[Federal Register Volume 74, Number 227 (Friday, November 27, 2009)]
[Notices]
[Pages 62315-62317]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-28438]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Federal Financial Participation in State Assistance Expenditures;
Federal Matching Shares for Medicaid, the Children's Health Insurance
Program, and Aid to Needy Aged, Blind, or Disabled Persons for October
1, 2010 through September 30, 2011
AGENCY: Office of the Secretary, DHHS.
ACTION: Notice.
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SUMMARY: The Federal Medical Assistance Percentages (FMAP) and Enhanced
Federal Medical Assistance Percentages (eFMAP) for Fiscal Year 2011
have been calculated pursuant to the Social Security Act (the Act).
These percentages will be effective from October 1, 2010 through
September 30, 2011. This notice announces the calculated FMAP and eFMAP
rates 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) and Children's Health Insurance Program (CHIP)
expenditures, Temporary Assistance for Needy Families (TANF)
Contingency Funds, Child Support Enforcement collections, Child Care
Mandatory and Matching Funds of the Child Care and Development Fund,
Foster Care Title IV-E Maintenance payments, and Adoption Assistance
payments. The table 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.
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, while a program under title XVI (Aid to the Aged, Blind, or
Disabled) operates only in Puerto Rico. The percentages in this notice
apply to State expenditures for most medical services and medical
insurance services, 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 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)(B),
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 given in section 1905(b) of
the Act. The percentages for the District of
[[Page 62316]]
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.
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 50 per centum.
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 the table of FMAPs 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.
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.
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.
DATES: Effective Dates: The percentages listed will be effective for
each of the four quarter-year periods beginning October 1, 2010 and
ending September 30, 2011.
FOR FURTHER INFORMATION CONTACT: Carrie Shelton, Office of Health
Policy, Office of the Assistant Secretary for Planning and Evaluation,
Room 447D-Hubert H. Humphrey Building, 200 Independence Avenue, SW.,
Washington, DC 20201, (202) 690-6870.
(Catalog of Federal Domestic Assistance Program Nos. 93.558: TANF
Contingency Funds; 93.563: Child Support Enforcement; 93.596: Child
Care Mandatory and Matching Funds of the Child Care and Development
Fund; 93.658: Foster Care Title IV-E; 93.659: Adoption Assistance;
93.769: Ticket-to-Work and Work Incentives Improvement Act (TWWIIA)
Demonstrations to Maintain Independence and Employment; 93.778:
Medical Assistance Program; 93.767: Children's Health Insurance
Program)
Dated: November 20, 2009.
Kathleen Sebelius,
Secretary.
Federal Medical Assistance Percentages and Enhanced Federal Medical
Assistance Percentages, Effective October 1, 2010-September 30, 2011
[Fiscal year 2011]
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Federal medical Enhanced federal
State assistance medical assistance
percentages percentages
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Alabama......................... 68.54 77.98
Alaska.......................... 50.00 65.00
American Samoa *................ 50.00 65.00
Arizona......................... 65.85 76.10
Arkansas........................ 71.37 79.96
California...................... 50.00 65.00
Colorado........................ 50.00 65.00
Connecticut..................... 50.00 65.00
Delaware........................ 53.15 67.21
District of Columbia **......... 70.00 79.00
Florida......................... 55.45 68.82
Georgia......................... 65.33 75.73
Guam *.......................... 50.00 65.00
Hawaii.......................... 51.79 66.25
Idaho........................... 68.85 78.20
Illinois........................ 50.20 65.14
Indiana......................... 66.52 76.56
Iowa............................ 62.63 73.84
Kansas.......................... 59.05 71.34
Kentucky........................ 71.49 80.04
Louisiana....................... 63.61 74.53
Maine........................... 63.80 74.66
Maryland........................ 50.00 65.00
Massachusetts................... 50.00 65.00
Michigan........................ 65.79 76.05
Minnesota....................... 50.00 65.00
Mississippi..................... 74.73 82.31
Missouri........................ 63.29 74.30
Montana......................... 66.81 76.77
Nebraska........................ 58.44 70.91
Nevada.......................... 51.61 66.13
New Hampshire................... 50.00 65.00
New Jersey...................... 50.00 65.00
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New Mexico...................... 69.78 78.85
New York........................ 50.00 65.00
North Carolina.................. 64.71 75.30
North Dakota.................... 60.35 72.25
Northern Mariana Islands *...... 50.00 65.00
Ohio............................ 63.69 74.58
Oklahoma........................ 64.94 75.46
Oregon.......................... 62.85 74.00
Pennsylvania.................... 55.64 68.95
Puerto Rico *................... 50.00 65.00
Rhode Island.................... 52.97 67.08
South Carolina.................. 70.04 79.03
South Dakota.................... 61.25 72.88
Tennessee....................... 65.85 76.10
Texas........................... 60.56 72.39
Utah............................ 71.13 79.79
Vermont......................... 58.71 71.10
Virgin Islands *................ 50.00 65.00
Virginia........................ 50.00 65.00
Washington...................... 50.00 65.00
West Virginia................... 73.24 81.27
Wisconsin....................... 60.16 72.11
Wyoming......................... 50.00 65.00
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* For purposes of section 1118 of the Social Security Act, the
percentage used under titles I, X, XIV, and XVI will be 75.00 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 per centum, unless otherwise specified by law.
[FR Doc. E9-28438 Filed 11-25-09; 8:45 am]
BILLING CODE 4150-05-P