Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices 45213 

/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. 

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.). 

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. 

[FR Doc. 2013–17966 Filed 7–25–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–2387–N] 

RIN 0938–AR78 

Medicaid Program; State Allotments 

for Payment of Medicare Part B 

Premiums for Qualifying Individuals 

(QIs): Federal Fiscal Years 2012 and 

2013 

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) 2012 and the 

preliminary QI allotments for FY 2013. 

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 2012 are effective October 1, 

2011. The preliminary QI allotments for 

FY 2013 are effective October 1, 2012. 

FOR FURTHER INFORMATION CONTACT: 

Richard Strauss, (410) 786–2019. 

SUPPLEMENTARY INFORMATION: 

I. Background 

A. QI Allotments for FY 2012 

Section 110 of the Medicare and 

Medicaid Extenders Act of 2010 (Pub. L. 

111–309, enacted on December 15, 

2010) (MMEA) extended the authority 

and funding for the QI program for the 

first quarter of FY 2012 (that is, through 

December 31, 2011) by providing $280 

million available for the first quarter of 

FY 2012. Section 310 of the Temporary 

Payroll Tax Cut Continuation Act of 

2011 (Pub. L. 112–78, enacted on 

December 23, 2011) (TPTCA) provided 

temporary continued authority and an 

additional $150 million in funding for 

the QI program for the period January 1, 

2012 through February 29, 2012. With 

the enactment of TPTCA, the QI 

program was authorized and funded at 

a total amount nationally of $430 

million ($280 million plus $150 million) 

for FY 2012 through February 29, 2012. 

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 for FY 2012; in particular, 

authority for the QI program was 

extended for all of FY 2012 and funding 

for the program for the period January 

1, 2012 through September 30, 2012 was 

increased to $450 million. Therefore, 

the total funding available for the QI 

program for FY 2012 is $730 million 

($280 million plus $450 million). 

B. QI Allotments for FY 2013 and 

Thereafter 

Section 3101 of the MCTRJCA 

extended the authority and funding for 

the QI program by providing $280 

million, available for the period October 

1, 2012 through December 31, 2012, the 

first quarter of FY 2013. Most recently, 

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). 

Finally, section 621 of ATRA further 

extended the authority and funding for 

the QI program by providing $300 

million, available for the period October 

1, 2013 through December 31, 2013, the 

first quarter of FY 2014. 

C. Methodology for Calculating the 

Fiscal Year QI Allotments. 

The amounts of the states’ final FY 

2012 and preliminary FY 2013 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. Charts 

The final QI allotments for FY 2012 

and the preliminary QI allotments for 

FY 2013 are shown by state in Chart 1 

and Chart 2 below, respectively: 

Chart 1—Final Qualifying Individuals 

Allotments for October 1, 2011 through 

September 30, 2012. 

Chart 2—Preliminary Qualifying 

Individuals Allotments for October 1, 

2012 through September 30, 2013. 


tkelley on DSK3SPTVN1PROD with NOTICES
45214 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices 

TABLE 1—FINAL

QUALIFYING INDIVIDUALS

ALLOTMENTS FOR

OCTOBER 1, 2011 THROUGH

SEPTEMBER 30, 2012 

State 

Initial QI allotments for FY 2012 

FY 2012 estimated QI expenditures/1 Need (difference) If E>D, E–D Pct of Tot. need states F/(Tot. of F) Reduction pool for non-need states If D >= E, D–E Pct of Tot. non- need states H/(Tot. of H) Reduction adj. for non-need states Col. I x $82,487,822 Increase adj. for need states Col. G x $82,487,822 Final FY 2012 QI allotment/2 Number of in- dividuals/3 (000s) Percentage of total Col B/Tot. Col B Initial QI allot- ment Col C x $730,000,000 

A B C D E F G H I J K L 

Alabama ..................................... 43 3.22 $23,513,109 $21,324,574 NA ......................... NA ......................... $2,188,535 ............ 1.2003 ................... $990,139 ............... NA ......................... $22,522,970 Alaska ........................................ 2 0.15 1,093,633 283,429 NA ......................... NA ......................... 810,204 ................. 0.4444 ................... 366,553 ................. NA ......................... 727,080 Arizona ....................................... 14 1.05 7,655,431 16,592,682 8,937,252 .............. 10.8346 ................. Need ...................... Need ...................... Need ...................... 8,937,252 .............. 16,592,682 Arkansas .................................... 21 1.57 11,483,146 12,996,962 1,513,816 .............. 1.8352 ................... Need ...................... Need ...................... Need ...................... 1,513,816 .............. 12,996,962 California .................................... 89 6.67 48,666,667 27,247,615 NA ......................... NA ......................... 21,419,052 ............ 11.7477 ................. 9,690,422 .............. NA ......................... 38,976,244 Colorado .................................... 16 1.20 8,749,064 5,418,415 NA ......................... NA ......................... 3,330,649 .............. 1.8268 ................... 1,506,854 .............. NA ......................... 7,242,209 Connecticut ................................ 15 1.12 8,202,247 2,292,128 NA ......................... NA ......................... 5,910,119 .............. 3.2415 ................... 2,673,860 .............. NA ......................... 5,528,387 Delaware .................................... 4 0.30 2,187,266 3,030,541 843,275 ................. 1.0223 ................... Need ...................... Need ...................... Need ...................... 843,275 ................. 3,030,541 District of Columbia ................... 2 0.15 1,093,633 0 NA ......................... NA ......................... 1,093,633 .............. 0.5998 ................... 494,782 ................. NA ......................... 598,851 Florida ........................................ 83 6.22 45,385,768 66,783,222 21,397,454 ............ 25.9401 ................. Need ...................... Need ...................... Need ...................... 21,397,454 ............ 66,783,222 Georgia ...................................... 35 2.62 19,138,577 35,076,093 15,937,516 ............ 19.3211 ................. Need ...................... Need ...................... Need ...................... 15,937,516 ............ 35,076,093 Hawaii ........................................ 5 0.37 2,734,082 1,308,325 NA ......................... NA ......................... 1,425,758 .............. 0.7820 ................... 645,042 ................. NA ......................... 2,089,040 Idaho .......................................... 6 0.45 3,280,899 2,501,976 NA ......................... NA ......................... 778,923 ................. 0.4272 ................... 352,401 ................. NA ......................... $2,928,498 Illinois ......................................... 64 4.79 34,996,255 23,748,898 NA ......................... NA ......................... 11,247,356 ............ 6.1688 ................... 5,088,537 .............. NA ......................... 29,907,718 Indiana ....................................... 39 2.92 21,325,843 6,522,130 NA ......................... NA ......................... 14,803,712 ............ 8.1194 ................... 6,697,506 .............. NA ......................... 14,628,336 Iowa ........................................... 16 1.20 8,749,064 4,338,994 NA ......................... NA ......................... 4,410,070 .............. 2.4188 ................... 1,995,207 .............. NA ......................... 6,753,857 Kansas ....................................... 19 1.42 10,389,513 4,613,481 NA ......................... NA ......................... 5,776,032 .............. 3.1680 ................... 2,613,196 .............. NA ......................... 7,776,317 Kentucky .................................... 32 2.40 17,498,127 15,249,091 NA ......................... NA ......................... 2,249,037 .............. 1.2335 ................... 1,017,511 .............. NA ......................... 16,480,617 Louisiana .................................... 28 2.10% 15,310,861 19,883,851 4,572,989 .............. 5.5438 ................... Need ...................... Need ...................... Need ...................... 4,572,989 .............. 19,883,851 Maine ......................................... 6 0.45 3,280,899 5,308,878 2,027,979 .............. 2.4585 ................... Need ...................... Need ...................... Need ...................... 2,027,979 .............. 5,308,878 Maryland .................................... 19 1.42 10,389,513 7,562,402 NA ......................... NA ......................... 2,827,111 .............. 1.5506 ................... 1,279,044 .............. NA ......................... 9,110,470 Massachusetts ........................... 34 2.55 18,591,760 10,276,939 NA ......................... NA ......................... 8,314,821 .............. 4.5604% ................ 3,761,797 .............. NA ......................... 14,829,963 Michigan ..................................... 39 2.92 21,325,843 16,321,547 NA ......................... NA ......................... 5,004,296 .............. 2.7447 ................... 2,264,047 .............. NA ......................... 19,061,796 Minnesota .................................. 21 1.57 11,483,146 5,943,209 NA ......................... NA ......................... 5,539,937 .............. 3.0385 ................... 2,506,382 .............. NA ......................... 8,976,764 Mississippi .................................. 19 1.42 10,389,513 14,400,900 4,011,386 .............. 4.8630 ................... Need ...................... Need ...................... Need ...................... 4,011,386 .............. 14,400,900 Missouri ...................................... 35 2.62 19,138,577 4,570,341 NA ......................... NA ......................... 14,568,235 ............ 7.9902 ................... 6,590,971 .............. NA ......................... 12,547,606 Montana ..................................... 7 0.52 3,827,715 1,425,081 NA ......................... NA ......................... 2,402,634 .............. 1.3178 ................... 1,087,001 .............. NA ......................... 2,740,714 Nebraska .................................... 7 0.52 3,827,715 2,313,332 NA ......................... NA ......................... 1,514,383 .............. 0.8306 ................... 685,138 ................. NA ......................... 3,142,577 Nevada ....................................... 9 0.67 4,921,348 4,662,209 NA ......................... NA ......................... 259,140 ................. 0.1421 ................... 117,240 ................. NA ......................... 4,804,108 New Hampshire ......................... 5 0.37 2,734,082 2,212,296 NA ......................... NA ......................... 521,787 ................. 0.2862 ................... 236,067 ................. NA ......................... 2,498,015 New Jersey ................................ 29 2.17 15,857,678 9,166,126 NA ......................... NA ......................... 6,691,552 .............. 3.6701 ................... 3,027,397 .............. NA ......................... 12,830,281 New Mexico ............................... 10 0.75 5,468,165 4,058,656 NA ......................... NA ......................... 1,409,509 .............. 0.7731 ................... 637,691 ................. NA ......................... 4,830,474 New York ................................... 78 5.84 42,651,685 44,692,419 2,040,734 .............. 2.4740 ................... Need ...................... Need ...................... Need ...................... 2,040,734 .............. 44,692,419 North Carolina ............................ 47 3.52 25,700,375 28,365,556 2,665,181 .............. 3.2310 ................... Need ...................... Need ...................... Need ...................... 2,665,181 .............. 28,365,556 North Dakota .............................. 3 0.22 1,640,449 629,590 NA ......................... NA ......................... 1,010,859 .............. 0.5544 ................... 457,334 ................. NA ......................... 1,183,116 Ohio ........................................... 58 4.34 31,715,356 24,831,767 NA ......................... NA ......................... 6,883,589 .............. 3.7754 ................... 3,114,278 .............. NA ......................... 28,601,078 Oklahoma ................................... 17 1.27 9,295,880 10,241,906 946,026 ................. 1.1469 ................... Need ...................... Need ...................... Need ...................... 946,026 ................. 10,241,906 Oregon ....................................... 17 1.27 9,295,880 13,072,852 3,776,972 .............. 4.5788 ................... Need ...................... Need ...................... Need ...................... 3,776,972 .............. 13,072,852 Pennsylvania .............................. 66 4.94 36,089,888 32,079,327 NA ......................... NA ......................... 4,010,560 .............. 2.1997 ................... 1,814,460 .............. NA ......................... 34,275,427 Rhode Island .............................. 5 0.37 2,734,082 2,388,025 NA ......................... NA ......................... 346,058 ................. 0.1898 ................... 156,564 ................. NA ......................... 2,577,519 South Carolina ........................... 26 1.95 14,217,228 13,359,233 NA ......................... NA ......................... 857,995 ................. 0.4706 ................... 388,175 ................. NA ......................... 13,829,054 South Dakota ............................. 4 0.30 2,187,266 1,915,993 NA ......................... NA ......................... 271,273 ................. 0.1488 ................... 122,729 ................. NA ......................... 2,064,536 Tennessee ................................. 32 2.40 17,498,127 29,077,199 11,579,072 ............ 14.0373 ................. Need ...................... Need ...................... Need ...................... 11,579,072 ............ 29,077,199 Texas ......................................... 105 7.87 57,415,730 34,868,400 NA ......................... NA ......................... 22,547,330 ............ 12.3665 ................. 10,200,879 ............ NA ......................... 47,214,851 Utah ........................................... 5 0.37 2,734,082 2,429,445 NA ......................... NA ......................... 304,638 ................. 0.1671 ................... 137,824 ................. NA ......................... 2,596,258 Vermont ..................................... 2 0.15 1,093,633 3,331,803 2,238,170 .............. 2.7133 ................... Need ...................... Need ...................... Need ...................... 2,238,170 .............. 3,331,803 Virginia ....................................... 25 1.87 13,670,412 13,050,355 NA ......................... NA ......................... 620,057 ................. 0.3401 ................... 280,526 ................. NA ......................... 13,389,886 Washington ................................ 26 1.95 14,217,228 6,502,266 NA ......................... NA ......................... 7,714,963 .............. 4.2314 ................... 3,490,409 .............. NA ......................... 10,726,820 West Virginia .............................. 16 1.20 8,749,064 6,165,223 NA ......................... NA ......................... 2,583,841 .............. 1.4172 ................... 1,168,983 .............. NA ......................... 7,580,080 Wisconsin ................................... 27 2.02 14,764,045 4,954,841 NA ......................... NA ......................... 9,809,204 .............. 5.3801 ................... 4,437,887 .............. NA ......................... 10,326,158 Wyoming .................................... 3 0.22 1,640,449 771,814 NA ......................... NA ......................... 868,636 ................. 0.4764 ................... 392,989 ................. NA ......................... 1,247,461 

Total .................................... 1,335 100.00 730,000,000 630,162,333 82,487,822 ............ 100.0000 ............... 182,325,489 .......... 100.0000 ............... 82,487,822 ............ 82,487,822 ............ 730,000,000 

Footnotes: /1 FY 2012 Estimates from July 2012 CMS Survey of States; Estimates Are For Months October 2011 Through September 2012. /2 For Need States, Final FY 2012 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K. For Non-Need States, Final FY 2012 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J. /3 Three-year average (2008–2010) 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 2011 Current Population Survey (CPS). 


tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices 45215 

TABLE 2—PRELIMINARY

QUALIFYING INDIVIDUALS

ALLOTMENTS FOR

OCTOBER 1, 2012 THROUGH

SEPTEMBER 30, 2013 

State 

Initial QI allotments for FY 2013 

FY 2013 estimated QI expenditures/1 Need (difference) If E>D, E–D Pct of Tot. need states F/(Tot. of F) Reduction pool for non-need states If D > = E, D–E Pct of Tot. non- need states H/(Tot. of H) Reduction adj. for non-need states Col. I x $103,554,487 Increase adj. for need states Col. G x $103,554,487 Preliminary FY 2013 QI allot- ment/2 Number of in- dividuals/3 (000s) Percentage of total Col B/Tot. Col B Initial QI allot- ment Col C x $765,000,000 

A B C D E F G H I J K L 

Alabama ..................................... 38 2.64 $20,159,501 $24,188,697 $4,029,197 ............ 3.8909 ................... Need ...................... Need ...................... Need ...................... $4,029,197 ............ $24,188,697 Alaska ........................................ 2 0.14 1,061,026 378,052 NA ......................... NA ......................... 682,974 ................. 0.4239 ................... 438,933 ................. NA ......................... 622,093 Arizona ....................................... 21 1.46 11,140,777 20,302,279 9,161,503 .............. 8.8470 ................... Need ...................... Need ...................... Need ...................... 9,161,503 .............. 20,302,279 Arkansas .................................... 27 1.87 14,323,856 14,968,578 644,722 ................. 0.6226 ................... Need ...................... Need ...................... Need ...................... 644,722 ................. 14,968,578 California .................................... 107 7.42 56,764,910 30,667,238 NA ......................... NA ......................... 26,097,672 ............ 16.1967 ................. 16,772,428 ............ NA ......................... 39,992,482 Colorado .................................... 16 1.11 8,488,211 6,261,250 NA ......................... NA ......................... 2,226,960 .............. 1.3821 ................... 1,431,221 .............. NA ......................... 7,056,990 Connecticut ................................ 15 1.04 7,957,698 4,295,522 NA ......................... NA ......................... 3,662,176 .............. 2.2728 ................... 2,353,604 .............. NA ......................... 5,604,094 Delaware .................................... 4 0.28 2,122,053 3,516,899 1,394,847 .............. 1.3470 ................... Need ...................... Need ...................... Need ...................... 1,394,847 .............. 3,516,899 District of Columbia ................... 2 0.14 1,061,026 0 NA ......................... NA ......................... 1,061,026 .............. 0.6585 ................... 681,899 ................. NA ......................... 379,127 Florida ........................................ 96 6.66 50,929,265 75,922,288 24,993,023 ............ 24.1351 ................. Need ...................... Need ...................... Need ...................... 24,993,023 ............ 75,922,288 Georgia ...................................... 45 3.12 23,873,093 37,187,452 13,314,359 ............ 12.8573 ................. Need ...................... Need ...................... Need ...................... 13,314,359 ............ 37,187,452 Hawaii ........................................ 6 0.42 3,183,079 1,502,678 NA ......................... NA ......................... 1,680,401 .............. 1.0429 ................... 1,079,959 .............. NA ......................... 2,103,120 Idaho .......................................... 7 0.49 3,713,592 2,746,709 NA ......................... NA ......................... 966,883 ................. 0.6001 ................... 621,396 ................. NA ......................... 3,092,197 Illinois ......................................... 68 4.72 36,074,896 28,872,870 NA ......................... NA ......................... 7,202,026 .............. 4.4697 ................... 4,628,592 .............. NA ......................... 31,446,304 Indiana ....................................... 43 2.98 22,812,067 6,951,308 NA ......................... NA ......................... 15,860,759 ............ 9.8435 ................... 10,193,378 ............ NA ......................... 12,618,688 Iowa ........................................... 16 1.11 8,488,211 4,940,141 NA ......................... NA ......................... 3,548,070 .............. 2.2020 ................... 2,280,271 .............. NA ......................... 6,207,940 Kansas ....................................... 18 1.25 9,549,237 5,443,274 NA ......................... NA ......................... 4,105,963 .............. 2.5482 ................... 2,638,817 .............. NA ......................... 6,910,420 Kentucky .................................... 34 2.36 18,037,448 18,127,195 89,747 ................... 0.0867 ................... Need ...................... Need ...................... Need ...................... 89,747 ................... 18,127,195 Louisiana .................................... 29 2.01 15,384,882 22,144,578 6,759,696 .............. 6.5277 ................... Need ...................... Need ...................... Need ...................... 6,759,696 .............. 22,144,578 Maine ......................................... 7 0.49 3,713,592 7,045,460 3,331,867 .............. 3.2175 ................... Need ...................... Need ...................... Need ...................... 3,331,867 .............. 7,045,460 Maryland .................................... 24 1.66 12,732,316 8,602,875 NA ......................... NA ......................... 4,129,441 .............. 2.5628 ................... 2,653,906 .............. NA ......................... 10,078,411 Massachusetts ........................... 28 1.94 14,854,369 10,893,600 NA ......................... NA ......................... 3,960,769 .............. 2.4581 ................... 2,545,503 .............. NA ......................... 12,308,866 Michigan ..................................... 38 2.64 20,159,501 20,967,835 808,334 ................. 0.7806 ................... Need ...................... Need ...................... Need ...................... 808,334 ................. 20,967,835 Minnesota .................................. 22 1.53 11,671,290 6,559,682 NA ......................... NA ......................... 5,111,608 .............. 3.1724 ................... 3,285,124 .............. NA ......................... 8,386,166 Mississippi .................................. 18 1.25 9,549,237 16,529,838 6,980,601 .............. 6.7410 ................... Need ...................... Need ...................... Need ...................... 6,980,601 .............. 16,529,838 Missouri ...................................... 39 2.70 20,690,014 4,700,909 NA ......................... NA ......................... 15,989,105 ............ 9.9231 ................... 10,275,864 ............ NA ......................... 10,414,150 Montana ..................................... 6 0.42 3,183,079 1,512,121 NA ......................... NA ......................... 1,670,958 .............. 1.0370 ................... 1,073,890 .............. NA ......................... 2,109,189 Nebraska .................................... 6 0.42 3,183,079 2,506,770 NA ......................... NA ......................... 676,309 ................. 0.4197 ................... 434,650 ................. NA ......................... 2,748,429 Nevada ....................................... 10 0.69 5,305,132 5,177,080 NA ......................... NA ......................... 128,052 ................. 0.0795 ................... 82,296 ................... NA ......................... 5,222,836 New Hampshire ......................... 6 0.42 3,183,079 2,861,766 NA ......................... NA ......................... 321,313 ................. 0.1994 ................... 206,501 ................. NA ......................... 2,976,578 New Jersey ................................ 40 2.77 21,220,527 9,901,642 NA ......................... NA ......................... 11,318,885 ............ 7.0247 ................... 7,274,411 .............. NA ......................... 13,946,116 New Mexico ............................... 9 0.62 4,774,619 4,787,611 12,993 ................... 0.0125 ................... Need ...................... Need ...................... Need ...................... 12,993 ................... 4,787,611 New York ................................... 85 5.89 45,093,620 50,481,630 5,388,010 .............. 5.2031 ................... Need ...................... Need ...................... Need ...................... 5,388,010 .............. 50,481,630 North Carolina ............................ 38 2.64 20,159,501 28,897,791 8,738,290 .............. 8.4383 ................... Need ...................... Need ...................... Need ...................... 8,738,290 .............. 28,897,791 North Dakota .............................. 3 0.21 1,591,540 692,912 NA ......................... NA ......................... 898,628 ................. 0.5577 ................... 577,529 ................. NA ......................... 1,014,010 Ohio ........................................... 54 3.74 28,647,712 28,435,844 NA ......................... NA ......................... 211,867 ................. 0.1315 ................... 136,163 ................. NA ......................... 28,511,549 Oklahoma ................................... 27 1.87 14,323,856 11,348,409 NA ......................... NA ......................... 2,975,446 .............. 1.8466% ................ 1,912,257 .............. NA ......................... 12,411,598 Oregon ....................................... 17 1.18 9,018,724 16,832,070 7,813,346 .............. 7.5452 ................... Need ...................... Need ...................... Need ...................... 7,813,346 .............. 16,832,070 Pennsylvania .............................. 78 5.41 41,380,028 34,628,979 NA ......................... NA ......................... 6,751,049 .............. 4.1898 ................... 4,338,758 .............. NA ......................... 37,041,270 Rhode Island .............................. 6 0.42 3,183,079 2,625,070 NA ......................... NA ......................... 558,009 ................. 0.3463 ................... 358,621 ................. NA ......................... 2,824,458 South Carolina ........................... 33 2.29 17,506,935 13,456,800 NA ......................... NA ......................... 4,050,135 .............. 2.5136 ................... 2,602,937 .............. NA ......................... 14,903,998 South Dakota ............................. 4 0.28 2,122,053 2,344,945 222,892 ................. 0.2152 ................... Need ...................... Need ...................... Need ...................... 222,892 ................. 2,344,945 Tennessee ................................. 48 3.33 25,464,632 30,163,578 4,698,945 .............. 4.5377 ................... Need ...................... Need ...................... Need ...................... 4,698,945 .............. 30,163,578 Texas ......................................... 106 7.35 56,234,397 35,884,800 NA ......................... NA ......................... 20,349,597 ............ 12.6294 ................. 13,078,261 ............ NA ......................... 43,156,136 Utah ........................................... 6 0.42 3,183,079 2,680,802 NA ......................... NA ......................... 502,277 ................. 0.3117 ................... 322,803 ................. NA ......................... 2,860,276 Vermont ..................................... 2 0.14 1,061,026 4,047,877 2,986,851 .............. 2.8843 ................... Need ...................... Need ...................... Need ...................... 2,986,851 .............. 4,047,877 Virginia ....................................... 23 1.60 12,201,803 14,387,068 2,185,265 .............. 2.1103 ................... Need ...................... Need ...................... Need ...................... 2,185,265 .............. 14,387,068 Washington ................................ 23 1.60 12,201,803 7,274,362 NA ......................... NA ......................... 4,927,441 .............. 3.0581 ................... 3,166,764 .............. NA ......................... 9,035,039 West Virginia .............................. 17 1.18 9,018,724 6,550,585 NA ......................... NA ......................... 2,468,139 .............. 1.5318 ................... 1,586,221 .............. NA ......................... 7,432,503 Wisconsin ................................... 22 1.53 11,671,290 5,416,651 NA ......................... NA ......................... 6,254,639 .............. 3.8817 ................... 4,019,726 .............. NA ......................... 7,651,564 Wyoming .................................... 3 0.21 1,591,540 810,736 NA ......................... NA ......................... 780,803 ................. 0.4846 ................... 501,806 ................. NA ......................... 1,089,734 

Total .................................... 1,442 100.00 765,000,000 707,425,105 103,554,487 .......... 100.0000 ............... 161,129,382 .......... 100.0000 ............... 103,554,487 .......... 103,554,487 .......... 765,000,000 

Footnotes: /1 FY 2013 Estimates from July 2012 CMS Survey of States; Estimates Are For Months October 2012 Through September 2013. /2 For Need States, Preliminary FY 2013 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K. For Non-Need States, Preliminary 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). 


tkelley on DSK3SPTVN1PROD with NOTICES
45216 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / Notices 

The following describes the 

information contained in the columns of 

Chart 1 and Chart 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 2012 (Chart 

1) or FY 2013 (Chart 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 2012 QI 

allotment (Chart 1), Column B contains 

the number of such individuals for the 

years 2008 through 2010, as obtained 

from the Census Bureau’s Annual Social 

and Economic Supplement to the 2011 

Current Population Survey. With 

respect to the preliminary FY 2013 QI 

allotment (Chart 2), Column B contains 

the number of such individuals for the 

years 2009 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 2012 (Chart 1) or 

FY 2013 (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 $730,000,000 for FY 2012 (Chart 

1) and $765,000,000 for FY 2013 (Chart 

2). 

Columns E through L show the 

determination of the States’ Final QI 

Allotments for FY 2012 (Chart 1) or 

Preliminary QI Allotments for FY 2013 

(Chart 2). 

Column E —FY 2012 or FY 2013 

Estimated QI Expenditures. Column E 

contains the states’ estimates of their 

total QI expenditures for FY 2012 (Chart 

1) or FY 2013 (Chart 2) based on 

information obtained from states in the 

summer of 2012 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 2012 

(Chart 1) or for FY 2013 (Chart 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 2012 (Chart 1) or FY 

2013 (Chart 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 NonNeed States. Column H shows the 

amount of the pool of surplus QI 

allotments for FY 2012 (Chart 1) or FY 

2013 (Chart 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 

2012 or FY 2013, respectively, are equal 

to or less than their Initial QI allotments 

in Column D for FY 2012 or FY 2013, 

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 2012 (Chart 1) or FY 2013 (Chart 

2), Column I shows the percentage of 

the total reduction pool in Column H, 

determined as the amount for each NonNeed 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 2012 (Chart 1) or FY 2013 (Chart 

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 NonNeed 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 

2012 (Chart 1) or FY 2013 (Chart 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 NonNeed amounts in Column H). For NonNeed States, the entry in Column K is 

‘‘NA’’. 

Column L—Final FY 2012 QI 

Allotment (Chart 1) or Preliminary FY 

2013 QI Allotment (Chart 2). Column L 

contains the Final QI Allotment for each 

state for FY 2012 (Chart 1) or the 

Preliminary QI Allotment for FY 2013 

(Chart 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 2012 

(Chart 1) or FY 2013 (Chart 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.). 

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) 

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. 

[FR Doc. 2013–17962 Filed 7–25–13; 8:45 am] 

BILLING CODE 4120–01–P 


tkelley on DSK3SPTVN1PROD with NOTICES