DEPARTMENT OF HEALTH AND HUMAN SERVICES 

Centers for Medicare & Medicaid Services 

[CMS-2388-N] 

RIN 0938-AR79 

Children's Health Insurance Program (CHIP); Final Allotments to States, the District of 

Columbia, and U.S. Territories and Commonwealths for Fiscal Year 2013 

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

ACTION: Notice.

SUMMARY: This notice sets forth the final allotments of federal funding available to each 

State, the District of Columbia, and each U.S. Territory and Commonwealth for fiscal year 2013. 

 Title XXI of the Social Security Act (the Act) authorizes payment of federal matching funds to 

States, the District of Columbia, and the U.S. Territories and Commonwealths to initiate and 

expand health insurance coverage to uninsured, low-income children under the Children’s Health 

Insurance Program (CHIP). The fiscal year allotments contained in this notice were determined 

in accordance with the funding provisions and final regulations published in the February 

17, 2011 Federal Register (76 FR 9233). 

DATES: This notice is effective on [Insert date 30 days after date of publication in the 

Federal Register]. Final allotments for fiscal year 2013 may be available for expenditure by 

states beginning with October 1, 2012.

FOR FURTHER INFORMATION CONTACT: 

Richard Strauss, (410) 786-2019.
CMS-2388-N 2

SUPPLEMENTARY INFORMATION: 

I. Purpose of This Notice

 This notice sets forth the allotments available to each state, the District of Columbia, and 

each U.S. Territory and Commonwealth for fiscal year (FY) 2013 under title XXI of the Social 

Security Act (the Act). States may implement the Children’s Health Insurance Program (CHIP) 

through a separate state program under title XXI of the Act, an expansion of a State Medicaid 

program under title XIX of the Act, or a combination of both. CHIP allotments for FY 2009 and 

subsequent fiscal years are available to match expenditures under an approved state child health 

plan for 2 fiscal years, including the year for which the allotments were provided. As specified 

by the Act, the allotments are available to states for FY 2013, and the unexpended amounts of 

such allotments for a state may be carried over to FY 2014 for use by the state. Federal funds 

appropriated for title XXI of the Act are limited, and the law specifies a methodology to divide 

the total fiscal year appropriation into individual allotments available for each state, the District 

of Columbia, and each U.S. Territory and Commonwealth with an approved child health plan. 

 Section 2104(b) of the Act requires states, the District of Columbia, and U.S. Territories 

and Commonwealths to have an approved child health plan for the fiscal year in order for the 

Secretary to provide an allotment for that fiscal year. All states, the District of Columbia, and 

U.S. Territories and Commonwealths have approved plans for FY 2013. Therefore, the FY 2013 

allotments contained in this notice pertain to all states, the District of Columbia, and U.S. 

Territories and Commonwealths. 

 In general, funding is appropriated under section 2104(a) of the Act for purposes of 

providing allotments to states under CHIP for each fiscal year. Section 2104(a) was amended by 

section 10203(d)(1) of the Patient Protection and Affordable Care Act of 2010 (Pub. L. 111-148, 
CMS-2388-N 3

enacted on March 23, 2010) (the Affordable Care Act) to extend appropriations for funding for 

CHIP fiscal year allotments through FY 2015. 

II. Methodology for Determining CHIP Fiscal Year Allotments for the 50 States, the 

District of Columbia, and the U.S. Territories and Commonwealths. 

A. Funding Authority for the CHIP Fiscal Year Allotments

 Section 2104(a)(1) through (18) of the Act appropriates federal funds for providing 

states’ allotments for FYs 2009 through 2015. In particular, the appropriated amounts available 

for allotments for FYs 2009 through 2015, are as follows: $10,562,000,000 for FY 2009; 

12,520,000,000 for FY 2010; $13,459,000,000 for FY 2011; $14,982,000,000 for FY 2012; 

$17,406,000,000 for FY 2013, $19,147,000,000 for FY 2014; and $2,850,000,000 for each of the 

first and second half of FY 2015. Also, section 108 of the Children's Health Insurance Program 

Reauthorization Act of 2009 (Pub. L. 111-3, enacted on February 4, 2009) (CHIPRA), as 

amended by section 10203(d) of the Affordable Care Act, provides for a one-time appropriation 

of $15,361,000,000 for allotments for the first half of FY 2015. Therefore, the total 

appropriation for providing allotments during FY 2015 is $21,061,000,000 (determined as the 

sum of $2,850,000,000, $15,361,000,000, and $2,850,000,000). 

B. Methodology For Determining State’s Fiscal Year Allotments

1. General 

 On September 16, 2009 we published a proposed rule in the Federal Register

(74 FR 47517) and on February 17, 2011, we published the final rule in the Federal Register

(76 FR 9233) to implement the methodologies and procedures to determine the fiscal year 

allotments of federal funds as specified under section 2104(m) of the Act for FY 2009 through 

FY 2015. In general, the States’ fiscal year allotments are provided from the appropriation for 
CMS-2388-N 4

the respective fiscal year allotment, subject to a proration adjustment described in section II.B.7 

of this notice. 

2. FY 2009 Through FY 2012 CHIP Allotments 

The final methodology is determined in accordance with the September 16, 2009 Federal 

Register (74 FR 47517) which contained the FY 2009 CHIP allotments, the February 17, 2011 

Federal Register (76 FR 9233) which contained the FY 2010 and FY 2011 CHIP allotments, 

and the July 24, 2012 Federal Register (77 FR 43290) which contained the FY 2012 CHIP 

allotments. 

 3. FY 2013 Allotments 

 The FY 2013 allotments for the 50 States and the District of Columbia, and the 

Commonwealths and Territories, are provided from the FY 2013 appropriation 

($17,406,000,000). The amounts of these allotments are subject to a proration adjustment 

described in section II.B.7 of this notice, if necessary. Section 2104(m)(2)(B)(i) of the Act, as 

amended by the Affordable Care Act, requires a “rebasing” process be used for determining the 

FY 2013 allotments; the rebasing methodology means the states’ payments rather than their 

allotments for FY 2012 must be considered in calculating the FY 2013 allotments. In particular, 

the FY 2013 allotments are determined by multiplying the allotment increase factor for FY 2013 

for the state by the sum of: any federal payments made from the states’ available allotments in 

FY 2012; any amounts provided as redistributed allotments in FY 2012 to the state; and any 

federal payments attributable to any contingency fund payments made to the State for FY 2012 

determined under section 2104(n) of the Act. 

4. FY 2014 Allotments 

The FY 2014 allotments for the 50 States and the District of Columbia, and the 
CMS-2388-N 5

Commonwealths and Territories, are provided from the FY 2014 appropriation of 

$19,147,000,000, and are subject to a proration adjustment described in section II.B.7 of this 

notice, if necessary. Under section 2104(m)(2)(B)(ii) of the Act, as amended by the Affordable 

Care Act, the FY 2014 allotment for each State is determined by multiplying the allotment 

increase factor for FY 2014 for the state, by the sum of: the state’s FY 2013 allotment; and any 

contingency fund payment made to the state for FY 2013, as determined in section 2104(n) of 

the Act. 

 For the 50 States and the District of Columbia, under section 2104(m)(6) of the Act, the 

FY 2014 allotment may include additional amounts in situations where such states have 

submitted an expansion allotment adjustment request before August 31, 2013. 

5. FY 2015 Allotments 

Under section 2104(m)(3) of the Act, the FY 2015 allotments for the 50 states and the 

District of Columbia, and the Commonwealths and Territories, are comprised of 2 components 

related to the first half of FY 2015 (that is, the period of October 1, 2014 through 

March 31, 2015) and second half of FY 2015 (that is, April 1, 2015 through 

September 30, 2015). The FY 2015 allotments for the first and second half of FY 2015 are 

subject to a proration adjustment described in section II.B.7 of this notice, as necessary. 

 The allotments for the first half of FY 2015 are provided from a total available 

appropriation of $18,211,000,000, comprised of $2,850,000,000 appropriated under section 

2104(a)(18)(A) of the Act, and $15,361,000,000 appropriated by section 108 of CHIPRA, as 

amended by the Affordable Care Act. The allotments for the first half of FY 2015 are equal to 

the “first half ratio” multiplied by the allotment increase factor for FY 2015 multiplied by the 

sum of any federal payments made from the States’ available allotments in FY 2014; any 
CMS-2388-N 6

amounts provided as redistributed allotments in FY 2014 to the state; and any federal payments 

attributable to any contingency fund payments made to the State for FY 2014 as determined 

under section 2104(n) of the Act. The first half ratio is the percentage determined by dividing 

$18,211,000,000 (calculated as the sum of $2,850,000,000 (the appropriation for the first half of 

FY 2015) and 15,361,000,000 (the one-time appropriation for the first half of the FY 2015)) by 

$21,061,000,000 (calculated as the sum of $2,850,000,000(the appropriation for the second half 

of FY 2015) and $18,211,000,000). 

 The states’ CHIP allotments for the second half of FY 2015 are provided from a total 

available appropriation of $2,850,000,000, appropriated under section 2104(a)(18)(B) of the Act. 

The allotments for the second half of FY 2015 are equal to $2,850,000,000 multiplied by a 

percentage equal to the amount of the allotment for the state for the first half of FY 2015 divided 

by the sum of all such first half of FY 2015 allotments for all States. 

6. Proration Rule 

Under section 2104(m)(4) of the Act, if the amount of States’ (including the 50 States, 

the District of Columbia, and the Commonwealths and Territories) allotments for a fiscal year, or 

in the case of FY 2015, the amount of an allotment for each half of the fiscal year, exceeds the 

total appropriations available for such periods, the total allotments for each of these periods will 

be reduced on a proportional basis. The total amount available nationally for the period is 

multiplied by a proration percentage determined by dividing the amount determined for the 

period by the sum of such amounts. 

7. The allotment increase factor for a fiscal year 

Under section 2104(m)(5) of the Act, the allotment increase factor for a fiscal year is 

equal to the product of 2 amounts for the fiscal year: the per capita health care growth factor and 
CMS-2388-N 7

the child population growth factor. 

 The per capita health care growth factor for a fiscal year is equal to 1 plus the percentage 

increase in the projected per capita amount of the National Health Expenditures from the 

calendar year in which the previous fiscal year ends to the calendar year in which the fiscal year 

involved ends, as most recently published by CMS before the beginning of the fiscal year 

involved. 

 In general, for the 50 States and the District of Columbia, the Child Population Growth 

Factor (CPGF) for a fiscal year is equal to 1 plus the percentage increase (if any, expressed in 

decimal format) in the population of children in the State from July 1 in the previous fiscal year 

to July 1 in the fiscal year involved, as determined by CMS based on the most recent published 

estimates of the Census Bureau available before the beginning of the fiscal year involved, plus 1 

percentage point (expressed as 0.01). In the determination of the CPGF, section 2104(m)(5)(B) 

of the Act refers to “the percentage increase (if any)” of the population of children in the State. 

In this regard, the CPGF refers only to increases in the population of children. Thus, if there was 

a decrease in the population of children over the indicated period, the CPGF for such State 

would be1 plus 0.0 percent plus 1 percentage point; that is, negative growth in the children 

population would not result in the growth factor being less than 101 percent (expressed as 1.01). 

8. Allotments for the commonwealths and territories 

 Section 2104(m)(1)(B) of the Act provided for 2009 allotments for the commonwealths 

and territories based upon the highest amount available for any fiscal year from 1999 through 

2008, multiplied by the allotment increase factor with the term “United States” substituted for 

the term “the State” (so that the increase for the commonwealths and territories will be based on 

the CPFG rate for the entire country rather than specific to the commonwealth or territory). For 
CMS-2388-N 8

fiscal years after FY 2009, the CHIP allotment for the commonwealths and territories is 

determined using the same methodology described above for the 50 States and District of 

Columbia. The 2009 change to the allotment increase factor does not apply, and thus we will 

determine a commonwealth or territory-specific allotment increase factor, based on the CPFG for 

each commonwealth or territory, based on the most recent published estimates of the Census 

Bureau. 

C. FY 2013 Allotments Determined in Accordance with Such Methodologies and Procedures. 

We calculated the FY 2013 allotments as discussed in section II.B.4 of this notice and in 

accordance with section 2104(m) of the Act and final regulations at 42 CFR 457.609 (published 

in the February 17, 2011 Federal Register. That calculation is presented in 2 tables described in 

section III of this notice. Table 1 provides the calculation of the allotment increase factor for 

FY 2013, and Table 2 provides the calculation of the FY 2013 allotment. 

III. Tables 

Following are the keys and associated tables for the CHIP funding provisions as 

discussed in previous sections (note that for purposes of presentation and due to rounding, not all 

numbers following decimals are shown in the following tables): 

Table 1 -- Allotment Increase Factor for FY 2013 

Table 2 -- Children’s Health Insurance Program Allotments for FY 2013 

A. Table 1 -- Allotment Increase Factor For FY 2013 

Key to Table 1

Column/Description

Column A = State. Column A contains the name of the State, District of Columbia, U.S. 

Commonwealth or Territory. 
CMS-2388-N 9

Column B = PCNHE 2012, PCNHE 2013, PCHCG Factor. Column B contains the 

calculation of the Per Capita Health Care Growth (PCHCG) Factor for FY 2013, determined as 

1 plus the percentage increase in the Per Capita National Health Expenditures (PCNHE) (source: 

Centers for Medicare & Medicaid Services, Office of the Actuary) from calendar year 2012 to 

calendar year 2013. 

Columns C through F = Calculation of the Child Population Growth Factor (CPGF) for 

FY 2013:

Column C = July 1, 2012 Child Population. Column C contains the population of 

children in each state or the United States as of July 1, 2012, as provided by the most recent 

published data of the Census Bureau before the beginning of FY 2013. 

Column D = July 1, 2013 Child Population. Column D contains the population of 

children in each state or the United States as of July 1, 2013, as provided by the most recent 

published data of the Census Bureau before the beginning of FY 2013. 

Column E = Percent Increase 2012 - 2013. Column E contains the percentage increase, if 

any, of the population of children in each state, or the United States, from July 1, 2012 to 

July 1, 2013, calculated as the difference between the number in Column D minus the number in 

Column C divided by the number in Column C. 

Column F = FY 2013 Child Population Growth Factor. Column F contains the Child 

Population Growth Factor (CPGF) for each state, determined as 1.01 plus the percent in 

Column E for the State. 

Column G = FY 2013 Allotment Increase Factor. Column G contains the FY 2013 

Allotment Increase Factor, calculated as the PCHCG factor in Column B multiplied by 

the CPGF percent in Column F.
CMS-2388-N 10 

Table 1: Allotment Increase Factor for FY 2013 

PCNHE 2012 Child Population Growth Factor (CPGF) for FY 2013 

 $8,953 Percent 

STATE PCNHE 2013 July 1, 2012 July 1, 2013 Increase 

 $9,214 Population Population 2012 - 2013 

PCHCG Factor* 

1.0292 (D-C)/C 

A B C D E 

Alabama 1.0292 1,190,177 1,185,745 0.00% Alaska 1.0292 197,821 197,483 0.00% Arizona 1.0292 1,709,881 1,704,721 0.00% Arkansas 1.0292 748,748 748,686 0.00% California 1.0292 9,802,326 9,781,108 0.00% Colorado 1.0292 1,305,223 1,311,232 0.46% Connecticut 1.0292 845,091 833,027 0.00% Delaware 1.0292 217,092 216,511 0.00% District of Columbia 1.0292 118,912 122,540 3.05% Florida 1.0292 4,231,207 4,228,907 0.00% Georgia 1.0292 2,634,887 2,639,023 0.16% Hawaii 1.0292 320,876 321,411 0.17% Idaho 1.0292 451,195 450,659 0.00% Illinois 1.0292 3,252,752 3,227,501 0.00% Indiana 1.0292 1,679,592 1,672,236 0.00% Iowa 1.0292 765,073 762,718 0.00% Kansas 1.0292 762,720 761,315 0.00% Kentucky 1.0292 1,077,372 1,075,953 0.00% Louisiana 1.0292 1,183,059 1,184,741 0.14% Maine 1.0292 283,150 279,480 0.00% Maryland 1.0292 1,425,777 1,422,901 0.00% Massachusetts 1.0292 1,493,331 1,483,033 0.00% 
CMS-2388-N 11

Table 1: Allotment Increase Factor for FY 2013 

PCNHE 2012 Child Population Growth Factor (CPGF) for FY 2013 

 $8,953 Percent 

STATE PCNHE 2013 July 1, 2012 July 1, 2013 Increase 

 $9,214 Population Population 2012 - 2013 

PCHCG Factor* 

1.0292 (D-C)/C 

A B C D E 

Michigan 1.0292 2,407,389 2,374,494 0.00% Minnesota 1.0292 1,346,832 1,343,206 0.00% Mississippi 1.0292 790,318 787,474 0.00% Missouri 1.0292 1,482,863 1,472,896 0.00% Montana 1.0292 235,024 234,574 0.00% Nebraska 1.0292 487,198 488,415 0.25% Nevada 1.0292 697,086 696,921 0.00% New Hampshire 1.0292 293,783 288,459 0.00% New Jersey 1.0292 2,142,311 2,124,544 0.00% New Mexico 1.0292 549,684 551,522 0.33% New York 1.0292 4,533,608 4,506,651 0.00% North Carolina 1.0292 2,427,545 2,433,066 0.23% North Dakota 1.0292 162,495 163,927 0.88% Ohio 1.0292 2,825,825 2,801,252 0.00% Oklahoma 1.0292 994,142 1,000,112 0.60% Oregon 1.0292 913,230 912,653 0.00% Pennsylvania 1.0292 2,921,487 2,898,558 0.00% Rhode Island 1.0292 233,902 230,480 0.00% South Carolina 1.0292 1,148,077 1,150,117 0.18% South Dakota 1.0292 214,867 215,447 0.27% Tennessee 1.0292 1,574,981 1,572,746 0.00% Texas 1.0292 7,408,497 7,484,215 1.02% 
CMS-2388-N 12

Table 1: Allotment Increase Factor for FY 2013 

PCNHE 2012 Child Population Growth Factor (CPGF) for FY 2013 

 $8,953 Percent 

STATE PCNHE 2013 July 1, 2012 July 1, 2013 Increase 

 $9,214 Population Population 2012 - 2013 

PCHCG Factor* 

1.0292 (D-C)/C 

A B C D E 

Utah 1.0292 933,382 941,395 0.86% Vermont 1.0292 133,891 131,547 0.00% Virginia 1.0292 1,966,500 1,967,568 0.05% Washington 1.0292 1,674,524 1,679,579 0.30% West Virginia 1.0292 406,890 405,501 0.00% Wisconsin 1.0292 1,396,702 1,387,539 0.00% Wyoming 1.0292 142,250 142,106 0.00% 

 Total States 1.0292 78,141,545 77,997,895 0.00% 

American Samoa 1.0292 19,210 18,198 0.00% Guam 1.0292 54,032 53,490 0.00% Northern Mariana Islands 1.0292 16,469 16,227 0.00% Puerto Rico 1.0292 910,852 889,582 0.00% Virgin Islands 1.0292 24,590 23,763 0.00% 

 Total Territories 1.0292 1,025,153 1,001,260 0.00% 

 Total States/Territories 1.0292 79,166,698 78,999,155 0.00% 

 Footnotes: *Calculated as 1 + (($9,214 - $8,953)/$8,953); $8,953 is per capita NHE for 2012 and $9,214 is per capita NHE for 2013 PCHCG FACTOR is "Per Capita Health Care Growth Factor" 
CMS-2388-N 13 

B. Table 2 --Children’s Health Insurance Program Allotment for FY 2013

Key to Table 2

Column/Description

Column A = State. Column A contains the name of the state, District of Columbia, U.S. 

Commonwealth or Territory. 

Column B = FY 2012 FS Expenditures Applied Against Allotments. Column B contains 

the amount of federal share (FS) payments to the state that were attributable and countable 

towards the allotments available to the state in FY 2012. These amounts were based on the 

States’ submissions of the 4 quarterly FY 2012 expenditure reports. 

Column C = FY 2012 Contingency Fund Payments. Column C contains the amounts of 

any contingency funds payments made to a State for FY 2012 determined in accordance with the 

provisions of section 2104(n) of the Act. 

Column D = FY 2012 FS Expenditures Applied Against Redistributions. Column D 

contains the total amount of federal payments redistributed to the state in FY 2012 determined in 

in accordance with the provisions of section 2104(f) of the Act. 

Column E = FY 2012 Total FS Expenditures. Column E contains the total amount of the 

FY 2012 federal payments to the state determined as the sum of the amounts in Columns B, C, 

and D. 

Column F = FY 2013 Allotment Increase Factor. Column F contains the Allotment 

Increase Factor for FY 2013 for each state as contained in Column G of Table 1. 

Column G = FY 2013 CHIP Allotment. Column G contains the product of the total 

FY 2012 federal share expenditures in Column E and the amount of the FY 2013 Allotment 

Increase Factor in Column F. This amount represents the FY 2013 CHIP allotment. 
CMS-2388-N 14 

Table 2: Children's Health Insurance Program Allotments for FY: 2013

FY 2012 FY 2012 FY 2012 FY 2012 FY 2

STATE FS Expenditures Contingency Fund FS Expenditures Total Allotm

Applied Against Payments Applied Against 

FS 

Expenditures Incre

Allotments /1 Redistributions Col B + C + D Fact

A B C D E F 

Alabama $156,666,630 $0 $0 $156,666,630 Alaska $19,777,701 $0 $0 $19,777,701 Arizona $24,428,316 $0 $0 $24,428,316 Arkansas $99,204,579 $0 $0 $99,204,579 California $1,246,835,487 $0 $0 $1,246,835,487 Colorado $126,262,430 $0 $0 $126,262,430 Connecticut $39,760,103 $0 $0 $39,760,103 Delaware $15,141,183 $0 $0 $15,141,183 District of Columbia $13,883,678 $0 $0 $13,883,678 Florida $345,422,131 $0 $0 $345,422,131 Georgia $271,558,901 $0 $0 $271,558,901 Hawaii $24,789,079 $0 $0 $24,789,079 Idaho $34,592,745 $0 $0 $34,592,745 Illinois $265,108,645 $0 $0 $265,108,645 Indiana $139,361,391 $0 $0 $139,361,391 Iowa $88,986,083 $0 $0 $88,986,083 Kansas $53,296,813 $0 $0 $53,296,813 Kentucky $142,273,872 $0 $0 $142,273,872 Louisiana $165,120,888 $0 $0 $165,120,888 Maine $30,284,258 $0 $0 $30,284,258 Maryland $154,385,062 $0 $0 $154,385,062 Massachusetts /2 $318,320,572 $0 $0 $318,320,572 
CMS-2388-N 15

FY 2012 FY 2012 FY 2012 FY 2012 FY 2

STATE FS Expenditures Contingency Fund FS Expenditures Total Allotm

Applied Against Payments Applied Against 

FS 

Expenditures Incre

Allotments /1 Redistributions Col B + C + D Fact

A B C D E F 

Michigan $52,717,514 $0 $0 $52,717,514 Minnesota $30,864,280 $0 $0 $30,864,280 Mississippi $170,165,124 $0 $0 $170,165,124 Missouri $118,282,444 $0 $0 $118,282,444 Montana $57,136,546 $0 $0 $57,136,546 Nebraska $40,751,950 $0 $0 $40,751,950 Nevada $30,260,365 $0 $0 $30,260,365 New Hampshire $17,504,890 $0 $0 $17,504,890 New Jersey $615,891,341 $0 $0 $615,891,341 New Mexico $119,117,210 $0 $0 $119,117,210 New York $557,751,171 $0 $0 $557,751,171 North Carolina $291,999,510 $0 $0 $291,999,510 North Dakota $16,510,403 $0 $0 $16,510,403 Ohio $323,299,011 $0 $0 $323,299,011 Oklahoma $109,210,015 $0 $0 $109,210,015 Oregon $138,435,048 $0 $0 $138,435,048 Pennsylvania $294,116,617 $0 $0 $294,116,617 Rhode Island $38,007,530 $0 $0 $38,007,530 South Carolina $94,387,784 $0 $0 $94,387,784 South Dakota $18,650,766 $0 $0 $18,650,766 Tennessee $192,636,297 $0 $0 $192,636,297 Texas $849,095,131 $0 $0 $849,095,131 Utah $59,616,038 $0 $0 $59,616,038 Vermont $12,542,134 $0 $0 $12,542,134 
CMS-2388-N 16

FY 2012 FY 2012 FY 2012 FY 2012 FY 2

STATE FS Expenditures Contingency Fund FS Expenditures Total Allotm

Applied Against Payments Applied Against 

FS 

Expenditures Incre

Allotments /1 Redistributions Col B + C + D Fact

A B C D E F 

Virginia $179,399,135 $0 $0 $179,399,135 Washington $92,985,481 $0 $0 $92,985,481 West Virginia $46,443,775 $0 $0 $46,443,775 Wisconsin $99,094,456 $0 $0 $99,094,456 Wyoming $10,355,354 $0 $0 $10,355,354 

 States/DC Total $8,452,687,867 $0 $0 $8,452,687,867 

Commonwealths and Territories American Samoa $1,252,669 $0 $0 $1,252,669 Guam $4,359,910 $0 $0 $4,359,910 N. Mariana Islands $898,682 $0 $0 $898,682 Puerto Rico $103,910,799 $0 $23,714,630 $127,625,429 Virgin Islands $0 $0 $0 $0 

 Total $110,422,060 $0 $23,714,630 $134,136,690 

 NATIONAL 

TOTAL $8,563,109,927 $0 $23,714,630 $8,586,824,557 

Footnotes: /1 Final CHIP Allotments for FY 2013 based on reported expenditures for quarters 1 through 4 of FY 2012 /2 MA expenditures adjusted to only include amounts claimed on FY 2012 expenditure reports up to FY 2012 ten percent limit 
CMS-2388-N CPL 6/26/13 17 

IV. Collection of Information Requirements 

This document does not impose any information collection or recordkeeping 

requirements. Consequently, it is not subject to Office of Management and Budget review under 

the authority of the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.).
CMS-2388-N 

Authority: (Section 1102 of the Social Security Act (42 U.S.C. 1302)) 

(Catalog of Federal Domestic Assistance Program No. 93.778, Medical Assistance Program) 

(Catalog of Federal Domestic Assistance Program No. 93.767, State Children's Health Insurance 

Program))

Dated: May 15, 2013.

________________________________ 

Marilyn Tavenner,

Administrator,

Centers for Medicare & Medicaid

Services. 

Dated: June 28, 2013

 ________________________________ 

Kathleen Sebelius, 

Secretary.

 Department of Health and Human Services. 

BILLING CODE 4120-01-P 
CMS-2388-N CPL 6/26/13 19 

[FR Doc. 2013-17966 Filed 07/25/2013 at 8:45 am; Publication Date: 07/26/2013]