Printer Friendly version in PDF format (3 pages)
[Federal Register: November 28, 2007 (Volume 72, Number 228)]
[Notices]
[Page 67304-67306]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr28no07-52]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary
Federal Financial Participation in State Assistance Expenditures;
Federal Matching Shares for Medicaid, the State Children's Health
Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons
for October 1, 2008 Through September 30, 2009
AGENCY: Office the Secretary, DHHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Federal Medical Assistance Percentages and Enhanced
Federal Medical Assistance Percentages for Fiscal Year 2009 have been
calculated pursuant to the Social Security Act (the Act). These
percentages will be effective from October 1, 2008 through September
30, 2009. This notice announces the calculated "Federal Medical
Assistance Percentages" and "Enhanced Federal Medical Assistance
Percentages" 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 State Children's Health Insurance
Program (SCHIP) expenditures, and Temporary Assistance for needy
Families (TANF) Contingency Funds, the federal share of Child Support
Enforcement collections, Child Care Mandatory and Matching Funds of the
Child Care and
Development Funds, 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 existing each
jurisdiction. Programs under titles I, X, and XIV operate only in Guam
and the Virgin Islands, while a program under the title XVI (Aid to the
Aged, Blind, or Disabled) operates only in Puerto Rico.
Programs under title XXI began operating in fiscal year 1998. 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 statute provides separately for Federal
matching of administrative costs.
Sections 1905(b) and 1101(a)(8)(B) of the Act require the
Secretary, HHS to publish the Federal Medical Assistance Percentages
each year. The Secretary is to calculate the percentages, using
formulas in sections 1905(b) and 1101(a)(8)(B), from the Department of
Commerce's statistics of average income per person in each State and
for the Nation as a whole. The percentages are within the upper and
lower limits given in section 1905(b) of the Act. The percentages to be
applied to the District of 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.
The "Federal Medical Assistance Percentages" are for Medicaid.
Section 1905(b) of the Act specifies the formula for calculating
Federal Medical Assistance Percentages 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 Federal Medical Assistance Percentage for
the District of Columbia for purposes of titles XIX, and for the
purpose of calculating the enhanced FMAP under title XXI, shall be 70
percent. For the District of Columbia, we note under the table of
Federal Medical Assistance Percentages the rate that applies in certain
other programs calculated using the formula otherwise applicable, and
the rate that applies in certain other programs pursuant to section
1118 of the Social Security Act.
Section 2105(b) of the Act specifies the formula for calculating
the Enhanced Federal Medical Assistance Percentages 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 "Enhanced Federal Medical Assistance Percentages" are for use
in the State 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 Enhanced
Federal Medical Assistance Percentages. 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 4 quarter-year periods in the period beginning October 1,
2008 and ending September 30, 2009.
FOR FURTHER INFORMATION CONTACT: Thomas Musco or 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: State Children's Health
Insurance Program)
Dated: November 19, 2007.
Michael O. Leavitt,
Secretary of Health and Human Services.
Federal Medical Assistance Percentages and Enhanced Federal Medical
Assistance Percentages, Effective October 1, 2008-September 30, 2009
(Fiscal Year 2009)
------------------------------------------------------------------------
Enhanced federal
Federal medical medical
State assistance assistance
percentages percentages
------------------------------------------------------------------------
Alabama........................... 67.98 77.59
Alaska............................ 50.53 65.37
American Samoa*................... 50.00 65.00
Arizona........................... 65.77 76.04
Arkansas.......................... 72.81 80.97
California........................ 50.00 65.00
Colorado.......................... 50.00 65.00
Connecticut....................... 50.00 65.00
Delaware.......................... 50.00 65.00
District of Columbia**............ 70.00 79.00
Florida........................... 55.40 68.78
Georgia........................... 64.49 75.14
Guam*............................. 50.00 65.00
Hawaii............................ 55.11 68.58
Idaho............................. 69.77 78.84
Illinois.......................... 50.32 65.22
Indiana........................... 64.26 74.98
Iowa.............................. 62.62 73.83
Kansas............................ 60.08 72.06
Kentucky.......................... 70.13 79.09
Louisiana......................... 71.31 79.92
Maine............................. 64.41 75.09
Maryland.......................... 50.00 65.00
Massachusetts..................... 50.00 65.00
Michigan.......................... 60.27 72.19
Minnesota......................... 50.00 65.00
Mississippi....................... 75.84 83.09
Missouri.......................... 63.19 74.23
Montana........................... 68.04 77.63
Nebraska.......................... 59.54 71.68
Nevada............................ 50.00 65.00
New Hampshire..................... 50.00 65.00
New Jersey........................ 50.00 65.00
New Mexico........................ 70.88 79.62
New York.......................... 50.00 65.00
North Carolina.................... 64.60note 75.22
North Dakota...................... 63.15 74.21
Northern Mariana Islands*......... 50.00 65.00
Ohio.............................. 62.14 73.50
Oklahoma.......................... 65.90 76.13
Oregon............................ 62.45 73.72
Pennsylvania...................... 54.52 68.16
Puerto Rico*...................... 50.00 65.00
Rhode Island...................... 52.59 66.81
South Carolina.................... 70.07 79.05
South Dakota...................... 62.55 73.79
Tennessee......................... 64.28 75.00
Texas............................. 59.44 71.61
Utah.............................. 70.71 79.50
Vermont........................... 59.45 71.62
Virgin Islands*................... 50.00 65.00
Virginia.......................... 50.00 65.00
Washington........................ 50.94 65.66
West Virginia..................... 73.73 81.61
Wisconsin......................... 59.38 71.57
Wyoming........................... 50.00 65.00
------------------------------------------------------------------------
* For purposes of section 1118 of the Social Security Act, the
percentage used under titles I, X, XIV, and XVI will be 75 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, including
program remaining in Title IV of the Act, the percentage for D.C. is
50.00.
Note: The rate of 64.60 for North Carolina is the correction
of the misprinting of 64.00 in the original Federal Register Notice,
see the correction of December 7, 2007.
[FR Doc. 07-5847 Filed 11-27-07; 8:45 am]
BILLING CODE 4150-24-M
Home Pages:
FMAP and FFP Main Page
Assistant Secretary for Planning and Evaluation
ASPE)
U.S. Department of Health and Human Services
(HHS)