Federal Register / Vol. 60, No. 61 / Thursday, March 30, 1995 / Notices 16481

INFORMATION’’ section in, beginning

in the 10th line, the words ‘‘acceleration

of the time to a healed fracture for fresh,

closed, distal’’ should read ‘‘the

treatment of fresh, closed, posteriorly

displaced distal.’’

2. On page 55848, in the first column,

in the first paragraph, in the 31st line,

after the word ‘‘indication’’, the

following paragraph is added:

All other indications for the device will

require additional data, and PMA

supplements must be submitted for new

indications. Furthermore, the applicant must

conduct a study to gather additional

information to validate some of the

conclusions that were drawn from the PMA

studies, based on a larger size.

3. On the same page, in the first

column, in the 38th line, after the word

‘‘review’’, the following paragraph is

added:

In accordance with the Panel’s observation

that differences exist in the rate of healing in

different age groups, CDRH also directed the

applicant to include a warning statement

regarding the specific age range of the

patients to be treated. CDRH concluded that

based on the study’s success criteria (e.g.,

both radiographically and clinically healed),

the results of study did show a statistically

significant difference in the time to a healed

fracture in favor of the active device.

4. On the same page, in the first

column, in the 43d line, after the word

‘‘panel’’ the following phrase is added:

‘‘additional statistical analysis of the

patient data stratified by age and gender,’’.

5. On the same page, in the first full

paragraph, in the first line, ‘‘September

13, 1994’’ should read ‘‘October 5,

1994’’.

Dated: March 17, 1995.

Joseph A. Levitt,

Deputy Director for Regulations Policy, Center

for Devices and Radiological Health.

[FR Doc. 95–7744 Filed 3–30–95; 8:45 am]

BILLING CODE 4160–01–F

Health Care Financing Administration

[ORD–073–N]

New and Pending Demonstration

Project Proposals Submitted Pursuant

to Section 1115(a) of the Social

Security Act: January 1995

AGENCY: Health Care Financing

Administration (HCFA), HHS.

ACTION: Notice.

SUMMARY: This notice lists new

proposals for demonstration projects

submitted to the Department of Health

and Human Services during the month

of January 1995 under the authority of

section 1115 of the Social Security Act.

This notice also lists approved,

disapproved and pending proposals.

COMMENTS: We will accept written

comments on these proposals. We will,

if feasible, acknowledge receipt of all

comments, but we will not provide

written responses to comments. We

will, however, neither approve nor

disapprove any new proposal for at least

30 days after the date of this notice to

allow time to receive and consider

comments. Direct comments as

indicated below.

ADDRESSES: Mail correspondence to:

Susan Anderson, Office of Research and

Demonstrations, Health Care Financing

Administration, 2230 Oak Meadows,

6325 Security Boulevard, Baltimore, MD

21207.

FOR FURTHER INFORMATION CONTACT:

Susan Anderson, (410) 966–3996.

SUPPLEMENTARY INFORMATION:

I. Background

Under Section 1115 of the Social

Security Act (the Act), the Department

of Health and Human Services (HHS)

may consider and approve research and

demonstration proposals with a broad

range of policy objectives. These

demonstrations can lead to

improvements in achieving the

purposes of the Act.

In exercising her discretionary

authority, the Secretary has developed a

number of policies and procedures for

reviewing proposals. On September 27,

1994, we published a notice in the

Federal Register (59 FR 49249) that

specified (1) the principles that we

ordinarily will consider when

approving or disapproving

demonstration projects under the

authority in section 1115(a) of the Act;

(2) the procedures we expect States to

use in involving the public in the

development of proposed demonstration

projects under section 1115; and (3) the

procedures we ordinarily will follow in

reviewing demonstration proposals. We

are committed to a thorough and

expeditious review of State requests to

conduct such demonstrations.

II. Listing of New and Pending

Proposals for the Month of January

1995

As part of our procedures, we are

publishing a monthly notice in the

Federal Register of all new submissions,

pending proposals, approvals, and

disapprovals. Proposals submitted in

response to a grant solicitation or other

competitive process will be reported as

received during the month that such

grant or bid is awarded, so as to prevent

interference with the awards process.

We have added a new category in this

notice entitled ‘‘Approved Grant

Proposals’’ to identify grant and

cooperative agreement awards for

development of demonstration projects

that may involve section 1115 authority.

A. Comprehensive Health Reform

Programs

1. New Proposals

Demonstration Title/State: Louisiana

Health Access—Louisiana.

Description: Louisiana proposes to

implement a fully capitated statewide

managed care program. A basic benefit

package and a behavioral health and

pharmacy wrap-around would be

administered through the managed care

plans. The State intends to expand

eligibility of persons with incomes up to

250 percent of the Federal poverty level

(FPL), with persons with incomes above

133 percent of the FPL paying all or a

portion of premiums. To fund the

demonstration, the State is seeking a

waiver of Federal Medical Assistance

Payments (FMAP) requirements, which

would effectively create a block grant

whereby the Federal share of the

demonstration would be fixed over the

course of the demonstration and the

State would assume the cost of increases

as they occurred.

Date Received: January 3, 1995.

State Contact: Carolyn Maggio,

Executive Director, Bureau of Research

and Development, Louisiana

Department of Health and Hospitals,

Post Office 2870, Baton Rouge,

Louisiana 70821–2871, (504) 342–2964.

Federal Project Officer: Gina Clemons,

Health Care Financing Administration,

Office of Research and Demonstrations,

2302 Oak Meadows, 6325 Security

Boulevard, Baltimore, Maryland 21207.

Demonstration Title/State:

SoonerCare—Oklahoma.

Description: Oklahoma proposes to

implement a 5-year statewide managed

care demonstration using both fully and

partially capitated delivery systems. The

emphasis of the program is to address

access problems in rural areas by

encouraging the development of ruralbased managed care initiatives. The

State will employ traditional fully

capitated managed care delivery models

for urban areas and will introduce a

series of partial capitation models in the

rural areas of the State. All currently

eligible, non-institutionalized

individuals will be enrolled during the

first two years of the project.

Date Received: January 6, 1995.

State Contact: Dr. Garth Splinter,

Oklahoma Health Care Authority,

Lincoln Plaza, 4545 N. Lincoln Blvd.,

Suite 124, Oklahoma City, Oklahoma

73105.

Federal Project Officer: Helaine I.

Fingold, Health Care Financing
16482 Federal Register / Vol. 60, No. 61 / Thursday, March 30, 1995 / Notices

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

2. Pending Proposals:

Demonstration Title/State: The

Diamond State Health Plan—Delaware.

Description: Delaware proposes to

expand eligibility for Medicaid to

persons with incomes up to 100 percent

of the Federal poverty level and require

that the Medicaid population enroll in

managed care delivery systems. The

State’s current section 1115

demonstration project, the Delaware

Health Care Partnership for Children,

would be incorporated into the

statewide program as an optional

provider for eligible children.

Date Received: July 29, 1994.

State Contact: Kay Holmes, DSHP

Coordinator, DHSS Medicaid Unit,

Biggs Building, P.O. Box 906, New

Castle, Delaware 19720, (302) 577–4900.

Federal Project Officer: Rosana

Hernandez, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

Demonstration Title/State: MediPlan

Plus—Illinois.

Description: Illinois seeks to develop

a managed care delivery system using a

series of networks, either local or

statewide, to tailor its Medicaid delivery

system to the needs of local urban

neighborhoods or large rural areas.

Date Received: September 15, 1994.

State Contact: Tom Toberman,

Manager, Federal/State Monitoring, 201

South Grand Avenue East, Springfield,

Illinois 62763, (217) 782–2570.

Federal Project Officer: Gina Clemons,

Health Care Financing Administration,

Office of Research and Demonstrations,

2302 Oak Meadows, 6325 Security

Boulevard, Baltimore, Maryland 21207.

Demonstration Title/State:

MassHealth—Massachusetts.

Description: Massachusetts proposes a

range of strategies that would extend

Medicaid coverage to its low-income

and uninsured citizens, including the

employed, the short-term unemployed,

and the long-term unemployed. The

proposed program would employ direct

provision of health services as well as

indirect strategies that would promote

market forces to address the needs of the

uninsured, by providing subsidies to

employers and low-income employees

with incomes up to 200 percent of the

Federal poverty level.

Date Received: April 15, 1994.

State Contact: Laurie Burgess,

Director, Managed Care Program

Development, Division of Medical

Assistance, 600 Washington Street,

Boston, Massachusetts 02111, (617)

348–5695.

Federal Project Officer: Ed Hutton,

Health Care Financing Administration,

Office of Research and Demonstrations,

2302 Oak Meadows, 6325 Security

Boulevard, Baltimore, Maryland 21207.

Demonstration Title/State:

MinnesotaCare—Minnesota.

Description: Minnesota proposes to

expand its use of managed care service

delivery and to extend Medicaid

eligibility to families and children with

incomes up to 275 percent of the

Federal poverty level. The State would

also integrate Medicaid with other

public entities that deliver health

services.

Date Received: July 28, 1994.

State Contact: Maria Gomez,

Commissioner, Health Care Services

Delivery, Minnesota Department of

Human Services, 444 Lafayette Road N,

St. Paul, Minnesota 55155, (612) 297–

4113.

Federal Project Officer: Penny Pine,

Health Care Financing Administration,

Office of Research and Demonstrations,

2302 Oak Meadows, 6325 Security

Boulevard, Baltimore, Maryland 21207.

Demonstration Title/State: Missouri.

Description: Missouri proposes to

require that beneficiaries enroll in

managed care delivery systems, and

extend Medicaid eligibility to persons

with incomes below 200 percent of the

Federal poverty level. As part of the

program, Missouri would create a fully

capitated managed care pilot program to

serve non-institutionalized persons with

permanent disabilities on a voluntary

basis.

Date Received: June 30, 1994.

State Contact: Donna Checkett,

Director, Division of Medical Services,

Missouri Department of Social Services,

P.O. Box 6500, Jefferson City, Missouri

65102–6500, (314) 751–6922.

Federal Project Officer: Suzanne

Rotwein, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

Demonstration Title/State: The

Granite State Partnership for Access and

Affordability in Health Care—New

Hampshire.

Description: New Hampshire proposes

to extend Medicaid eligibility to adults

with incomes below the AFDC cash

standard and to create a public

insurance product for low income

workers. The State also seeks to

implement a number of pilot initiatives

to help redesign its health care delivery

system.

Date Received: June 14, 1994.

State Contact: Barry Bodell, New

Hampshire Department of Health and

Human Services, Office of the

Commissioner, 6 Hazen Drive, Concord,

New Hampshire 03301–6505, (603) 271–

4332.

Federal Project Officer: Maria

Boulmetis, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

3. Approved Conceptual Proposals

(Award of Waivers Pending)

No conceptual proposals were

approved during the month of January.

4. Approved Grant Proposals (Award of

Waivers Pending)

No grant proposals were awarded in

the month of January. The following are

proposals awarded since January 1,

1993:

Demonstration Title/State: MAINE–

NET: Medicaid and Medicare Managed

Care for the Elderly and Physically

Disabled in Maine—Maine.

Description: This project is designed

to demonstrate integrated models for the

financing and delivery of managed

health care and social services for

elderly and physically disabled persons

on Medicare and/or Medicaid in Maine.

The project seeks to promote the

development of regional service

delivery networks or health plans,

particularly in rural areas of the State,

that would be responsible for the

management, coordination and

integration of services, including multidisciplinary approaches to care

planning and service delivery. The

demonstration will provide a

comprehensive package of primary,

acute, and long term care (institutional

and noninstitutional) services as part of

a prepaid capitated health plan for the

target populations. The project is in the

early developmental stage.

Date Received: March 25, 1994.

State Contact: Carreen Wright, State

of Maine Department of Human

Services, State House Station #11,

Augusta, Maine 04333.

Federal Project Office: Kay

Lewandowski, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

Baltimore, Maryland 21207.

Demonstration Title/State: Project

Demonstrating and Evaluating

Alternative Methods to Assure and

Enhance the Quality of Long Term Care

Services for Persons with

Developmental Disabilities through

Performance-Based Contracts with

Service Providers—Minnesota
Federal Register / Vol. 60, No. 61 / Thursday, March 30, 1995 / Notices 16483

Description: The purpose of this

project is to determine whether and how

well the implementation of new

approaches to quality assurance, with

outcome-based definitions and

measures of quality, will replace the

input and process measures of quality,

and in the process contribute to

improving quality of life for persons

with developmental disabilities. The

Minnesota Department of Human

Services will seek Federal authority to

waive necessary provisions of

intermediate care facilities for the

mentally retarded (ICFs/MR) regulations

to permit alternative quality assurance

mechanisms in selected demonstration,

residential, and support service

programs. The Department will enter

into performance-based contracts with

counties, and participating ICF/MR

providers. Desirable outcomes include,

among others, the enhancement of

consumer choice and autonomy,

employment, and integration into the

community. This project is in the

developmental stage.

Date Received: March 25, 1994.

State Contact: Helen M. Yates,

Minnesota Department of Human

Services, Health Care Administration,

44 Lafayette Road, St. Paul, Minnesota

55155–3853.

Federal Project Officer: Samuel M.

Brown, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

5. Approved Proposals

Demonstration Title/State:

OhioCare—Ohio.

Description: Ohio will expand

Medicaid eligibility to include

uninsured persons with incomes up to

100 percent of the Federal poverty level.

New and current eligibles in this

statewide program will receive services

through managed care. Certain special

health related services, such as mental

health and drug and alcohol addiction

services, will also be provided through

managed care.

Date Received: March 2, 1994.

Date Awarded: January 17, 1995.

Implementation Date: (Proposed)

January 1, 1996.

State Contact: Kathi Glynn, Director,

Ohio Medicaid, 30 East Broad Street,

Columbus, Ohio 43266, (614) 644–0140.

Federal Project Officer: David Walsh,

Health Care Financing Administration,

Office of Research and Demonstrations,

2302 Oak Meadows, 6325 Security

Boulevard, Baltimore, Maryland 21207.

6. Disapproved Proposals

No comprehensive health reform

proposals have been disapproved since

January 1, 1993.

B. Other Section 1115 Demonstration

Proposals

1. New Proposals

No new proposals were received

during the month of January.

2. Pending Proposals

Demonstration Title/State: Georgia’s

Children’s Benefit Plan.

Description: The State of Georgia

submitted a Section 1115 proposal

entitled ‘‘Georgia Children’s Benefit

Plan’’ that provides preventive and

primary care services for children 1

through 5 years of age who are between

133 and 185 percent of the Federal

poverty level. The duration of the

waiver is 5 years with proposed project

dates of July 1, 1995 to June 30, 2000.

Date Received: December 12, 1994.

State Contact: Jacquelyn Foster-Rice,

Georgia Department of Medical

Assistance, 2 Peachtree Street NW, 201

South Grand Avenue East, Atlanta,

Georgia 30303–3159, (404) 651–5785.

Federal Project Officer: Maria

Boulmetis, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

Demonstration Title/State: High Cost

User Initiative—Maryland.

Description: Maryland proposes to

implement an integrated case

management system for high-cost, highrisk Medicaid recipients.

Date Received: July 8, 1994.

State Contact: John Folkemer,

Maryland Department of Health and

Mental Hygiene, Office of Medical

Assistance Policy, 201 West Preston

Street, Baltimore, Maryland 21201, (410)

225–5206.

Federal Project Officer: Rosana

Hernandez, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

Demonstration Title/State: Minnesota

Long-Term Care Options Project—

Minnesota.

Description: The State proposes to

integrate long-term care and acute care

services under combined Medicare and

Medicaid capitation payments for

elderly dual eligibles.

Date Received: April 18, 1994.

State Contact: Pamela Parker,

Minnesota Department of Human

Services, Human Services Building, 444

Lafayette Road North, St. Paul,

Minnesota 55155, (612) 296–2140.

Federal Project Officer: Melissa

McNiff, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

Demonstration Title/State: Family

Planning Proposal—New Mexico.

Description: New Mexico proposes to

extend Medicaid eligibility for family

planning services to all women of

childbearing age with incomes at or

below 185 percent of the Federal

poverty level.

Date Received: November 1, 1994.

State Contact: Bruce Weydemeyer,

Director, Division of Medical

Assistance, P.O. Box 2348, Santa Fe,

New Mexico 87504–2348, (505) 827–

3106.

Federal Project Officer: Alisa Adamo,

Health Care Financing Administration,

Office of Research and Demonstrations,

2302 Oak Meadows, 6325 Security

Boulevard, Baltimore, Maryland 21207.

Demonstration Title/State: Pay-in

Spenddown Pilot—Ohio.

Description: Ohio proposes to

implement a one-county pilot program

to simplify Medicaid eligibility

administration. It would allow the

medically needy to pay in spenddown

amounts in order to qualify for

Medicaid.

Date Received: April 28, 1994.

State Contact: Jeanne Carroll, Ohio

Department of Human Services, 30 East

Broad Street, Columbus, Ohio 43266,

(614) 466–6024.

Federal Project Officer: David Walsh,

Health Care Financing Administration,

Office of Research and Demonstrations,

2302 Oak Meadows, 6325 Security

Boulevard, Baltimore, Maryland 21207.

Demonstration Title/State:

CHOICES—Citizenship, Health,

Opportunities, Interdependence,

Choices and Supports—Rhode Island.

Description: Rhode Island proposes to

consolidate all current State and Federal

funding streams for adults with

developmental disabilities under one

program using managed care/managed

competition.

Date Received: April 5, 1994.

State Contact: Susan Babin,

Department of Mental Health,

Retardation, and Hospitals, Division of

Developmental Disabilities, 600 New

London Avenue, Cranston, Rhode Island

02920, (401) 464–3234.

Federal Project Officer: Melissa

McNiff, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.
16484 Federal Register / Vol. 60, No. 61 / Thursday, March 30, 1995 / Notices

Demonstration Title/State: Virginia.

Description: Virginia proposes to

expand Medicaid eligibility to children

in the State-funded KIDS CARE

program, and provide them with a

limited Medicaid benefit restricted to

ambulatory services.

Date Received: May 18, 1994.

State Contact: Janet Kennedy, Suite

1300, 600 East Broad Street, Richmond,

Virginia 23219, (804) 371–8855.

Federal Project Officer: Maria

Boulmetis, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

Demonstration Title/State: Family

Planning Demonstration—Washington.

Description: The State proposes to

provide family planning services to lowincome women for an additional 10

months postpartum, which will extend

total coverage for such services to one

year.

Date Received: April 21, 1994.

State Contact: Claudia Lewis, Medical

Assistance Administration, Division of

Client Services, P.O. Box 45530,

Olympia, Washington 98504–5530,

(206) 586–2751.

Federal Project Officer: Maria

Boulmetis, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

Demonstration Title/State: Wisconsin.

Description: The State proposes to

limit the amount of exempt funds that

may be set aside as burial and related

expenses for SSI-related Medicaid

recipients.

Date Received: March 9, 1994.

State Contact: Jean Sheil, Division of

Economic Support, Wisconsin

Department of Health and Social

Services, 1 West Wilson Street, Room

650, P.O. Box 7850, Madison, Wisconsin

53707, (608) 266–0613.

Federal Project Officer: J. Donald

Sherwood, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

3. Approved Conceptual Proposals

(Award of Waivers Pending)

No conceptual proposals were

approved during the month of January.

4. Approved Proposals

The following projects were

inadvertently omitted from the list of

pending proposals published in the

Federal Register on January 23, 1995

(60 FR 4418).

Demonstration Title/State: The

Multistate Nursing Home Case-Mix and

Quality Demonstration—Kansas.

Description: This demonstration tests

a combined Medicare and Medicaid

nursing home payment and quality

monitoring system. The system

significantly enhances the quality

assurance process in SNFs. Data for

measuring quality of care will come

from an expanded version of the

standardized resident assessment

instrument currently used by States for

all nursing home residents. The same

tool that is used in care planning, which

measures residents’ needs, strengths,

and preferences, will be used to

determine Medicare and Medicaid

payment. In the developmental phase of

the demonstration, data from the

assessment instruments were used to

create 30 facility-level quality

indicators. Under the demonstration,

these indicators will help facilities

benchmark their own performance and

help Medicare and Medicaid target

nursing home surveys.

Date Received: Winter 1989.

Date Awarded: January 1995.

Implementation Date: (Proposed)

Summer 1995.

State Contact: Evelyn McCormick,

R.N., Case Mix Demonstration Project

Director, Department of Social And

Rehabilitation Services Docking State

Office Building, Room 628 South, 915

Southwest Harrison, Topeka, Kansas

66612–1570, (913) 296–4752.

Federal Project Officer: Elizabeth

Cornelius, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

Demonstration Title/State: The

Multistate Nursing Home Case-Mix and

Quality Demonstration—Maine.

Description: This demonstration tests

a combined Medicare and Medicaid

nursing home payment and quality

monitoring system. The system

significantly enhances the quality

assurance process in SNFs. Data for

measuring quality of care will come

from an expanded version of the

standardized resident assessment

instrument currently used by States for

all nursing home residents. The same

tool that is used in care planning, which

measures residents’ needs, strengths,

and preferences, will be used to

determine Medicare and Medicaid

payment. In the developmental phase of

the demonstration, data from the

assessment instruments were used to

create 30 facility-level quality

indicators. Under the demonstration,

these indicators will help facilities

benchmark their own performance and

help Medicare and Medicaid target

nursing home surveys.

Date Received: Winter 1989.

Date Awarded: January 1995.

Implementation Date: (Proposed)

Summer 1995.

State Contact: Alison Moore, R.N.,

M.B.A., Case Mix Demonstration Project

Director, Bureau of Medical Services,

Maine Department of Human Services,

State House Station 11, Augusta, Maine

04333, (207) 287–3838.

Federal Project Officer: Elizabeth

Cornelius, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

Demonstration Title/State: The

Multistate Nursing Home Case-Mix and

Quality Demonstration—Mississippi.

Description: This demonstration tests

a combined Medicare and Medicaid

nursing home payment and quality

monitoring system. The system

significantly enhances the quality

assurance process in SNFs. Data for

measuring quality of care will come

from an expanded version of the

standardized resident assessment

instrument currently used by States for

all nursing home residents. The same

tool that is used in care planning, which

measures residents’ needs, strengths,

and preferences, will be used to

determine Medicare and Medicaid

payment. In the developmental phase of

the demonstration, data from the

assessment instruments were used to

create 30 facility-level quality

indicators. Under the demonstration,

these indicators will help facilities

benchmark their own performance and

help Medicare and Medicaid target

nursing home surveys.

Date Received: Winter 1989.

Date Awarded: January 1995.

Implementation Date: (Proposed)

Summer 1995.

State Contact: Jamie Collier, Case Mix

Demonstration Project Director Division

of Medicaid, Robert E. Lee Building,

Suite 801, 239 North Lamar Street,

Jackson, Mississippi, (601) 359–6081.

Federal Project Officer: Elizabeth

Cornelius, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

Demonstration Title/State: The

Multistate Nursing Home Case-Mix and

Quality Demonstration—New York.

Description: This demonstration tests

a combined Medicare and Medicaid

nursing home payment and quality

monitoring system. The system
Federal Register / Vol. 60, No. 61 / Thursday, March 30, 1995 / Notices 16485

significantly enhances the quality

assurance process in SNFs. Data for

measuring quality of care will come

from an expanded version of the

standardized resident assessment

instrument currently used by States for

all nursing home residents. The same

tool that is used in care planning, which

measures residents’ needs, strengths,

and preferences, will be used to

determine Medicare and Medicaid

payment. In the developmental phase of

the demonstration, data from the

assessment instruments were used to

create 30 facility-level quality

indicators. Under the demonstration,

these indicators will help facilities

benchmark their own performance and

help Medicare and Medicaid target

nursing home surveys.

Date Received: Winter 1989.

Date Awarded: January 1995.

Implementation Date: (Proposed)

Summer 1995.

State Contact: David H. Wilcox, CPA,

Case Mix Demonstration Project

Director, Bureau of Health Economics,

1143 Corning Tower, Empire State

Plaza, Albany, New York 12237–0722,

(518) 474–2881.

Federal Project Officer: Elizabeth

Cornelius, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

Demonstration Title/State: The

Multistate Nursing Home Case-Mix and

Quality Demonstration—South Dakota.

Description: This demonstration tests

a combined Medicare and Medicaid

nursing home payment and quality

monitoring system. The system

significantly enhances the quality

assurance process in SNFs. Data for

measuring quality of care will come

from an expanded version of the

standardized resident assessment

instrument currently used by States for

all nursing home residents. The same

tool that is used in care planning, which

measures residents’ needs, strengths,

and preferences, will be used to

determine Medicare and Medicaid

payment. In the developmental phase of

the demonstration, data from the

assessment instruments were used to

create 30 facility-level quality

indicators. Under the demonstration,

these indicators will help facilities

benchmark their own performance and

help Medicare and Medicaid target

nursing home surveys.

Date Received: Winter 1989.

Date Awarded: January 1995.

Implementation Date: (Proposed)

Summer 1995.

State Contact: Carol Job, R.N., Case

Mix Demonstration Project Director,

Department of Social Services and

Aging, 700 Governors Drive, Pierre,

South Dakota 57501–2291, (605) 773–

3656.

Federal Project Officer: Elizabeth

Cornelius, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

Demonstration Title/State: The

Multistate Nursing Home Case-Mix and

Quality Demonstration—Texas.

Description: This demonstration tests

a combined Medicare and Medicaid

nursing home payment and quality

monitoring system. The system

significantly enhances the quality

assurance process in SNFs. Data for

measuring quality of care will come

from an expanded version of the

standardized resident assessment

instrument currently used by States for

all nursing home residents. The same

tool that is used in care planning, which

measures residents’ needs, strengths,

and preferences, will be used to

determine Medicare and Medicaid

payment. In the developmental phase of

the demonstration, data from the

assessment instruments were used to

create 30 facility-level quality

indicators. Under the demonstration,

these indicators will help facilities

benchmark their own performance and

help Medicare and Medicaid target

nursing home surveys.

Date Received: Winter 1989.

Date Awarded: January 1995.

Implementation Date: (Proposed)

Summer 1995.

State Contact: Sue Wilson, Case Mix

Demonstration Project Director Rate

Analysis Department, Texas Department

of Human Services P.O. Box 149030,

Mailcode W–425, Austin, Texas 78714–

9030 (512) 450–3744

Federal Project Officer: Elizabeth

Cornelius, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

The following proposal was approved

in January 1995.

Demonstration Title/State:

Demonstration Project for Family

Planning and Reproductive Services—

Maryland.

Description: Maryland will extend

Medicaid eligibility for family planning

and preventive reproductive services for

a 5-year period to women who are

Medicaid eligible due to their pregnancy

and remain Medicaid eligible 60-days

post-partum.

Date Received: June 11, 1994.

Date Awarded: January 18, 1995.

Implementation Date: Not yet

determined

State Contact: Jane Forman,

Department of Health and Mental

Hygiene Room 137, 201 West Preston

Street, Baltimore, Maryland 21201, (410)

225–6538

Federal Project Officer: Alisa Adamo,

Health Care Financing Administration,

Office of Research and Demonstrations,

2302 Oak Meadows, 6325 Security

Boulevard, Baltimore, Maryland 21207.

The following are projects approved

since January 1, 1993, in addition to

those published in the Federal Register

on January 23, 1995 (60 FR 4418).

Demonstration Title/State: Medicaid

Direct Purchase Vaccine Program

(MDPVP)—Arkansas.

Description: The MDPVP streamlines

the reimbursement process for vaccines,

by allowing States to directly reimburse

manufacturers for vaccines. Vaccine

manufacturers send a shipment of

vaccines on consignment at no cost to

each private physician who treats

children on Medicaid. Physicians then

bill Medicaid for the office visit when

they inoculate children, but not for the

cost of the vaccine. The Medicaid

program will reimburse the

manufacturer directly at a discounted

rate, according to the number of

vaccines administered. The

manufacturer will then send

replacement quantities of the vaccines

to the private physicians.

Date Received: March 1993.

Date Awarded: June 1993.

Implementation Date: Not Yet

Determined.

State Contact: Judy Kerr, Arkansas

Department of Human Services,

Division of Economic and Medical

Services, Donaghey Plaza South, P.O.

Box 1437 Little Rock, Arkansas 72203–

1437, (501) 682–8360.

Federal Project Officer: Alisa Adamo,

Health Care Financing Administration,

Office of Research and Demonstrations,

2302 Oak Meadows, 6325 Security

Boulevard, Baltimore, Maryland 21207.

Demonstration Title/State: Improving

Access to Care for Pregnant Substance

Abusers—Massachusetts.

Description: This demonstration seeks

to increase the number of Medicaideligible pregnant substance abusers who

receive coordinated perinatal care

services, substance abuse treatment, and

other relevant services to promote better

health outcomes for themselves and

their offspring.

Date Received: 1991.

Date Awarded: July 1, 1993.

Implementation Date: July 1993.

State Contact: Milton Argeriou, Ph.D.

Project Director, MOTHERS Project, 200
16486 Federal Register / Vol. 60, No. 61 / Thursday, March 30, 1995 / Notices

Lincoln Street, Suite 303, Boston,

Massachusetts 02111, (617) 426–5997.

Federal Project Officer: Debbie Van

Hoven, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

Demonstration Title/State: Improving

Access to Care for Pregnant Substance

Abusers—New York.

Description: This demonstration seeks

to increase the number of Medicaideligible pregnant substance abusers who

receive coordinated perinatal care

services, substance abuse treatment, and

other relevant services to promote better

health outcomes for themselves and

their offspring.

Date Received: 1991.

Date Awarded: July 1, 1993.

Implementation Date: July 1993.

State Contact: Mr. Stuart Lefkowich,

Assistant Commissioner, Bureau of

Primary Care, Division of Health and

Long Term Care, New York State

Department of Social Services, 40 North

Pearl Street, Albany, New York 12243–

0001, (518) 473–5875

Federal Project Officer: Sherrie Fried,

Health Care Financing Administration,

Office of Research and Demonstrations,

2302 Oak Meadows, 6325 Security

Boulevard, Baltimore, Maryland 21207.

Demonstration Title/State: Health

Access Plan—South Carolina.

Description: This project tests the

effects on individuals’ access to and cost

of health care of eliminating categorical

eligibility requirements and of raising

the financial eligibility limits to 150

percent of the Federal poverty level.

Date Received: Spring 1991.

Date Awarded: February 1993.

Implementation Date: March 1993.

State Contact: Bruce Bondo, Health

and Human Services Finance

Commission, 1801 Main Street,

Columbia, South Carolina 29201, (803)

253–6177.

Federal Project Officer: Jamie Hadley,

Health Care Financing Administration,

Office of Research and Demonstrations,

2302 Oak Meadows, 6325 Security

Boulevard, Baltimore, Maryland 21207.

Demonstration Title/State: Improving

Access to Care for Pregnant Substance

Abusers—South Carolina.

Description: This demonstration seeks

to increase the number of Medicaideligible pregnant substance abusers who

receive coordinated perinatal care

services, substance abuse treatment, and

other relevant services to promote better

health outcomes for themselves and

their offspring.

Date Received: 1991.

Date Awarded: July 1, 1993.

Implementation Date: July 1993.

State Contact: Bunny W. Jones, State

Health and Human Services Finance

Commission, Department of High Risk

and Maternal Care, P.O. Box 8206,

Columbia, South Carolina 29202–8206,

(803) 253–6374.

Federal Project Officer: Debbie Van

Hoven, Health Care Financing

Administration, Office of Research and

Demonstrations, 2302 Oak Meadows,

6325 Security Boulevard, Baltimore,

Maryland 21207.

Demonstration Title/State: Health

Access Plan—Washington.

Description: This project tests the

effects of eliminating categorical

eligibility requirements and raising the

financial eligibility limits to 200 percent

of the Federal poverty level on

individuals’ access to and cost of health

care.

Date Received: Spring 1991.

Date Awarded: February 1993.

Implementation Date: March 1993.

State Contact: Rochelle Salsman,

Department of Health and Social

Services, Medical Assistance

Administration, Office of Recipient

Services, 617 8th Avenue, SE., 4th

Floor, P.O. Box 45530, Olympia,

Washington 98504, (206) 753–7463.

Federal Project Officer: Jamie Hadley,

Health Care Financing Administration,

Office of Research and Demonstrations,

2302 Oak Meadows, 6325 Security

Boulevard, Baltimore, Maryland 21207.

Demonstration Title/State: Improving

Access to Care for Pregnant Substance

Abusers—Washington.

Description: This demonstration seeks

to increase the number of Medicaideligible pregnant substance abusers who

receive coordinated perinatal care

services, substance abuse treatment, and

other relevant services to promote better

health outcomes for themselves and

their offspring.

Date Received: 1991.

Date Awarded: July 1, 1993.

Implementation Date: July 1993.

State Contact: Kathy L. Apodaca, First

Steps Plus Project, Medical Assistance

Administration, Washington State

Department of Health, P.O. Box 45730,

Olympia, Washington 98504, (509) 575–

2227.

Federal Project Officer: Alisa Adamo,

Health Care Financing Administration,

Office of Research and Demonstrations,

2302 Oak Meadows, 6325 Security

Boulevard, Baltimore, Maryland 21207.

5. Disapproved Proposals

No proposals were disapproved

during the month of January.

III. Requests for Copies of a Proposal

Requests for copies of a specific

Medicaid proposal should be made to

the State contact listed for the specific

proposal. If further help or information

is needed, inquiries should be directed

to HCFA at the address above.

(Catalog of Federal Domestic Assistance

Program, No. 93.779; Health Financing

Research, Demonstrations, and Experiments.)

Dated: March 21, 1995.

Bruce C. Vladeck,

Administrator, Health Care Financing

Administration.

[FR Doc. 95–7848 Filed 3–29–95; 8:45 am]

BILLING CODE 4120–01–P

National Institutes of Health

Division of Research Grants; Closed

Meetings

Pursuant to Section 10(d) of the

Federal Advisory Committee Act, as

amended (5 U.S.C. Appendix 2), notice

is hereby given of the following Division

of Research Grants Special Emphasis

Panel (SEP) meetings:

Purpose/Agenda: To review individual

grant applications.

Name of SEP: Chemistry and Related

Sciences.

Date: April 7, 1995.

Time: 1:00 p.m.

Place: NIH, Westwood Building, Room

322, Telephone Conference.

Contact Person: Dr. Edmund Copeland,

Scientific Review Admin., 5333 Westbard

Ave., Room 322, Bethesda, MD 20892, (301)

594–7154.

Name of SEP: Chemistry and Related

Sciences.

Date: April 14, 1995.

Time: 1:00 p.m.

Place: NIH, Westwood Building, Room

322, Telephone Conference.

Contact Person: Dr. Edmund Copeland,

Scientific Review Admin., 5333 Westbard

Ave., Room 322, Bethesda, MD 20892, (301)

594–7154.

Name of SEP: Behavioral and

Neurosciences.

Date: April 21, 1995.

Time: 9:00 a.m.

Place: Rockefeller University, New York,

NY.

Contact Person: Dr. Kenneth Newrock,

Scientific Review Admin., 5333 Westbard

Ave., Room 232, Bethesda, MD 20892, (301)

594–7123.

Name of SEP: Clinical Sciences.

Date: May 1, 1995.

Time: 2:00 p.m.

Place: NIH, Westwood Building, Room

349, Telephone Conference.

Contact Person: Ms. Jo Pelham, Scientific

Review Administrator, 5333 Westbard Ave.,

Room 349, Bethesda, MD 20892, (301) 594–

7254.

The meetings will be closed in accordance

with the provisions set forth in section