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Notice

Medicaid Program; State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals (QIs): Federal Fiscal Years 2013 and 2014

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AGENCY:

Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION:

Notice.

SUMMARY:

This notice sets forth the states' final allotments available to pay the Medicare Part B premiums for Qualifying Individuals (QIs) for the federal fiscal year (FY) 2013 and the preliminary QI allotments for FY 2014. The amounts of these QI allotments were determined in accordance with the methodology set forth in regulations and reflect funding for the QI program made available under recent legislation.

DATES:

The final QI allotments for payment of Medicare Part B premiums for FY 2013 are effective October 1, 2012. The preliminary QI allotments for FY 2014 are effective October 1, 2013.

Start Further Info

FOR FURTHER INFORMATION CONTACT:

Diana Kuhn, (410) 786-1914 or Toni Cincibus at (410) 786-2997.

End Further Info End Preamble Start Supplemental Information

SUPPLEMENTARY INFORMATION:

I. Background

A. QI Allotments for FY 2013

Section 3101 of the Middle Class Tax Relief and Job Creation Act of 2012 (Pub. L. 112-96, enacted on February 22, 2012) (MCTRJCA) extended the authority and funding for the QI program by providing $280 million, Start Printed Page 31035available for the period October 1, 2012 through December 31, 2012, the first quarter of FY 2013. Section 621 of the American Taxpayer Relief Act of 2012 (Pub. L. 112-240, enacted on January 2, 2013) (ATRA), extended the authority for the QI program for all of FY 2013 and provided $485 million in additional funding for the program for the period January 1, 2013 through September 30, 2013. Therefore the total funding available for the QI program for FY 2013 is $765 million ($280 million plus $485 million).

B. QI Allotments for FY 2014 and Thereafter

As amended by section 621 of the American Taxpayer Relief Act of 2012 (ATRA, Pub. L. 112-240, enacted on January 2, 2013), section 1933(g)(2) of the Social Security Act provided $300 million in funding for the period October 1, 2013 through December 31, 2013, the first quarter of FY 2014. Section 1201 of Division B of the legislation “Pathway for SGR Reform Act of 2013” (Pub. L. 113-67 enacted on December 26, 2013) provided an additional $200 million and authority for the QI program for the period January 1, 2014 through March 31, 2014 (second quarter of FY 2014). In addition, section 201 of the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. 113-93 enacted on April 1, 2014) revised the $200 to $485 million and extended the period for which such funds were available to the end of September 2014. Therefore, a total of $785 million is now available for all of FY 2014 ($300 million for the first quarter of FY 2014, and $485 million for the second through fourth quarters of FY 2014). Finally, section 201 of PAMA further extended the authority and funding for the QI program for FY 2015 as follows: $300 million for the period October 1, 2014 through December 31, 2014 (first quarter of FY 2015); and, $250 million for the period January 1, 2015 through March 31, 2015 (second quarter FY 2015). Therefore, a total of $550 million is available for the QI program for FY 2015.

C. Methodology for Calculating the Fiscal Year QI Allotments

The amounts of the states' final FY 2013 and preliminary FY 2014 QI allotments, contained in this notice, were determined in accordance with the methodology set forth in existing regulations at 42 CFR 433.10(c)(5) and reflect funding for the QI program made available under the legislation discussed above.

II. Tables

The final QI allotments for FY 2013 and the preliminary QI allotments for FY 2014 are shown by state in Table 1 and Table 2, respectively:

Table 1—Final Qualifying Individuals Allotments for October 1, 2012 through September 30, 2013.

Table 2—Preliminary Qualifying Individuals Allotments for October 1, 2013 through September 30, 2014.Start Printed Page 31036

Table 1—Final Qualifying Individuals Allotments for October 1, 2012 Through September 30, 2013

StateInitial QI allotments for FY 2013FY 2013 estimated QI expenditures 1Need (difference) If E > D, E − DPercentage of total need states F/(tot. of F)Reduction pool for non-need states If D >= E, D − EPercentage of total non-need states H/ (tot. of H)Reduction adj. for non-need states Col. I × $105,466,335Increase adj. for need states Col. G × $105,466,335Final FY 2013 QI allotment 2
Number of individuals 3 (000s)Percentage of total Col B/ Tot. Col BInitial QI allotment Col C × $765,000,000
ABCDEFGHIJKL
Alabama382.64$20,159,501$22,544,081$2,384,5802.2610NeedNeedNeed$2,384,580$22,544,081
Alaska20.141,061,026326,300NANA$734,7260.4320$455,613NA605,414
Arizona211.4611,140,77719,563,3908,422,6147.9861NeedNeedNeed8,422,61419,563,390
Arkansas271.8714,323,85613,956,348NANA367,5080.2161227,896NA14,095,960
California1077.4256,764,91028,189,619NANA28,575,29116.801517,719,883NA39,045,026
Colorado161.118,488,2116,005,621NANA2,482,5891.45971,539,484NA6,948,727
Connecticut151.047,957,6983,902,339NANA4,055,3592.38442,514,777NA5,442,921
Delaware40.282,122,0533,211,3611,089,3081.0328NeedNeedNeed1,089,3083,211,361
District of Columbia20.141,061,0260NANA1,061,0260.6239657,955NA403,071
Florida966.6650,929,26572,316,56821,387,30320.2788NeedNeedNeed21,387,30372,316,568
Georgia453.1223,873,09334,507,39710,634,30410.0831NeedNeedNeed10,634,30434,507,397
Hawaii60.423,183,0791,409,689NANA1,773,3901.04271,099,701NA2,083,378
Idaho70.493,713,5922,677,626NANA1,035,9670.6091642,415NA3,071,177
Illinois684.7236,074,89624,744,637NANA11,330,2596.66197,026,031NA29,048,864
Indiana432.9822,812,0675,829,210NANA16,982,8579.985410,531,275NA12,280,791
Iowa161.118,488,2114,584,319NANA3,903,8922.29542,420,851NA6,067,360
Kansas181.259,549,2375,023,657NANA4,525,5802.66092,806,367NA6,742,870
Kentucky342.3618,037,44815,065,051NANA2,972,3971.74771,843,219NA16,194,229
Louisiana292.0115,384,88220,831,9325,447,0495.1647NeedNeedNeed5,447,04920,831,932
Maine70.493,713,5926,075,6342,362,0422.2396NeedNeedNeed2,362,0426,075,634
Maryland241.6612,732,3168,959,072NANA3,773,2442.21862,339,834NA10,392,482
Massachusetts281.9414,854,3699,694,545NANA5,159,8243.03383,199,669NA11,654,700
Michigan382.6420,159,50114,816,534NANA5,342,9663.14153,313,238NA16,846,263
Minnesota221.5311,671,2906,389,653NANA5,281,6373.10553,275,207NA8,396,083
Mississippi181.259,549,23715,212,6585,663,4215.3699NeedNeedNeed5,663,42115,212,658
Missouri392.7020,690,0144,395,160NANA16,294,8549.580910,104,636NA10,585,377
Montana60.423,183,0791,543,785NANA1,639,2940.96391,016,546NA2,166,533
Nebraska60.423,183,0792,283,431NANA899,6480.5290557,882NA2,625,197
Nevada100.695,305,1325,391,70786,5750.0821NeedNeedNeed86,5755,391,707
New Hampshire60.423,183,0792,269,086NANA913,9930.5374566,778NA2,616,301
New Jersey402.7721,220,5277,810,549NANA13,409,9797.88478,315,690NA12,904,836
New Mexico90.624,774,6194,117,952NANA656,6670.3861407,207NA4,367,412
New York855.8945,093,62046,198,1471,104,5271.0473NeedNeedNeed1,104,52746,198,147
North Carolina382.6420,159,50129,670,9949,511,4939.0185NeedNeedNeed9,511,49329,670,994
North Dakota30.211,591,540670,202NANA921,3380.5417571,333NA1,020,207
Ohio543.7428,647,71226,381,913NANA2,265,7991.33221,405,049NA27,242,662
Oklahoma271.8714,323,85610,320,039NANA4,003,8162.35412,482,815NA11,841,041
Oregon171.189,018,72414,297,5545,278,8305.0052NeedNeedNeed5,278,83014,297,554
Pennsylvania785.4141,380,02833,265,180NANA8,114,8484.77135,032,115NA36,347,913
Rhode Island60.423,183,0792,439,790NANA743,2890.4370460,923NA2,722,156
South Carolina332.2917,506,93514,903,998NANA2,602,9371.53051,614,113NA15,892,822
South Dakota40.282,122,0531,623,719NANA498,3340.2930309,023NA1,813,030
Tennessee483.3325,464,63231,271,6635,807,0305.5061NeedNeedNeed5,807,03031,271,663
Texas1067.3556,234,39778,081,41221,847,01520.7147NeedNeedNeed21,847,01578,081,412
Utah60.423,183,0792,018,266NANA1,164,8130.6849722,315NA2,460,765
Vermont20.141,061,0263,574,1972,513,1712.3829NeedNeedNeed2,513,1713,574,197
Virginia231.6012,201,80314,128,8761,927,0731.8272NeedNeedNeed1,927,07314,128,876
Washington231.6012,201,8035,963,337NANA6,238,4663.66803,868,548NA8,333,255
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West Virginia171.189,018,7246,218,910NANA2,799,8141.64621,736,199NA7,282,525
Wisconsin221.5311,671,2904,839,536NANA6,831,7544.01694,236,453NA7,434,837
Wyoming30.211,591,540873,450NANA718,0900.4222445,296NA1,146,244
Total1,442100.00765,000,000700,390,091105,466,335100.0000170,076,244100.0000105,466,335105,466,335765,000,000
Footnotes:
1 FY 2013 Estimates from July 2013 CMS Survey of States; Estimates Are For Months October 2012 Through September 2013.
2 For Need States, Final FY 2013 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K; For Non-Need States, Final FY 2013 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J.
3 Three-year average (2009-2011) of number (000) of Medicare beneficiaries in State who are not enrolled in Medicaid but whose incomes are at least 120% but less than 135% of Federal poverty level.
Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2012 Current Population Survey (CPS).

Table 2—Preliminary Qualifying Individuals Allotments for October 1, 2013 Through September 30, 2014

StateInitial QI allotments for FY 2014FY 2014 estimated QI expenditures 1Need (difference) if E > D, E−DPercentage of total need states F/(tot. of F)Reduction pool for non-need states if D >= E, D − EPercent of total non-need states H/(tot. of H)Reduction adj. for non-need states Col. I × $116,087,180Increase adj. for need states Col. G × $116,087,180Preliminary FY 2014 QI allotment 2
Number of individuals 3 (000s)Percentage of total Col B/tot. Col BInitial QI allotment Col C × $785,000,000
ABCDEFGHIJKL
Alabama332.13$16,756,145$24,304,910$7,548,7666.5027NeedNeedNeed$7,548,766$24,304,910
Alaska20.131,015,524374,073NANA$641,4510.4288$497,751NA517,772
Arizona291.8814,725,09721,719,0246,993,9276.0247NeedNeedNeed6,993,92721,719,024
Arkansas251.6212,694,04914,283,2891,589,2401.3690NeedNeedNeed1,589,24014,283,289
California1308.4166,009,05629,497,236NANA36,511,81924.406128,332,367NA37,676,689
Colorado120.786,093,1446,744,021650,8770.5607NeedNeedNeed650,8776,744,021
Connecticut150.977,616,4295,030,002NANA2,586,4281.72892,007,011NA5,609,418
Delaware50.322,538,8103,208,262669,4520.5767NeedNeedNeed669,4523,208,262
District of Columbia20.131,015,5240NANA1,015,5240.6788788,024NA227,500
Florida1338.6067,532,34278,905,99011,373,6489.7975NeedNeedNeed11,373,64878,905,990
Georgia462.9823,357,05037,475,49814,118,44712.1619NeedNeedNeed14,118,44737,475,499
Hawaii60.393,046,5721,472,570NANA1,574,0021.05211,221,391NA1,825,181
Idaho80.524,062,0962,684,609NANA1,377,4870.92081,068,899NA2,993,196
Illinois634.0831,989,00428,168,168NANA3,820,8362.55402,964,885NA29,024,119
Indiana412.6520,818,2416,077,393NANA14,740,8489.853411,438,573NA9,379,668
Iowa171.108,631,9534,924,019NANA3,707,9352.47852,877,276NA5,754,678
Kansas181.169,139,7155,698,955NANA3,440,7602.30002,669,954NA6,469,761
Kentucky352.2617,771,66917,488,089NANA283,5800.1896220,052NA17,551,617
Louisiana291.8814,725,09722,748,6148,023,5176.9116NeedNeedNeed8,023,51722,748,614
Maine70.453,554,3347,632,1044,077,7713.5127NeedNeedNeed4,077,7717,632,104
Maryland221.4211,170,76310,821,904NANA348,8600.2332270,707NA10,900,056
Massachusetts271.7513,709,57310,070,400NANA3,639,1732.43262,823,918NA10,885,655
Michigan372.3918,787,19318,446,036NANA341,1570.2280264,730NA18,522,462
Minnesota181.169,139,7156,901,960NANA2,237,7551.49581,736,449NA7,403,266
Mississippi201.2910,155,23916,214,1186,058,8795.2192NeedNeedNeed6,058,87916,214,118
Missouri442.8522,341,5276,154,273NANA16,187,25310.820312,560,952NA9,780,575
Montana60.393,046,5721,617,663NANA1,428,9090.95511,108,802NA1,937,770
Nebraska70.453,554,3342,347,662NANA1,206,6720.8066936,351NA2,617,983
Nevada70.453,554,3346,220,5702,666,2362.2968NeedNeedNeed2,666,2366,220,570
New Hampshire60.393,046,5722,755,828NANA290,7440.1943225,611NA2,820,961
New Jersey452.9122,849,2888,686,979NANA14,162,3109.466710,989,640NA11,859,648
New Mexico90.584,569,8584,491,904NANA77,9530.052160,490NA4,509,368
New York1026.6051,791,72147,248,495NANA4,543,2263.03693,525,443NA48,266,278
North Carolina483.1024,372,57431,199,3586,826,7845.8807NeedNeedNeed6,826,78431,199,358
North Dakota40.262,031,048708,704NANA1,322,3430.88391,026,109NA1,004,938
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Ohio593.8229,957,95627,260,048NANA2,697,9081.80342,093,517NA27,864,439
Oklahoma231.4911,678,52511,187,585NANA490,9400.3282380,959NA11,297,566
Oregon161.038,124,19116,228,0308,103,8396.9808NeedNeedNeed8,103,83916,228,030
Pennsylvania835.3742,144,24333,836,544NANA8,307,6995.55326,446,591NA35,697,652
Rhode Island50.322,538,8102,519,698NANA19,1120.012814,830NA2,523,979
South Carolina332.1316,756,14515,105,600NANA1,650,5451.10331,280,786NA15,475,358
South Dakota30.191,523,2862,110,798587,5120.5061NeedNeedNeed587,5122,110,798
Tennessee432.7821,833,76532,496,44710,662,6829.1851NeedNeedNeed10,662,68232,496,447
Texas1086.9954,838,29278,683,81223,845,51920.5410NeedNeedNeed23,845,51978,683,813
Utah70.453,554,3342,394,138NANA1,160,1960.7755900,286NA2,654,047
Vermont30.191,523,2863,813,3712,290,0851.9727NeedNeedNeed2,290,0853,813,371
Virginia332.1316,756,14514,627,256NANA2,128,8891.42301,651,971NA15,104,174
Washington261.6813,201,8116,660,311NANA6,541,5004.37265,076,060NA8,125,751
West Virginia201.2910,155,2396,415,789NANA3,739,4502.49962,901,731NA7,253,508
Wisconsin221.4211,170,7634,908,586NANA6,262,1784.18594,859,312NA6,311,452
Wyoming40.262,031,048915,357NANA1,115,6900.7458865,751NA1,165,297
Total1,546100.00785,000,000751,486,048116,087,180100.0000149,601,132100.0000116,087,180116,087,180785,000,000
Footnotes:
1 FY 2014 Estimates in Column E are from July 2013 CMS Survey of States; Estimates are for months October 2013 through September 2014.
2 For Need States, Preliminary FY 2014 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K; For Non-Need States, Preliminary FY 2014 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J.
3 Three-year average (2010-2012) of number (000) of Medicare beneficiaries in State who are not enrolled in Medicaid but whose incomes are at least 120% but less than 135% of Federal poverty level.
Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2012 Current Population Survey (CPS).
Start Printed Page 31039

The following describes the information contained in the columns of Table 1 and Table 2:

Column A—State. Column A shows the name of each state. Columns B through D show the determination of an Initial QI Allotment for FY 2013 (Table 1) or FY 2014 (Table 2) for each state, based only on the indicated Census Bureau data.

Column B—Number of Individuals. Column B contains the estimated average number of Medicare beneficiaries for each state that are not covered by Medicaid whose family income is at least 120 but less than 135 percent of the federal poverty level. With respect to the final FY 2013 QI allotment (Table1), Column B contains the number of such individuals for the years 2009 through 2011, as obtained from the Census Bureau's Annual Social and Economic Supplement to the 2012 Current Population Survey. With respect to the preliminary FY 2014 QI allotment (Table 2), Column B contains the number of such individuals for the years 2010 through 2012, as obtained from the Census Bureau's Annual Social and Economic Supplement to the Current Population Survey.

Column C—Percentage of Total. Column C provides the percentage of the total number of individuals for each state, that is, the Number of Individuals for the state in Column B divided by the sum total of the Number of Individuals for all States in Column B.

Column D—Initial QI Allotment. Column D contains each state's Initial QI Allotment for FY 2013 (Table 1) or FY 2014 (Chart 2), calculated as the state's Percentage of Total in Column C multiplied by the total amount available nationally for QI allotments for the fiscal year. The total amount available nationally for QI allotments each fiscal year is $765,000,000 for FY 2013 (Table 1) and $785,000,000 for FY 2014 (Table 2).

Columns E through L show the determination of the States' Final QI Allotments for FY 2013 (Table 1) or Preliminary QI Allotments for FY 2014 (Table 2).

Column E—FY 2013 or FY 2014 Estimated QI Expenditures. Column E contains the states' estimates of their total QI expenditures for FY 2013 (Table 1) or FY 2014 (Table 2) based on information obtained from states in the summer of 2013 and as updated.

Column F—Need (Difference). Column F contains the additional amount of QI allotment needed for those states whose estimated expenditures in Column E exceeded their Initial QI allotments in Column D for FY 2013 (Table 1) or for FY 2014 (Table 2) for such states, Column F shows the amount in Column E minus the amount in Column D. For other “Non-Need” states, Column F shows “NA.”

Column G—Percent of Total Need States. For states whose projected QI expenditures in Column E are greater than their Initial QI allotment in Column D for FY 2013 (Table 1) or FY 2014 (Table 2), respectively, Column G shows the percentage of total need, determined as the amount for each Need State in Column F divided by the sum of the amounts for all states in Column F. For Non-Need states, the entry in Column G is “NA.”

Column H—Reduction Pool for Non-Need States. Column H shows the amount of the pool of surplus QI allotments for FY 2013 (Table 1) or FY 2014 (Table 2), respectively, for those states that project QI expenditures for the fiscal year that are less than the Initial QI allotment for the fiscal year (referred to as Non-Need states). For states for which the estimates in Column E of QI expenditures for FY 2013 or FY 2014, respectively, are equal to or less than their Initial QI allotments in Column D for FY 2013 or FY 2014, respectively, Column H shows the amount in Column D minus the amount in Column E. For the states with a need, Column H shows “Need.” The reduction pool of excess QI allotments is equal to the sum of the amounts in Column H.

Column I—Percent of Total Non-Need States. For states whose projected QI expenditures in Column E are less than their Initial QI allotment in Column D for FY 2013 (Table 1) or FY 2014 (Table 2), Column I shows the percentage of the total reduction pool in Column H, determined as the amount for each Non-Need state in Column H divided by the sum of the amounts for all states in Column H. For Need states, the entry in Column I is “Need”.

Column J—Reduction Adjustment for Non-Need States. Column J shows the amount of adjustment needed to reduce the Initial QI allotments in Column D for FY 2013 (Table 1) or FY 2014 (Table 2) for Non-Need States in order to address the total need shown in Column F. The amount in Column J is determined as the percentage in column I for Non-Need States multiplied by the lesser of the total need in Column F (equal to the sum of Needs in Column F) or the total Reduction Pool in Column H (equal to the sum of the Non-Need amounts in Column H). For Need States, the entry in Column J is “Need.”

Column K—Increase Adjustment for Need States. Column K shows the amount of adjustment to increase the Initial QI Allotment in Column D for FY 2013 (Table 1) or FY 2014 (Table 2) for Need States in order to address the total need shown for the fiscal year in Column F. The amount in Column K is determined as the percentage in Column G for Need States multiplied by the lesser of the total need in Column F (equal to the sum of Needs in Column F) or the total Reduction Pool in Column H (equal to the sum of the Non-Need amounts in Column H). For Non-Need States, the entry in Column K is “NA.”

Column L—Final FY 2013 QI Allotment (Chart 1) or Preliminary FY 2014 QI Allotment ( Table 2). Column L contains the Final QI Allotment for each state for FY 2013 (Table 1) or the Preliminary QI Allotment for FY 2014 (Table 2). For states that need additional QI allotment amounts for the fiscal year based on Estimated QI Expenditures in Column E as compared to their Initial QI allotments in Column D for the fiscal year (states with a projected need amount are shown in Column F), Column L is equal to the Initial QI allotment in Column D for FY 2013 (Table 1) or FY 2014 (Table 2) plus the amount determined in Column K for Need States. For Non-Need States (states with a projected surplus in Column H), Column L is equal to the QI Allotment in Column D reduced by the Reduction Adjustment amount in Column J.

III. Collection of Information Requirements

This notice does not impose any information collection or recordkeeping requirements. Consequently, it does not need Office of Management and Budget review under the authority of the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.).

Start Signature

Dated: April 17, 2015.

Andrew M. Slavitt,

Acting Administrator, Centers for Medicare & Medicaid Services.

Dated: May 21, 2015.

Sylvia M. Burwell,

Secretary, Department of Health and Human Services.

End Signature End Supplemental Information

[FR Doc. 2015-13043 Filed 5-28-15; 11:15 am]

BILLING CODE 4120-01-P