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Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages, Effective October 1, 1998-September 30, 1999 [Fiscal year 1999]

SUMMARY: The Federal Medical Assistance Percentage and Enhanced Federal Medical Assistance Percentages for Fiscal Year 1999 have been calculated pursuant to the Social Security Act (the Act). These percentages will be effective from October 1, 1998 through September 30, 1999. 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, beginning 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. Sections 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 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 percentages," for residual payments under the old Aid to Families with Dependent Children (AFDC) program, will no longer be published. Anyone who needs these values may call the contact person named below and receive them. If a sufficient number of persons call, we may publish them again beginning in 2000. 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. They 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, 1998 and ending September 30, 1999.

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. 93.560-- Assistance Payments--Maintenance Assistance (State Aid); 93.778-- Medical Assistance Program; Children's Health Insurance Programs-- not yet added)

Dated: November 17, 1997.
Donna E. Shalala,
Secretary of Health and Human Services.

Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages, Effective October 1, 1998-September 30, 1999
[Fiscal year 1999]

State Federal Medical Assistance percentages Enhanced Federal Medical Assistance percentages
Alabama 69.27 78.49
Alaska 59.80 ** 71.86
American Samoa 50.00 * 65.00
Arizona 65.50 75.85
Arkansas 72.96 81.07
California 51.55 66.09
Colorado 50.59 65.42
Connecticut 50.00 65.00
Delaware 50.00 65.00
District of Columbia 70.00 79.00
Florida 55.82 69.07
Georgia 60.47 72.33
Guam 50.00 * 65.00
Hawaii 50.00 65.00
Idaho 69.85 78.89
Illinois 50.00 65.00
Indiana 61.01 72.71
Iowa 63.32 74.32
Kansas 60.05 72.03
Kentucky 70.53 79.37
Louisiana 70.37 79.26
Maine 66.40 76.48
Maryland 50.00 65.00
Massachusetts 50.00 65.00
Michigan 52.72 66.91
Minnesota 51.50 66.05
Mississippi 76.78 83.75
Missouri 60.24 72.17
Montana 71.73 80.21
Nebraska 61.46 73.02
Nevada 50.00 65.00
New Hampshire 50.00 65.00
New Jersey 50.00 65.00
New Mexico 72.98 81.09
New York 50.00 65.00
North Carolina 63.07 74.15
North Dakota 69.94 78.96
Northern Mariana Islands 50.00 * 65.00
Ohio 58.26 70.78
Oklahoma 70.84 79.59
Oregon 60.55 72.38
Pennsylvania 53.77 67.64
Puerto Rico 50.00 * 65.00
Rhode Island 54.05 67.83
South Carolina 69.85 78.89
South Dakota 68.16 77.71
Tennessee 63.09 74.16
Texas 62.45 73.72
Utah 71.78 80.25
Vermont 61.97 73.38
Virgin Islands 50.00 * 65.00
Virginia 51.60 66.12
Washington 52.50 66.75
West Virginia 74.47 82.13
Wisconsin 58.85 71.20
Wyoming 64.08 74.86

* 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 centrum.

** 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, including programs remaining in Title IV of the Act, the percentage for Alaska is 52.26% and for the District of Columbia is 50.00%.