[Federal Register: June 17, 2003 (Volume 68, Number 116)]
[Notices]
[Page 35889-35890]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr17jn03-61]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary
Federal Financial Participation in State Assistance Expenditures;
Temporary Increase of Federal Matching Shares for Medicaid for the Last
2 Calendar Quarters of Fiscal Year 2003 and the First 3 Quarters of
Fiscal Year 2004
AGENCY: Office of the Secretary, DHHS.
ACTION: Notice.
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SUMMARY: The revised Medicaid "Federal Medical Assistance
Percentages" (FMAP) for the last 2 calendar quarters of Fiscal Year
2003 and the first 3 calendar quarters of Fiscal Year 2004 have been
calculated pursuant to Title IV of the Jobs and Growth Tax Relief
Reconciliation Act of 2003. These revised Federal Medical Assistance
Percentages replace the percentages previously published for the
applicable quarters during Fiscal Year 2003 (Federal Register, November
30, 2001) and Fiscal Year 2004 (Federal Register, November 15, 2002).
This notice announces the revised Federal Medical Assistance
Percentages that we will use in determining the amount of Federal
matching for State medical assistance (Medicaid) expenditures under
Title XIX, effective only for the 2 calendar quarters from April 1
through September 30, 2003, and the 3 quarters from October 1, 2003
through June 30, 2004. 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. The percentages in this notice apply to State
expenditures for most medical services only for the last 2 quarters of
Fiscal Year 2003 and the first 3 quarters of Fiscal Year 2004.
Federal Medical Assistance Percentages are normally used to
determine the amount of Federal matching for State expenditures for
assistance payments for certain social services including Temporary
Assistance for Needy Families (TANF) Contingency Funds, the federal
share of Child Support Enforcement collections, Child Care Mandatory
and Matching Funds for the Child Care and
[[Page 35890]]
Development Fund, Foster Care Title IV-E Maintenance payments, and
Adoption Assistance payments, and State medical and medical insurance
expenditures for Medicaid and the State Children's Health Insurance
Program (SCHIP). However, the temporary increases in the Federal
Medical Assistance Percentages under the Jobs and Growth Tax Relief
Reconciliation Act of 2003 affect only Medicaid medical expenditure
payments under Title XIX. The percentages in this notice do not apply
to disproportionate share hospital payments, payments under Title IV or
XXI of the Act, or any payments under Title XIX that are based on the
enhanced FMAP described in section 2105(b) of such Act. In addition,
the statute provides separately for Federal matching of administrative
costs, which is not affected by the Jobs and Growth Tax Relief
Reconciliation Act of 2003.
Section 401 of the Jobs and Growth Tax Relief Reconciliation Act of
2003 provides for a temporary increase of the Medicaid FMAP. The
provisions permit a maintenance of Fiscal Year 2002 FMAP for the last 2
calendar quarters of Fiscal Year 2003 for a State whose 2003 FMAP as
calculated pursuant to section 1905(b) of the Act is less than its 2002
FMAP, and a maintenance of Fiscal Year 2003 FMAP for the first 3
calendar quarters of Fiscal Year 2004 for a State whose 2004 FMAP as
calculated pursuant to section 1905(b) of the Act is less than its 2003
FMAP. In addition, after adjusting FMAP due to the maintenance of the
2002 or 2003 FMAP where applicable, each State is eligible to receive a
2.95 percentage point increase for each of the last 2 calendar quarters
of Fiscal Year 2003 and the first 3 calendar quarters of Fiscal Year
2004.
There are conditions that a State must meet in order to receive the
2.95 percentage point FMAP increase for the last 2 calendar quarters of
Fiscal Year 2003 and the first 3 calendar quarters of Fiscal Year 2004.
Eligibility under its Medicaid State plan (including any waiver under
title XIX of the Social Security Act or under section 1115 of the Act)
can be no more restrictive than the eligibility under such plan or
waiver as in effect on September 2, 2003. If any State has restricted
eligibility under its Medicaid State plan (including any waiver under
title XIX of the Social Security Act or under section 1115 of the Act)
after September 2, 2003, it will become eligible for the 2.95
percentage point increase in its FMAP in the first calendar quarter
(and subsequent calendar quarters) in which the State has reinstated
eligibility that is no more restrictive than the eligibility in effect
on September 2, 2003. These rules do not affect States' flexibility
with respect to benefits offered under their Medicaid State plan
(including any waiver under title XIX of the Social Security Act or
under section 1115 of the Act).
In addition, in order to receive the 2.95 percentage point FMAP
increase, in the case of a State that requires political subdivisions
within the State to contribute toward the non-Federal share of
expenditures under the State Medicaid plan, the State cannot require
that such political subdivisions pay a greater percentage of the non-
Federal share of such expenditures for the last 2 calendar quarters of
Fiscal Year 2003 and the first 3 calendar quarters of Fiscal Year 2004,
than the percentage that was required by the State under such plan on
April 1, 2003.
In addition to the increases in FMAP, Title IV of the Jobs and
Growth Tax Relief Reconciliation Act of 2003 increases the amounts of
Medicaid payments to territories pursuant to section 1108 of the Social
Security Act by 5.90 percent of such amounts, for the last 2 calendar
quarters of Fiscal Year 2003 and the first 3 calendar quarters of
Fiscal Year 2004.
The Jobs and Growth Tax Relief Reconciliation Act of 2003 also
provides $10 billion for other temporary state fiscal relief payments
based on population. These payments are under the jurisdiction of the
Secretary of the Treasury, and are not reflected in the Federal Medical
Assistance Percentages.
EFFECTIVE DATES: The percentages listed will be effective only for the
last 2 calendar quarters of Fiscal Year 2003 and the first 3 calendar
quarters of Fiscal Year 2004.
FOR FURTHER INFORMATION CONTACT: Adelle Simmons or Robert Stewart,
Office of Health Policy, Office of the Assistant Secretary for Planning
and Evaluation, Hubert H. Humphrey Building, 200 Independence Avenue,
SW., Room 442E, Washington, DC 20201, (202) 690-6870.
(Catalog of Federal Domestic Assistance Program No. 93.778: Medical
Assistance Program)
Dated: June 12, 2003.
Tommy G. Thompson,
Secretary of Health and Human Services.
Revised Federal Medical Assistance Percentage (Title IV of Jobs and
Growth Tax Relief Reconciliation Act of 2003)
[Temporary Increase in Medicaid FMAP for the last 2 Quarters of FY 2003
and First 3 Quarters of FY 2004]
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2003 2004
Qtrs Qtrs
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Alabama............................................... 73.55 73.70
Alaska................................................ 61.22 61.34
American Samoa........................................ 52.95 52.95
Arizona............................................... 70.20 70.21
Arkansas.............................................. 77.23 77.62
California............................................ 54.35 52.95
Colorado.............................................. 52.95 52.95
Connecticut........................................... 52.95 52.95
Delaware.............................................. 52.95 52.95
District of Columbia.................................. 72.95 72.95
Florida............................................... 61.78 61.88
Georgia............................................... 62.55 62.55
Guam.................................................. 52.95 52.95
Hawaii................................................ 61.72 61.85
Idaho................................................. 73.97 73.91
Illinois.............................................. 52.95 52.95
Indiana............................................... 64.99 65.27
Iowa.................................................. 66.45 66.88
Kansas................................................ 63.15 63.77
Kentucky.............................................. 72.89 73.04
Louisiana............................................. 74.23 74.58
Maine................................................. 69.53 69.17
Maryland.............................................. 52.95 52.95
Massachusetts......................................... 52.95 52.95
Michigan.............................................. 59.31 58.84
Minnesota............................................. 52.95 52.95
Mississippi........................................... 79.57 80.03
Missouri.............................................. 64.18 64.42
Montana............................................... 75.91 75.91
Nebraska.............................................. 62.50 62.84
Nevada................................................ 55.34 57.88
New Hampshire......................................... 52.95 52.95
New Jersey............................................ 52.95 52.95
New Mexico............................................ 77.51 77.80
New York.............................................. 52.95 52.95
North Carolina........................................ 65.51 65.80
North Dakota.......................................... 72.82 71.31
Northern Mariana Islands.............................. 52.95 52.95
Ohio.................................................. 61.78 62.18
Oklahoma.............................................. 73.51 73.51
Oregon................................................ 63.11 63.76
Pennsylvania.......................................... 57.64 57.71
Puerto Rico........................................... 52.95 52.95
Rhode Island.......................................... 58.35 58.98
South Carolina........................................ 72.76 72.81
South Dakota.......................................... 68.88 68.62
Tennessee............................................. 67.54 67.54
Texas................................................. 63.12 63.17
Utah.................................................. 74.19 74.67
Vermont............................................... 66.01 65.36
Virgin Islands........................................ 52.95 52.95
Virginia.............................................. 54.40 53.48
Washington............................................ 53.32 52.95
West Virginia......................................... 78.22 78.14
Wisconsin............................................. 61.52 61.38
Wyoming............................................... 64.92 64.27
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[FR Doc. 03-15274 Filed 6-13-03; 8:45 am]
BILLING CODE 4150-05-P
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