81 FR 80078 - 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, 2017 Through September 30, 2018
DEPARTMENT OF HEALTH AND HUMAN SERVICES Federal Register Volume 81, Issue 220 (November 15, 2016)
Federal Register Volume 81, Issue 220 (November 15, 2016)
| Page Range | 80078-80080 | |
| FR Document | 2016-27424 |
[Federal Register Volume 81, Number 220 (Tuesday, November 15, 2016)] [Notices] [Pages 80078-80080] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-27424] ----------------------------------------------------------------------- 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, 2017 Through September 30, 2018 AGENCY: Office of the Secretary, DHHS. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: The Federal Medical Assistance Percentages (FMAP), Enhanced Federal Medical Assistance Percentages (eFMAP), and disaster-recovery FMAP adjustments for Fiscal Year 2018 have been calculated pursuant to the Social Security Act (the Act). These percentages will be effective from October 1, 2017 through September 30, 2018. 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, Title IV-E Foster Care Maintenance payments, Adoption Assistance payments and Guardianship 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 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 beginning 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. [[Page 80079]] 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 2018 adjustment for a major statewide disaster for any state because no state's FMAP decreased by at least three percentage points from FY 2017 to FY 2018. 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 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. EFFECTIVE DATES: The percentages listed in Table 1 will be effective for each of the four quarter[dash]year periods beginning October 1, 2017 and ending September 30, 2018. 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; 93.090 Guardianship 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 8, 2016. Sylvia M. Burwell, Secretary, Department of Health and Human Services. Table 1--Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages, Effective October 1, 2017-September 30, 2018 [Fiscal Year 2018] ---------------------------------------------------------------------------------------------------------------- Enhanced Enhanced federal Federal federal medical State medical medical assistance assistance assistance percentages percentages percentages with ACA 23 Pt increase *** ---------------------------------------------------------------------------------------------------------------- Alabama......................................................... 71.44 80.01 100.00 Alaska.......................................................... 50.00 65.00 88.00 American Samoa *................................................ 55.00 68.50 91.50 Arizona......................................................... 69.89 78.92 100.00 Arkansas........................................................ 70.87 79.61 100.00 California...................................................... 50.00 65.00 88.00 Colorado........................................................ 50.00 65.00 88.00 Connecticut..................................................... 50.00 65.00 88.00 Delaware........................................................ 56.43 69.50 92.50 District of Columbia **......................................... 70.00 79.00 100.00 [[Page 80080]] Florida......................................................... 61.79 73.25 96.25 Georgia......................................................... 68.50 77.95 100.00 Guam *.......................................................... 55.00 68.50 91.50 Hawaii.......................................................... 54.78 68.35 91.35 Idaho........................................................... 71.17 79.82 100.00 Illinois........................................................ 50.74 65.52 88.52 Indiana......................................................... 65.59 75.91 98.91 Iowa............................................................ 58.48 70.94 93.94 Kansas.......................................................... 54.74 68.32 91.32 Kentucky........................................................ 71.17 79.82 100.00 Louisiana....................................................... 63.69 74.58 97.58 Maine........................................................... 64.34 75.04 98.04 Maryland........................................................ 50.00 65.00 88.00 Massachusetts................................................... 50.00 65.00 88.00 Michigan........................................................ 64.78 75.35 98.35 Minnesota....................................................... 50.00 65.00 88.00 Mississippi..................................................... 75.65 82.96 100.00 Missouri........................................................ 64.61 75.23 98.23 Montana......................................................... 65.38 75.77 98.77 Nebraska........................................................ 52.55 66.79 89.79 Nevada.......................................................... 65.75 76.03 99.03 New Hampshire................................................... 50.00 65.00 88.00 New Jersey...................................................... 50.00 65.00 88.00 New Mexico...................................................... 72.16 80.51 100.00 New York........................................................ 50.00 65.00 88.00 North Carolina.................................................. 67.61 77.33 100.00 North Dakota.................................................... 50.00 65.00 88.00 Northern Mariana Islands *...................................... 55.00 68.50 91.50 Ohio............................................................ 62.78 73.95 96.95 Oklahoma........................................................ 58.57 71.00 94.00 Oregon.......................................................... 63.62 74.53 97.53 Pennsylvania.................................................... 51.82 66.27 89.27 Puerto Rico *................................................... 55.00 68.50 91.50 Rhode Island.................................................... 51.45 66.02 89.02 South Carolina.................................................. 71.58 80.11 100.00 South Dakota.................................................... 55.34 68.74 91.74 Tennessee....................................................... 65.82 76.07 99.07 Texas........................................................... 56.88 69.82 92.82 Utah............................................................ 70.26 78.18 100.00 Vermont......................................................... 53.47 67.43 90.43 Virgin Islands *................................................ 55.00 68.50 91.50 Virginia........................................................ 50.00 65.00 88.00 Washington...................................................... 50.00 65.00 88.00 West Virginia................................................... 73.24 81.27 100.00 Wisconsin....................................................... 58.77 71.14 94.14 Wyoming......................................................... 50.00 65.00 88.00 ---------------------------------------------------------------------------------------------------------------- * 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. 2016-27424 Filed 11-14-16; 8:45 am] BILLING CODE 4150-05-P
![80078 Federal Register / Vol. 81, No. 220 / Tuesday, November 15, 2016 / Notices
FD&C Act (21 U.S.C. 335b(a)(6))). If Mr. medical assistance (Medicaid), ‘‘ ‘‘Federal medical assistance percentage’’
Smith provides services in any capacity Temporary Assistance for Needy for any state shall be 100 per centum less the
to a person with an approved or Families (TANF) Contingency Funds, state percentage; and the state percentage
pending drug product application Child Support Enforcement collections, shall be that percentage which bears the same
ratio to 45 per centum as the square of the
during his period of debarment he will Child Care Mandatory and Matching per capita income of such state bears to the
be subject to civil money penalties Funds of the Child Care and square of the per capita income of the
(section 307(a)(7) of the FD&C Act). In Development Fund, Title IV–E Foster continental United States (including Alaska)
addition, FDA will not accept or review Care Maintenance payments, Adoption and Hawaii; except that (1) the Federal
any abbreviated new drug applications Assistance payments and Guardianship medical assistance percentage shall in no
from Mr. Smith during his period of Assistance payments, and the eFMAP case be less than 50 per centum or more than
debarment (section 306(c)(1)(B) of the rates for the Children’s Health Insurance 83 per centum, (2) the Federal medical
FD&C Act). Program (CHIP) expenditures. Table 1 assistance percentage for Puerto Rico, the
Any application by Mr. Smith for gives figures for each of the 50 states, Virgin Islands, Guam, the Northern Mariana
Islands, and American Samoa shall be 55
special termination of debarment under the District of Columbia, Puerto Rico, percent. . .’’.
section 306(d)(4) of the FD&C Act the Virgin Islands, Guam, American
should be identified with Docket No. Samoa, and the Commonwealth of the Section 4725(b) of the Balanced
FDA–2016–N–1162 and sent to the Northern Mariana Islands. This notice Budget Act of 1997 amended section
Division of Dockets Management (see reminds states of available disaster- 1905(b) to provide that the FMAP for
ADDRESSES). All such submissions are to recovery FMAP adjustments for the District of Columbia for purposes of
be filed in four copies. The public qualifying states, and adjustments titles XIX and XXI shall be 70 percent.
availability of information in these available for states meeting For the District of Columbia, we note
submissions is governed by 21 CFR requirements for negative growth in under Table 1 that other rates may apply
10.20. total state personal income. At this time, in certain other programs. In addition,
Publicly available submissions will be no states qualify for such adjustments. we note the rate that applies for Puerto
placed in the docket, and will be This notice also contains the Rico, the Virgin Islands, Guam,
viewable at http://www.regulations.gov increased eFMAPs for CHIP as American Samoa, and the
or at the Division of Dockets authorized under the Patient Protection Commonwealth of the Northern Mariana
Management (see ADDRESSES) between 9 and Affordable Care Act (Affordable Islands in certain other programs
a.m. and 4 p.m., Monday through Care Act) for fiscal years 2016 through pursuant to section 1118 of the Act. The
Friday. 2019 (October 1, 2015 through rates for the States, District of Columbia
Dated: November 9, 2016. September 30, 2019). and the territories are displayed in
Armando Zamora, Programs under title XIX of the Act Table 1, Column 1.
Deputy Director, Office of Enforcement and exist in each jurisdiction. Programs Section 1905(y) of the Act, as added
Import Operations, Office of Regulatory under titles I, X, and XIV operate only by section 2001 of the Patient Protection
Affairs. in Guam and the Virgin Islands. The and Affordable Care Act of 2010
[FR Doc. 2016–27417 Filed 11–14–16; 8:45 am] percentages in this notice apply to state (’’Affordable Care Act’’), provides for a
BILLING CODE 4164–01–P expenditures for most medical significant increase in the FMAP for
assistance and child health assistance, medical assistance expenditures for
and assistance payments for certain individuals determined eligible under
DEPARTMENT OF HEALTH AND social services. The Act provides the new adult group in the state and
HUMAN SERVICES separately for federal matching of who will be considered to be ‘‘newly
administrative costs. eligible’’ in 2014, as defined in section
Federal Financial Participation in State Sections 1905(b) and 1101(a)(8)(B) of 1905(y)(2)(A) of the Act. This newly
Assistance Expenditures; Federal the Social Security Act (the Act) require eligible FMAP is 100 percent for
Matching Shares for Medicaid, the the Secretary of HHS to publish the Calendar Years 2014, 2015, and 2016,
Children’s Health Insurance Program, FMAP rates each year. The Secretary gradually declining to 90 percent in
and Aid to Needy Aged, Blind, or calculates the percentages, using 2020 where it remains indefinitely. In
Disabled Persons for October 1, 2017 formulas in sections 1905(b) and addition, section 1905(z) of the Act, as
Through September 30, 2018 1101(a)(8), and calculations by the added by section 10201 of the
AGENCY: Office of the Secretary, DHHS. Department of Commerce of average Affordable Care Act, provides that states
ACTION: Notice. income per person in each state and for that had expanded substantial coverage
the Nation as a whole. The percentages to low-income parents and nonpregnant
SUMMARY: The Federal Medical must fall within the upper and lower adults without children prior to the
Assistance Percentages (FMAP), limits specified in section 1905(b) of the enactment of the Affordable Care Act,
Enhanced Federal Medical Assistance Act. The percentages for the District of referred to as ‘‘expansion states,’’ shall
Percentages (eFMAP), and disaster- Columbia, Puerto Rico, the Virgin receive an enhanced FMAP beginning in
recovery FMAP adjustments for Fiscal Islands, Guam, American Samoa, and 2014 for medical assistance
Year 2018 have been calculated the Northern Mariana Islands are expenditures for nonpregnant childless
pursuant to the Social Security Act (the specified in statute, and thus are not adults who may be required to enroll in
Act). These percentages will be effective based on the statutory formula that benchmark coverage. These provisions
from October 1, 2017 through determines the percentages for the 50 are discussed in more detail in the
mstockstill on DSK3G9T082PROD with NOTICES
September 30, 2018. This notice states. Medicaid Eligibility proposed rule
announces the calculated FMAP rates, published on August 17, 2011 (76 FR
Federal Medical Assistance Percentage
in accordance with sections 1101(a)(8) 51172) and the final rule published on
(FMAP)
and 1905(b) of the Act, that the U.S. March 23, 2012 (77 FR 17143). This
Department of Health and Human Section 1905(b) of the Act specifies notice is not intended to set forth the
Services (HHS) will use in determining the formula for calculating FMAPs as newly eligible or expansion state FMAP
the amount of federal matching for state follows: rates.
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![Federal Register / Vol. 81, No. 220 / Tuesday, November 15, 2016 / Notices 80079
Other Adjustments to the FMAP contribution that exceeds 125 percent of shall be increased by 23 percentage points,
the amount of the employer but in no case shall exceed 100 percent.
For purposes of Title XIX (Medicaid)
of the Social Security Act, the Federal contribution in the previous calendar The eFMAP rates are used in the
Medical Assistance Percentage (FMAP), year shall be disregarded. Children’s Health Insurance Program
defined in section 1905(b) of the Social We request that states follow the same under Title XXI, and in the Medicaid
Security Act, for each state beginning methodology to determine potential program for certain children for
with fiscal year 2006 is subject to an FMAP adjustments for negative growth expenditures for medical assistance
adjustment pursuant to section 614 of in total personal income that HHS described in sections 1905(u)(2) and
the Children’s Health Insurance employs to make adjustments to the 1905(u)(3) of the Act. There is no
Program Reauthorization Act of 2009 FMAP for states experiencing specific requirement to publish the
(CHIPRA), Public Law 111–3. Section significantly disproportionate pension eFMAP rates. We include them in this
614 of CHIPRA stipulates that a state’s or insurance contributions. See also the notice for the convenience of the states,
FMAP under Title XIX (Medicaid) must information described in the January 21, and display both the normal eFMAP
be adjusted in two situations. 2014 Federal Register notice (79 FR rates (Table 1, Column 2) and the
In the first situation, if a state 3385). Affordable Care Act’s increased eFMAP
This notice does not contain an FY rates (Table 1, Column 3) for
experiences positive growth in total
2018 adjustment for a major statewide comparison.
personal income and an employer in
disaster for any state because no state’s
that state has made a significantly EFFECTIVE DATES: The percentages listed
FMAP decreased by at least three
disproportionate contribution to a in Table 1 will be effective for each of
percentage points from FY 2017 to FY
pension or insurance fund, the state’s the four quarter-year periods beginning
2018.
FMAP must be adjusted. Employer October 1, 2017 and ending September
pension and insurance fund Enhanced Federal Medical Assistance 30, 2018.
contributions are significantly Percentage (eFMAP) for CHIP
FOR FURTHER INFORMATION CONTACT:
disproportionate if the increase in Section 2105(b) of the Act specifies Thomas Musco or Rose Chu, Office of
contributions exceeds 25 percent of the the formula for calculating the eFMAP Health Policy, Office of the Assistant
increase in total personal income in that rates as follows: Secretary for Planning and Evaluation,
state. A Federal Register Notice with
The ‘‘enhanced FMAP’’, for a state for a Room 447D–Hubert H. Humphrey
comment period was issued on June 7,
fiscal year, is equal to the Federal medical Building, 200 Independence Avenue
2010 (75 FR 32182) announcing the
assistance percentage (as defined in the first SW., Washington, DC 20201, (202) 690–
methodology for calculating this sentence of section 1905(b)) for the state 6870.
adjustment; a final notice was issued on increased by a number of percentage points
October 15, 2010 (75 FR 63480). (Catalog of Federal Domestic Assistance
equal to 30 percent of the number of
A second situation arises if a state Program Nos. 93.558: TANF Contingency
percentage points by which (1) such Federal
experiences negative growth in total Funds; 93.563: Child Support Enforcement;
medical assistance percentage for the state, is
93.596: Child Care Mandatory and Matching
personal income. Beginning with Fiscal less than (2) 100 percent; but in no case shall
Funds of the Child Care and Development
Year 2006, section 614(b)(3) of CHIPRA the enhanced FMAP for a state exceed 85
Fund; 93.658: Foster Care Title IV–E; 93.659:
specifies that certain employer pension percent.
Adoption Assistance; 93.090 Guardianship
or insurance fund contributions shall be In addition, Section 2105(b) of the Assistance; 93.769: Ticket-to-Work and Work
disregarded when computing the per Social Security Act, as amended by Incentives Improvement Act (TWWIIA)
capita income used to calculate the Section 2101 of the Affordable Care Act, Demonstrations to Maintain Independence
FMAP for states with negative growth in increases the eFMAP for states by 23 and Employment; 93.778: Medical Assistance
total personal income. In that instance, percentage points: Program; 93.767: Children’s Health Insurance
for the purposes of calculating the Program)
. . . during the period that begins on
FMAP, for a calendar year in which a Dated: November 8, 2016.
October 1, 2015, and ends on September 30,
state’s total personal income has 2019, the enhanced FMAP determined for a Sylvia M. Burwell,
declined, the portion of an employer state for a fiscal year (or for any portion of Secretary, Department of Health and Human
pension and insurance fund a fiscal year occurring during such period) Services.
TABLE 1—FEDERAL MEDICAL ASSISTANCE PERCENTAGES AND ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES,
EFFECTIVE OCTOBER 1, 2017–SEPTEMBER 30, 2018
[Fiscal Year 2018]
Enhanced
Enhanced federal
Federal federal medical
medical
State medical assistance
assistance assistance percentages
percentages percentages with ACA 23
Pt increase ***
Alabama ....................................................................................................................................... 71.44 80.01 100.00
Alaska .......................................................................................................................................... 50.00 65.00 88.00
mstockstill on DSK3G9T082PROD with NOTICES
American Samoa * ....................................................................................................................... 55.00 68.50 91.50
Arizona ......................................................................................................................................... 69.89 78.92 100.00
Arkansas ...................................................................................................................................... 70.87 79.61 100.00
California ...................................................................................................................................... 50.00 65.00 88.00
Colorado ...................................................................................................................................... 50.00 65.00 88.00
Connecticut .................................................................................................................................. 50.00 65.00 88.00
Delaware ...................................................................................................................................... 56.43 69.50 92.50
District of Columbia ** .................................................................................................................. 70.00 79.00 100.00
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TABLE 1—FEDERAL MEDICAL ASSISTANCE PERCENTAGES AND ENHANCED FEDERAL MEDICAL ASSISTANCE PERCENTAGES,
EFFECTIVE OCTOBER 1, 2017–SEPTEMBER 30, 2018—Continued
[Fiscal Year 2018]
Enhanced
Enhanced federal
Federal federal medical
medical
State medical assistance
assistance assistance percentages
percentages percentages with ACA 23
Pt increase ***
Florida .......................................................................................................................................... 61.79 73.25 96.25
Georgia ........................................................................................................................................ 68.50 77.95 100.00
Guam * ......................................................................................................................................... 55.00 68.50 91.50
Hawaii .......................................................................................................................................... 54.78 68.35 91.35
Idaho ............................................................................................................................................ 71.17 79.82 100.00
Illinois ........................................................................................................................................... 50.74 65.52 88.52
Indiana ......................................................................................................................................... 65.59 75.91 98.91
Iowa ............................................................................................................................................. 58.48 70.94 93.94
Kansas ......................................................................................................................................... 54.74 68.32 91.32
Kentucky ...................................................................................................................................... 71.17 79.82 100.00
Louisiana ...................................................................................................................................... 63.69 74.58 97.58
Maine ........................................................................................................................................... 64.34 75.04 98.04
Maryland ...................................................................................................................................... 50.00 65.00 88.00
Massachusetts ............................................................................................................................. 50.00 65.00 88.00
Michigan ....................................................................................................................................... 64.78 75.35 98.35
Minnesota .................................................................................................................................... 50.00 65.00 88.00
Mississippi .................................................................................................................................... 75.65 82.96 100.00
Missouri ........................................................................................................................................ 64.61 75.23 98.23
Montana ....................................................................................................................................... 65.38 75.77 98.77
Nebraska ...................................................................................................................................... 52.55 66.79 89.79
Nevada ......................................................................................................................................... 65.75 76.03 99.03
New Hampshire ........................................................................................................................... 50.00 65.00 88.00
New Jersey .................................................................................................................................. 50.00 65.00 88.00
New Mexico ................................................................................................................................. 72.16 80.51 100.00
New York ..................................................................................................................................... 50.00 65.00 88.00
North Carolina .............................................................................................................................. 67.61 77.33 100.00
North Dakota ................................................................................................................................ 50.00 65.00 88.00
Northern Mariana Islands * .......................................................................................................... 55.00 68.50 91.50
Ohio ............................................................................................................................................. 62.78 73.95 96.95
Oklahoma ..................................................................................................................................... 58.57 71.00 94.00
Oregon ......................................................................................................................................... 63.62 74.53 97.53
Pennsylvania ................................................................................................................................ 51.82 66.27 89.27
Puerto Rico * ................................................................................................................................ 55.00 68.50 91.50
Rhode Island ................................................................................................................................ 51.45 66.02 89.02
South Carolina ............................................................................................................................. 71.58 80.11 100.00
South Dakota ............................................................................................................................... 55.34 68.74 91.74
Tennessee ................................................................................................................................... 65.82 76.07 99.07
Texas ........................................................................................................................................... 56.88 69.82 92.82
Utah ............................................................................................................................................. 70.26 78.18 100.00
Vermont ....................................................................................................................................... 53.47 67.43 90.43
Virgin Islands * ............................................................................................................................. 55.00 68.50 91.50
Virginia ......................................................................................................................................... 50.00 65.00 88.00
Washington .................................................................................................................................. 50.00 65.00 88.00
West Virginia ................................................................................................................................ 73.24 81.27 100.00
Wisconsin ..................................................................................................................................... 58.77 71.14 94.14
Wyoming ...................................................................................................................................... 50.00 65.00 88.00
* 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. 2016–27424 Filed 11–14–16; 8:45 am]
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BILLING CODE 4150–05–P
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Document Created: 2016-11-15 00:47:34
Document Modified: 2016-11-15 00:47:34
| 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 percentages listed in Table 1 will be effective for each of the four quarter[dash]year periods beginning October 1, 2017 and ending September 30, 2018. | |
| 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 | 81 FR 80078 |
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