82_FR_34054 82 FR 33915 - Medicaid Program; State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals (QIs): Federal Fiscal Year 2014 and Federal Fiscal Year 2015 through Calendar Year 2015

82 FR 33915 - Medicaid Program; State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals (QIs): Federal Fiscal Year 2014 and Federal Fiscal Year 2015 through Calendar Year 2015

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 82, Issue 139 (July 21, 2017)

Page Range33915-33920
FR Document2017-15372

This notice sets forth the states' final allotments available to pay the Medicare Part B premiums for Qualifying Individuals (QIs) for the federal fiscal year (FY) 2014 and the preliminary QI allotments for federal FY 2015 which is extended through calendar year (CY) 2015 (December 2015) by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The amounts of these QI allotments were determined in accordance with the methodology set forth in regulations and reflect funding for the QI program made available under recent legislation.

Federal Register, Volume 82 Issue 139 (Friday, July 21, 2017) 
[Federal Register Volume 82, Number 139 (Friday, July 21, 2017)]
[Notices]
[Pages 33915-33920]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-15372]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-2405-N]
RIN 0938-ZB34


Medicaid Program; State Allotments for Payment of Medicare Part B 
Premiums for Qualifying Individuals (QIs): Federal Fiscal Year 2014 and 
Federal Fiscal Year 2015 through Calendar Year 2015

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Notice.

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SUMMARY: This notice sets forth the states' final allotments available 
to pay the Medicare Part B premiums for Qualifying Individuals (QIs) 
for the federal fiscal year (FY) 2014 and the preliminary QI allotments 
for federal FY 2015 which is extended through calendar year (CY) 2015 
(December 2015) by the Medicare Access and CHIP Reauthorization Act of 
2015 (MACRA). The amounts of these QI allotments were determined in 
accordance with the methodology set forth in regulations and reflect 
funding for the QI program made available under recent legislation.

DATES: The final QI allotments for payment of Medicare Part B premiums 
for FY 2014 are effective October 1, 2013. The preliminary QI 
allotments for FY 2015, extended through CY 2015 are effective October 
1, 2014.

FOR FURTHER INFORMATION CONTACT: Jennifer Gibson, (410) 786-5404 or 
Toni Cincibus at (410) 786-2997.

SUPPLEMENTARY INFORMATION:

I. Background

A. QI Allotments for FY 2014

    As amended by section 621 of the American Taxpayer Relief Act of 
2012 (ATRA) (Pub. L. 112-240, enacted on January 2, 2013), section 
1933(g)(2) of the Social Security Act (the Act) provided $300 million 
in funding for the period October 1, 2013 through December 31, 2013, 
the first quarter of fiscal year (FY) 2014. Section 1201 of Division B 
of the legislation ``Pathway for SGR Reform Act of 2013'' (Pub. L. 113-
67 enacted on December 26, 2013) provided an additional $200 million 
and authority for the Qualifying Individual (QI) program for the period 
January 1, 2014 through March 31, 2014 (second quarter of FY 2014). In 
addition, section 201 of the Protecting Access to Medicare Act of 2014 
(PAMA) (Pub. L. 113-93 enacted on April 1, 2014) revised the $200 to 
$485 million and extended the period for which such funds were 
available to the end of September 2014. Therefore, the total funding 
available for the QI program for FY 2014 is $785 million ($300 million 
for the first quarter of FY 2014, and $485 million for the second 
through fourth quarters of FY 2014).

B. QI Allotments for FY 2015/CY 2015 and Thereafter

    Section 201 of PAMA extended the authority and funding for the QI 
program for FY 2015 as follows: $300 million for the period October 1, 
2014 through December 31, 2014 (first quarter of FY 2015); and, $250 
million for the period January 1, 2015 through March 31, 2015 (second 
quarter FY 2015). Section 211 of the Medicare Access and CHIP 
Reauthorization Act of 2015 (MACRA) (Pub. L. 114-10, enacted on April 
16, 2015) further extended the authority and funding for the QI program 
for FY 2015 as follows: $535 million for the period April 1, 2015 
through December 31, 2015, effectively changing QI to a calendar year 
basis from a fiscal year basis. Therefore, a total of $1.085 billion is 
available for the QI program for FY/CY 2015.
    Section 211 of MACRA also permanently extended the QI program while 
allocating $980 million for CY 2016.

C. Methodology for Calculating the Fiscal Year/Calendar Year QI 
Allotments.

    The amounts of the states' final FY 2014 and preliminary FY/CY 2015 
QI allotments, contained in this notice, were determined in accordance 
with the methodology set forth in existing regulations at 42 CFR 
433.10(c)(5) and reflect funding for the QI program made available 
under the legislation discussed above.

II. Tables

    The final QI allotments for FY 2014 and the preliminary QI 
allotments for FY/CY 2015 are shown by state in Table 1 and Table 2, 
respectively:
    Table 1--Final Qualifying Individuals Allotments for October 1, 
2013 through September 30, 2014.
    Table 2--Preliminary Qualifying Individuals Allotments for October 
1, 2014 through December 31, 2015.
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    The following describes the information contained in the columns of 
Table 1 and Table 2:
    Column A--State. Column A shows the name of each state. Columns B 
through D show the determination of an Initial QI Allotment for FY 2014 
(Table 1) or FY/CY 2015 (Table 2) for each state, based only on the 
indicated Census Bureau data.
    Column B--Number of Individuals. Column B contains the estimated 
average number of Medicare beneficiaries for each state that are not 
covered by Medicaid whose family income is at least 120 but less than 
135 percent of the federal poverty level. With respect to the final FY 
2014 QI allotment (Table 1), Column B contains the number of such 
individuals for the years 2011 through 2013, as obtained from the 
Census Bureau's Annual Social and Economic Supplement to the 2013 
Current Population Survey. With respect to the preliminary FY/CY 2015 
QI allotment (Table 2), Column B contains the number of such 
individuals for the years 2012 through 2014, as obtained from the 
Census Bureau's Annual Social and Economic Supplement to the 2014 
Current Population Survey and the American Community Survey (ACS).
    Column C--Percentage of Total. Column C provides the percentage of 
the total number of individuals for each state, that is, the Number of 
Individuals for the state in Column B divided by the sum total of the 
Number of Individuals for all states in Column B.
    Column D--Initial QI Allotment. Column D contains each state's 
Initial QI Allotment for FY 2014 (Table 1) or FY/CY 2015 (Table 2), 
calculated as the state's Percentage of Total in Column C multiplied by 
the total amount available nationally for QI allotments for the fiscal 
year/calendar year. The total amount available nationally for QI 
allotments each fiscal year is $785,000,000 for FY 2014 (Table 1) and 
$1,085,000,000 for FY/CY 2015 (Table 2).
    Columns E through L show the determination of the States' Final QI 
Allotments for FY 2014 (Table 1) or Preliminary QI Allotments for FY/CY 
2015 (Table 2).
    Column E--FY 2014 or FY/CY 2015 Estimated QI Expenditures. Column E 
contains the states' estimates of their total QI expenditures for FY 
2014 (Table 1) or FY/CY 2015 (Table 2) based on information obtained 
from states in the summer of 2014 and as updated.
    Column F--Need (Difference). Column F contains the additional 
amount of QI allotment needed for those states whose estimated 
expenditures in Column E exceeded their Initial QI allotments in Column 
D for FY 2014 (Table 1) or for FY/CY 2015 (Table 2). For such states, 
Column F shows the amount in Column E minus the amount in Column D. For 
other ``Non-Need'' States, Column F shows ``NA.''
    Column G--Percent of Total Need States. For states whose projected 
QI expenditures in Column E are greater than their initial QI allotment 
in Column D for FY 2014 (Table 1) or FY/CY 2015 (Table 2), 
respectively, Column G shows the percentage of total need, determined 
as the amount for each Need State in Column F divided by the sum of the 
amounts for all states in Column F. For Non-Need States, the entry in 
Column G is ``NA.''
    Column H--Reduction Pool for Non-Need States. Column H shows the 
amount of the pool of surplus QI allotments for FY 2014 (Table 1) or 
FY/CY 2015 (Table 2), respectively, for those states that project QI 
expenditures for the fiscal year/calendar year that are less than the 
Initial QI allotment for the fiscal year/calendar year (referred to as 
Non-Need States). For states for which the estimates in Column E of QI 
expenditures for FY 2014 or FY/CY 2015, respectively, are equal to or 
less than their Initial QI allotments in Column D for FY 2014 or FY/CY 
2015, respectively, Column H shows the amount in Column D minus the 
amount in Column E. For the states with a need, Column H shows 
``Need''. The reduction pool of excess QI allotments is equal to the 
sum of the amounts in Column H.
    Column I--Percent of Total Non-Need States. For states whose 
projected QI expenditures in Column E are less than their Initial QI 
allotment in Column D for FY 2014 (Table 1) or FY/CY2015 (Table 2), 
Column I shows the percentage of the total reduction pool in Column H, 
determined as the amount for each Non-Need State in Column H divided by 
the sum of the amounts for all States in Column H. For Need States, the 
entry in Column I is ``Need.''
    Column J--Reduction Adjustment for Non-Need States. Column J shows 
the amount of adjustment needed to reduce the Initial QI allotments in 
Column D for FY 2014 (Table 1) or FY/CY 2015 (Table 2) for Non-Need 
States in order to address the total need shown in Column F. The amount 
in Column J is determined as the percentage in Column I for Non-Need 
States multiplied by the lesser of the total need in Column F (equal to 
the sum of Needs in Column F) or the total Reduction Pool in Column H 
(equal to the sum of the Non-Need amounts in Column H). For Need 
States, the entry in Column J is ``Need.''
    Column K--Increase Adjustment for Need States. Column K shows the 
amount of adjustment to increase the Initial QI Allotment in Column D 
for FY 2014 (Table 1) or FY/CY 2015 (Table 2) for Need States in order 
to address the total need shown for the fiscal year in Column F. The 
amount in Column K is determined as the percentage in Column G for Need 
States multiplied by the lesser of the total need in Column F (equal to 
the sum of Needs in Column F) or the total Reduction Pool in Column H 
(equal to the sum of the Non-Need amounts in Column H). For Non-Need 
States, the entry in Column K is ``NA.''
    Column L--Final FY 2014 QI Allotment (Table 1) or Preliminary FY/CY 
2015 QI Allotment (Table 2). Column L contains the Final QI Allotment 
for each state for FY 2014 (Table 1) or the Preliminary QI Allotment 
for FY/CY 2015 (Table 2). For states that need additional QI allotment 
amounts for the fiscal year based on Estimated QI Expenditures in 
Column E as compared to their Initial QI allotments in Column D for the 
fiscal year (states with a projected need amount are shown in Column 
F), Column L is equal to the Initial QI allotment in Column D for FY 
2014 (Table 1) or FY/CY 2015 (Table 2) plus the amount determined in 
Column K for Need States. For Non-Need States (states with a projected 
surplus in Column H), Column L is equal to the QI Allotment in Column D 
reduced by the Reduction Adjustment amount in Column J.

III. Collection of Information Requirements

    This notice does not impose any information collection or 
recordkeeping requirements. Consequently, it does not need Office of 
Management and Budget review under the authority of the Paperwork 
Reduction Act of 1995 (44 U.S.C. 3501 et seq.).

    Dated: June 7, 2017.
Seema Verma,
Administrator, Centers for Medicare & Medicaid Services.
    Dated: July 17, 2017.
Thomas E. Price,
Secretary, Department of Health and Human Services.
[FR Doc. 2017-15372 Filed 7-20-17; 8:45 am]
 BILLING CODE 4120-01-P

Federal Register / Vol. 82, No. 139 / Friday, July 21, 2017 / Notices 33915 All visitors must be escorted in areas federal fiscal year (FY) 2014 and the B. QI Allotments for FY 2015/CY 2015 other than the lower and first floor preliminary QI allotments for federal FY and Thereafter levels in the CMS Central Office. 2015 which is extended through calendar year (CY) 2015 (December Section 201 of PAMA extended the V. Special Accommodations authority and funding for the QI 2015) by the Medicare Access and CHIP Individuals requiring special Reauthorization Act of 2015 (MACRA). program for FY 2015 as follows: $300 accommodations must include the The amounts of these QI allotments million for the period October 1, 2014 request for these services when were determined in accordance with the through December 31, 2014 (first quarter registering for the meeting. methodology set forth in regulations and of FY 2015); and, $250 million for the reflect funding for the QI program made period January 1, 2015 through March VI. Collection of Information 31, 2015 (second quarter FY 2015). available under recent legislation. Requirements Section 211 of the Medicare Access and DATES: The final QI allotments for This document does not impose payment of Medicare Part B premiums CHIP Reauthorization Act of 2015 information collection requirements, for FY 2014 are effective October 1, (MACRA) (Pub. L. 114–10, enacted on that is, reporting, recordkeeping, or 2013. The preliminary QI allotments for April 16, 2015) further extended the third-party disclosure requirements. FY 2015, extended through CY 2015 are authority and funding for the QI Consequently, there is no need for effective October 1, 2014. program for FY 2015 as follows: $535 review by the Office of Management and million for the period April 1, 2015 FOR FURTHER INFORMATION CONTACT: Budget under the authority of the through December 31, 2015, effectively Jennifer Gibson, (410) 786–5404 or Toni Paperwork Reduction Act of 1995 (44 changing QI to a calendar year basis Cincibus at (410) 786–2997. U.S.C. 3501 et seq.). from a fiscal year basis. Therefore, a SUPPLEMENTARY INFORMATION: total of $1.085 billion is available for the Dated: July 17, 2017. I. Background QI program for FY/CY 2015. Patrick Conway, A. QI Allotments for FY 2014 Section 211 of MACRA also Deputy Administrator for Innovation and permanently extended the QI program Quality & Director, Centers for Medicare & As amended by section 621 of the Medicaid Services. while allocating $980 million for CY American Taxpayer Relief Act of 2012 2016. [FR Doc. 2017–15374 Filed 7–20–17; 8:45 am] (ATRA) (Pub. L. 112–240, enacted on BILLING CODE 4120–01–P January 2, 2013), section 1933(g)(2) of C. Methodology for Calculating the the Social Security Act (the Act) Fiscal Year/Calendar Year QI provided $300 million in funding for Allotments. DEPARTMENT OF HEALTH AND the period October 1, 2013 through HUMAN SERVICES The amounts of the states’ final FY December 31, 2013, the first quarter of 2014 and preliminary FY/CY 2015 QI fiscal year (FY) 2014. Section 1201 of allotments, contained in this notice, Centers for Medicare & Medicaid Division B of the legislation ‘‘Pathway Services were determined in accordance with the for SGR Reform Act of 2013’’ (Pub. L. methodology set forth in existing [CMS–2405–N] 113–67 enacted on December 26, 2013) regulations at 42 CFR 433.10(c)(5) and provided an additional $200 million RIN 0938–ZB34 reflect funding for the QI program made and authority for the Qualifying available under the legislation discussed Medicaid Program; State Allotments Individual (QI) program for the period above. for Payment of Medicare Part B January 1, 2014 through March 31, 2014 Premiums for Qualifying Individuals (second quarter of FY 2014). In addition, II. Tables (QIs): Federal Fiscal Year 2014 and section 201 of the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. The final QI allotments for FY 2014 Federal Fiscal Year 2015 through and the preliminary QI allotments for Calendar Year 2015 113–93 enacted on April 1, 2014) revised the $200 to $485 million and FY/CY 2015 are shown by state in Table AGENCY: Centers for Medicare & extended the period for which such 1 and Table 2, respectively: Medicaid Services (CMS), HHS. funds were available to the end of Table 1—Final Qualifying Individuals ACTION: Notice. September 2014. Therefore, the total Allotments for October 1, 2013 through funding available for the QI program for September 30, 2014. SUMMARY: This notice sets forth the FY 2014 is $785 million ($300 million Table 2—Preliminary Qualifying states’ final allotments available to pay for the first quarter of FY 2014, and Individuals Allotments for October 1, the Medicare Part B premiums for $485 million for the second through 2014 through December 31, 2015. Qualifying Individuals (QIs) for the fourth quarters of FY 2014). BILLING CODE 4120–01–P sradovich on DSK3GMQ082PROD with NOTICES VerDate Sep<11>2014 19:50 Jul 20, 2017 Jkt 241001 PO 00000 Frm 00052 Fmt 4703 Sfmt 4703 E:\FR\FM\21JYN1.SGM 21JYN1

sradovich on DSK3GMQ082PROD with NOTICES VerDate Sep<11>2014 33916 TABLE 1: Final Qualifying Individuals Allotments for October 1, 2013 through September 30, 2014 19:50 Jul 20, 2017 Tniiial QT Allotments ror FY 2014 FY 2014 1\"eed ci orToi. Reduction Pnnl ci orToL Reduction Adj. For Tncr ease Adj. Fnr Final STATE Numher of Percentage Initial QT Allotment Estimated QI (DifferenC"e) Need States or Non-Need ='Ton-_:\Teed !Non-Need States Need States FY 2014 Individuals /3 of Total Col C x Rxpenditures /1 States States k":oJ. f X Col. G x QT Allotment /2 OOOs) Col B/Tot. Col B 785,000,000 IfE>D, E-D F/(Tot. ofF) IfD >= E, D-E HI(Tot. of H) 90,352,735 $90,352,735 Federal Register / Vol. 82, No. 139 / Friday, July 21, 2017 / Notices A B c D E F G H I J K L Jkt 241001 Ia bam a 33 2.13°/o $16,756,145 $23,696,386 $6,940,241 7.6813°/. Need Need Need $6,940,241 $23,696,386 Alaska 2 0.13°/o $1,015,:<24 $322,358 NA NA $693,166 0.4245°/. $383,589 NA $631,935 Arizona 29 1.88°/o $14,725,097 $20,123,492 $5,398,394 5.9748°/. Need Need Need $5,398,394 $20,123,492 Arkansas 25 1.62°/o $12,694,049 $14,293,779 $1,599,730 1.7705°/. Need Need Need $1,599,730 $14,293,779 alifornia 130 8.41% $66,009,056 $26,896,570 NA NA $39,112,486 23.9554°/. $21,644,314 NA $44,364,741 PO 00000 olorado 12 0.78% $6,093,144 $6,886,161 8793,017 0.8777°/. Need Need Need $793,017 $6,886,161 onnecticut 15 0.97% $7,616,429 $4,579,305 NA NA 83,037,125 1.8602°/. 81,680,703 NA $5,935,726 Delaware 5 0.32°/o $2,538,810 $3,191,163 8652,353 0.7220°/. Need Need Need $652,353 $3,191,163 District of Columbia 2 0.13% $1,015,524 $0 NA NA 81,015,524 0.6220°/. $561,977 NA $453,547 Frm 00053 lorida 133 8.60% $67,532,342 $75,214,664 $7,682,322 8.5026°/. Need Need Need $7,682,322 $75,214,664 Georgia 46 2.98°/o $23,357,050 $36,617,968 $13,260,917 14.6768°/. Need Need Need $13,260,917 $36,617,968 Hawaii 6 0.39°/o $3,046,572 $1,319,852 NA NA S1,726,720 1.0576°/. $955,543 NA $2,091,029 daho 8 0.52°/o $4,062,096 $3,013,777 NA NA 81,048,319 0.6421 °A $580,125 NA $3,481,970 llinois 63 4.08°/o $31,989,004 $25,892,362 NA NA 86,096,642 3.7340°/. 83,373,798 NA $28,615,206 Fmt 4703 ndiana 41 2.65°/o $20,818,241 $4,642,454 NA NA $16,175,786 9.9072°/. 88,951,459 NA $11,866,782 ow a 17 1.10°/o $8,631,953 $4,694,170 NA NA 83,937,783 2.4118°/. 82,179,115 NA $6,452,838 Kansas 18 1.16°/o $9,139,715 $5,469,486 NA NA 83,670,229 2.2479°/. 82,031,055 NA $7,108,661 Kentucky 35 2.26°/o $17,771,669 $14,902,094 NA NA S2,869,575 1.7575°/. S1,587,983 NA $16,183,685 Sfmt 4725 ,ouisiana 29 1.88°/o $14,725,097 $21,902,176 $7,177,079 7.9434°/. Need Need Need $7,177,079 $21,902,176 Maine 7 0.45% $3,554,334 $6,773,918 $3,219,584 3.5633°/. Need Need Need $3,219,584 $6,773,918 Maryland 22 1.42°/o $11,170,763 $9,819,479 NA NA 81,351,284 0.8276°/. $747,782 NA $10,422,981 Massachusetts 27 1.75% $13,709,573 $10,467,761 NA NA 83,241,812 1.9855°/. 81,793,974 NA $11,915,599 37 $18,787,193 $14,713,589 84,073,604 2.4950°/. 82,254,277 $16,532,916 E:\FR\FM\21JYN1.SGM Michigan 2.39°/o NA NA NA Minnesota 18 1.16% $9,139,715 $6,304,595 NA NA 82,835,120 1.7364°/. 81,568,917 NA $7,570,799 Mississippi 20 1.29% $10,155,239 $15,193,401 $5,038,162 5.5761 °A Need Need Need $5,038,162 $15,193,401 Missouri 44 2.85°/o $22,341,527 $12,771,470 NA NA 89,570,056 5.8614°/. 85,295,938 NA $17,045,588 Montana 6 0.39% $3,046,572 $1,733,158 NA NA 81,313,414 0.8044°/. $726,825 NA $2,319,746 ebraska 7 0.45°/o $3,554,334 $2,112,476 NA NA S1,441,858 0.8831 °A $797,904 NA $2,756,430 Nevada 7 0.45°/o $3,554,334 $5,601,555 $2,047,221 2.2658°A Need Need Need $2,047,221 $5,601,555 New Hampshire 6 0.39°/o $3,046,572 $2,390,776 NA NA $655,796 0.4017°/. $362,908 NA $2,683,663 New Jersey 45 2.91 °/o $22,849,288 $8,711,840 NA NA $14,137,448 8.6588°/. 87,823,470 NA $15,025,818 New Mexico 9 0.58°/o $4,569,858 $4,121,311 NA NA $448,546 0.2747°/. $248,219 NA $4,321,638 21JYN1 New York 102 6.60°/o $51,791,721 $45,728,113 NA NA 86,063,608 3.7138°/. 83,355,517 NA $48,436,203 North Carolina 48 3.10°/o $24,372,57 4 $31,178,378 $6,805,804 7.5325°/. Need Need Need $6,805,804 $31,178,378 North Dakota 4 0.26°/o $2,031,048 $670,731 NA NA S1,360,317 0.8332°/. $752,781 NA $1,278,267 Ohiu 59 3.82°/o $29,957,956 $28,395,381 NA NA 81,562,575 0.9570°/. $864,708 NA $29,093,248 ::lklahuma 23 1.49% $11,678,525 $10,558,185 NA NA 81,120,340 0.6862°/. $619,981 NA $11,058,544 :Jregon 16 1.03% $8,124,191 $14,973,321 $6,849,130 7.5804°/. Need Need Need $6,849,130 $14,973,321 ennsylvania 83 5.37% $42,144,243 $33,422,399 NA NA 88,721,844 5.3419°/. 84,826,549 NA $37,317,694 Rhode Island 5 0.32°/o $2,538,810 $2,472,178 NA NA 866,632 0.0408°/. 836,873 NA $2,501,937 South Carolina 33 2.13°/o $16,756,145 $12,449,637 NA NA 84,306,508 2.6376°/. 82,383,163 NA $14,372,982 South Dakota 3 0.19% $1,523,286 $1,721,514 8198,228 0.2194°/. Need Need Need $198,228 $1,721,514 Tennessee 43 2.78°/o $21,833,765 $32,350,845 $10,517,081 11.6400°/. Need Need Need $10,517,081 $32,350,845 EN21JY17.004</GPH>

sradovich on DSK3GMQ082PROD with NOTICES VerDate Sep<11>2014 19:50 Jul 20, 2017 Federal Register / Vol. 82, No. 139 / Friday, July 21, 2017 / Notices Jkt 241001 PO 00000 Initial QT Allotments for FY 2014 FY 2014 1\"eed ct of Tot. Reduction Pool ct of Tot. Reduction Adj. For Increase Adj. For Final STATE Number of Percentage Initial QI Allotment Estimated QI (Difference) Need States or Non-Need ='fon-='Teed jNon-Need States Need States FY 2014 Frm 00054 Individuals /3 of Total Col Cx Expenditures /1 States State'S rol. Ix Col.Gx QI Allotment /2 OOOs) Col B/Tot. Col B j$785,000,000 IfE>D, E-D F/(Tot. ofF) IfD >= E, D-E H/(Tot. of H) j$90,352, 735 $90,352,735 A B c D E F G H I J K L fexas 108 6.99°/o $54,838,292 $64,992,473 $10,154,181 11.2384°/. Need Need Need $10,154,181 $64,992,473 Fmt 4703 Utah 7 0.45°/o $3,554,334 $2,328,151 NA NA S1,226,183 0.7510°/. $678,553 NA $2,875,781 rermont 3 0.19°/o $1,523,286 $3,542,578 $2,019,292 2.2349°/. Need Need Need $2,019,292 $3,542,578 rirginia 33 2.13°/o $16,756,145 $14,142,933 NA NA S2,613,212 1.6005°/. S1,446,116 NA $15,310,029 iVashington 26 1.68°/o $13,201,811 $6,302,602 NA NA S6,899,209 4.2256°/. S3,817,928 NA $9,383,883 iV est Virginia 20 1.29°/o $10,155,239 $6,842,837 NA NA S3,312,403 2.0288°/. S1,833,038 NA $8,322,201 Sfmt 4725 iVisconsin 22 1.42°/o $11,170,763 $4,758,159 NA NA S6,412,604 3.9275°/. S3,548,647 NA $7,622,116 iVyoming 4 0.26°/o $2,031,048 $876,335 NA NA S1,154,713 0.7072°/. $639,003 NA $1,392,045 otal 1,546 100.00% $785,000,000 $712,080,292 $90,352,735 100.0000% $163,272,443 100.0000°/. $90,352,735 $90,352,735 $785,000,000 ootnotcs: E:\FR\FM\21JYN1.SGM 1 FY 2014 Estimates from July 2014 ChtiS Survey of States; Estimates Are For Months Q("tober 2013 Through September 2014 2 For Need States, Final FY 2014 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K For Non-Need States, Final FY 2014 QT Allotment is equal to Initial QT Allotment in Column D reduced hy amount in Column .T 3 Three-year average (20 11-2013) ofnum her (000) of Medicare heneficiaries in State who are not enrolled in Medicaid hut whose incomes are at least 120°/o hut less than 135°/o of Federal poverty level Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2013 Current Population Survey (CPS) and American Community Survey (ACS) 21JYN1 33917 EN21JY17.005</GPH>

8I6EC TABLE 2 — Preliminary Qualifying Individuals Allotments for October 1, 2014 through December 31, 2015 ol. u oL. or ber of Initial QI Allotment ated QI Non—Need Need States eed States /CY 2015 Individuals /3 jof Total Tol C x Expenditures /1 ‘ol. I x ‘al. Gx QT Allotment /2 saononN/L410Z ‘IZ 4nf ‘Aepuy/6gt ‘ON ‘Zg ‘TOA /JemstSay fe1opaq B E L 0.07% 2.33% 1.66% it olorado 0.86% are 0.33% of Columbia 0.07% a 9.37% 0.40% 3.32% ndiana 2.46% 113% 1.99% 0.33% 1.26% 1.46% 2.72% 1.26% 451,485 2.52% tana ebraska 0.40% evada 0.53% 767 442 ew Ham 0.40% ew ew Mexico 0.66% ow orth Carolina 3.39% 767442 orth Dakota 0.20% 162,791 412% 4 1.13% 4 5.18% Island 0.40% Carolina 2.06% Dakota 0.20%

saononN/L410Z ‘IZ 4nf ‘Aepuy/6gt ‘ON ‘Zg ‘TOA /JemstSay fe1opaq Initial QI Allotments for FY/CY2015 FY/CY 2015 Need |Pet of Tot. Reduction Pool [Pet of Tot. Reduction Adj. For Increase Adj. For PRELIMINARY STATE Number of Percentage Initial QI Allotment [Estimated QI Difference) Need States |(0r Non—Need Non—Need Non—Need States INeed States FY/CY 2015 Individuals /3 jof Total Col C x Expenditures /1 States States Col. I x Col. G x QI Allotment /2 (000s) Col B/Tot. Col B [$1,085,000,000 f EC>D, E—D F/(Tot. of F)| If D >=E, D — E IU(Tat. of II) [$96,858,633 $96,858,633 A B C D E F G H I J K L [Tennessee 45 2.99% $32,441,860 $40,251,355 $7,809,494 $.0628% Need Need Need $7,809,494 $40,251,355 [Texas 100 6.64% $72,093,023 $100,116,770] $28,023,747 28.9326% Need Need Need $28,023,747 $100,116,770 Utah 7 0.47% $5,046,512 $2,984,195] NA NA $2,062,316 0.8636% $836,469 NA $4,210,043 [Vermont 3 0.20% $2,162,791 $4,476,588| $2,313,797 2.3888% Need Need Need $2,313,797 $4,476.588 [Virginia 34 2.26% 24,511,628 $18,207,073] NA NA 6,304,555 2.6400% $2,557,106 NA 21,954,522 [Washington 23 1.53% $16,581,395 $14,419,554] NA NA 2,161,841 0.9053%) $876,836 NA $15,704,560 [(West Virginia 19 1.26% $13,697,674 $8,616,906 NA NA 5,080,769 2.1276% $2,060,743 NA $11,636,932 [Wisconsin 22 1.46% $15,860,465 $6,234,417 NA NA 9,626,048 4.0309%) $3,904,293 NA $11,956,172 [Wyomin g 3 0.20% $2,162,791 $1,012,914] NA NA $1,149,876 0.4815% $466,386 NA $1,696,405 [Fotal 1,505 100.00% $1,085,000,000 $943,053,337 | $96,858,633| 100,0000% $238,805,296 100,0000% $96,858,633 $96,858,633] $1,085,000,000 [Footnotes: 1. FY/CY 2015 Estimates from July 2015 CMS Survey of States; Estimates Are For Months October 2014 Through December 2015 2 For Need States, FYV/CY 2015 QT Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K [For Non—Need States, FY/CY 2015 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J 3 Three—year average (2012—2014) of number(000) of Medicare beneficiaries in State who are not enrolled in Medicaid but whose incomes are at least 120%but less than 135%of Federal poverty level [Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2014 Current Population Survey (CPS) and American Community Survey (ACS) 6LI66C

33920 Federal Register / Vol. 82, No. 139 / Friday, July 21, 2017 / Notices BILLING CODE 4120–01–C states whose estimated expenditures in Need amounts in Column H). For Need The following describes the Column E exceeded their Initial QI States, the entry in Column J is ‘‘Need.’’ information contained in the columns of allotments in Column D for FY 2014 Table 1 and Table 2: Column K—Increase Adjustment for (Table 1) or for FY/CY 2015 (Table 2). Need States. Column K shows the Column A—State. Column A shows For such states, Column F shows the the name of each state. Columns B amount of adjustment to increase the amount in Column E minus the amount through D show the determination of an Initial QI Allotment in Column D for FY in Column D. For other ‘‘Non-Need’’ Initial QI Allotment for FY 2014 (Table 2014 (Table 1) or FY/CY 2015 (Table 2) States, Column F shows ‘‘NA.’’ 1) or FY/CY 2015 (Table 2) for each for Need States in order to address the Column G—Percent of Total Need state, based only on the indicated total need shown for the fiscal year in States. For states whose projected QI Census Bureau data. Column F. The amount in Column K is expenditures in Column E are greater Column B—Number of Individuals. determined as the percentage in Column than their initial QI allotment in Column B contains the estimated G for Need States multiplied by the Column D for FY 2014 (Table 1) or FY/ average number of Medicare lesser of the total need in Column F CY 2015 (Table 2), respectively, Column beneficiaries for each state that are not (equal to the sum of Needs in Column G shows the percentage of total need, covered by Medicaid whose family F) or the total Reduction Pool in determined as the amount for each Need income is at least 120 but less than 135 Column H (equal to the sum of the Non- State in Column F divided by the sum percent of the federal poverty level. Need amounts in Column H). For Non- of the amounts for all states in Column With respect to the final FY 2014 QI F. For Non-Need States, the entry in Need States, the entry in Column K is allotment (Table 1), Column B contains Column G is ‘‘NA.’’ ‘‘NA.’’ the number of such individuals for the years 2011 through 2013, as obtained Column H—Reduction Pool for Non- Column L—Final FY 2014 QI from the Census Bureau’s Annual Social Need States. Column H shows the Allotment (Table 1) or Preliminary FY/ and Economic Supplement to the 2013 amount of the pool of surplus QI CY 2015 QI Allotment (Table 2). Current Population Survey. With allotments for FY 2014 (Table 1) or FY/ Column L contains the Final QI respect to the preliminary FY/CY 2015 CY 2015 (Table 2), respectively, for Allotment for each state for FY 2014 QI allotment (Table 2), Column B those states that project QI expenditures (Table 1) or the Preliminary QI contains the number of such individuals for the fiscal year/calendar year that are Allotment for FY/CY 2015 (Table 2). For for the years 2012 through 2014, as less than the Initial QI allotment for the states that need additional QI allotment obtained from the Census Bureau’s fiscal year/calendar year (referred to as amounts for the fiscal year based on Annual Social and Economic Non-Need States). For states for which the estimates in Column E of QI Estimated QI Expenditures in Column E Supplement to the 2014 Current as compared to their Initial QI Population Survey and the American expenditures for FY 2014 or FY/CY 2015, respectively, are equal to or less allotments in Column D for the fiscal Community Survey (ACS). year (states with a projected need Column C—Percentage of Total. than their Initial QI allotments in Column D for FY 2014 or FY/CY 2015, amount are shown in Column F), Column C provides the percentage of Column L is equal to the Initial QI the total number of individuals for each respectively, Column H shows the amount in Column D minus the amount allotment in Column D for FY 2014 state, that is, the Number of Individuals in Column E. For the states with a need, (Table 1) or FY/CY 2015 (Table 2) plus for the state in Column B divided by the sum total of the Number of Individuals Column H shows ‘‘Need’’. The the amount determined in Column K for for all states in Column B. reduction pool of excess QI allotments Need States. For Non-Need States (states Column D—Initial QI Allotment. is equal to the sum of the amounts in with a projected surplus in Column H), Column D contains each state’s Initial Column H. Column L is equal to the QI Allotment QI Allotment for FY 2014 (Table 1) or Column I—Percent of Total Non-Need in Column D reduced by the Reduction FY/CY 2015 (Table 2), calculated as the States. For states whose projected QI Adjustment amount in Column J. state’s Percentage of Total in Column C expenditures in Column E are less than their Initial QI allotment in Column D III. Collection of Information multiplied by the total amount available Requirements nationally for QI allotments for the for FY 2014 (Table 1) or FY/CY2015 fiscal year/calendar year. The total (Table 2), Column I shows the This notice does not impose any amount available nationally for QI percentage of the total reduction pool in information collection or recordkeeping allotments each fiscal year is Column H, determined as the amount requirements. Consequently, it does not $785,000,000 for FY 2014 (Table 1) and for each Non-Need State in Column H need Office of Management and Budget $1,085,000,000 for FY/CY 2015 (Table divided by the sum of the amounts for all States in Column H. For Need States, review under the authority of the 2). Paperwork Reduction Act of 1995 (44 Columns E through L show the the entry in Column I is ‘‘Need.’’ Column J—Reduction Adjustment for U.S.C. 3501 et seq.). determination of the States’ Final QI Allotments for FY 2014 (Table 1) or Non-Need States. Column J shows the Dated: June 7, 2017. Preliminary QI Allotments for FY/CY amount of adjustment needed to reduce Seema Verma, 2015 (Table 2). the Initial QI allotments in Column D Administrator, Centers for Medicare & Column E—FY 2014 or FY/CY 2015 for FY 2014 (Table 1) or FY/CY 2015 Medicaid Services. Estimated QI Expenditures. Column E (Table 2) for Non-Need States in order Dated: July 17, 2017. to address the total need shown in sradovich on DSK3GMQ082PROD with NOTICES contains the states’ estimates of their Column F. The amount in Column J is Thomas E. Price, total QI expenditures for FY 2014 (Table 1) or FY/CY 2015 (Table 2) based on determined as the percentage in Column Secretary, Department of Health and Human information obtained from states in the I for Non-Need States multiplied by the Services. summer of 2014 and as updated. lesser of the total need in Column F [FR Doc. 2017–15372 Filed 7–20–17; 8:45 am] Column F—Need (Difference). (equal to the sum of Needs in Column BILLING CODE 4120–01–P Column F contains the additional F) or the total Reduction Pool in amount of QI allotment needed for those Column H (equal to the sum of the Non- VerDate Sep<11>2014 19:50 Jul 20, 2017 Jkt 241001 PO 00000 Frm 00057 Fmt 4703 Sfmt 9990 E:\FR\FM\21JYN1.SGM 21JYN1


Document Created: 2017-07-21 06:00:32
Document Modified: 2017-07-21 06:00:32
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesThe final QI allotments for payment of Medicare Part B premiums for FY 2014 are effective October 1, 2013. The preliminary QI allotments for FY 2015, extended through CY 2015 are effective October 1, 2014.
ContactJennifer Gibson, (410) 786-5404 or Toni Cincibus at (410) 786-2997.
FR Citation82 FR 33915 
RIN Number0938-ZB34
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