80 FR 73779 - 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, 2016 Through September 30, 2017

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Federal Register Volume 80, Issue 227 (November 25, 2015)

Page Range		73779-73782
FR Document		2015-30050

The Federal Medical Assistance Percentages (FMAP), Enhanced Federal Medical Assistance Percentages (eFMAP), and disaster-recovery FMAP adjustments for Fiscal Year 2017 have been calculated pursuant to the Social Security Act (the Act). These percentages will be effective from October 1, 2016 through September 30, 2017. This notice announces the calculated FMAP rates, in accordance with sections 1101(a)(8) and 1905(b) of the Act, 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), 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, and the eFMAP rates for the Children's Health Insurance Program (CHIP) expenditures. 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 reminds states of available disaster-recovery FMAP adjustments for qualifying states, and adjustments available for states meeting requirements for negative growth in total state personal income. At this time, no states qualify for such adjustments. This notice also contains the increased eFMAPs for CHIP as authorized under the Patient Protection and Affordable Care Act (Affordable Care Act) for fiscal years 2016 through 2019 (October 1, 2015 through September 30, 2019). 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. 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 specified 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.

Federal Register, Volume 80 Issue 227 (Wednesday, November 25, 2015)

[Federal Register Volume 80, Number 227 (Wednesday, November 25, 2015)]
[Notices]
[Pages 73779-73782]
From the Federal Register Online [www.thefederalregister.org]
[FR Doc No: 2015-30050]

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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, 2016 Through September 30, 2017

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 2017 have been calculated pursuant to
the Social Security Act (the Act). These percentages will be effective
from October 1, 2016 through September 30, 2017. This notice announces
the calculated FMAP rates, in accordance with sections 1101(a)(8) and
1905(b) of the Act, 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), 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, and the eFMAP rates for the Children's
Health Insurance Program (CHIP) expenditures. Table 1 gives figures for
each of the 50 states, the District of Columbia, Puerto

[[Page 73780]]

Rico, the Virgin Islands, Guam, American Samoa, and the Commonwealth of
the Northern Mariana Islands. This notice reminds states of available
disaster-recovery FMAP adjustments for qualifying states, and
adjustments available for states meeting requirements for negative
growth in total state personal income. At this time, no states qualify
for such adjustments.
This notice also contains the increased eFMAPs for CHIP as
authorized under the Patient Protection and Affordable Care Act
(Affordable Care Act) for fiscal years 2016 through 2019 (October 1,
2015 through September 30, 2019).
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. 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
specified 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.

Federal Medical Assistance Percentage (FMAP)

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 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. The rates for the States, District of Columbia
and the territories are displayed in Table 1, Column 1.
Section 1905(y) of the Act, as added by section 2001 of the Patient
Protection and Affordable Care Act of 2010 (``Affordable Care Act''),
provides for a significant increase in the FMAP for medical assistance
expenditures for individuals determined eligible under the new adult
group in the state and who will be considered to be ``newly eligible''
in 2014, as defined in section 1905(y)(2)(A) of the Act. This newly
eligible FMAP is 100 percent for Calendar Years 2014, 2015, and 2016,
gradually declining to 90 percent in 2020 where it remains
indefinitely. In addition, section 1905(z) of the Act, as added by
section 10201 of the Affordable Care Act, provides that states that had
expanded substantial coverage to low-income parents and nonpregnant
adults without children prior to the enactment of the Affordable Care
Act, referred to as ``expansion states,'' shall receive an enhanced
FMAP that begins in 2014 for medical assistance expenditures for
nonpregnant childless adults who may be required to enroll in benchmark
coverage. . These provisions are discussed in more detail in the
Medicaid Eligibility proposed rule published on August 17, 2011 (76 FR
51172) and the final rule published on March 23, 2012 (77 FR 17143).
This notice is not intended to set forth the newly eligible or
expansion state FMAP rates.

Other Adjustments to the FMAP

For purposes of Title XIX (Medicaid) of the Social Security Act,
the Federal Medical Assistance Percentage (FMAP), defined in section
1905(b) of the Social Security Act, for each state beginning with
fiscal year 2006 is subject to an adjustment pursuant to section 614 of
the Children's Health Insurance Program Reauthorization Act of 2009
(CHIPRA), Public Law 111-3. Section 614 of CHIPRA stipulates that a
state's FMAP under Title XIX (Medicaid) must be adjusted in two
situations.
In the first situation, if a state experiences positive growth in
total personal income and an employer in that state has made a
significantly disproportionate contribution to a pension or insurance
fund, the state's FMAP must be adjusted. Employer pension and insurance
fund contributions are significantly disproportionate if the increase
in contributions exceeds 25 percent of the increase in total personal
income in that state. A Federal Register Notice with comment period was
issued on June 7, 2010 (75 FR 32182) announcing the methodology for
calculating this adjustment; a final notice was issued on October 15,
2010 (75 FR 63480).
A second situation arises if a state experiences negative growth in
total personal income. Beginning with Fiscal Year 2006, section
614(b)(3) of CHIPRA specifies that certain employer pension or
insurance fund contributions shall be disregarded when computing the
per capita income used to calculate the FMAP for states with negative
growth in total personal income. In that instance, for the purposes of
calculating the FMAP, for a calendar year in which a state's total
personal income has declined, the portion of an employer pension and
insurance fund contribution that exceeds 125 percent of the amount of
the employer contribution in the previous calendar year shall be
disregarded.
We request that states follow the same methodology to determine
potential FMAP adjustments for negative growth in total personal income
that HHS employs to make adjustments to the FMAP for states
experiencing significantly disproportionate pension or insurance
contributions. See also the information described in the January 21,
2014 Federal Register notice (79 FR 3385).
This notice does not contain an FY 2017 adjustment for a major
statewide disaster for any state because no state's FMAP decreased by
at least three percentage points from FY 2016 to FY 2017.

Enhanced Federal Medical Assistance Percentage (eFMAP) for CHIP

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

[[Page 73781]]

the enhanced FMAP for a state exceed 85 percent.

In addition, Section 2105(b) of the Social Security Act, as amended
by Section 2101 of the Affordable Care Act, increases the eFMAP for
states by 23 percentage points:

. . . during the period that begins on October 1, 2015, and ends on
September 30, 2019, the enhanced FMAP determined for a state for a
fiscal year (or for any portion of a fiscal year occurring during
such period) shall be increased by 23 percentage points, but in no
case shall exceed 100 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, and display both the normal eFMAP rates (Table 1, Column 2)
and the Affordable Care Act's increased eFMAP rates (Table 1, Column 3)
for comparison.

DATES: Effective Dates: The percentages listed in Table 1 will be
effective for each of the four quarter-year periods beginning October
1, 2016 and ending September 30, 2017.

FOR FURTHER INFORMATION CONTACT: Thomas Musco or Rose Chu, 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 18, 2015.
Sylvia M. Burwell,
Secretary.

Table 1--Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages, Effective
October 1, 2016-September 30, 2017 (Fiscal Year 2017)
----------------------------------------------------------------------------------------------------------------
Enhanced
Enhanced Federal
Federal Federal Medical
State Medical Medical Assistance
Assistance Assistance percentages
percentages percentages with ACA 23 PT
increase ***
----------------------------------------------------------------------------------------------------------------
Alabama......................................................... 70.16 79.11 100.00
Alaska.......................................................... 50.00 65.00 88.00
American Samoa *................................................ 55.00 68.50 91.50
Arizona......................................................... 69.24 78.47 100.00
Arkansas........................................................ 69.69 78.78 100.00
California...................................................... 50.00 65.00 88.00
Colorado........................................................ 50.02 65.01 88.01
Connecticut..................................................... 50.00 65.00 88.00
Delaware........................................................ 54.20 67.94 90.94
District of Columbia **......................................... 70.00 79.00 100.00
Florida......................................................... 61.10 72.77 95.77
Georgia......................................................... 67.89 77.52 100.00
Guam *.......................................................... 55.00 68.50 91.50
Hawaii.......................................................... 54.93 68.45 91.45
Idaho........................................................... 71.51 80.06 100.00
Illinois........................................................ 51.30 65.91 88.91
Indiana......................................................... 66.74 76.72 99.72
Iowa............................................................ 56.74 69.72 92.72
Kansas.......................................................... 56.21 69.35 92.35
Kentucky........................................................ 70.46 79.32 100.00
Louisiana....................................................... 62.28 73.60 96.60
Maine........................................................... 64.38 75.07 98.07
Maryland........................................................ 50.00 65.00 88.00
Massachusetts................................................... 50.00 65.00 88.00
Michigan........................................................ 65.15 75.61 98.61
Minnesota....................................................... 50.00 65.00 88.00
Mississippi..................................................... 74.63 82.24 100.00
Missouri........................................................ 63.21 74.25 97.25
Montana......................................................... 65.56 75.89 98.89
Nebraska........................................................ 51.85 66.30 89.30
Nevada.......................................................... 64.67 75.27 98.27
New Hampshire................................................... 50.00 65.00 88.00
New Jersey...................................................... 50.00 65.00 88.00
New Mexico...................................................... 71.13 79.79 100.00
New York........................................................ 50.00 65.00 88.00
North Carolina.................................................. 66.88 76.82 99.82
North Dakota.................................................... 50.00 65.00 88.00
Northern Mariana Islands *...................................... 55.00 68.50 91.50
Ohio............................................................ 62.32 73.62 96.62
Oklahoma........................................................ 59.94 71.96 94.96
Oregon.......................................................... 64.47 75.13 98.13
Pennsylvania.................................................... 51.78 66.25 89.25
Puerto Rico *................................................... 55.00 68.50 91.50
Rhode Island.................................................... 51.02 65.71 88.71

[[Page 73782]]

South Carolina.................................................. 71.30 79.91 100.00
South Dakota.................................................... 54.94 68.46 91.46
Tennessee....................................................... 64.96 75.47 98.47
Texas........................................................... 56.18 69.33 92.33
Utah............................................................ 69.90 78.93 100.00
Vermont......................................................... 54.46 68.12 91.12
Virgin Islands *................................................ 55.00 68.50 91.50
Virginia........................................................ 50.00 65.00 88.00
Washington...................................................... 50.00 65.00 88.00
West Virginia................................................... 71.80 80.26 100.00
Wisconsin....................................................... 58.51 70.96 93.96
Wyoming......................................................... 50.00 65.00 88.00
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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.
*** Section 2101(a) of the Affordable Care Act amended Section 2105(b) of the Social Security Act to increase
the enhanced FMAP for states by 23 percentage points, but not to exceed 100 percent, for the period that
begins on October 1, 2015 and ends on September 30, 2019 (fiscal years 2016 through 2019).

[FR Doc. 2015-30050 Filed 11-24-15; 8:45 am]
BILLING CODE 4150-05-P

Document Created: 2018-03-01 11:16:03
Document Modified: 2018-03-01 11:16:03

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		Effective Dates: The percentages listed in Table 1 will be effective for each of the four quarter-year periods beginning October 1, 2016 and ending September 30, 2017.
Contact		Thomas Musco or Rose Chu, 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.
FR Citation		80 FR 73779