| Page Range | 31034-31039 | |
| FR Document | 2015-13043 |
[Federal Register Volume 80, Number 104 (Monday, June 1, 2015)] [Notices] [Pages 31034-31039] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-13043] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS-2395-N] RIN 0938Z Medicaid Program; State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals (QIs): Federal Fiscal Years 2013 and 2014 AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice. ----------------------------------------------------------------------- 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) 2013 and the preliminary QI allotments for FY 2014. 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 2013 are effective October 1, 2012. The preliminary QI allotments for FY 2014 are effective October 1, 2013. FOR FURTHER INFORMATION CONTACT: Diana Kuhn, (410) 786-1914 or Toni Cincibus at (410) 786-2997. SUPPLEMENTARY INFORMATION: I. Background A. QI Allotments for FY 2013 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 by providing $280 million, [[Page 31035]] available for the period October 1, 2012 through December 31, 2012, the first quarter of FY 2013. 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). B. QI Allotments for FY 2014 and Thereafter As amended by section 621 of the American Taxpayer Relief Act of 2012 (ATRA, Pub. L. 112-240, enacted on January 2, 2013), section 1933(g)(2) of the Social Security Act provided $300 million in funding for the period October 1, 2013 through December 31, 2013, the first quarter of FY 2014. Section 1201 of Division B of the legislation ``Pathway for SGR Reform Act of 2013'' (Pub. L. 113-67 enacted on December 26, 2013) provided an additional $200 million and authority for the QI program for the period January 1, 2014 through March 31, 2014 (second quarter of FY 2014). In addition, section 201 of the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. 113-93 enacted on April 1, 2014) revised the $200 to $485 million and extended the period for which such funds were available to the end of September 2014. Therefore, a total of $785 million is now available for all of FY 2014 ($300 million for the first quarter of FY 2014, and $485 million for the second through fourth quarters of FY 2014). Finally, section 201 of PAMA further extended the authority and funding for the QI program for FY 2015 as follows: $300 million for the period October 1, 2014 through December 31, 2014 (first quarter of FY 2015); and, $250 million for the period January 1, 2015 through March 31, 2015 (second quarter FY 2015). Therefore, a total of $550 million is available for the QI program for FY 2015. C. Methodology for Calculating the Fiscal Year QI Allotments The amounts of the states' final FY 2013 and preliminary FY 2014 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. Tables The final QI allotments for FY 2013 and the preliminary QI allotments for FY 2014 are shown by state in Table 1 and Table 2, respectively: Table 1--Final Qualifying Individuals Allotments for October 1, 2012 through September 30, 2013. Table 2--Preliminary Qualifying Individuals Allotments for October 1, 2013 through September 30, 2014. [[Page 31036]] Table 1--Final Qualifying Individuals Allotments for October 1, 2012 Through September 30, 2013 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Initial QI allotments for FY 2013 ---------------------------------------- FY 2013 Need Percentage Reduction Percentage Reduction Increase Final FY Percentage Initial QI estimated QI (difference) of total pool for non- of total adj. for non- adj. for 2013 QI State Number of of total allotment expenditures If E > D, E need states need states non-need need states need states allotment individuals Col B/ Tot. Col C x \1\ - D F/(tot. of If D >= E, D states H/ Col. I x Col. G x \2\ \3\ (000s) Col B $765,000,000 F) - E (tot. of H) $105,466,335 $105,466,335 A B C D E F G H I J K L ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Alabama.................................... 38 2.64 $20,159,501 $22,544,081 $2,384,580 2.2610 Need Need Need $2,384,580 $22,544,081 Alaska..................................... 2 0.14 1,061,026 326,300 NA NA $734,726 0.4320 $455,613 NA 605,414 Arizona.................................... 21 1.46 11,140,777 19,563,390 8,422,614 7.9861 Need Need Need 8,422,614 19,563,390 Arkansas................................... 27 1.87 14,323,856 13,956,348 NA NA 367,508 0.2161 227,896 NA 14,095,960 California................................. 107 7.42 56,764,910 28,189,619 NA NA 28,575,291 16.8015 17,719,883 NA 39,045,026 Colorado................................... 16 1.11 8,488,211 6,005,621 NA NA 2,482,589 1.4597 1,539,484 NA 6,948,727 Connecticut................................ 15 1.04 7,957,698 3,902,339 NA NA 4,055,359 2.3844 2,514,777 NA 5,442,921 Delaware................................... 4 0.28 2,122,053 3,211,361 1,089,308 1.0328 Need Need Need 1,089,308 3,211,361 District of Columbia....................... 2 0.14 1,061,026 0 NA NA 1,061,026 0.6239 657,955 NA 403,071 Florida.................................... 96 6.66 50,929,265 72,316,568 21,387,303 20.2788 Need Need Need 21,387,303 72,316,568 Georgia.................................... 45 3.12 23,873,093 34,507,397 10,634,304 10.0831 Need Need Need 10,634,304 34,507,397 Hawaii..................................... 6 0.42 3,183,079 1,409,689 NA NA 1,773,390 1.0427 1,099,701 NA 2,083,378 Idaho...................................... 7 0.49 3,713,592 2,677,626 NA NA 1,035,967 0.6091 642,415 NA 3,071,177 Illinois................................... 68 4.72 36,074,896 24,744,637 NA NA 11,330,259 6.6619 7,026,031 NA 29,048,864 Indiana.................................... 43 2.98 22,812,067 5,829,210 NA NA 16,982,857 9.9854 10,531,275 NA 12,280,791 Iowa....................................... 16 1.11 8,488,211 4,584,319 NA NA 3,903,892 2.2954 2,420,851 NA 6,067,360 Kansas..................................... 18 1.25 9,549,237 5,023,657 NA NA 4,525,580 2.6609 2,806,367 NA 6,742,870 Kentucky................................... 34 2.36 18,037,448 15,065,051 NA NA 2,972,397 1.7477 1,843,219 NA 16,194,229 Louisiana.................................. 29 2.01 15,384,882 20,831,932 5,447,049 5.1647 Need Need Need 5,447,049 20,831,932 Maine...................................... 7 0.49 3,713,592 6,075,634 2,362,042 2.2396 Need Need Need 2,362,042 6,075,634 Maryland................................... 24 1.66 12,732,316 8,959,072 NA NA 3,773,244 2.2186 2,339,834 NA 10,392,482 Massachusetts.............................. 28 1.94 14,854,369 9,694,545 NA NA 5,159,824 3.0338 3,199,669 NA 11,654,700 Michigan................................... 38 2.64 20,159,501 14,816,534 NA NA 5,342,966 3.1415 3,313,238 NA 16,846,263 Minnesota.................................. 22 1.53 11,671,290 6,389,653 NA NA 5,281,637 3.1055 3,275,207 NA 8,396,083 Mississippi................................ 18 1.25 9,549,237 15,212,658 5,663,421 5.3699 Need Need Need 5,663,421 15,212,658 Missouri................................... 39 2.70 20,690,014 4,395,160 NA NA 16,294,854 9.5809 10,104,636 NA 10,585,377 Montana.................................... 6 0.42 3,183,079 1,543,785 NA NA 1,639,294 0.9639 1,016,546 NA 2,166,533 Nebraska................................... 6 0.42 3,183,079 2,283,431 NA NA 899,648 0.5290 557,882 NA 2,625,197 Nevada..................................... 10 0.69 5,305,132 5,391,707 86,575 0.0821 Need Need Need 86,575 5,391,707 New Hampshire.............................. 6 0.42 3,183,079 2,269,086 NA NA 913,993 0.5374 566,778 NA 2,616,301 New Jersey................................. 40 2.77 21,220,527 7,810,549 NA NA 13,409,979 7.8847 8,315,690 NA 12,904,836 New Mexico................................. 9 0.62 4,774,619 4,117,952 NA NA 656,667 0.3861 407,207 NA 4,367,412 New York................................... 85 5.89 45,093,620 46,198,147 1,104,527 1.0473 Need Need Need 1,104,527 46,198,147 North Carolina............................. 38 2.64 20,159,501 29,670,994 9,511,493 9.0185 Need Need Need 9,511,493 29,670,994 North Dakota............................... 3 0.21 1,591,540 670,202 NA NA 921,338 0.5417 571,333 NA 1,020,207 Ohio....................................... 54 3.74 28,647,712 26,381,913 NA NA 2,265,799 1.3322 1,405,049 NA 27,242,662 Oklahoma................................... 27 1.87 14,323,856 10,320,039 NA NA 4,003,816 2.3541 2,482,815 NA 11,841,041 Oregon..................................... 17 1.18 9,018,724 14,297,554 5,278,830 5.0052 Need Need Need 5,278,830 14,297,554 Pennsylvania............................... 78 5.41 41,380,028 33,265,180 NA NA 8,114,848 4.7713 5,032,115 NA 36,347,913 Rhode Island............................... 6 0.42 3,183,079 2,439,790 NA NA 743,289 0.4370 460,923 NA 2,722,156 South Carolina............................. 33 2.29 17,506,935 14,903,998 NA NA 2,602,937 1.5305 1,614,113 NA 15,892,822 South Dakota............................... 4 0.28 2,122,053 1,623,719 NA NA 498,334 0.2930 309,023 NA 1,813,030 Tennessee.................................. 48 3.33 25,464,632 31,271,663 5,807,030 5.5061 Need Need Need 5,807,030 31,271,663 Texas...................................... 106 7.35 56,234,397 78,081,412 21,847,015 20.7147 Need Need Need 21,847,015 78,081,412 Utah....................................... 6 0.42 3,183,079 2,018,266 NA NA 1,164,813 0.6849 722,315 NA 2,460,765 Vermont.................................... 2 0.14 1,061,026 3,574,197 2,513,171 2.3829 Need Need Need 2,513,171 3,574,197 Virginia................................... 23 1.60 12,201,803 14,128,876 1,927,073 1.8272 Need Need Need 1,927,073 14,128,876 Washington................................. 23 1.60 12,201,803 5,963,337 NA NA 6,238,466 3.6680 3,868,548 NA 8,333,255 [[Page 31037]] West Virginia.............................. 17 1.18 9,018,724 6,218,910 NA NA 2,799,814 1.6462 1,736,199 NA 7,282,525 Wisconsin.................................. 22 1.53 11,671,290 4,839,536 NA NA 6,831,754 4.0169 4,236,453 NA 7,434,837 Wyoming.................................... 3 0.21 1,591,540 873,450 NA NA 718,090 0.4222 445,296 NA 1,146,244 ---------------------------------------------------------------------------------------------------------------------------------------------------- Total.................................. 1,442 100.00 765,000,000 700,390,091 105,466,335 100.0000 170,076,244 100.0000 105,466,335 105,466,335 765,000,000 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Footnotes: \1\ FY 2013 Estimates from July 2013 CMS Survey of States; Estimates Are For Months October 2012 Through September 2013. \2\ For Need States, Final FY 2013 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K; For Non-Need States, Final 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). Table 2--Preliminary Qualifying Individuals Allotments for October 1, 2013 Through September 30, 2014 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Initial QI allotments for FY 2014 ---------------------------------------- FY 2014 Need Percentage Reduction Percent of Reduction Increase Preliminary Percentage Initial QI estimated QI (difference) of total pool for non- total non- adj. for non- adj. for FY 2014 QI State Number of of total allotment expenditures if E > D, E- need states need states need states need states need states allotment individuals Col B/tot. Col C x \1\ D F/(tot. of if D >= E, H/(tot. of Col. I x Col. G x \2\ \3\ (000s) Col B $785,000,000 F) D - E H) $116,087,180 $116,087,180 A B C D E F G H I J K L ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Alabama.................................... 33 2.13 $16,756,145 $24,304,910 $7,548,766 6.5027 Need Need Need $7,548,766 $24,304,910 Alaska..................................... 2 0.13 1,015,524 374,073 NA NA $641,451 0.4288 $497,751 NA 517,772 Arizona.................................... 29 1.88 14,725,097 21,719,024 6,993,927 6.0247 Need Need Need 6,993,927 21,719,024 Arkansas................................... 25 1.62 12,694,049 14,283,289 1,589,240 1.3690 Need Need Need 1,589,240 14,283,289 California................................. 130 8.41 66,009,056 29,497,236 NA NA 36,511,819 24.4061 28,332,367 NA 37,676,689 Colorado................................... 12 0.78 6,093,144 6,744,021 650,877 0.5607 Need Need Need 650,877 6,744,021 Connecticut................................ 15 0.97 7,616,429 5,030,002 NA NA 2,586,428 1.7289 2,007,011 NA 5,609,418 Delaware................................... 5 0.32 2,538,810 3,208,262 669,452 0.5767 Need Need Need 669,452 3,208,262 District of Columbia....................... 2 0.13 1,015,524 0 NA NA 1,015,524 0.6788 788,024 NA 227,500 Florida.................................... 133 8.60 67,532,342 78,905,990 11,373,648 9.7975 Need Need Need 11,373,648 78,905,990 Georgia.................................... 46 2.98 23,357,050 37,475,498 14,118,447 12.1619 Need Need Need 14,118,447 37,475,499 Hawaii..................................... 6 0.39 3,046,572 1,472,570 NA NA 1,574,002 1.0521 1,221,391 NA 1,825,181 Idaho...................................... 8 0.52 4,062,096 2,684,609 NA NA 1,377,487 0.9208 1,068,899 NA 2,993,196 Illinois................................... 63 4.08 31,989,004 28,168,168 NA NA 3,820,836 2.5540 2,964,885 NA 29,024,119 Indiana.................................... 41 2.65 20,818,241 6,077,393 NA NA 14,740,848 9.8534 11,438,573 NA 9,379,668 Iowa....................................... 17 1.10 8,631,953 4,924,019 NA NA 3,707,935 2.4785 2,877,276 NA 5,754,678 Kansas..................................... 18 1.16 9,139,715 5,698,955 NA NA 3,440,760 2.3000 2,669,954 NA 6,469,761 Kentucky................................... 35 2.26 17,771,669 17,488,089 NA NA 283,580 0.1896 220,052 NA 17,551,617 Louisiana.................................. 29 1.88 14,725,097 22,748,614 8,023,517 6.9116 Need Need Need 8,023,517 22,748,614 Maine...................................... 7 0.45 3,554,334 7,632,104 4,077,771 3.5127 Need Need Need 4,077,771 7,632,104 Maryland................................... 22 1.42 11,170,763 10,821,904 NA NA 348,860 0.2332 270,707 NA 10,900,056 Massachusetts.............................. 27 1.75 13,709,573 10,070,400 NA NA 3,639,173 2.4326 2,823,918 NA 10,885,655 Michigan................................... 37 2.39 18,787,193 18,446,036 NA NA 341,157 0.2280 264,730 NA 18,522,462 Minnesota.................................. 18 1.16 9,139,715 6,901,960 NA NA 2,237,755 1.4958 1,736,449 NA 7,403,266 Mississippi................................ 20 1.29 10,155,239 16,214,118 6,058,879 5.2192 Need Need Need 6,058,879 16,214,118 Missouri................................... 44 2.85 22,341,527 6,154,273 NA NA 16,187,253 10.8203 12,560,952 NA 9,780,575 Montana.................................... 6 0.39 3,046,572 1,617,663 NA NA 1,428,909 0.9551 1,108,802 NA 1,937,770 Nebraska................................... 7 0.45 3,554,334 2,347,662 NA NA 1,206,672 0.8066 936,351 NA 2,617,983 Nevada..................................... 7 0.45 3,554,334 6,220,570 2,666,236 2.2968 Need Need Need 2,666,236 6,220,570 New Hampshire.............................. 6 0.39 3,046,572 2,755,828 NA NA 290,744 0.1943 225,611 NA 2,820,961 New Jersey................................. 45 2.91 22,849,288 8,686,979 NA NA 14,162,310 9.4667 10,989,640 NA 11,859,648 New Mexico................................. 9 0.58 4,569,858 4,491,904 NA NA 77,953 0.0521 60,490 NA 4,509,368 New York................................... 102 6.60 51,791,721 47,248,495 NA NA 4,543,226 3.0369 3,525,443 NA 48,266,278 North Carolina............................. 48 3.10 24,372,574 31,199,358 6,826,784 5.8807 Need Need Need 6,826,784 31,199,358 North Dakota............................... 4 0.26 2,031,048 708,704 NA NA 1,322,343 0.8839 1,026,109 NA 1,004,938 [[Page 31038]] Ohio....................................... 59 3.82 29,957,956 27,260,048 NA NA 2,697,908 1.8034 2,093,517 NA 27,864,439 Oklahoma................................... 23 1.49 11,678,525 11,187,585 NA NA 490,940 0.3282 380,959 NA 11,297,566 Oregon..................................... 16 1.03 8,124,191 16,228,030 8,103,839 6.9808 Need Need Need 8,103,839 16,228,030 Pennsylvania............................... 83 5.37 42,144,243 33,836,544 NA NA 8,307,699 5.5532 6,446,591 NA 35,697,652 Rhode Island............................... 5 0.32 2,538,810 2,519,698 NA NA 19,112 0.0128 14,830 NA 2,523,979 South Carolina............................. 33 2.13 16,756,145 15,105,600 NA NA 1,650,545 1.1033 1,280,786 NA 15,475,358 South Dakota............................... 3 0.19 1,523,286 2,110,798 587,512 0.5061 Need Need Need 587,512 2,110,798 Tennessee.................................. 43 2.78 21,833,765 32,496,447 10,662,682 9.1851 Need Need Need 10,662,682 32,496,447 Texas...................................... 108 6.99 54,838,292 78,683,812 23,845,519 20.5410 Need Need Need 23,845,519 78,683,813 Utah....................................... 7 0.45 3,554,334 2,394,138 NA NA 1,160,196 0.7755 900,286 NA 2,654,047 Vermont.................................... 3 0.19 1,523,286 3,813,371 2,290,085 1.9727 Need Need Need 2,290,085 3,813,371 Virginia................................... 33 2.13 16,756,145 14,627,256 NA NA 2,128,889 1.4230 1,651,971 NA 15,104,174 Washington................................. 26 1.68 13,201,811 6,660,311 NA NA 6,541,500 4.3726 5,076,060 NA 8,125,751 West Virginia.............................. 20 1.29 10,155,239 6,415,789 NA NA 3,739,450 2.4996 2,901,731 NA 7,253,508 Wisconsin.................................. 22 1.42 11,170,763 4,908,586 NA NA 6,262,178 4.1859 4,859,312 NA 6,311,452 Wyoming.................................... 4 0.26 2,031,048 915,357 NA NA 1,115,690 0.7458 865,751 NA 1,165,297 ---------------------------------------------------------------------------------------------------------------------------------------------------- Total.................................. 1,546 100.00 785,000,000 751,486,048 116,087,180 100.0000 149,601,132 100.0000 116,087,180 116,087,180 785,000,000 ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Footnotes: \1\ FY 2014 Estimates in Column E are from July 2013 CMS Survey of States; Estimates are for months October 2013 through September 2014. \2\ For Need States, Preliminary FY 2014 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K; For Non-Need States, Preliminary FY 2014 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J. \3\ Three-year average (2010-2012) 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 31039]] The following describes the information contained in the columns of Table 1 and Table 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 2013 (Table 1) or FY 2014 (Table 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 2013 QI allotment (Table1), Column B contains the number of such individuals for the years 2009 through 2011, as obtained from the Census Bureau's Annual Social and Economic Supplement to the 2012 Current Population Survey. With respect to the preliminary FY 2014 QI allotment (Table 2), Column B contains the number of such individuals for the years 2010 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 2013 (Table 1) or FY 2014 (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 $765,000,000 for FY 2013 (Table 1) and $785,000,000 for FY 2014 (Table 2). Columns E through L show the determination of the States' Final QI Allotments for FY 2013 (Table 1) or Preliminary QI Allotments for FY 2014 (Table 2). Column E--FY 2013 or FY 2014 Estimated QI Expenditures. Column E contains the states' estimates of their total QI expenditures for FY 2013 (Table 1) or FY 2014 (Table 2) based on information obtained from states in the summer of 2013 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 2013 (Table 1) or for FY 2014 (Table 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 2013 (Table 1) or FY 2014 (Table 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 2013 (Table 1) or FY 2014 (Table 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 2013 or FY 2014, respectively, are equal to or less than their Initial QI allotments in Column D for FY 2013 or FY 2014, 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 2013 (Table 1) or FY 2014 (Table 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 2013 (Table 1) or FY 2014 (Table 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 2013 (Table 1) or FY 2014 (Table 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 2013 QI Allotment (Chart 1) or Preliminary FY 2014 QI Allotment (Table 2). Column L contains the Final QI Allotment for each state for FY 2013 (Table 1) or the Preliminary QI Allotment for FY 2014 (Table 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 2013 (Table 1) or FY 2014 (Table 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.). Dated: April 17, 2015. Andrew M. Slavitt, Acting Administrator, Centers for Medicare & Medicaid Services. Dated: May 21, 2015. Sylvia M. Burwell, Secretary, Department of Health and Human Services. [FR Doc. 2015-13043 Filed 5-28-15; 11:15 am] BILLING CODE 4120-01-P
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | The final QI allotments for payment of Medicare Part B premiums for FY 2013 are effective October 1, 2012. The preliminary QI allotments for FY 2014 are effective October 1, 2013. | |
| Contact | Diana Kuhn, (410) 786-1914 or Toni Cincibus at (410) 786-2997. | |
| FR Citation | 80 FR 31034 |