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 Department of Health and Human Services Office of the Secretary
 AGENCY: Office the Secretary, DHHS.
 ACTION: Notice.
 SUMMARY: The Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages for Fiscal Year 2009 have been calculated pursuant to the Social Security Act (the Act). These percentages will be effective from October 1, 2008 through September 30, 2009. This notice announces the calculated “Federal Medical Assistance Percentages” and “Enhanced Federal Medical Assistance Percentages” that The U.S. Department of Health and Human Services (HHS) will use in determining the amount of Federal matching for State medical assistance (Medicaid) and State Children's Health Insurance Program (SCHIP) expenditures, and Temporary Assistance for needy Families (TANF) Contingency Funds, the federal share of Child Support Enforcement collections, Child Care Mandatory and Matching Funds of the Child Care and 
                        ( print page 67305)
                        Development Funds, Foster Care Title IV-E Maintenance payments, and Adoption Assistance payments. The table gives figures for each of the 50 States, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands. Programs under title XIX of the Act existing each jurisdiction. Programs under titles I, X, and XIV operate only in Guam and the Virgin Islands, while a program under the title XVI (Aid to the Aged, Blind, or Disabled) operates only in Puerto Rico. Programs under title XXI began operating in fiscal year 1998. The percentages in this notice apply to State expenditures for most medical services and medical insurance services, and assistance payments for certain social services. The statute provides separately for Federal matching of administrative costs. Sections 1905(b) and 1101(a)(8)(B) of the Act require the Secretary, HHS to publish the Federal Medical Assistance Percentages each year. The Secretary is to calculate the percentages, using formulas in sections 1905(b) and 1101(a)(8)(B), from the Department of Commerce's statistics of average income per person in each State and for the Nation as a whole. The percentages are within the upper and lower limits given in section 1905(b) of the Act. The percentages to be applied to the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands are specified in statute, and thus are not based on the statutory formula that determines the percentages for the 50 states. The “Federal Medical Assistance Percentages” are for Medicaid.  Section 1905(b) of the Act specifies the formula for calculating Federal Medical Assistance Percentages as follows: “Federal medical assistance percentage” for any State shall be 100 per centum less the State percentage; and the State percentage shall be that percentage which bears the same ratio to 45 per centum as the square of the per capita income of such State bears to the square of the per capita income of the continental United States (including Alaska) and Hawaii; except that (1) the Federal medical assistance percentage shall in no case be less than 50 per centum or more than 83 per centum, (2) the Federal medical assistance percentage for Puerto Rico, the Virgin Islands; Guam, the Northern Mariana Islands, and American Samoa shall be 50 per centum. * * * Section 4725(b) of the Balanced Budget Act of 1997 amended section 1905(b) to provide that the Federal Medical Assistance Percentage for the District of Columbia for purposes of titles XIX, and for the purpose of calculating the enhanced FMAP under title XXI, shall be 70 percent. For the District of Columbia, we note under the table of Federal Medical Assistance Percentages the rate that applies in certain other programs calculated using the formula otherwise applicable, and the rate that applies in certain other programs pursuant to section 1118 of the Social Security Act. Section 2105(b) of the Act specifies the formula for calculating the Enhanced Federal Medical Assistance Percentages as follows: The ``enhanced FMAP'', for a State for a fiscal year, is equal to the Federal medical assistance percentage (as defined in the first sentence of section 1905(b)) for the State increased by a number of percentage points equal to 30 percent of the number of percentage points by which (1) such Federal medical assistance percentage for the State, is less than (2) 100 percent; but in no case shall the enhanced FMAP for a State exceed 85 percent. The ``Enhanced Federal Medical Assistance Percentages'' are for use in the State Children's Health Insurance Program under Title XXI, and in the Medicaid program for certain children for expenditures for medical assistance described in sections 1905(u)(2) and 1905(u)(3) of the Act. There is no specific requirement to publish the Enhanced Federal Medical Assistance Percentages. We include them in this notice for the convenience of the States.
 DATES: *Effective Dates:*
                         The percentages listed will be effective for each of the 4 quarter-year periods in the period beginning October 1, 2008 and ending September 30, 2009.
 FOR FURTHER INFORMATION CONTACT: Thomas Musco or Carrie Shelton, Office of Health Policy, Office of the Assistant Secretary for Planning and Evaluation, Room 447D-Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201, (202) 690-6870. (Catalog of Federal Domestic Assistance Program Nos. 93.558: TANF Contingency Funds; 93.563: Child Support Enforcement; 93-596: Child Care Mandatory and Matching Funds of the Child Care and Development Fund; 93.658: Foster Care Title IV-E; 93.659: Adoption Assistance; 93.769: Ticket-to-Work and Work Incentives Improvement Act (TWWIIA) Demonstrations to Maintain Independence and Employment; 93.778: Medical Assistance Program; 93.767: State Children's Health Insurance Program) Dated: November 19, 2007. Michael O. Leavitt, Secretary of Health and Human Services.
 Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages, Effective October 1, 2008-September 30, 2009 (Fiscal Year 2009)
State
Federal medical assistance percentages
Enhanced federal medical assistance percentagesAlabama
67.98
77.59Alaska
50.53
65.37American Samoa*
50.00
65.00Arizona
65.77
76.04Arkansas
72.81
80.97California
50.00
65.00Colorado
50.00
65.00Connecticut
50.00
65.00Delaware
50.00
65.00District of Columbia**
70.00
79.00Florida
55.40
68.78Georgia
64.49
75.14Guam*
50.00
65.00Hawaii
55.11
68.58Idaho
69.77
78.84Illinois
50.32
65.22Indiana
64.26
74.98( print page 67306)Iowa
62.62
73.83Kansas
60.08
72.06Kentucky
70.13
79.09Louisiana
71.31
79.92Maine
64.41
75.09Maryland
50.00
65.00Massachusetts
50.00
65.00Michigan
60.27
72.19Minnesota
50.00
65.00Mississippi
75.84
83.09Missouri
63.19
74.23Montana
68.04
77.63Nebraska
59.54
71.68Nevada
50.00
65.00New Hampshire
50.00
65.00New Jersey
50.00
65.00New Mexico
70.88
79.62New York
50.00
65.00North Carolina
64.00
75.22North Dakota
63.15
74.21Northern Mariana Islands*
50.00
65.00Ohio
62.14
73.50Oklahoma
65.90
76.13Oregon
62.45
73.72Pennsylvania
54.52
68.16Puerto Rico*
50.00
65.00Rhode Island
52.59
66.81South Carolina
70.07
79.05South Dakota
62.55
73.79Tennessee
64.28
75.00Texas
59.44
71.61Utah
70.71
79.50Vermont
59.45
71.62Virgin Islands*
50.00
65.00Virginia
50.00
65.00Washington
50.94
65.66West Virginia
73.73
81.61Wisconsin
59.38
71.57Wyoming
50.00
65.00* For purposes of section 1118 of the Social Security Act, the percentage used under titles I, X, XIV, and XVI will be 75 per centum.** The values for the District of Columbia in the table were set for the state plan under titles XIX and XXI and for capitation payments and DSH allotments under those titles. For other purposes, including program remaining in Title IV of the Act, the percentage for D.C. is 50.00.


[FR Doc. 07-5847 Filed 11-27-07; 8:45 am] BILLING CODE 4150-24-M