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Federal medical assistance percentages and enhanced Federal medical assistance percentages, effective October 1, 1999-September 30, 2000 (Fiscal year 2000)

SUMMARY: The Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages for Fiscal Year 2000 have been calculated pursuant to the Social Security Act (the Act). These percentages will be effective from October 1, 1999 through September 30, 2000. This notice announces the calculated "Federal Medical Assistance Percentages" and "Enhanced Federal Medical Assistance Percentages" that we will use in determining the amount of Federal matching in State medical and medical insurance expenditures and for the annual reconciliation of contingency funds under Title IV-A.

The table gives figures for each of the 50 States, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and 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 (AABD) operates only in Puerto Rico.

Programs under title XXI are new. They began functioning in 1998. The percentages in this notice apply to State expenditures for assistance payments, medical services and medical insurance services (except family planning which is subject to a higher matching rate). The statute provides separately for Federal matching of administrative costs.

Section 1905(b) and 2105(b) of the Act, as revised by section 9528 of Pub. L. 99-272, require the Secretary of Health and Human Services to publish these percentages each year. The Secretary is to figure the percentages, by formulas in sections 1905(b) and 2105(b) of the Act, from the Department of Commerce's statistics of average income per person in each State and in the Nation as a whole. The percentages are within the upper and lower limits given in those two sections of the Act. The statute specifies the percentages to be applied to Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.

The "Federal medical assistance percentages" are for Medicaid. States may claim at the Federal medical assistance percentage without regard to any maximum on the dollar amounts per recipient which may be counted under paragraph (2) of sections 3(a), 1003(a), and 1403(a) of the Act. These percentages will also be used for the annual reconciliation of any Contingency funds received under the Temporary Assistance for Needy Families program.

The "Enhanced Federal Medical Assistance Percentages" are for use in the new Children's Health Insurance Program under Title XXI, and for some or all of children's medical assistance under the new Medicaid sections 1905(u)(2) and 1905(u)(3).

DATES: The percentages listed will be effective for each of the 4 quarter-year periods in the period beginning October 1, 1999 and ending September 30, 2000.


Office of Health Policy, Office of the Assistant Secretary for Planning and Evaluation, Room 442E Hubert H. Humphrey Building, 200 Independence Avenue SW, Washington, DC 20201, Telephone (202) 690-7861.

(Catalog of Federal Domestic Assistance Program Nos. 93.588- Temporary Assistance for Needy Families; 93.563-Child Support Enforcement; 93.659-Adoption Assistance; 93.778-Medical Assistance Program; 93.767-Children's Health Insurance Programs)

Dated: January 5, 1999.

Donna E. Shalala,

Secretary of Health and Human Services.

Federal medical assistance percentages and enhanced Federal medical assistance percentages, effective October 1, 1999-September 30, 2000 (Fiscal year 2000)

State Federal Medical
Assistance Percentages
Enhanced Federal Medical
Assistance Percentages
Alabama 69.57 78.70
Alaska** 59.80 71.86
American Samoa* 50.00 65.00
Arizona 65.92 76.14
Arkansas  72.85 81.00
California 51.67 66.17
Colorado  50.00 65.00
Connecticut 50.00 65.00
Delaware 50.00 65.00
District of Columbia** 70.00 79.00
Florida 56.52 69.56
Georgia 59.88 71.92
Guam* 50.00 65.00
Hawaii 51.01 65.71
Idaho 70.15 79.11
Illinois 50.00 65.00
Indiana 61.74 73.22
Iowa 63.06 74.14
Kansas 60.03 72.02
Kentucky 70.55 79.39
Louisiana 70.32 79.22
Maine 66.22 76.35
Maryland 50.00 65.00
Massachusetts 50.00 65.00
Michigan 55.11 68.58
Minnesota 51.48 66.04
Mississippi 76.80 83.76
Missouri  60.51 72.36
Montana 72.30 80.61
Nebraska 60.88 72.62
Nevada 50.00 65.00
New Hampshire 50.00 65.00
New Jersey 50.00 65.00
New Mexico 73.32 81.32
New York 50.00 65.00
North Carolina 62.49 73.74
North Dakota 70.42 79.29
Northern Mariana Islands* 50.00 65.00
Ohio  58.67 71.07
Oklahoma 71.09 79.76
Oregon 59.96 71.97
Pennsylvania 53.82 67.67
Puerto Rico* 50.00 65.00
Rhode Island 53.77 67.64
South Carolina 69.95 78.97
South Dakota 68.72 78.10
Tennessee 63.10 74.17
Texas 61.36 72.95
Utah 71.55 80.09
Vermont 62.24 73.57
Virgin Islands* 50.00 65.00
Virginia 51.67 66.17
Washington 51.83 66.28
West Virginia 74.78 82.35
Wisconsin 58.78 71.15
Wyoming 64.04 74.83

* For purposes of section 1118 of the Social Security Act, the percentage used under titles I, X, XIV, and XVI and Part A of title IV will be 75 per centum.

** For 1998, 1999, and 2000, the values in the table were set for state plans under Titles XIX and XXI and for capitation payments and DSH allotments under those titles. For other purposes, the percentage for Alaska is 54.13.

For the District of Columbia, the percentage for other purposes is 50.00.