[Federal Register Volume 61, Number 94 (Tuesday, May 14, 1996)]
[Notices]
[Pages 24318-24319]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-12018]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[ORD-086-N]


New and Pending Demonstration Project Proposals Submitted 
Pursuant to Section 1115(a) of the Social Security Act: February and 
March 1996

AGENCY: Health Care Financing Administration (HCFA).

ACTION: Notice.

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SUMMARY: This notice lists new proposals for Medicaid demonstration 
projects submitted to the Department of Health and Human Services 
during the months of February and March 1996 under the authority of 
section 1115 of the Social Security Act. This notice also lists 
proposals that were approved, disapproved, pending, or withdrawn during 
this time period. (This notice can be accessed on the Internet at 
HTTP://WWW.HCFA.GOV/ORD/ORDHP1.HTML.)

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, Mail Stop C3-
11-07, 7500 Security Boulevard, Baltimore, MD 21244-1850.

FOR FURTHER INFORMATION CONTACT: Susan Anderson, (410) 786-3996.

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.
    As part of our procedures, we publish a notice in the Federal 
Register with a monthly listing of all new submissions, pending 
proposals, approvals, disapprovals, and withdrawn proposals. Proposals 
submitted in response to a grant solicitation or other competitive 
process are reported as received during the month that such grant or 
bid is awarded, so as to prevent interference with the awards process.

II. Listing of New, Pending, Approved, and Withdrawn Proposals for the 
Months of February and March 1996

A. Comprehensive Health Reform Programs

    1. New Proposals: The following comprehensive health reform 
proposal was received during the month of February.
    Demonstration Title/State: Medicaid Demonstration Project for Los 
Angeles County--California.
    Description: The State is pursuing a section 1115 demonstration 
designed to stabilize the Los Angeles County health care system, and to 
foster a restructuring process that is responsive to the needs of the 
community in the development of a more cost effective system.
    Date Received: February 29, 1996.
    State Contact: John Rodriguez, Deputy Director, Medical Care 
Services, Department of Health Services, 714/744 P Street, P.O. Box 
942732, Sacramento, CA 94234-7320, (916) 654-0391.
    Federal Project Officer: Gina Clemons, Health Care Financing 
Administration, Office of Research and Demonstrations, Office of State 
Health Reform Demonstrations, Mail Stop C3-18-26, 7500 Security 
Boulevard, Baltimore, MD 21244-1850.
    No new proposals were received during the month of March.
    2. Pending, Approved, and Withdrawn Proposals: We did not approve 
or disapprove any proposals during February or March nor were any 
proposals withdrawn during those months. The one new pending proposal 
added to the month of March is: Medicaid Demonstration Project for Los 
Angeles County--California. See above II.A.1. for further description. 
Pending proposals for the month of November 1995 published in the 
Federal Register on January 23, 1996, 61 FR 1769, remain unchanged with 
the addition of above for the months of February and March.

[[Page 24319]]

B. Other Section 1115 Demonstration Proposals

    1. New Proposals: The following new proposal was received during 
the month of February.
    Demonstration Title/State: Wisconsin Partnership Program--
Wisconsin.
    Description: Wisconsin has submitted Medicare section 222 
demonstration and Medicaid section 1115 waiver requests to implement 
the ``Wisconsin Partnership Program'' in specific counties of the 
State. This program will test two innovative models of care, one for 
frail elderly and one for persons with disabilities, utilizing a multi-
disciplinary team to manage care. The team is to include the 
beneficiary, a nurse practitioner, the beneficiary's choice of primary 
care physician, and a social worker or independent living coordinator. 
Consumer choice of care, settings and the manner of service delivery is 
a key component of the program. The demonstration will test the use of 
consumer-defined quality indicators to measure and improve the quality 
of service provided to people who are elderly and people with 
disabilities.
    Date Received: February 28, 1996.
    State Contact: Mary Rowin, State of Wisconsin, Department of Health 
and Social Services, 1 West Wilson Street, P.O. Box 7850, Madison, WI 
53707, (608) 261-8885.
    Federal Contact: William Clark, Health Care Financing 
Administration, Office of Research and Demonstrations, Office of 
Beneficiary and Program Research and Demonstrations, Mail Stop C3-21-
06, 7500 Security Boulevard, Baltimore, MD 21244-1850.
    No new proposals were received in March.
    2. Pending, Approved, and Withdrawn Proposals: We did not approve 
or disapprove any Comprehensive Health Reform Programs or Other Section 
1115 Demonstration Proposals during February or March nor were any 
proposals withdrawn during those months. The one new pending proposal 
added to the month of March is: Wisconsin Partnership Program--
Wisconsin. See above II.B.1. for further description. Pending proposals 
for the month of November 1995 published in the Federal Register on 
January 23, 1996, 61 FR 1769, remain unchanged with the addition of 
above for the months of February and March.

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: April 24, 1996.
Barbara Cooper,
Acting Director, Office of Research and Demonstrations.
[FR Doc. 96-12018 Filed 5-13-96; 8:45 am]
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