81 FR 49660 - Notice of Opportunity for Hearing on Compliance of Arkansas State Plan Provisions Concerning Provision of Benefits During a Reasonable Opportunity Period With Titles XI and XIX (Medicaid) of the Social Security Act
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 81, Issue 145 (July 28, 2016)
Centers for Medicare & Medicaid Services
Federal Register Volume 81, Issue 145 (July 28, 2016)
| Page Range | 49660-49662 | |
| FR Document | 2016-17923 |
[Federal Register Volume 81, Number 145 (Thursday, July 28, 2016)] [Notices] [Pages 49660-49662] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-17923] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) Centers for Medicare & Medicaid Services Notice of Opportunity for Hearing on Compliance of Arkansas State Plan Provisions Concerning Provision of Benefits During a Reasonable Opportunity Period With Titles XI and XIX (Medicaid) of the Social Security Act AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice of Opportunity for a Hearing Compliance of Arkansas Medicaid State Plan--Provision of Benefits During a Reasonable Opportunity Period. ----------------------------------------------------------------------- CLOSING DATE: Requests to participate in the hearing as a party must be received by the presiding officer by August 29, 2016. FOR FURTHER INFORMATION CONTACT: Benjamin R. Cohen, Hearing Officer, Centers for Medicare & Medicaid Services, 2520 Lord Baltimore Drive, Suite L, Baltimore, MD 21244. SUPPLEMENTARY INFORMATION: This notice announces the opportunity for an administrative hearing concerning the finding of the Administrator of the Centers for Medicare & Medicaid Services (CMS) that the State of Arkansas is not providing Medicaid benefits during a reasonable opportunity period. Section 1902(a)(46) of the Social Security Act (the Act) requires state plans for medical assistance to provide ``that information is requested and exchanged for purposes of income and eligibility verification in accordance with a State system which meets the requirements of section 1137 of this Act.'' Section 1137(d) of the Act and regulations at 42 CFR 435.911(c) require that the state agency provide a reasonable opportunity period to individuals who are determined otherwise eligible for Medicaid but for whom the state agency is unable to promptly verify satisfactory immigration status. In its approved State Plan Amendment (SPA) 13-0018, the Arkansas Department of Human Services (DHS) provides assurance that it provides Medicaid to citizens and nationals of the United States and to certain non-citizens, including during a reasonable opportunity period pending verification of their citizenship, national status or satisfactory immigration status, in accordance with the requirements of sections 1902(a)(46), 1902(ee), 1903(x) and 1137(d) of the Act. Despite such assurance in the Medicaid state plan, it is CMS' understanding based on numerous discussions and interactions with the state that Arkansas is not providing Medicaid benefits to individuals who declared under penalty of perjury that they are in a satisfactory immigration status, have met all other eligibility requirements for Medicaid in the state, and are pending verification of their immigration status. With a formal determination by the CMS Administrator that the Arkansas DHS has failed to comply substantially with these requirements, made after a hearing or absent a hearing request, CMS will begin this FFP withholding and it will continue until the Arkansas DHS comes into compliance with the requirement to provide Medicaid benefits during a reasonable opportunity period for otherwise eligible non-citizens who have declared under penalty of perjury that they are in a satisfactory immigration status. Arkansas submitted state plan amendment (SPA) Transmittal Number 13-0018 on September 23, 2013, which described the Arkansas DHS's policies and practices related to citizenship and non-citizen eligibility, including the assurance that the Arkansas DHS provides Medicaid benefits during the reasonable opportunity period to individuals who have declared under penalty of perjury that they are in a satisfactory immigration status pending verification of such status. During the review of this SPA, CMS learned that the Arkansas DHS was not providing Medicaid benefits during a reasonable opportunity period to individuals who have declared under penalty of perjury that they are in a satisfactory immigration status and who meet all other eligibility requirements in the state, pending verification of such status. Throughout 2014 and 2015, CMS and Arkansas engaged in extensive technical assistance discussions. CMS sent a letter to the Arkansas DHS on April 1, 2015, reiterating the requirement for Arkansas to comply with the statute and regulations. During this time, CMS received multiple draft corrective action plans (CAPs) from Arkansas that set out schedules to come into compliance with section 1137(d) of the Act by July 1, 2014, October 2015, April 2016, and, most recently, August 2016. On November 3, 2015, CMS approved Arkansas' SPA 13-0018. At the same time, CMS issued a companion letter informing Arkansas that, if it did not demonstrate compliance with these requirements within 30 days of the date of the letter, CMS would initiate formal compliance proceedings. To date, CMS [[Page 49661]] has not received evidence of compliance with the requirement to provide Medicaid benefits to non-citizens during a reasonable opportunity period. The notice to Arkansas containing the details concerning this compliance issue, the proposed withholding of FFP, opportunity for a hearing, and possibility of postponing and ultimately avoiding withholding by coming into compliance, reads as follows: Dear Ms. Stehle: This letter provides notice that the Centers for Medicare & Medicaid Services (CMS) has found a serious issue of noncompliance because the Arkansas Department of Human Services (DHS) is not providing Medicaid benefits during a reasonable opportunity period as required by section 1137(d) of the Social Security Act (the Act) and regulations at 42 CFR. Sec. 435.911(c). Pursuant to section 1904 of the Act and 42 CFR 430.35, a portion of the federal financial participation (FFP) of the administrative costs associated with the operation of the Arkansas Medicaid program will be withheld. However, CMS is first providing the Arkansas DHS with an opportunity for a hearing on this withholding decision. With a formal determination by the CMS Administrator that the Arkansas DHS has failed to comply substantially with these requirements, made after a hearing or absent a hearing request, CMS will begin this FFP withholding and it will continue until the Arkansas DHS comes into compliance with the requirement to provide Medicaid benefits during a reasonable opportunity period for otherwise eligible non-citizens who have declared under penalty of perjury that they are in a satisfactory immigration status. The details of the finding, proposed withholding, opportunity for the Arkansas DHS to request a hearing on the finding, and possibility of postponing, and ultimately avoiding, withholding by coming into compliance are described below. CMS learned of the Arkansas DHS' non-compliance with section 1137(d) of the Act and regulations at 42 CFR 435.911(c) during the review of State Plan Amendment (SPA) Transmittal Number 13-0018. Section 1902(a)(46) of the Act requires state plans for medical assistance to provide ``that information is requested and exchanged for purposes of income and eligibility verification in accordance with a State system which meets the requirements of section 1137 of this Act.'' Section 1137(d) of the Act requires that the state agency provide a reasonable opportunity period to individuals who are determined otherwise eligible for Medicaid but for whom the state agency is unable to promptly verify satisfactory immigration status. See also, 42 CFR. Sec. 435.911(c). In the approved SPA 13-0018, the Arkansas DHS provides assurance that it provides Medicaid to citizens and nationals of the United States and to certain non-citizens, including during a reasonable opportunity period pending verification of their citizenship, national status or satisfactory immigration status, in accordance with the requirements of sections 1902(a)(46), 1902(ee), 1903(x) and 1137(d) of the Act. Despite such assurance in the Medicaid state plan, it is our understanding that the Arkansas DHS is not providing Medicaid benefits to individuals who declare under penalty of perjury that they are in a satisfactory immigration status, meet all other eligibility requirements for Medicaid in the state, and are pending verification of such status. In processing SPA 13-0018, CMS and the Arkansas DHS discussed this issue on October 10, 2013, and again on December 9, 2013, and the Arkansas DHS acknowledged that it is not furnishing benefits during the reasonable opportunity period to individuals who declare under penalty of perjury that they are in a satisfactory immigration status. A formal Request for Additional Information (RAI) was issued on December 20, 2013, which requested a description of the steps the Arkansas DHS would take to implement the change, a timeline by which the steps would be accomplished and a date by which the changes will be completed to be in compliance with section 1137(d) of the Act. CMS also sent a letter to the Arkansas DHS on April 1, 2015, reiterating the requirement for the Arkansas DHS to comply with the statute and regulations. Throughout 2014 and 2015, CMS and the Arkansas DHS engaged in extensive technical assistance discussions. During this time, CMS received multiple draft corrective action plans (CAPs) from the Arkansas DHS that set out schedules for compliance with section 1137(d) of the Act, including dates of compliance by July 1, 2014, October 2015, and April 2016. The Arkansas DHS formally responded to the December 20, 2013, RAI on October 7, 2015. The RAI response included a revised schedule for compliance with section 1137(d) of the Act by April of 2016. On November 3, 2015, CMS approved Arkansas' SPA 13-0018, which describes the Arkansas DHS's policies and practices related to citizenship and non-citizen eligibility, including the assurance that the Arkansas DHS is providing Medicaid benefits during the reasonable opportunity period to individuals who have declared under penalty of perjury that they are in a satisfactory immigration status pending verification of such status. At the same time, CMS issued a companion letter informing the Arkansas DHS that, if it did not demonstrate compliance with these requirements within 30 days of the date of the letter, CMS would initiate formal compliance proceedings. The Arkansas DHS did not come into compliance by the specified date and on February 23, 2016, submitted a revised timeline for compliance with section 1137(d) of the Act, with a compliance date of August 2016. The Arkansas DHS' submission of its quarterly expenditure reports through the CMS-64 includes a certification that the Arkansas DHS is operating under the authority of its approved Medicaid state plan. However, at this time, CMS has not received information from the Arkansas DHS providing evidence of compliance with its approved state plan, section 1137(d) of the Act and regulations at 42 CFR 435.911(c). In light of the Arkansas DHS' non-compliance with section 1137(d) of the Act, CMS is moving forward with a formal determination of substantial noncompliance with federal requirements described in section 1137(d) of the Act and the regulations at 42 CFR 435.911(c) to provide Medicaid coverage to otherwise eligible non-citizens pending verification of their satisfactory immigration status during a reasonable opportunity period if the individual meets all other eligibility criteria for Medicaid. Subject to the state's opportunity for a hearing, CMS will withhold a portion of federal financial participation (FFP) from the Arkansas DHS' quarterly claim of expenditures for administrative costs until such time as the Arkansas DHS is and continues to be in compliance with the federal requirements. The withholding will initially be three percent of the federal share of the Arkansas DHS' quarterly claim for administrative expenditures, an amount that was developed based on the proportion of total state Medicaid expenditures that are used for expenditures for eligibility determinations, as reported on Form CMS-64.10 Line 50. The withholding percentage will increase by two percentage points (i.e. 5 percent, 7 percent, etc.) for every quarter in which the Arkansas DHS remains out of compliance, up to a maximum withholding percentage of 100 percent (of total administrative expenditures). The withholding will end when the Arkansas DHS fully and satisfactorily [[Page 49662]] implements a corrective action plan to bring its procedures to process eligibility determinations under its Medicaid program into compliance with the federal requirements. The state has 30 days from the date of this letter to request a hearing. As specified in the accompanying Federal Register notice, the Arkansas DHS has an opportunity for an administrative hearing prior to this determination becoming final. However, the Arkansas DHS must request a hearing. If a request for a hearing is submitted timely, the hearing will be convened by the Hearing Officer designated below no later than 60 days after the date of the Federal Register notice, or a later date by agreement of the parties and the Hearing Officer, at the CMS Regional Office in Dallas, Texas, in accordance with the procedures set forth in federal regulations at 42 CFR part 430, subpart D. The issue in any such hearing will be whether benefits are being provided during a reasonable opportunity period to individuals who have declared under penalty of perjury that they are in a to a satisfactory immigration status pending verification of such status, if they meet all other eligibility requirements, in accordance with the state plan and 42 CFR 435.911(c). Any request for such a hearing should be sent to the designated Hearing Officer. The Hearing Officer also should be notified if the Arkansas DHS requests a hearing but cannot meet the timeframe expressed in this notice. The Hearing Officer designated for this matter is: Benjamin R. Cohen, Hearing Officer, Centers for Medicare & Medicaid Services, 2520 Lord Baltimore Drive, Suite L, Baltimore, MD 21244. If the Arkansas DHS plans to come into compliance with the approved state plan, the Arkansas DHS should submit, within 30 days of the date of this letter, an explanation of how the Arkansas DHS plans to come into compliance with federal requirements and the timeframe for doing so. If that explanation is satisfactory, CMS may consider postponing any requested hearing, which could also delay the imposition of the withholding of funds as described above. Our goal is to have the Arkansas DHS come into compliance, and CMS continues to be available to provide technical assistance to the Arkansas DHS in achieving this outcome. Should you not request a hearing within 30 days, a notice of withholding will be sent to you and the withholding of federal funds will begin as described above. If you have any questions or wish to discuss this determination further, please contact: Bill Brooks, Associate Regional Administrator, Division of Medicaid and Children's Health Operations, CMS Dallas Regional Office, 1301 Young Street, Suite 714, Dallas, TX 75202, 214- 767-4461. Sincerely, Andrew M. Slavitt Acting Administrator (Catalog of Federal Domestic Assistance Program No. 13.714, Medicaid Assistance Program.) Dated: July 22, 2016. Andrew M. Slavitt, Acting Administrator, Centers for Medicare & Medicaid Services. [FR Doc. 2016-17923 Filed 7-27-16; 8:45 am] BILLING CODE 4120-01-P
![49660 Federal Register / Vol. 81, No. 145 / Thursday, July 28, 2016 / Notices
Status: Open to the public, limited DEPARTMENT OF HEALTH AND assurance in the Medicaid state plan, it
only by the space and telephone lines HUMAN SERVICES (HHS) is CMS’ understanding based on
available. The meeting room numerous discussions and interactions
accommodates 100 people and there Centers for Medicare & Medicaid with the state that Arkansas is not
will be 50 telephone lines available. Services providing Medicaid benefits to
individuals who declared under penalty
Purpose: The committee advises the Notice of Opportunity for Hearing on of perjury that they are in a satisfactory
Secretary, Department of Health and Compliance of Arkansas State Plan immigration status, have met all other
Human Services, and the Assistant Provisions Concerning Provision of eligibility requirements for Medicaid in
Secretary for Health in the (a) Benefits During a Reasonable the state, and are pending verification of
coordination of all research and Opportunity Period With Titles XI and their immigration status.
education programs and other activities XIX (Medicaid) of the Social Security With a formal determination by the
within the Department and with other Act CMS Administrator that the Arkansas
federal, state, local and private agencies, AGENCY: Centers for Medicare & DHS has failed to comply substantially
and (b) establishment and maintenance Medicaid Services (CMS), HHS. with these requirements, made after a
of liaison with appropriate private ACTION: Notice of Opportunity for a
hearing or absent a hearing request,
entities, federal agencies, and state and Hearing Compliance of Arkansas CMS will begin this FFP withholding
local public health agencies with Medicaid State Plan—Provision of and it will continue until the Arkansas
respect to smoking and health activities. Benefits During a Reasonable DHS comes into compliance with the
Opportunity Period. requirement to provide Medicaid
Matters for Discussion: The topic of benefits during a reasonable opportunity
the meeting is ‘‘Increasing Smoke-free period for otherwise eligible non-
and Tobacco-free Environments.’’ The CLOSING DATE: Requests to participate in
the hearing as a party must be received citizens who have declared under
objectives of the meeting are to assess penalty of perjury that they are in a
by the presiding officer by August 29,
the progress of expanding smoke-free satisfactory immigration status.
2016.
and tobacco-free environments 10 years Arkansas submitted state plan
after the landmark 2006 Surgeon FOR FURTHER INFORMATION CONTACT: amendment (SPA) Transmittal Number
General’s Report on the health Benjamin R. Cohen, Hearing Officer, 13–0018 on September 23, 2013, which
consequences of exposure to Centers for Medicare & Medicaid described the Arkansas DHS’s policies
secondhand smoke, and to identify Services, 2520 Lord Baltimore Drive, and practices related to citizenship and
specific federal actions that can be taken Suite L, Baltimore, MD 21244. non-citizen eligibility, including the
to further our progress. SUPPLEMENTARY INFORMATION: This assurance that the Arkansas DHS
notice announces the opportunity for an provides Medicaid benefits during the
Agenda items are subject to change as administrative hearing concerning the reasonable opportunity period to
priorities dictate. finding of the Administrator of the individuals who have declared under
Contact Person for More Information: Centers for Medicare & Medicaid penalty of perjury that they are in a
Substantive program information as Services (CMS) that the State of satisfactory immigration status pending
well as summaries of the meeting and Arkansas is not providing Medicaid verification of such status. During the
roster of committee members may be benefits during a reasonable opportunity review of this SPA, CMS learned that
obtained from the internet at period. the Arkansas DHS was not providing
www.cdc.gov/tobacco or from Ms. Section 1902(a)(46) of the Social Medicaid benefits during a reasonable
Security Act (the Act) requires state opportunity period to individuals who
Monica L. Swann, Management and
plans for medical assistance to provide have declared under penalty of perjury
Program Analyst, National Center for
‘‘that information is requested and that they are in a satisfactory
Chronic Disease Prevention and Health
exchanged for purposes of income and immigration status and who meet all
Promotion, CDC, 395 E. Street SW., eligibility verification in accordance
Washington, DC 20024. Telephone: other eligibility requirements in the
with a State system which meets the state, pending verification of such
(202) 245–0552. requirements of section 1137 of this status. Throughout 2014 and 2015, CMS
The Director, Management Analysis Act.’’ Section 1137(d) of the Act and and Arkansas engaged in extensive
and Services Office, has been delegated regulations at 42 CFR 435.911(c) require technical assistance discussions. CMS
the authority to sign Federal Register that the state agency provide a sent a letter to the Arkansas DHS on
notices pertaining to announcements of reasonable opportunity period to April 1, 2015, reiterating the
meetings and other committee individuals who are determined requirement for Arkansas to comply
management activities, for both the otherwise eligible for Medicaid but for with the statute and regulations. During
Centers for Disease Control and whom the state agency is unable to this time, CMS received multiple draft
Prevention and the Agency for Toxic promptly verify satisfactory immigration corrective action plans (CAPs) from
Substances and Disease Registry. status. In its approved State Plan Arkansas that set out schedules to come
Amendment (SPA) 13–0018, the into compliance with section 1137(d) of
Catherine Ramadei, Arkansas Department of Human the Act by July 1, 2014, October 2015,
Acting Director, Management Analysis and Services (DHS) provides assurance that April 2016, and, most recently, August
Services Office Centers for Disease Control it provides Medicaid to citizens and 2016.
and Prevention. nationals of the United States and to On November 3, 2015, CMS approved
Lhorne on DSK30JT082PROD with NOTICES
[FR Doc. 2016–17799 Filed 7–27–16; 8:45 am] certain non-citizens, including during a Arkansas’ SPA 13–0018. At the same
BILLING CODE 4163–18–P reasonable opportunity period pending time, CMS issued a companion letter
verification of their citizenship, national informing Arkansas that, if it did not
status or satisfactory immigration status, demonstrate compliance with these
in accordance with the requirements of requirements within 30 days of the date
sections 1902(a)(46), 1902(ee), 1903(x) of the letter, CMS would initiate formal
and 1137(d) of the Act. Despite such compliance proceedings. To date, CMS
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![49662 Federal Register / Vol. 81, No. 145 / Thursday, July 28, 2016 / Notices
implements a corrective action plan to please contact: Bill Brooks, Associate ADDRESSES: In commenting, please refer
bring its procedures to process Regional Administrator, Division of to file code CMS–1667–PN. Because of
eligibility determinations under its Medicaid and Children’s Health staff and resource limitations, we cannot
Medicaid program into compliance with Operations, CMS Dallas Regional Office, accept comments by facsimile (FAX)
the federal requirements. 1301 Young Street, Suite 714, Dallas, TX transmission.
The state has 30 days from the date of 75202, 214–767–4461. You may submit comments in one of
this letter to request a hearing. As Sincerely, three ways (please choose only one of
specified in the accompanying Federal Andrew M. Slavitt the ways listed):
Register notice, the Arkansas DHS has Acting Administrator 1. Electronically. You may submit
an opportunity for an administrative
(Catalog of Federal Domestic Assistance electronic comments on this exception
hearing prior to this determination Program No. 13.714, Medicaid Assistance request to http://www.regulations.gov.
becoming final. However, the Arkansas Program.) Follow the instructions under the ‘‘More
DHS must request a hearing. If a request
Search Options’’ tab.
for a hearing is submitted timely, the Dated: July 22, 2016.
hearing will be convened by the Hearing 2. By regular mail. You may mail
Andrew M. Slavitt,
Officer designated below no later than written comments to the following
Acting Administrator, Centers for Medicare
60 days after the date of the Federal address ONLY: Centers for Medicare &
& Medicaid Services.
Register notice, or a later date by Medicaid Services, Department of
[FR Doc. 2016–17923 Filed 7–27–16; 8:45 am]
agreement of the parties and the Hearing Health and Human Services, Attention:
BILLING CODE 4120–01–P
Officer, at the CMS Regional Office in CMS–1667–PN, P.O. Box 8010,
Dallas, Texas, in accordance with the Baltimore, MD 21244–1850.
procedures set forth in federal DEPARTMENT OF HEALTH AND Please allow sufficient time for mailed
regulations at 42 CFR part 430, subpart HUMAN SERVICES comments to be received before the
D. The issue in any such hearing will be close of the comment period.
whether benefits are being provided Centers for Medicare & Medicaid 3. By express or overnight mail. You
during a reasonable opportunity period Services may send written comments to the
to individuals who have declared under
following address ONLY: Department of
penalty of perjury that they are in a to [CMS–1667–PN]
Health and Human Services, Attention:
a satisfactory immigration status
Medicare Program; Request for an CMS–1667–PN, Mail Stop C4–26–05,
pending verification of such status, if
Exception to the Prohibition on 7500 Security Boulevard, Baltimore, MD
they meet all other eligibility
Expansion of Facility Capacity Under 21244–1850.
requirements, in accordance with the
state plan and 42 CFR 435.911(c). Any the Hospital Ownership and Rural For information on viewing public
request for such a hearing should be Provider Exceptions to the Physician comments, see the beginning of the
sent to the designated Hearing Officer. Self-Referral Prohibition SUPPLEMENTARY INFORMATION section.
The Hearing Officer also should be FOR FURTHER INFORMATION CONTACT:
AGENCY: Centers for Medicare &
notified if the Arkansas DHS requests a POH-ExceptionRequests@cms.hhs.gov.
Medicaid Services (CMS), HHS.
hearing but cannot meet the timeframe SUPPLEMENTARY INFORMATION:
expressed in this notice. The Hearing ACTION: Proposed notice.
Officer designated for this matter is: Inspection of Public Comments
SUMMARY: The Social Security Act
Benjamin R. Cohen, Hearing Officer,
prohibits a physician-owned hospital All comments received before the
Centers for Medicare & Medicaid
from expanding its facility capacity, close of the comment period are
Services, 2520 Lord Baltimore Drive,
unless the Secretary of the Department available for viewing by the public,
Suite L, Baltimore, MD 21244.
If the Arkansas DHS plans to come of Health and Human Services (the including any personally identifiable or
into compliance with the approved state Secretary) grants the hospital’s request confidential business information that is
plan, the Arkansas DHS should submit, for an exception to that prohibition after included in a comment. We post all
within 30 days of the date of this letter, considering input on the hospital’s comments received before the close of
an explanation of how the Arkansas request from individuals and entities in the comment period on the following
DHS plans to come into compliance the community where the hospital is Web site as soon as possible after they
with federal requirements and the located. The Centers for Medicare & have been received: http://
timeframe for doing so. If that Medicaid Services (CMS) has received a www.regulations.gov. Follow the search
explanation is satisfactory, CMS may request from a physician-owned instructions on that Web site to view
consider postponing any requested hospital for an exception to the public comments.
hearing, which could also delay the prohibition against expansion of facility We will allow stakeholders 30 days
imposition of the withholding of funds capacity. This notice solicits comments from the date of this notice to submit
as described above. Our goal is to have on the request from individuals and written comments. Comments received
the Arkansas DHS come into entities in the community in which the timely will be available for public
compliance, and CMS continues to be physician-owned hospital is located. inspection as they are received,
available to provide technical assistance Community input may inform our generally beginning approximately 3
to the Arkansas DHS in achieving this determination regarding whether the weeks after publication of this notice, at
outcome. requesting hospital qualifies for an the headquarters of the Centers for
exception to the prohibition against
Lhorne on DSK30JT082PROD with NOTICES
Should you not request a hearing Medicare & Medicaid Services, 7500
within 30 days, a notice of withholding expansion of facility capacity. Security Boulevard, Baltimore,
will be sent to you and the withholding DATES: Comment Date: To be assured Maryland 21244, Monday through
of federal funds will begin as described consideration, comments must be Friday of each week from 8:30 a.m. to
above. received at one of the addresses 4 p.m. To schedule an appointment to
If you have any questions or wish to provided below, no later than 5 p.m. on view public comments, please phone 1–
discuss this determination further, August 29, 2016. 800–743–3951.
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Document Created: 2016-07-28 01:47:35
Document Modified: 2016-07-28 01:47:35
| 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 of Opportunity for a Hearing Compliance of Arkansas Medicaid State Plan--Provision of Benefits During a Reasonable Opportunity Period. | |
| Dates | Requests to participate in the hearing as a party must be received by the presiding officer by August 29, 2016. | |
| Contact | Benjamin R. Cohen, Hearing Officer, Centers for Medicare & Medicaid Services, 2520 Lord Baltimore Drive, Suite L, Baltimore, MD 21244. | |
| FR Citation | 81 FR 49660 |
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