This document is scheduled to be published in the

Federal Register on 07/26/2013 and available online at

http://federalregister.gov/a/2013-17962, and on FDsys.gov

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 
CMS-2387-N 2 

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 
CMS-2387-N 3 

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.
CMS-2387-N 4 

TABLE 1: Final Qualifying Individuals Allotments for October 1, 2011 through September 30, 20

 Initial QI Allotments for FY 2012 FY 2012 Need Pct of Tot. Reduction Pool Pct of Tot. Reduction Adj. Fo

STATE Number of Percentage Initial QI Allotment Estimated QI (Difference) Need States for Non-Need Non-Need Non-Need States  Individuals /3 of Total Col C x Expenditures /1 States States Col. I x  (000s) Col B/Tot. Col B $730,000,000 If E>D, E-D F/(Tot. of F) If D >= E, D - E H/(Tot. of H) $82,487,822 A B C D E F G H I J Alabama 43 3.22% $23,513,109 $21,324,574 NA NA $2,188,535 1.2003% $990,139 Alaska 2 0.15% $1,093,633 $283,429 NA NA $810,204 0.4444% $366,553 Arizona 14 1.05% $7,655,431 $16,592,682 $8,937,252 10.8346% Need Need Need Arkansas 21 1.57% $11,483,146 $12,996,962 $1,513,816 1.8352% Need Need Need California 89 6.67% $48,666,667 $27,247,615 NA NA $21,419,052 11.7477% $9,690,422 Colorado 16 1.20% $8,749,064 $5,418,415 NA NA $3,330,649 1.8268% $1,506,854 Connecticut 15 1.12% $8,202,247 $2,292,128 NA NA $5,910,119 3.2415% $2,673,860 Delaware 4 0.30% $2,187,266 $3,030,541 $843,275 1.0223% Need Need Need District of Columbia 2 0.15% $1,093,633 $0 NA NA $1,093,633 0.5998% $494,782 Florida 83 6.22% $45,385,768 $66,783,222 $21,397,454 25.9401% Need Need Need Georgia 35 2.62% $19,138,577 $35,076,093 $15,937,516 19.3211% Need Need Need Hawaii 5 0.37% $2,734,082 $1,308,325 NA NA $1,425,758 0.7820% $645,042 Idaho 6 0.45% $3,280,899 $2,501,976 NA NA $778,923 0.4272% $352,401 Illinois 64 4.79% $34,996,255 $23,748,898 NA NA $11,247,356 6.1688% $5,088,537 Indiana 39 2.92% $21,325,843 $6,522,130 NA NA $14,803,712 8.1194% $6,697,506 Iowa 16 1.20% $8,749,064 $4,338,994 NA NA $4,410,070 2.4188% $1,995,207 Kansas 19 1.42% $10,389,513 $4,613,481 NA NA $5,776,032 3.1680% $2,613,196 Kentucky 32 2.40% $17,498,127 $15,249,091 NA NA $2,249,037 1.2335% $1,017,511 Louisiana 28 2.10% $15,310,861 $19,883,851 $4,572,989 5.5438% Need Need Need Maine 6 0.45% $3,280,899 $5,308,878 $2,027,979 2.4585% Need Need Need Maryland 19 1.42% $10,389,513 $7,562,402 NA NA $2,827,111 1.5506% $1,279,044 Massachusetts 34 2.55% $18,591,760 $10,276,939 NA NA $8,314,821 4.5604% $3,761,797 Michigan 39 2.92% $21,325,843 $16,321,547 NA NA $5,004,296 2.7447% $2,264,047 Minnesota 21 1.57% $11,483,146 $5,943,209 NA NA $5,539,937 3.0385% $2,506,382 Mississippi 19 1.42% $10,389,513 $14,400,900 $4,011,386 4.8630% Need Need Need Missouri 35 2.62% $19,138,577 $4,570,341 NA NA $14,568,235 7.9902% $6,590,971 Montana 7 0.52% $3,827,715 $1,425,081 NA NA $2,402,634 1.3178% $1,087,001 
CMS-2387-N 5 

 Initial QI Allotments for FY 2012 FY 2012 Need Pct of Tot. Reduction Pool Pct of Tot. Reduction Adj. FoSTATE Number of Percentage Initial QI Allotment Estimated QI (Difference) Need States for Non-Need Non-Need Non-Need States  Individuals /3 of Total Col C x Expenditures /1 States States Col. I x  (000s) Col B/Tot. Col B $730,000,000 If E>D, E-D F/(Tot. of F) If D >= E, D - E H/(Tot. of H) $82,487,822 A B C D E F G H I J Nebraska 7 0.52% $3,827,715 $2,313,332 NA NA $1,514,383 0.8306% $685,138 Nevada 9 0.67% $4,921,348 $4,662,209 NA NA $259,140 0.1421% $117,240 New Hampshire 5 0.37% $2,734,082 $2,212,296 NA NA $521,787 0.2862% $236,067 New Jersey 29 2.17% $15,857,678 $9,166,126 NA NA $6,691,552 3.6701% $3,027,397 New Mexico 10 0.75% $5,468,165 $4,058,656 NA NA $1,409,509 0.7731% $637,691 New York 78 5.84% $42,651,685 $44,692,419 $2,040,734 2.4740% Need Need Need North Carolina 47 3.52% $25,700,375 $28,365,556 $2,665,181 3.2310% Need Need Need North Dakota 3 0.22% $1,640,449 $629,590 NA NA $1,010,859 0.5544% $457,334 Ohio 58 4.34% $31,715,356 $24,831,767 NA NA $6,883,589 3.7754% $3,114,278 Oklahoma 17 1.27% $9,295,880 $10,241,906 $946,026 1.1469% Need Need Need Oregon 17 1.27% $9,295,880 $13,072,852 $3,776,972 4.5788% Need Need Need Pennsylvania 66 4.94% $36,089,888 $32,079,327 NA NA $4,010,560 2.1997% $1,814,460 Rhode Island 5 0.37% $2,734,082 $2,388,025 NA NA $346,058 0.1898% $156,564 South Carolina 26 1.95% $14,217,228 $13,359,233 NA NA $857,995 0.4706% $388,175 South Dakota 4 0.30% $2,187,266 $1,915,993 NA NA $271,273 0.1488% $122,729 Tennessee 32 2.40% $17,498,127 $29,077,199 $11,579,072 14.0373% Need Need Need Texas 105 7.87% $57,415,730 $34,868,400 NA NA $22,547,330 12.3665% $10,200,879 Utah 5 0.37% $2,734,082 $2,429,445 NA NA $304,638 0.1671% $137,824 Vermont 2 0.15% $1,093,633 $3,331,803 $2,238,170 2.7133% Need Need Need Virginia 25 1.87% $13,670,412 $13,050,355 NA NA $620,057 0.3401% $280,526 Washington 26 1.95% $14,217,228 $6,502,266 NA NA $7,714,963 4.2314% $3,490,409 West Virginia 16 1.20% $8,749,064 $6,165,223 NA NA $2,583,841 1.4172% $1,168,983 Wisconsin 27 2.02% $14,764,045 $4,954,841 NA NA $9,809,204 5.3801% $4,437,887 Wyoming 3 0.22% $1,640,449 $771,814 NA NA $868,636 0.4764% $392,989 Total 1,335 100.00% $730,000,000 $630,162,333 $82,487,822 100.0000% $182,325,489 100.0000% $82,487,822 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 
CMS-2387-N 6 

 Initial QI Allotments for FY 2012 FY 2012 Need Pct of Tot. Reduction Pool Pct of Tot. Reduction Adj. FoSTATE Number of Percentage Initial QI Allotment Estimated QI (Difference) Need States for Non-Need Non-Need Non-Need States  Individuals /3 of Total Col C x Expenditures /1 States States Col. I x  (000s) Col B/Tot. Col B $730,000,000 If E>D, E-D F/(Tot. of F) If D >= E, D - E H/(Tot. of H) $82,487,822 A B C D E F G H I 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 federSource: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2011 Current Population Survey (CPS) 
CMS-2387-N 7 

TABLE 2 - Preliminary Qualifying Individuals Allotments for October 1, 2012 through September 30

 Initial QI Allotments for FY 2013 FY 2013 Need Pct of Tot. Reduction Pool Pct of Tot. ReductioSTATE Number of Percentage Initial QI Allotment Estimated QI (Difference) Need States for Non-Need Non-Need Non-Nee Individuals /3 of Total Col C x Expenditures /1 States States Col. I x  (000s) Col B/Tot. Col B $765,000,000 If E>D, E-D F/(Tot. of F) If D >= E, D - E H/(Tot. of H) $103,554A B C D E F G H I J Alabama 38 2.64% $20,159,501 $24,188,697 $4,029,197 3.8909% Need Need Need Alaska 2 0.14% $1,061,026 $378,052 NA NA $682,974 0.4239% $438,933 Arizona 21 1.46% $11,140,777 $20,302,279 $9,161,503 8.8470% Need Need Need Arkansas 27 1.87% $14,323,856 $14,968,578 $644,722 0.6226% Need Need Need California 107 7.42% $56,764,910 $30,667,238 NA NA $26,097,672 16.1967% $16,772,4Colorado 16 1.11% $8,488,211 $6,261,250 NA NA $2,226,960 1.3821% $1,431,2Connecticut 15 1.04% $7,957,698 $4,295,522 NA NA $3,662,176 2.2728% $2,353,6Delaware 4 0.28% $2,122,053 $3,516,899 $1,394,847 1.3470% Need Need Need District of Columbia 2 0.14% $1,061,026 $0 NA NA $1,061,026 0.6585% $681,899 Florida 96 6.66% $50,929,265 $75,922,288 $24,993,023 24.1351% Need Need Need Georgia 45 3.12% $23,873,093 $37,187,452 $13,314,359 12.8573% Need Need Need Hawaii 6 0.42% $3,183,079 $1,502,678 NA NA $1,680,401 1.0429% $1,079,9Idaho 7 0.49% $3,713,592 $2,746,709 NA NA $966,883 0.6001% $621,396 Illinois 68 4.72% $36,074,896 $28,872,870 NA NA $7,202,026 4.4697% $4,628,5Indiana 43 2.98% $22,812,067 $6,951,308 NA NA $15,860,759 9.8435% $10,193,Iowa 16 1.11% $8,488,211 $4,940,141 NA NA $3,548,070 2.2020% $2,280,2Kansas 18 1.25% $9,549,237 $5,443,274 NA NA $4,105,963 2.5482% $2,638,8Kentucky 34 2.36% $18,037,448 $18,127,195 $89,747 0.0867% Need Need Need Louisiana 29 2.01% $15,384,882 $22,144,578 $6,759,696 6.5277% Need Need Need Maine 7 0.49% $3,713,592 $7,045,460 $3,331,867 3.2175% Need Need Need Maryland 24 1.66% $12,732,316 $8,602,875 NA NA $4,129,441 2.5628% $2,653,9Massachusetts 28 1.94% $14,854,369 $10,893,600 NA NA $3,960,769 2.4581% $2,545,5Michigan 38 2.64% $20,159,501 $20,967,835 $808,334 0.7806% Need Need Need Minnesota 22 1.53% $11,671,290 $6,559,682 NA NA $5,111,608 3.1724% $3,285,1Mississippi 18 1.25% $9,549,237 $16,529,838 $6,980,601 6.7410% Need Need Need Missouri 39 2.70% $20,690,014 $4,700,909 NA NA $15,989,105 9.9231% $10,275,Montana 6 0.42% $3,183,079 $1,512,121 NA NA $1,670,958 1.0370% $1,073,8
CMS-2387-N 8 

 Initial QI Allotments for FY 2013 FY 2013 Need Pct of Tot. Reduction Pool Pct of Tot. ReductioSTATE Number of Percentage Initial QI Allotment Estimated QI (Difference) Need States for Non-Need Non-Need Non-Nee Individuals /3 of Total Col C x Expenditures /1 States States Col. I x  (000s) Col B/Tot. Col B $765,000,000 If E>D, E-D F/(Tot. of F) If D >= E, D - E H/(Tot. of H) $103,554A B C D E F G H I J Nebraska 6 0.42% $3,183,079 $2,506,770 NA NA $676,309 0.4197% $434,650 Nevada 10 0.69% $5,305,132 $5,177,080 NA NA $128,052 0.0795% $82,296 New Hampshire 6 0.42% $3,183,079 $2,861,766 NA NA $321,313 0.1994% $206,501 New Jersey 40 2.77% $21,220,527 $9,901,642 NA NA $11,318,885 7.0247% $7,274,4New Mexico 9 0.62% $4,774,619 $4,787,611 $12,993 0.0125% Need Need Need New York 85 5.89% $45,093,620 $50,481,630 $5,388,010 5.2031% Need Need Need North Carolina 38 2.64% $20,159,501 $28,897,791 $8,738,290 8.4383% Need Need Need North Dakota 3 0.21% $1,591,540 $692,912 NA NA $898,628 0.5577% $577,529 Ohio 54 3.74% $28,647,712 $28,435,844 NA NA $211,867 0.1315% $136,163 Oklahoma 27 1.87% $14,323,856 $11,348,409 NA NA $2,975,446 1.8466% $1,912,2Oregon 17 1.18% $9,018,724 $16,832,070 $7,813,346 7.5452% Need Need Need Pennsylvania 78 5.41% $41,380,028 $34,628,979 NA NA $6,751,049 4.1898% $4,338,7Rhode Island 6 0.42% $3,183,079 $2,625,070 NA NA $558,009 0.3463% $358,621 South Carolina 33 2.29% $17,506,935 $13,456,800 NA NA $4,050,135 2.5136% $2,602,9South Dakota 4 0.28% $2,122,053 $2,344,945 $222,892 0.2152% Need Need Need Tennessee 48 3.33% $25,464,632 $30,163,578 $4,698,945 4.5377% Need Need Need Texas 106 7.35% $56,234,397 $35,884,800 NA NA $20,349,597 12.6294% $13,078,Utah 6 0.42% $3,183,079 $2,680,802 NA NA $502,277 0.3117% $322,803 Vermont 2 0.14% $1,061,026 $4,047,877 $2,986,851 2.8843% Need Need Need Virginia 23 1.60% $12,201,803 $14,387,068 $2,185,265 2.1103% Need Need Need Washington 23 1.60% $12,201,803 $7,274,362 NA NA $4,927,441 3.0581% $3,166,7West Virginia 17 1.18% $9,018,724 $6,550,585 NA NA $2,468,139 1.5318% $1,586,2Wisconsin 22 1.53% $11,671,290 $5,416,651 NA NA $6,254,639 3.8817% $4,019,7Wyoming 3 0.21% $1,591,540 $810,736 NA NA $780,803 0.4846% $501,806 Total 1,442 100.00% $765,000,000 $707,425,105 $103,554,487 100.0000% $161,129,382 100.0000% $103,554Footnotes: /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 
CMS-2387-N 9 

 Initial QI Allotments for FY 2013 FY 2013 Need Pct of Tot. Reduction Pool Pct of Tot. ReductioSTATE Number of Percentage Initial QI Allotment Estimated QI (Difference) Need States for Non-Need Non-Need Non-Nee Individuals /3 of Total Col C x Expenditures /1 States States Col. I x  (000s) Col B/Tot. Col B $765,000,000 If E>D, E-D F/(Tot. of F) If D >= E, D - E H/(Tot. of H) $103,554A B C D E F G H I 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% Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2012 Current Population Survey (CPS) 
CMS-2387-N 10 

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 
CMS-2387-N 11 

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 Non-Need 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 
CMS-2387-N 12 

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 Non-Need State in 

Column H divided by the sum of the amounts for all States in Column H. For Need 

States, the entry in Column I is “Need”. 

Column J -- Reduction Adjustment for Non-Need States. Column J shows 

the amount of adjustment needed to reduce the Initial QI allotments in Column D for 

FY 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 Non-Need amounts in Column H). For Need States, 

the entry in Column J is “Need”. 

Column K -- Increase Adjustment for Need States. Column K shows the 

amount of adjustment to increase the Initial QI Allotment in Column D for FY 2012 

(Chart 1) or FY 2013 (Chart 2) for Need States in order to address the total need shown 
CMS-2387-N 13 

for the fiscal year in Column F. The amount in Column K is determined as the 

percentage in Column G for Need States multiplied by the lesser of the total need in 

Column F (equal to the sum of Needs in Column F) or the total Reduction Pool in 

Column H (equal to the sum of the Non-Need amounts in Column H). For Non-Need 

States, the entry in Column K is “NA”. 

Column L -- Final FY 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.).
CMS-2387-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) 

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-2387-N 15 

[FR Doc. 2013-17962 Filed 07/25/2013 at 8:45 am; Publication Date: 07/26/2013]