81 FR 56654 - Medicaid Program; Connecting Kids to Coverage Outreach and Enrollment Cooperative Agreement
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 81, Issue 162 (August 22, 2016)
Centers for Medicare & Medicaid Services
Federal Register Volume 81, Issue 162 (August 22, 2016)
| Page Range | 56654-56655 | |
| FR Document | 2016-19999 |
[Federal Register Volume 81, Number 162 (Monday, August 22, 2016)] [Notices] [Pages 56654-56655] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-19999] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS-2430-N] Medicaid Program; Connecting Kids to Coverage Outreach and Enrollment Cooperative Agreement AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: The purpose of this notice is to announce a single source emergency cooperative agreement funding opportunity available solely to the Greater Flint Health Coalition to reduce the number of children in Flint, Michigan who are eligible for Medicaid and CHIP, but are not enrolled, and improve retention of children enrolled. DATES: 3 years, composed of three 12-month budget periods. The maximum funding amount for the first 12-month budget period is $100,000. The Greater Flint Health Coalition will be eligible to receive an additional $100,000 per year for the second and third 12-month budget periods. FOR FURTHER INFORMATION CONTACT: Patrick M. Edwards, Project Officer, 410-786-4463. SUPPLEMENTARY INFORMATION: I. Background On January 16, 2016, President Obama declared an emergency in the State of Michigan and ordered federal aid to supplement state and local efforts in response to the lead exposure related to the Flint, Michigan water system. On March 3, 2016, we approved the State of Michigan's 1115 demonstration, which (along with associated state plan amendments) extended Medicaid coverage and services to children up to age 21 years and to pregnant women with incomes up to and including 400 percent of the federal poverty level (FPL) who were served by the Flint water system from April 2014 through a state-specified date. To maximize outreach efforts to the significant number of children newly eligible for coverage, the Secretary for the Department of Health and Human Services (DHHS) has expressed interest in utilizing $300,000 of outreach funding available under the Medicare Access and CHIP Reauthorization Act (MACRA) (Pub. L. 114-10, enacted on April 16, 2015) to support and coordinate outreach and enrollment efforts in Flint, Michigan to address the urgent health coverage needs of children exposed to lead related to the Flint water system. The MACRA funds will be used to support the immediate need for an outreach and enrollment coordinator to educate current beneficiaries and applicants about the availability of important Medicaid benefits for children impacted by the lead exposure that began in April 2014 and continues to pose a risk. This exposure can cause negative developmental neurocognitive effects. Funds will be used for activities aimed at educating families about the availability of free or low-cost health coverage under Medicaid and CHIP,\1\ identifying children likely to be eligible for these programs, assisting families with the application, as well as supporting the renewal of children in Medicaid and CHIP. --------------------------------------------------------------------------- \1\ On January 1, 2016, Michigan transitioned most of the children in its separate CHIP to a Medicaid expansion CHIP. The only children remaining in the separate CHIP are children from conception to birth, as defined in 42 CFR 457.10, with family income up to and including 195 percent of the Federal Poverty Level. Outreach and enrollment efforts will be directed to children who are eligible for Medicaid, as well as this CHIP population, to address the urgent health coverage needs of children exposed to lead contaminated water. --------------------------------------------------------------------------- II. Provisions of the Notice The purpose of this notice is to announce a single source emergency cooperative agreement funding opportunity available solely to the Greater Flint Health Coalition to reduce the number of children in Flint, Michigan who are eligible for Medicaid and CHIP, but are not enrolled, and improve retention of children enrolled. A single-source award to the Greater Flint Health Coalition will enable CMS to expeditiously provide emergency assistance to Flint, Michigan for the following purposes: To coordinate and promote activities aimed at educating families about the availability of free or low-cost health coverage under Medicaid and CHIP, identify children likely to be eligible for these programs, assist families with the application and renewal process, instruct current beneficiaries and applicants about the evaluation of potential lead exposure in the homes, communicate other benefits available to individuals eligible for services through the Flint demonstration, and ensure that such communication with individuals with disabilities and with individuals who are limited English proficient are in compliance with applicable civil rights laws, including Section 504 of the Rehabilitation Act and Title VI of the Civil Rights Act of 1964. To provide these essential services as quickly as possible to reduce the [[Page 56655]] potential long term effects caused by lead exposure, this single source emergency funding opportunity must solely be available to the Greater Flint Health Coalition (GFHC) which is uniquely positioned to meet the goals of the emergency cooperative agreement based on the organization's location, capacity, partnerships, resources, prior experience, and ability to begin implementing the project immediately. Prior to the water crisis in Flint, the GFHC worked to significantly improve the health status of Flint residents by establishing a common health agenda and instituting a shared measurement system among local hospitals with mutually reinforcing health activities. In addition, this organization currently administers programs that involve a variety of constituents important to reaching and enrolling children in Medicaid and CHIP, such as schools, health homes, safety net providers, and various government organizations. The GFHC's presence in the greater Flint community enabled them to become an early leader in alerting the public about the lead exposure related to the Flint water system. Utilizing the funding under this single-source award, the GFHC will be able to immediately hire an outreach and enrollment coordinator to educate beneficiaries about Medicaid and CHIP services available to affected children and families in Flint, Michigan and to coordinate community-based activities designed to support Medicaid enrollment for eligible children. More broadly, this funding will enable the GFHC to address the lead exposure related to the Flint water system by promoting critical public health, medical, and community-based services and interventions that address and mitigate the detrimental short and long term impacts of lead. Due to these reasons and the GFHC's cross sector collaboration with Genesee County's public health leadership, physicians, hospitals, and health insurers, GFHC has the full capacity to begin implementation of the project tasks immediately. III. Collection of Information Requirements This document does not impose information collection requirements, that is, reporting, recordkeeping or third-party disclosure requirements. Consequently, there is no need for review by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.). Dated: August 16, 2016. Andrew M. Slavitt, Acting Administrator, Centers for Medicare & Medicaid Services. [FR Doc. 2016-19999 Filed 8-19-16; 8:45 am] BILLING CODE 4120-01-P
![56654 Federal Register / Vol. 81, No. 162 / Monday, August 22, 2016 / Notices
FEDERAL RESERVE SYSTEM DEPARTMENT OF HEALTH AND exposed to lead related to the Flint
HUMAN SERVICES water system. The MACRA funds will
Formations of, Acquisitions by, and be used to support the immediate need
Mergers of Bank Holding Companies Centers for Medicare & Medicaid for an outreach and enrollment
Services coordinator to educate current
The companies listed in this notice [CMS–2430–N]
beneficiaries and applicants about the
have applied to the Board for approval, availability of important Medicaid
pursuant to the Bank Holding Company Medicaid Program; Connecting Kids to benefits for children impacted by the
Act of 1956 (12 U.S.C. 1841 et seq.) Coverage Outreach and Enrollment lead exposure that began in April 2014
(BHC Act), Regulation Y (12 CFR part Cooperative Agreement and continues to pose a risk. This
225), and all other applicable statutes exposure can cause negative
and regulations to become a bank AGENCY: Centers for Medicare & developmental neurocognitive effects.
holding company and/or to acquire the Medicaid Services (CMS), HHS. Funds will be used for activities aimed
assets or the ownership of, control of, or ACTION: Notice. at educating families about the
the power to vote shares of a bank or availability of free or low-cost health
SUMMARY: The purpose of this notice is coverage under Medicaid and CHIP,1
bank holding company and all of the to announce a single source emergency identifying children likely to be eligible
banks and nonbanking companies cooperative agreement funding for these programs, assisting families
owned by the bank holding company, opportunity available solely to the with the application, as well as
including the companies listed below. Greater Flint Health Coalition to reduce supporting the renewal of children in
The applications listed below, as well the number of children in Flint, Medicaid and CHIP.
as other related filings required by the Michigan who are eligible for Medicaid
and CHIP, but are not enrolled, and II. Provisions of the Notice
Board, are available for immediate
inspection at the Federal Reserve Bank improve retention of children enrolled. The purpose of this notice is to
indicated. The applications will also be DATES: 3 years, composed of three 12- announce a single source emergency
available for inspection at the offices of month budget periods. The maximum cooperative agreement funding
the Board of Governors. Interested funding amount for the first 12-month opportunity available solely to the
budget period is $100,000. The Greater Greater Flint Health Coalition to reduce
persons may express their views in
Flint Health Coalition will be eligible to the number of children in Flint,
writing on the standards enumerated in Michigan who are eligible for Medicaid
the BHC Act (12 U.S.C. 1842(c)). If the receive an additional $100,000 per year
for the second and third 12-month and CHIP, but are not enrolled, and
proposal also involves the acquisition of improve retention of children enrolled.
a nonbanking company, the review also budget periods.
A single-source award to the Greater
includes whether the acquisition of the FOR FURTHER INFORMATION CONTACT:
Flint Health Coalition will enable CMS
nonbanking company complies with the Patrick M. Edwards, Project Officer, to expeditiously provide emergency
standards in section 4 of the BHC Act 410–786–4463. assistance to Flint, Michigan for the
(12 U.S.C. 1843). Unless otherwise SUPPLEMENTARY INFORMATION: following purposes: To coordinate and
noted, nonbanking activities will be I. Background promote activities aimed at educating
conducted throughout the United States. families about the availability of free or
On January 16, 2016, President low-cost health coverage under
Unless otherwise noted, comments Obama declared an emergency in the
regarding each of these applications Medicaid and CHIP, identify children
State of Michigan and ordered federal likely to be eligible for these programs,
must be received at the Reserve Bank aid to supplement state and local efforts assist families with the application and
indicated or the offices of the Board of in response to the lead exposure related renewal process, instruct current
Governors not later than September 16, to the Flint, Michigan water system. On beneficiaries and applicants about the
2016. March 3, 2016, we approved the State of evaluation of potential lead exposure in
A. Federal Reserve Bank of St. Louis Michigan’s 1115 demonstration, which the homes, communicate other benefits
(David L. Hubbard, Senior Manager) (along with associated state plan available to individuals eligible for
P.O. Box 442, St. Louis, Missouri amendments) extended Medicaid services through the Flint
63166–2034. Comments can also be sent coverage and services to children up to demonstration, and ensure that such
electronically to age 21 years and to pregnant women communication with individuals with
Comments.applications@stls.frb.org: with incomes up to and including 400 disabilities and with individuals who
percent of the federal poverty level are limited English proficient are in
1. Central Bancompany, Inc., Jefferson (FPL) who were served by the Flint compliance with applicable civil rights
City, Missouri; to acquire 100 percent of water system from April 2014 through a laws, including Section 504 of the
Bank Star One, Fulton, Missouri. state-specified date. To maximize Rehabilitation Act and Title VI of the
Board of Governors of the Federal Reserve outreach efforts to the significant Civil Rights Act of 1964.
System, August 17, 2016. number of children newly eligible for To provide these essential services as
Margaret McCloskey Shanks, coverage, the Secretary for the quickly as possible to reduce the
Deputy Secretary of the Board.
Department of Health and Human
Services (DHHS) has expressed interest
asabaliauskas on DSK3SPTVN1PROD with NOTICES
1 On January 1, 2016, Michigan transitioned most
[FR Doc. 2016–19958 Filed 8–19–16; 8:45 am] in utilizing $300,000 of outreach of the children in its separate CHIP to a Medicaid
expansion CHIP. The only children remaining in
BILLING CODE 6210–01–P funding available under the Medicare the separate CHIP are children from conception to
Access and CHIP Reauthorization Act birth, as defined in 42 CFR 457.10, with family
(MACRA) (Pub. L. 114–10, enacted on income up to and including 195 percent of the
April 16, 2015) to support and Federal Poverty Level. Outreach and enrollment
efforts will be directed to children who are eligible
coordinate outreach and enrollment for Medicaid, as well as this CHIP population, to
efforts in Flint, Michigan to address the address the urgent health coverage needs of
urgent health coverage needs of children children exposed to lead contaminated water.
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![Federal Register / Vol. 81, No. 162 / Monday, August 22, 2016 / Notices 56655
potential long term effects caused by public health leadership, physicians, FOR FURTHER INFORMATION CONTACT:
lead exposure, this single source hospitals, and health insurers, GFHC Colleen Mahar-Piersma, Program
emergency funding opportunity must has the full capacity to begin Analyst, Office of Refugee Resettlement,
solely be available to the Greater Flint implementation of the project tasks Aerospace Building, 8th Floor West, 901
Health Coalition (GFHC) which is immediately. D Street SW., Washington, DC 20447.
uniquely positioned to meet the goals of Telephone: 202–401–6891; Email:
the emergency cooperative agreement III. Collection of Information
colleen.mahar-piersma@acf.hhs.gov.
based on the organization’s location, Requirements
SUPPLEMENTARY INFORMATION: The
capacity, partnerships, resources, prior This document does not impose
Wilson-Fish Alternative Program is
experience, and ability to begin information collection requirements,
intended to be an alternative to state-
implementing the project immediately. that is, reporting, recordkeeping or
administered refugee assistance program
Prior to the water crisis in Flint, the third-party disclosure requirements.
that ensures that refugee assistance
GFHC worked to significantly improve Consequently, there is no need for
programs exist in every state where
the health status of Flint residents by review by the Office of Management and
refugees are resettled. The W–F
establishing a common health agenda Budget under the authority of the
Alternative Program provides integrated
and instituting a shared measurement Paperwork Reduction Act of 1995 (44
assistance (cash and medical) and
system among local hospitals with U.S.C. 3501 et seq.).
services (employment, case
mutually reinforcing health activities. In Dated: August 16, 2016. management, English language
addition, this organization currently Andrew M. Slavitt, instruction, and other social services) to
administers programs that involve a
Acting Administrator, Centers for Medicare eligible clients in order to increase their
variety of constituents important to & Medicaid Services. prospects for early employment and
reaching and enrolling children in
[FR Doc. 2016–19999 Filed 8–19–16; 8:45 am] self-sufficiency, reduce their level of
Medicaid and CHIP, such as schools,
BILLING CODE 4120–01–P welfare dependence, and promote
health homes, safety net providers, and
coordination among voluntary
various government organizations. The
resettlement agencies and service
GFHC’s presence in the greater Flint DEPARTMENT OF HEALTH AND providers. W–F Alternative Program
community enabled them to become an HUMAN SERVICES eligible clients include refugees, asylees,
early leader in alerting the public about
Amerasian Immigrants, Cuban and
the lead exposure related to the Flint Administration for Children and Haitian Entrants, Trafficking Victims,
water system. Families
Utilizing the funding under this and Iraqi/Afghani Special Immigrant
single-source award, the GFHC will be [CFDA Number: 93.583] Visa holders.
able to immediately hire an outreach The W–F Alternative Program, which
and enrollment coordinator to educate Announcement of the Award of Single- operates in 13 states, is one of three
beneficiaries about Medicaid and CHIP Source Grants Under the Wilson-Fish models outlined in the ORR regulations
services available to affected children Alternative Program (W–F) for the purpose of providing refugee
and families in Flint, Michigan and to AGENCY: Office of Refugee Resettlement, cash assistance (RCA) to new arrivals.
coordinate community-based activities ACF, HHS. The W–F Alternative Program utilizes a
designed to support Medicaid ‘‘one stop shop’’ model in which
ACTION: Announcement of 13 single-
enrollment for eligible children. More services and assistance are administered
source awards under the Wilson-Fish
broadly, this funding will enable the by a single agency.
(W–F) Alternative Program.
GFHC to address the lead exposure Grant awards were made to 12
related to the Flint water system by SUMMARY: The Administration for statewide W–F Alternative Programs in
promoting critical public health, Children and Families (ACF), Office of Alabama, Alaska, Colorado, Idaho,
medical, and community-based services Refugee Resettlement (ORR), announces Kentucky, Louisiana, Massachusetts,
and interventions that address and the award of 13 single-source grants for Nevada, North Dakota, South Dakota,
mitigate the detrimental short and long a total of $35,513,938 under the W–F Tennessee, and Vermont. An award was
term impacts of lead. Due to these Alternative Program. also made to one countywide program
reasons and the GFHC’s cross sector DATES: September 30, 2015 through in San Diego County, CA.
collaboration with Genesee County’s September 29, 2016. The W–F grant recipients are:
Award
Grantee name Location amounts
Catholic Social Services ............................................................................................... Mobile, AL ................................................. $414,037
Catholic Social Services ............................................................................................... Anchorage, AK .......................................... 718,916
Colorado Department of Human Services ................................................................... Denver, CO ............................................... 2,955,177
Jannus Inc.—Idaho Office for Refugees ...................................................................... Boise, ID ................................................... 2,304,414
Catholic Charities—Louisville ....................................................................................... Louisville, KY ............................................ 4,856,018
Catholic Charities Diocese of Baton Rouge ................................................................ Baton Rouge, LA ...................................... 1,463,000
Massachusetts Office of Refugees & Immigrants ........................................................ Boston, MA ............................................... 3,814,588
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Catholic Charities of Southern Nevada ........................................................................ Las Vegas, NV .......................................... 4,349,921
Lutheran Social Services of North Dakota ................................................................... Fargo, ND ................................................. 1,378,169
Catholic Charities Diocese of San Diego ..................................................................... San Diego, CA .......................................... 3,534,100
Lutheran Social Services of South Dakota .................................................................. Sioux Falls, SD ......................................... 841,890
Catholic Charities of Tennessee, Inc. .......................................................................... Nashville, TN ............................................ 8,299,523
US Committee for Refugees & Immigrants ................................................................. Burlington, VT ........................................... 584,185
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Document Created: 2018-02-09 11:38:07
Document Modified: 2018-02-09 11:38:07
| 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 | 3 years, composed of three 12-month budget periods. The maximum funding amount for the first 12-month budget period is $100,000. The Greater Flint Health Coalition will be eligible to receive an additional $100,000 per year for the second and third 12-month budget periods. | |
| Contact | Patrick M. Edwards, Project Officer, 410-786-4463. | |
| FR Citation | 81 FR 56654 |
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