,854.........  NA................       7,242,209
Connecticut.....................              15            1.12       8,202,247       2,292,128  NA................  NA................  5,910,119.........  3.2415............  2,673,860.........  NA................       5,528,387
Delaware........................               4            0.30       2,187,266       3,030,541  843,275...........  1.0223............  Need..............  Need..............  Need..............  843,275...........       3,030,541
District of Columbia............               2            0.15       1,093,633               0  NA................  NA................  1,093,633.........  0.5998............  494,782...........  NA................         598,851
Florida.........................              83            6.22      45,385,768      66,783,222  21,397,454........  25.9401...........  Need..............  Need..............  Need..............  21,397,454........      66,783,222
Georgia.........................              35            2.62      19,138,577      35,076,093  15,937,516........  19.3211...........  Need..............  Need..............  Need..............  15,937,516........      35,076,093
Hawaii..........................               5            0.37       2,734,082       1,308,325  NA................  NA................  1,425,758.........  0.7820............  645,042...........  NA................       2,089,040
Idaho...........................               6            0.45       3,280,899       2,501,976  NA................  NA................  778,923...........  0.4272............  352,401...........  NA................      $2,928,498
Illinois........................              64            4.79      34,996,255      23,748,898  NA................  NA................  11,247,356........  6.1688............  5,088,537.........  NA................      29,907,718
Indiana.........................              39            2.92      21,325,843       6,522,130  NA................  NA................  14,803,712........  8.1194............  6,697,506.........  NA................      14,628,336
Iowa............................              16            1.20       8,749,064       4,338,994  NA................  NA................  4,410,070.........  2.4188............  1,995,207.........  NA................       6,753,857
Kansas..........................              19            1.42      10,389,513       4,613,481  NA................  NA................  5,776,032.........  3.1680............  2,613,196.........  NA................       7,776,317
Kentucky........................              32            2.40      17,498,127      15,249,091  NA................  NA................  2,249,037.........  1.2335............  1,017,511.........  NA................      16,480,617
Louisiana.......................              28           2.10%      15,310,861      19,883,851  4,572,989.........  5.5438............  Need..............  Need..............  Need..............  4,572,989.........      19,883,851
Maine...........................               6            0.45       3,280,899       5,308,878  2,027,979.........  2.4585............  Need..............  Need..............  Need..............  2,027,979.........       5,308,878
Maryland........................              19            1.42      10,389,513       7,562,402  NA................  NA................  2,827,111.........  1.5506............  1,279,044.........  NA................       9,110,470
Massachusetts...................              34            2.55      18,591,760      10,276,939  NA................  NA................  8,314,821.........  4.5604%...........  3,761,797.........  NA................      14,829,963
Michigan........................              39            2.92      21,325,843      16,321,547  NA................  NA................  5,004,296.........  2.7447............  2,264,047.........  NA................      19,061,796
Minnesota.......................              21            1.57      11,483,146       5,943,209  NA................  NA................  5,539,937.........  3.0385............  2,506,382.........  NA................       8,976,764
Mississippi.....................              19            1.42      10,389,513      14,400,900  4,011,386.........  4.8630............  Need..............  Need..............  Need..............  4,011,386.........      14,400,900
Missouri........................              35            2.62      19,138,577       4,570,341  NA................  NA................  14,568,235........  7.9902............  6,590,971.........  NA................      12,547,606
Montana.........................               7            0.52       3,827,715       1,425,081  NA................  NA................  2,402,634.........  1.3178............  1,087,001.........  NA................       2,740,714
Nebraska........................               7            0.52       3,827,715       2,313,332  NA................  NA................  1,514,383.........  0.8306............  685,138...........  NA................       3,142,577
Nevada..........................               9            0.67       4,921,348       4,662,209  NA................  NA................  259,140...........  0.1421............  117,240...........  NA................       4,804,108
New Hampshire...................               5            0.37       2,734,082       2,212,296  NA................  NA................  521,787...........  0.2862............  236,067...........  NA................       2,498,015
New Jersey......................              29            2.17      15,857,678       9,166,126  NA................  NA................  6,691,552.........  3.6701............  3,027,397.........  NA................      12,830,281
New Mexico......................              10            0.75       5,468,165       4,058,656  NA................  NA................  1,409,509.........  0.7731............  637,691...........  NA................       4,830,474
New York........................              78            5.84      42,651,685      44,692,419  2,040,734.........  2.4740............  Need..............  Need..............  Need..............  2,040,734.........      44,692,419
North Carolina..................              47            3.52      25,700,375      28,365,556  2,665,181.........  3.2310............  Need..............  Need..............  Need..............  2,665,181.........      28,365,556
North Dakota....................               3            0.22       1,640,449         629,590  NA................  NA................  1,010,859.........  0.5544............  457,334...........  NA................       1,183,116
Ohio............................              58            4.34      31,715,356      24,831,767  NA................  NA................  6,883,589.........  3.7754............  3,114,278.........  NA................      28,601,078
Oklahoma........................              17            1.27       9,295,880      10,241,906  946,026...........  1.1469............  Need..............  Need..............  Need..............  946,026...........      10,241,906
Oregon..........................              17            1.27       9,295,880      13,072,852  3,776,972.........  4.5788............  Need..............  Need..............  Need..............  3,776,972.........      13,072,852
Pennsylvania....................              66            4.94      36,089,888      32,079,327  NA................  NA................  4,010,560.........  2.1997............  1,814,460.........  NA................      34,275,427
Rhode Island....................               5            0.37       2,734,082       2,388,025  NA................  NA................  346,058...........  0.1898............  156,564...........  NA................       2,577,519
South Carolina..................              26            1.95      14,217,228      13,359,233  NA................  NA................  857,995...........  0.4706............  388,175...........  NA................      13,829,054
South Dakota....................               4            0.30       2,187,266       1,915,993  NA................  NA................  271,273...........  0.1488............  122,729...........  NA................       2,064,536
Tennessee.......................              32            2.40      17,498,127      29,077,199  11,579,072........  14.0373...........  Need..............  Need..............  Need..............  11,579,072........      29,077,199
Texas...........................             105            7.87      57,415,730      34,868,400  NA................  NA................  22,547,330........  12.3665...........  10,200,879........  NA................      47,214,851
Utah............................               5            0.37       2,734,082       2,429,445  NA................  NA................  304,638...........  0.1671............  137,824...........  NA................       2,596,258
Vermont.........................               2            0.15       1,093,633       3,331,803  2,238,170.........  2.7133............  Need..............  Need..............  Need..............  2,238,170.........       3,331,803
Virginia........................              25            1.87      13,670,412      13,050,355  NA................  NA................  620,057...........  0.3401............  280,526...........  NA................      13,389,886
Washington......................              26            1.95      14,217,228       6,502,266  NA................  NA................  7,714,963.........  4.2314............  3,490,409.........  NA................      10,726,820
West Virginia...................              16            1.20       8,749,064       6,165,223  NA................  NA................  2,583,841.........  1.4172............  1,168,983.........  NA................       7,580,080
Wisconsin.......................              27            2.02      14,764,045       4,954,841  NA................  NA................  9,809,204.........  5.3801............  4,437,887.........  NA................      10,326,158
Wyoming.........................               3            0.22       1,640,449         771,814  NA................  NA................  868,636...........  0.4764............  392,989...........  NA................       1,247,461
    Total.......................           1,335          100.00     730,000,000     630,162,333  82,487,822........  100.0000..........  182,325,489.......  100.0000..........  82,487,822........  82,487,822........     730,000,000
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Footnotes:
/1 FY 2012 Estimates from July 2012 CMS Survey of States; Estimates Are For Months October 2011 Through September 2012.
/2 For Need States, Final FY 2012 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K.
For Non-Need States, Final FY 2012 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J.
/3 Three-year average (2008-2010) of number (000) of Medicare beneficiaries in State who are not enrolled in Medicaid but whose incomes are at least 120% but less than 135% of federal poverty level.
Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2011 Current Population Survey (CPS).


[[Page 45215]]


                                                                  Table 2--Preliminary Qualifying Individuals Allotments for October 1, 2012 Through September 30, 2013
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                         Initial QI allotments for FY 2013
                                 ------------------------------------------------
                                                                    Initial QI        FY 2013                          Pct of Tot. need   Reduction pool for   Pct of Tot. non-   Reduction adj. for   Increase adj. for  Preliminary FY
              State                  Number of     Percentage of   allotment Col   estimated QI    Need (difference)   states F/(Tot. of  non-need states If    need states H/      non-need states   need states Col. G      2013 QI
                                   individuals/3   total Col B/         C x       expenditures/1      If E>D, E-D             F)             D > = E, D-E         (Tot. of H)          Col. I x         x  $103,554,487     allotment/2
                                      (000s)        Tot. Col B   ----------------                                                                                                    $103,554,487
                                                                   $765,000,000
A                                              B               C               D               E  F.................  G.................  H.................  I.................  J.................  K.................               L
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Alabama.........................              38            2.64     $20,159,501     $24,188,697  $4,029,197........  3.8909............  Need..............  Need..............  Need..............  $4,029,197........     $24,188,697
Alaska..........................               2            0.14       1,061,026         378,052  NA................  NA................  682,974...........  0.4239............  438,933...........  NA................         622,093
Arizona.........................              21            1.46      11,140,777      20,302,279  9,161,503.........  8.8470............  Need..............  Need..............  Need..............  9,161,503.........      20,302,279
Arkansas........................              27            1.87      14,323,856      14,968,578  644,722...........  0.6226............  Need..............  Need..............  Need..............  644,722...........      14,968,578
California......................             107            7.42      56,764,910      30,667,238  NA................  NA................  26,097,672........  16.1967...........  16,772,428........  NA................      39,992,482
Colorado........................              16            1.11       8,488,211       6,261,250  NA................  NA................  2,226,960.........  1.3821............  1,431,221.........  NA................       7,056,990
Connecticut.....................              15            1.04       7,957,698       4,295,522  NA................  NA................  3,662,176.........  2.2728............  2,353,604.........  NA................       5,604,094
Delaware........................               4            0.28       2,122,053       3,516,899  1,394,847.........  1.3470............  Need..............  Need..............  Need..............  1,394,847.........       3,516,899
District of Columbia............               2            0.14       1,061,026               0  NA................  NA................  1,061,026.........  0.6585............  681,899...........  NA................         379,127
Florida.........................              96            6.66      50,929,265      75,922,288  24,993,023........  24.1351...........  Need..............  Need..............  Need..............  24,993,023........      75,922,288
Georgia.........................              45            3.12      23,873,093      37,187,452  13,314,359........  12.8573...........  Need..............  Need..............  Need..............  13,314,359........      37,187,452
Hawaii..........................               6            0.42       3,183,079       1,502,678  NA................  NA................  1,680,401.........  1.0429............  1,079,959.........  NA................       2,103,120
Idaho...........................               7            0.49       3,713,592       2,746,709  NA................  NA................  966,883...........  0.6001............  621,396...........  NA................       3,092,197
Illinois........................              68            4.72      36,074,896      28,872,870  NA................  NA................  7,202,026.........  4.4697............  4,628,592.........  NA................      31,446,304
Indiana.........................              43            2.98      22,812,067       6,951,308  NA................  NA................  15,860,759........  9.8435............  10,193,378........  NA................      12,618,688
Iowa............................              16            1.11       8,488,211       4,940,141  NA................  NA................  3,548,070.........  2.2020............  2,280,271.........  NA................       6,207,940
Kansas..........................              18            1.25       9,549,237       5,443,274  NA................  NA................  4,105,963.........  2.5482............  2,638,817.........  NA................       6,910,420
Kentucky........................              34            2.36      18,037,448      18,127,195  89,747............  0.0867............  Need..............  Need..............  Need..............  89,747............      18,127,195
Louisiana.......................              29            2.01      15,384,882      22,144,578  6,759,696.........  6.5277............  Need..............  Need..............  Need..............  6,759,696.........      22,144,578
Maine...........................               7            0.49       3,713,592       7,045,460  3,331,867.........  3.2175............  Need..............  Need..............  Need..............  3,331,867.........       7,045,460
Maryland........................              24            1.66      12,732,316       8,602,875  NA................  NA................  4,129,441.........  2.5628............  2,653,906.........  NA................      10,078,411
Massachusetts...................              28            1.94      14,854,369      10,893,600  NA................  NA................  3,960,769.........  2.4581............  2,545,503.........  NA................      12,308,866
Michigan........................              38            2.64      20,159,501      20,967,835  808,334...........  0.7806............  Need..............  Need..............  Need..............  808,334...........      20,967,835
Minnesota.......................              22            1.53      11,671,290       6,559,682  NA................  NA................  5,111,608.........  3.1724............  3,285,124.........  NA................       8,386,166
Mississippi.....................              18            1.25       9,549,237      16,529,838  6,980,601.........  6.7410............  Need..............  Need..............  Need..............  6,980,601.........      16,529,838
Missouri........................              39            2.70      20,690,014       4,700,909  NA................  NA................  15,989,105........  9.9231............  10,275,864........  NA................      10,414,150
Montana.........................               6            0.42       3,183,079       1,512,121  NA................  NA................  1,670,958.........  1.0370............  1,073,890.........  NA................       2,109,189
Nebraska........................               6            0.42       3,183,079       2,506,770  NA................  NA................  676,309...........  0.4197............  434,650...........  NA................       2,748,429
Nevada..........................              10            0.69       5,305,132       5,177,080  NA................  NA................  128,052...........  0.0795............  82,296............  NA................       5,222,836
New Hampshire...................               6            0.42       3,183,079       2,861,766  NA................  NA................  321,313...........  0.1994............  206,501...........  NA................       2,976,578
New Jersey......................              40            2.77      21,220,527       9,901,642  NA................  NA................  11,318,885........  7.0247............  7,274,411.........  NA................      13,946,116
New Mexico......................               9            0.62       4,774,619       4,787,611  12,993............  0.0125............  Need..............  Need..............  Need..............  12,993............       4,787,611
New York........................              85            5.89      45,093,620      50,481,630  5,388,010.........  5.2031............  Need..............  Need..............  Need..............  5,388,010.........      50,481,630
North Carolina..................              38            2.64      20,159,501      28,897,791  8,738,290.........  8.4383............  Need..............  Need..............  Need..............  8,738,290.........      28,897,791
North Dakota....................               3            0.21       1,591,540         692,912  NA................  NA................  898,628...........  0.5577............  577,529...........  NA................       1,014,010
Ohio............................              54            3.74      28,647,712      28,435,844  NA................  NA................  211,867...........  0.1315............  136,163...........  NA................      28,511,549
Oklahoma........................              27            1.87      14,323,856      11,348,409  NA................  NA................  2,975,446.........  1.8466%...........  1,912,257.........  NA................      12,411,598
Oregon..........................              17            1.18       9,018,724      16,832,070  7,813,346.........  7.5452............  Need..............  Need..............  Need..............  7,813,346.........      16,832,070
Pennsylvania....................              78            5.41      41,380,028      34,628,979  NA................  NA................  6,751,049.........  4.1898............  4,338,758.........  NA................      37,041,270
Rhode Island....................               6            0.42       3,183,079       2,625,070  NA................  NA................  558,009...........  0.3463............  358,621...........  NA................       2,824,458
South Carolina..................              33            2.29      17,506,935      13,456,800  NA................  NA................  4,050,135.........  2.5136............  2,602,937.........  NA................      14,903,998
South Dakota....................               4            0.28       2,122,053       2,344,945  222,892...........  0.2152............  Need..............  Need..............  Need..............  222,892...........       2,344,945
Tennessee.......................              48            3.33      25,464,632      30,163,578  4,698,945.........  4.5377............  Need..............  Need..............  Need..............  4,698,945.........      30,163,578
Texas...........................             106            7.35      56,234,397      35,884,800  NA................  NA................  20,349,597........  12.6294...........  13,078,261........  NA................      43,156,136
Utah............................               6            0.42       3,183,079       2,680,802  NA................  NA................  502,277...........  0.3117............  322,803...........  NA................       2,860,276
Vermont.........................               2            0.14       1,061,026       4,047,877  2,986,851.........  2.8843............  Need..............  Need..............  Need..............  2,986,851.........       4,047,877
Virginia........................              23            1.60      12,201,803      14,387,068  2,185,265.........  2.1103............  Need..............  Need..............  Need..............  2,185,265.........      14,387,068
Washington......................              23            1.60      12,201,803       7,274,362  NA................  NA................  4,927,441.........  3.0581............  3,166,764.........  NA................       9,035,039
West Virginia...................              17            1.18       9,018,724       6,550,585  NA................  NA................  2,468,139.........  1.5318............  1,586,221.........  NA................       7,432,503
Wisconsin.......................              22            1.53      11,671,290       5,416,651  NA................  NA................  6,254,639.........  3.8817............  4,019,726.........  NA................       7,651,564
Wyoming.........................               3            0.21       1,591,540         810,736  NA................  NA................  780,803...........  0.4846............  501,806...........  NA................       1,089,734
    Total.......................           1,442          100.00     765,000,000     707,425,105  103,554,487.......  100.0000..........  161,129,382.......  100.0000..........  103,554,487.......  103,554,487.......     765,000,000
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Footnotes:
/1 FY 2013 Estimates from July 2012 CMS Survey of States; Estimates Are For Months October 2012 Through September 2013.
/2 For Need States, Preliminary FY 2013 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K.
For Non-Need States, Preliminary FY 2013 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J.
/3 Three-year average (2009-2011) of number (000) of Medicare beneficiaries in State who are not enrolled in Medicaid but whose incomes are at least 120% but less than 135% of federal poverty level.
Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2012 Current Population Survey (CPS).


[[Page 45216]]

    The following describes the information contained in the columns of 
Chart 1 and Chart 2:
    Column A--State. Column A shows the name of each state. Columns B 
through D show the determination of an Initial QI Allotment for FY 2012 
(Chart 1) or FY 2013 (Chart 2) for each state, based only on the 
indicated Census Bureau data.
    Column B--Number of Individuals. Column B contains the estimated 
average number of Medicare beneficiaries for each state that are not 
covered by Medicaid whose family income is at least 120 but less than 
135 percent of the federal poverty level. With respect to the final FY 
2012 QI allotment (Chart 1), Column B contains the number of such 
individuals for the years 2008 through 2010, as obtained from the 
Census Bureau's Annual Social and Economic Supplement to the 2011 
Current Population Survey. With respect to the preliminary FY 2013 QI 
allotment (Chart 2), Column B contains the number of such individuals 
for the years 2009 through 2012, as obtained from the Census Bureau's 
Annual Social and Economic Supplement to the Current Population Survey.
    Column C--Percentage of Total. Column C provides the percentage of 
the total number of individuals for each state, that is, the Number of 
Individuals for the state in Column B divided by the sum total of the 
Number of Individuals for all States in Column B.
    Column D--Initial QI Allotment. Column D contains each state's 
Initial QI Allotment for FY 2012 (Chart 1) or FY 2013 (Chart 2), 
calculated as the state's Percentage of Total in Column C multiplied by 
the total amount available nationally for QI allotments for the fiscal 
year. The total amount available nationally for QI allotments each 
fiscal year is $730,000,000 for FY 2012 (Chart 1) and $765,000,000 for 
FY 2013 (Chart 2).
    Columns E through L show the determination of the States' Final QI 
Allotments for FY 2012 (Chart 1) or Preliminary QI Allotments for FY 
2013 (Chart 2).
    Column E --FY 2012 or FY 2013 Estimated QI Expenditures. Column E 
contains the states' estimates of their total QI expenditures for FY 
2012 (Chart 1) or FY 2013 (Chart 2) based on information obtained from 
states in the summer of 2012 and as updated.
    Column F--Need (Difference). Column F contains the additional 
amount of QI allotment needed for those states whose estimated 
expenditures in Column E exceeded their Initial QI allotments in Column 
D for FY 2012 (Chart 1) or for FY 2013 (Chart 2) for such states, 
Column F shows the amount in Column E minus the amount in Column D. For 
other ``Non-Need'' States, Column F shows ``NA''.
    Column G--Percent of Total Need States. For states whose projected 
QI expenditures in Column E are greater than their initial QI allotment 
in Column D for FY 2012 (Chart 1) or FY 2013 (Chart 2), respectively, 
Column G shows the percentage of total need, determined as the amount 
for each Need State in Column F divided by the sum of the amounts for 
all states in Column F. For Non-Need States, the entry in Column G is 
``NA''.
    Column H --Reduction Pool for Non-Need States. Column H shows the 
amount of the pool of surplus QI allotments for FY 2012 (Chart 1) or FY 
2013 (Chart 2), respectively, for those states that project QI 
expenditures for the fiscal year that are less than the Initial QI 
allotment for the fiscal year (referred to as non-need States). For 
states for which the estimates in Column E of QI expenditures for FY 
2012 or FY 2013, respectively, are equal to or less than their Initial 
QI allotments in Column D for FY 2012 or FY 2013, respectively, Column 
H shows the amount in Column D minus the amount in Column E. For the 
states with a need, Column H shows ``Need''. The reduction pool of 
excess QI allotments is equal to the sum of the amounts in Column H.
    Column I--Percent of Total Non-Need States. For states whose 
projected QI expenditures in Column E are less than their Initial QI 
allotment in Column D for FY 2012 (Chart 1) or FY 2013 (Chart 2), 
Column I shows the percentage of the total reduction pool in Column H, 
determined as the amount for each Non-Need State in Column H divided by 
the sum of the amounts for all States in Column H. For Need States, the 
entry in Column I is ``Need''.
    Column J--Reduction Adjustment for Non-Need States. Column J shows 
the amount of adjustment needed to reduce the Initial QI allotments in 
Column D for FY 2012 (Chart 1) or FY 2013 (Chart 2) for Non-Need States 
in order to address the total need shown in Column F. The amount in 
Column J is determined as the percentage in column I for Non-Need 
States multiplied by the lesser of the total need in Column F (equal to 
the sum of Needs in Column F) or the total Reduction Pool in Column H 
(equal to the sum of the Non-Need amounts in Column H). For Need 
States, the entry in Column J is ``Need''.
    Column K--Increase Adjustment for Need States. Column K shows the 
amount of adjustment to increase the Initial QI Allotment in Column D 
for FY 2012 (Chart 1) or FY 2013 (Chart 2) for Need States in order to 
address the total need shown for the fiscal year in Column F. The 
amount in Column K is determined as the percentage in Column G for Need 
States multiplied by the lesser of the total need in Column F (equal to 
the sum of Needs in Column F) or the total Reduction Pool in Column H 
(equal to the sum of the Non-Need amounts in Column H). For Non-Need 
States, the entry in Column K is ``NA''.
    Column L--Final FY 2012 QI Allotment (Chart 1) or Preliminary FY 
2013 QI Allotment (Chart 2). Column L contains the Final QI Allotment 
for each state for FY 2012 (Chart 1) or the Preliminary QI Allotment 
for FY 2013 (Chart 2). For states that need additional QI allotment 
amounts for the fiscal year based on Estimated QI Expenditures in 
Column E as compared to their Initial QI allotments in Column D for the 
fiscal year (states with a projected need amount are shown in Column 
F), Column L is equal to the Initial QI allotment in Column D for FY 
2012 (Chart 1) or FY 2013 (Chart 2) plus the amount determined in 
Column K for Need States. For Non-Need States (states with a projected 
surplus in Column H), Column L is equal to the QI Allotment in Column D 
reduced by the Reduction Adjustment amount in Column J.

III. Collection of Information Requirements

    This notice does not impose any information collection or 
recordkeeping requirements. Consequently, it does not need Office of 
Management and Budget review under the authority of the Paperwork 
Reduction Act of 1995 (44 U.S.C. 3501 et seq.).

    Authority: (Section 1102 of the Social Security Act (42 U.S.C. 
1302))

(Catalog of Federal Domestic Assistance Program No. 93.778, Medical 
Assistance Program)

    Dated: May 15, 2013.
Marilyn Tavenner,
Administrator, Centers for Medicare & Medicaid Services.
    Dated: June 28, 2013.
Kathleen Sebelius,
Secretary, Department of Health and Human Services.
[FR Doc. 2013-17962 Filed 7-25-13; 8:45 am]
BILLING CODE 4120-01-P