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

/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.


# 45214 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / NoticesTABLE1—FINALQUALIFYINGINDIVIDUALSALLOTMENTS FOROCTOBER1, 2011 THROUGHSEPTEMBER30, 2012StateInitial QI allotments for FY 2012FY 2012 estimated QI expenditures/1Need(difference)If E>D, E–DPct of Tot. needstatesF/(Tot. of F)Reduction pool fornon-need statesIf D >= E, D–EPct of Tot. non-need statesH/(Tot. of H)Reduction adj. fornon-need statesCol. I x$82,487,822Increase adj. forneed statesCol. G x$82,487,822Final FY 2012QI allotment/2Number of in-dividuals/3(000s)Percentage oftotal Col B/Tot.Col BInitial QI allot-ment Col C x$730,000,000A B C D E F G H I J K LAlabama .....................................43 3.22 $23,513,109 $21,324,574 NA ......................... NA ......................... $2,188,535 ............ 1.2003 ................... $990,139 ............... NA ......................... $22,522,970Alaska ........................................2 0.15 1,093,633 283,429 NA ......................... NA ......................... 810,204 ................. 0.4444 ................... 366,553 ................. NA ......................... 727,080Arizona .......................................14 1.05 7,655,431 16,592,682 8,937,252 .............. 10.8346 ................. Need ...................... Need ...................... Need ...................... 8,937,252 .............. 16,592,682Arkansas ....................................21 1.57 11,483,146 12,996,962 1,513,816 .............. 1.8352 ................... Need ...................... Need ...................... Need ...................... 1,513,816 .............. 12,996,962California ....................................89 6.67 48,666,667 27,247,615 NA ......................... NA ......................... 21,419,052 ............ 11.7477 ................. 9,690,422 .............. NA ......................... 38,976,244Colorado ....................................16 1.20 8,749,064 5,418,415 NA ......................... NA ......................... 3,330,649 .............. 1.8268 ................... 1,506,854 .............. NA ......................... 7,242,209Connecticut ................................15 1.12 8,202,247 2,292,128 NA ......................... NA ......................... 5,910,119 .............. 3.2415 ................... 2,673,860 .............. NA ......................... 5,528,387Delaware ....................................4 0.30 2,187,266 3,030,541 843,275 ................. 1.0223 ................... Need ...................... Need ...................... Need ...................... 843,275 ................. 3,030,541District of Columbia ...................20.15 1,093,6330 NA ......................... NA ......................... 1,093,633 .............. 0.5998 ................... 494,782 ................. NA ......................... 598,851Florida ........................................83 6.22 45,385,768 66,783,222 21,397,454 ............ 25.9401 ................. Need...................... Need ...................... Need ...................... 21,397,454 ............ 66,783,222Georgia ......................................35 2.62 19,138,577 35,076,093 15,937,516 ............ 19.3211 ................. Need ...................... Need ...................... Need ...................... 15,937,516 ............ 35,076,093Hawaii ........................................5 0.37 2,734,082 1,308,325 NA ......................... NA .........................1,425,758 .............. 0.7820 ................... 645,042 ................. NA ......................... 2,089,040Idaho ..........................................6 0.45 3,280,899 2,501,976 NA ......................... NA ......................... 778,923 ................. 0.4272 ................... 352,401 ................. NA ......................... $2,928,498Illinois .........................................64 4.79 34,996,255 23,748,898 NA ......................... NA ......................... 11,247,356 ............ 6.1688 ................... 5,088,537 .............. NA ......................... 29,907,718Indiana .......................................39 2.92 21,325,843 6,522,130 NA ......................... NA ......................... 14,803,712 ............ 8.1194 ................... 6,697,506 .............. NA ......................... 14,628,336Iowa ...........................................16 1.20 8,749,064 4,338,994 NA ......................... NA ......................... 4,410,070 .............. 2.4188 ................... 1,995,207 .............. NA ......................... 6,753,857Kansas .......................................19 1.42 10,389,513 4,613,481 NA ......................... NA ......................... 5,776,032 .............. 3.1680 ................... 2,613,196 .............. NA ......................... 7,776,317Kentucky ....................................32 2.40 17,498,127 15,249,091 NA ......................... NA ......................... 2,249,037 .............. 1.2335 ................... 1,017,511 .............. NA ......................... 16,480,617Louisiana ....................................28 2.10% 15,310,861 19,883,851 4,572,989 .............. 5.5438 ................... Need ...................... Need ...................... Need ...................... 4,572,989 .............. 19,883,851Maine .........................................6 0.45 3,280,899 5,308,878 2,027,979 .............. 2.4585 ................... Need ...................... Need ...................... Need ...................... 2,027,979 .............. 5,308,878Maryland ....................................19 1.42 10,389,513 7,562,402 NA ......................... NA .........................2,827,111 .............. 1.5506 ................... 1,279,044 .............. NA ......................... 9,110,470Massachusetts ...........................34 2.55 18,591,760 10,276,939 NA ......................... NA ......................... 8,314,821 .............. 4.5604% ................ 3,761,797 .............. NA ......................... 14,829,963Michigan .....................................39 2.92 21,325,843 16,321,547 NA ......................... NA ......................... 5,004,296 .............. 2.7447 ................... 2,264,047 .............. NA ......................... 19,061,796Minnesota ..................................21 1.57 11,483,146 5,943,209 NA ......................... NA ......................... 5,539,937 .............. 3.0385 ................... 2,506,382 .............. NA ......................... 8,976,764Mississippi ..................................19 1.42 10,389,513 14,400,900 4,011,386 .............. 4.8630 ................... Need...................... Need ...................... Need ...................... 4,011,386 .............. 14,400,900Missouri ......................................35 2.62 19,138,577 4,570,341 NA ......................... NA ......................... 14,568,235 ............ 7.9902 ................... 6,590,971 .............. NA ......................... 12,547,606Montana .....................................7 0.52 3,827,715 1,425,081 NA ......................... NA ......................... 2,402,634 .............. 1.3178 ................... 1,087,001 .............. NA ......................... 2,740,714Nebraska ....................................7 0.52 3,827,715 2,313,332 NA ......................... NA ......................... 1,514,383 .............. 0.8306 ................... 685,138 ................. NA ......................... 3,142,577Nevada .......................................9 0.67 4,921,348 4,662,209 NA ......................... NA ......................... 259,140 ................. 0.1421 ................... 117,240 ................. NA ......................... 4,804,108New Hampshire .........................50.37 2,734,082 2,212,296 NA ......................... NA ......................... 521,787 ................. 0.2862 ................... 236,067 ................. NA ......................... 2,498,015New Jersey ................................292.17 15,857,678 9,166,126 NA ......................... NA ......................... 6,691,552 .............. 3.6701 ................... 3,027,397 .............. NA ......................... 12,830,281New Mexico ...............................100.75 5,468,165 4,058,656 NA ......................... NA ......................... 1,409,509 .............. 0.7731 ................... 637,691 ................. NA ......................... 4,830,474New York ...................................785.84 42,651,685 44,692,419 2,040,734 .............. 2.4740 ................... Need ...................... Need ...................... Need ...................... 2,040,734 .............. 44,692,419North Carolina ............................473.52 25,700,375 28,365,556 2,665,181 .............. 3.2310 ................... Need ...................... Need ...................... Need ...................... 2,665,181 .............. 28,365,556North Dakota ..............................30.22 1,640,449 629,590 NA ......................... NA ......................... 1,010,859 .............. 0.5544 ................... 457,334 ................. NA ......................... 1,183,116Ohio ...........................................58 4.34 31,715,356 24,831,767 NA ......................... NA ......................... 6,883,589 .............. 3.7754 ................... 3,114,278 .............. NA ......................... 28,601,078Oklahoma ...................................17 1.27 9,295,880 10,241,906 946,026 ................. 1.1469 ................... Need ...................... Need ...................... Need ...................... 946,026 ................. 10,241,906Oregon .......................................17 1.27 9,295,880 13,072,852 3,776,972 .............. 4.5788 ................... Need ...................... Need ...................... Need ...................... 3,776,972 .............. 13,072,852Pennsylvania ..............................66 4.94 36,089,888 32,079,327 NA ......................... NA ......................... 4,010,560 .............. 2.1997 ................... 1,814,460 .............. NA ......................... 34,275,427Rhode Island ..............................50.37 2,734,082 2,388,025 NA ......................... NA ......................... 346,058 ................. 0.1898 ................... 156,564 ................. NA ......................... 2,577,519South Carolina ...........................261.95 14,217,228 13,359,233 NA ......................... NA ......................... 857,995 ................. 0.4706 ................... 388,175 ................. NA ......................... 13,829,054South Dakota .............................40.30 2,187,266 1,915,993 NA ......................... NA ......................... 271,273 ................. 0.1488 ................... 122,729 ................. NA ......................... 2,064,536Tennessee .................................32 2.40 17,498,127 29,077,199 11,579,072 ............ 14.0373 ................. Need ...................... Need ...................... Need ...................... 11,579,072 ............ 29,077,199Texas .........................................105 7.87 57,415,730 34,868,400 NA ......................... NA ......................... 22,547,330 ............ 12.3665 ................. 10,200,879 ............ NA ......................... 47,214,851Utah ...........................................5 0.37 2,734,082 2,429,445 NA ......................... NA ......................... 304,638 ................. 0.1671 ................... 137,824 ................. NA ......................... 2,596,258Vermont .....................................2 0.15 1,093,633 3,331,803 2,238,170 .............. 2.7133 ................... Need ...................... Need ...................... Need ...................... 2,238,170 .............. 3,331,803Virginia .......................................25 1.87 13,670,412 13,050,355 NA ......................... NA ......................... 620,057 ................. 0.3401 ................... 280,526 ................. NA ......................... 13,389,886Washington ................................26 1.95 14,217,228 6,502,266 NA ......................... NA ......................... 7,714,963 .............. 4.2314 ................... 3,490,409 .............. NA ......................... 10,726,820West Virginia ..............................161.20 8,749,064 6,165,223 NA ......................... NA ......................... 2,583,841 .............. 1.4172 ................... 1,168,983 .............. NA ......................... 7,580,080Wisconsin ...................................27 2.02 14,764,045 4,954,841 NA ......................... NA .........................9,809,204 .............. 5.3801 ................... 4,437,887 .............. NA ......................... 10,326,158Wyoming ....................................3 0.22 1,640,449 771,814 NA ......................... NA ......................... 868,636 ................. 0.4764 ................... 392,989 ................. NA ......................... 1,247,461Total ....................................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 ............ 730,000,000Footnotes:/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).



# VerDate Mar<15>2010 18:54 Jul 25, 2013 Jkt 229001 PO 00000 Frm 00046 Fmt 4703 Sfmt 4703 E:\FR\FM\26JYN1.SGM 26JYN1tkelley on DSK3SPTVN1PROD with NOTICES

# 45215 Federal Register / Vol. 78, No. 144 / Friday, July 26, 2013 / NoticesTABLE2—PRELIMINARYQUALIFYINGINDIVIDUALSALLOTMENTS FOROCTOBER1, 2012 THROUGHSEPTEMBER30, 2013StateInitial QI allotments for FY 2013FY 2013 estimated QI expenditures/1Need(difference)If E>D, E–DPct of Tot. needstatesF/(Tot. of F)Reduction pool fornon-need statesIf D > = E, D–EPct of Tot. non-need statesH/(Tot. of H)Reduction adj. fornon-need statesCol. I x$103,554,487Increase adj. forneed statesCol. G x$103,554,487Preliminary FY2013 QI allot-ment/2Number of in-dividuals/3(000s)Percentage oftotal Col B/Tot.Col BInitial QI allot-ment Col C x$765,000,000A B C D E F G H I J K LAlabama .....................................38 2.64 $20,159,501 $24,188,697 $4,029,197 ............ 3.8909 ................... Need...................... Need ...................... Need ...................... $4,029,197 ............ $24,188,697Alaska ........................................2 0.14 1,061,026 378,052 NA ......................... NA ......................... 682,974 ................. 0.4239 ................... 438,933 ................. NA ......................... 622,093Arizona .......................................21 1.46 11,140,777 20,302,279 9,161,503 .............. 8.8470 ................... Need ...................... Need ...................... Need ...................... 9,161,503 .............. 20,302,279Arkansas ....................................27 1.87 14,323,856 14,968,578 644,722 ................. 0.6226 ................... Need...................... Need ...................... Need ...................... 644,722 ................. 14,968,578California ....................................107 7.42 56,764,910 30,667,238 NA ......................... NA ......................... 26,097,672 ............ 16.1967 ................. 16,772,428 ............ NA ......................... 39,992,482Colorado ....................................16 1.11 8,488,211 6,261,250 NA ......................... NA ......................... 2,226,960 .............. 1.3821 ................... 1,431,221 .............. NA ......................... 7,056,990Connecticut ................................15 1.04 7,957,698 4,295,522 NA ......................... NA ......................... 3,662,176 .............. 2.2728 ................... 2,353,604 .............. NA ......................... 5,604,094Delaware ....................................4 0.28 2,122,053 3,516,899 1,394,847 .............. 1.3470 ................... Need ...................... Need ...................... Need ...................... 1,394,847 .............. 3,516,899District of Columbia ...................20.14 1,061,0260 NA ......................... NA ......................... 1,061,026 .............. 0.6585 ................... 681,899 ................. NA ......................... 379,127Florida ........................................96 6.66 50,929,265 75,922,288 24,993,023 ............ 24.1351 ................. Need...................... Need ...................... Need ...................... 24,993,023 ............ 75,922,288Georgia ......................................45 3.12 23,873,093 37,187,452 13,314,359 ............ 12.8573 ................. Need ...................... Need ...................... Need ...................... 13,314,359 ............ 37,187,452Hawaii ........................................6 0.42 3,183,079 1,502,678 NA ......................... NA .........................1,680,401 .............. 1.0429 ................... 1,079,959 .............. NA ......................... 2,103,120Idaho ..........................................7 0.49 3,713,592 2,746,709 NA ......................... NA ......................... 966,883 ................. 0.6001 ................... 621,396 ................. NA ......................... 3,092,197Illinois .........................................68 4.72 36,074,896 28,872,870 NA ......................... NA ......................... 7,202,026 .............. 4.4697 ................... 4,628,592 .............. NA ......................... 31,446,304Indiana .......................................43 2.98 22,812,067 6,951,308 NA ......................... NA ......................... 15,860,759 ............ 9.8435 ................... 10,193,378 ............ NA ......................... 12,618,688Iowa ...........................................16 1.11 8,488,211 4,940,141 NA ......................... NA ......................... 3,548,070 .............. 2.2020 ................... 2,280,271 .............. NA ......................... 6,207,940Kansas .......................................18 1.25 9,549,237 5,443,274 NA ......................... NA .........................4,105,963 .............. 2.5482 ................... 2,638,817 .............. NA ......................... 6,910,420Kentucky ....................................34 2.36 18,037,448 18,127,195 89,747 ................... 0.0867 ................... Need ...................... Need ...................... Need ...................... 89,747 ................... 18,127,195Louisiana ....................................29 2.01 15,384,882 22,144,578 6,759,696 .............. 6.5277 ................... Need...................... Need ...................... Need ...................... 6,759,696 .............. 22,144,578Maine .........................................7 0.49 3,713,592 7,045,460 3,331,867 .............. 3.2175 ................... Need ...................... Need ...................... Need ...................... 3,331,867 .............. 7,045,460Maryland ....................................24 1.66 12,732,316 8,602,875 NA ......................... NA .........................4,129,441 .............. 2.5628 ................... 2,653,906 .............. NA ......................... 10,078,411Massachusetts ...........................28 1.94 14,854,369 10,893,600 NA ......................... NA ......................... 3,960,769 .............. 2.4581 ................... 2,545,503 .............. NA ......................... 12,308,866Michigan .....................................38 2.64 20,159,501 20,967,835 808,334 ................. 0.7806 ................... Need ...................... Need ...................... Need ...................... 808,334 ................. 20,967,835Minnesota ..................................22 1.53 11,671,290 6,559,682 NA ......................... NA ......................... 5,111,608 .............. 3.1724 ................... 3,285,124 .............. NA ......................... 8,386,166Mississippi ..................................18 1.25 9,549,237 16,529,838 6,980,601 .............. 6.7410 ................... Need ...................... Need ...................... Need ...................... 6,980,601 .............. 16,529,838Missouri ......................................39 2.70 20,690,014 4,700,909 NA ......................... NA ......................... 15,989,105 ............ 9.9231 ................... 10,275,864 ............ NA ......................... 10,414,150Montana .....................................6 0.42 3,183,079 1,512,121 NA ......................... NA ......................... 1,670,958 .............. 1.0370 ................... 1,073,890 .............. NA ......................... 2,109,189Nebraska ....................................6 0.42 3,183,079 2,506,770 NA ......................... NA ......................... 676,309 ................. 0.4197 ................... 434,650 ................. NA ......................... 2,748,429Nevada .......................................10 0.69 5,305,132 5,177,080 NA ......................... NA .........................128,052 ................. 0.0795 ................... 82,296 ................... NA ......................... 5,222,836New Hampshire .........................60.42 3,183,079 2,861,766 NA ......................... NA ......................... 321,313 ................. 0.1994 ................... 206,501 ................. NA ......................... 2,976,578New Jersey ................................402.77 21,220,527 9,901,642 NA ......................... NA ......................... 11,318,885 ............ 7.0247 ................... 7,274,411 .............. NA ......................... 13,946,116New Mexico ...............................90.62 4,774,619 4,787,611 12,993 ................... 0.0125 ................... Need ...................... Need ...................... Need ...................... 12,993 ................... 4,787,611New York ...................................855.89 45,093,620 50,481,630 5,388,010 .............. 5.2031 ................... Need ...................... Need ...................... Need ...................... 5,388,010 .............. 50,481,630North Carolina ............................382.64 20,159,501 28,897,791 8,738,290 .............. 8.4383 ................... Need ...................... Need ...................... Need ...................... 8,738,290 .............. 28,897,791North Dakota ..............................30.21 1,591,540 692,912 NA ......................... NA ......................... 898,628 ................. 0.5577 ................... 577,529 ................. NA ......................... 1,014,010Ohio ...........................................54 3.74 28,647,712 28,435,844 NA ......................... NA ......................... 211,867 ................. 0.1315 ................... 136,163 ................. NA ......................... 28,511,549Oklahoma ...................................27 1.87 14,323,856 11,348,409 NA ......................... NA .........................2,975,446 .............. 1.8466% ................ 1,912,257 .............. NA ......................... 12,411,598Oregon .......................................17 1.18 9,018,724 16,832,070 7,813,346 .............. 7.5452 ................... Need ...................... Need ...................... Need ...................... 7,813,346 .............. 16,832,070Pennsylvania ..............................78 5.41 41,380,028 34,628,979 NA ......................... NA ......................... 6,751,049 .............. 4.1898 ................... 4,338,758 .............. NA ......................... 37,041,270Rhode Island ..............................60.42 3,183,079 2,625,070 NA ......................... NA ......................... 558,009 ................. 0.3463 ................... 358,621 ................. NA ......................... 2,824,458South Carolina ...........................332.29 17,506,935 13,456,800 NA ......................... NA ......................... 4,050,135 .............. 2.5136 ................... 2,602,937 .............. NA ......................... 14,903,998South Dakota .............................40.28 2,122,053 2,344,945 222,892 ................. 0.2152 ................... Need ...................... Need ...................... Need ...................... 222,892 ................. 2,344,945Tennessee .................................48 3.33 25,464,632 30,163,578 4,698,945 .............. 4.5377 ................... Need ...................... Need ...................... Need ...................... 4,698,945 .............. 30,163,578Texas .........................................106 7.35 56,234,397 35,884,800 NA ......................... NA ......................... 20,349,597 ............ 12.6294 ................. 13,078,261 ............ NA ......................... 43,156,136Utah ...........................................6 0.42 3,183,079 2,680,802 NA ......................... NA ......................... 502,277 ................. 0.3117 ................... 322,803 ................. NA ......................... 2,860,276Vermont .....................................2 0.14 1,061,026 4,047,877 2,986,851 .............. 2.8843 ................... Need ...................... Need ...................... Need ...................... 2,986,851 .............. 4,047,877Virginia .......................................23 1.60 12,201,803 14,387,068 2,185,265 .............. 2.1103 ................... Need ...................... Need ...................... Need ...................... 2,185,265 .............. 14,387,068Washington ................................23 1.60 12,201,803 7,274,362 NA ......................... NA ......................... 4,927,441 .............. 3.0581 ................... 3,166,764 .............. NA ......................... 9,035,039West Virginia ..............................171.18 9,018,724 6,550,585 NA ......................... NA ......................... 2,468,139 .............. 1.5318 ................... 1,586,221 .............. NA ......................... 7,432,503Wisconsin ...................................22 1.53 11,671,290 5,416,651 NA ......................... NA .........................6,254,639 .............. 3.8817 ................... 4,019,726 .............. NA ......................... 7,651,564Wyoming ....................................3 0.21 1,591,540 810,736 NA ......................... NA ......................... 780,803 ................. 0.4846 ................... 501,806 ................. NA ......................... 1,089,734Total ....................................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 .......... 765,000,000Footnotes:/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 ColumnJ./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).



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# 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 inColumn 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 inColumn 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**



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