31536 Federal Register / Vol. 83, No. 130 / Friday, July 6, 2018 / Notices 

FEDERAL COMMUNICATIONS 

COMMISSION 

[GN Docket No. 17–83] 

Meeting of the Broadband Deployment 

Advisory Committee 

AGENCY: Federal Communications 

Commission. 

ACTION: Notice. 

SUMMARY: In this document, the 

Commission announces and provides an 

agenda for the next meeting of 

Broadband Deployment Advisory 

Committee (BDAC). 

DATES: Thursday, July 26, 2018 and 

Friday, July 27, 2018. The meeting will 

come to order at 9:00 a.m. each day. 

ADDRESSES: Federal Communications 

Commission, 445 12th Street SW, Room 

TW–C305, Washington, DC 20554. 

FOR FURTHER INFORMATION CONTACT: Paul 

D’Ari, Designated Federal Authority 

(DFO) of the BDAC, at paul.dari@fcc.gov 

or 202–418–1550; Jiaming Shang, 

Deputy DFO of the BDAC, at 

jiaming.shang@fcc.gov or 202–418– 

1303; or Deborah Salons, Deputy DFO of 

the BDAC, at deborah.salons@fcc.gov or 

202–418–0637. The TTY number is: 

(202) 418–0484. 

SUPPLEMENTARY INFORMATION: This 

meeting is open to members of the 

general public. The FCC will 

accommodate as many participants as 

possible; however, admittance will be 

limited to seating availability. The 

Commission will also provide audio 

and/or video coverage of the meeting 

over the internet from the FCC’s web 

page at www.fcc.gov/live. Oral 

statements at the meeting by parties or 

entities not represented on the BDAC 

will be permitted to the extent time 

permits, at the discretion of the BDAC 

Chair and the DFO. Members of the 

public may submit comments to the 

BDAC in the FCC’s Electronic Comment 

Filing System, ECFS, at www.fcc.gov/ 

ecfs. Comments to the BDAC should be 

filed in Docket 17–83. 

Open captioning will be provided for 

this event. Other reasonable 

accommodations for people with 

disabilities are available upon request. 

Requests for such accommodations 

should be submitted via email to 

fcc504@fcc.gov or by calling the 

Consumer & Governmental Affairs 

Bureau at (202) 418–0530 (voice), (202) 

418–0432 (TTY). Such requests should 

include a detailed description of the 

accommodation needed. In addition, 

please include a way for the FCC to 

contact the requester if more 

information is needed to fill the request. 

Please allow at least five days’ advance 

notice; last minute requests will be 

accepted but may not be possible to 

accommodate. 

Proposed Agenda: At this meeting, 

the BDAC will consider and vote on 

reports and recommendations from its 

Harmonization Working Group to 

harmonize the Model Code for 

Municipalities and Model Code for 

States adopted by the BDAC on April 

25, 2018. In addition, the Ad Hoc 

Committee for Rates and Fees will give 

a presentation. The BDAC will also 

discuss its next steps. This agenda may 

be modified at the discretion of the 

BDAC Chair and the DFO. 

Federal Communications Commission. 

Daniel Kahn, 

Chief, Competition Policy Division, Wireline 

Competition Bureau. 

[FR Doc. 2018–14494 Filed 7–5–18; 8:45 am] 

BILLING CODE 6712–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Disease Control and 

Prevention 

Notice of Closed Meeting 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), Title 5 U.S.C., 

as amended, and the Determination of 

the Director, Management Analysis and 

Services Office, CDC, pursuant to Public 

Law 92–463. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: Disease, Disability, 

and Injury Prevention and Control Special 

Emphasis Panel (SEP)—DP19–001, Health 

Promotion and Disease Prevention Research 

Centers. 

Dates: August 26–30, 2018. 

Times: August 26, 2018, 4:00 p.m.–7:00 

p.m., EDT and August 27–30, 2018, 8:30 

a.m.–6:30 p.m., EDT. 

Place: Centers for Disease Control and 

Prevention, 1600 Clifton Road NE, Global 

Communications Center, Auditorium B, 

Atlanta, Georgia 30333. 

Agenda: To review and evaluate grant 

applications. 

For Further Information Contact: Jaya 

Raman Ph.D., Scientific Review Officer, CDC, 

4770 Buford Highway, Mailstop F80, Atlanta, 

Georgia 30341, Telephone: (770) 488–6511, 

kva5@cdc.gov. 

The Director, Management Analysis and 

Services Office, has been delegated the 

authority to sign Federal Register notices 

pertaining to announcements of meetings and 

other committee management activities, for 

both the Centers for Disease Control and 

Prevention and the Agency for Toxic 

Substances and Disease Registry. 

Elaine Baker 

Director, Management Analysis and Services 

Office, Centers for Disease Control and 

Prevention. 

[FR Doc. 2018–14492 Filed 7–5–18; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–2414–N] 

RIN 0938–ZB48 

Medicaid Program; Final FY 2016 and 

Preliminary FY 2018 Disproportionate 

Share Hospital Allotments, and Final 

FY 2016 and Preliminary FY 2018 

Institutions for Mental Diseases 

Disproportionate Share Hospital Limits 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces the 

final federal share disproportionate 

share hospital (DSH) allotments for 

federal fiscal year (FY) 2016 and the 

preliminary federal share DSH 

allotments for FY 2018. This notice also 

announces the final FY 2016 and the 

preliminary FY 2018 limitations on 

aggregate DSH payments that states may 

make to institutions for mental disease 

and other mental health facilities. In 

addition, this notice includes 

background information describing the 

methodology for determining the 

amounts of states’ FY DSH allotments. 

DATES: This notice is applicable August 

6, 2018. The final allotments and 

limitations set forth in this notice are 

applicable for the fiscal years specified. 

FOR FURTHER INFORMATION CONTACT: 

Stuart Goldstein, (410) 786–0694 and 

Richard Cuno, (410) 786–1111. 

SUPPLEMENTARY INFORMATION: 

I. Background 

A. Fiscal Year DSH Allotments 

A state’s federal fiscal year (FY) 

disproportionate share hospital (DSH) 

allotment represents the aggregate limit 

on the federal share amount of the 

state’s DSH payments to DSH hospitals 


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Federal Register / Vol. 83, No. 130 / Friday, July 6, 2018 / Notices 31537 

in the state for the FY. The amount of 

such allotment is determined in 

accordance with the provisions of 

section 1923(f)(3) of the Social Security 

Act (the Act), with some state-specific 

exceptions as specified in section 

1923(f) of the Act. Under such 

provisions, in general a state’s FY DSH 

allotment is calculated by increasing the 

amount of its DSH allotment for the 

preceding FY by the percentage change 

in the Consumer Price Index for all 

Urban Consumers (CPI–U) for the 

previous FY. 

The Patient Protection and Affordable 

Care Act of 2010 (Pub. L. 111–148), as 

amended by the Health Care and 

Education Reconciliation Act of 2010 

(Pub. L. 111–152) (collectively, the 

Affordable Care Act), amended 

Medicaid DSH provisions, adding 

section 1923(f)(7) of the Act. Section 

1923(f)(7) of the Act would have 

required reductions to states’ FY DSH 

allotments from FY 2014 through FY 

2020, the calculation of which was 

described in the Disproportionate Share 

Hospital Payment Reduction final rule 

published in the September 18, 2013 

Federal Register (78 FR 57293). 

Subsequent legislation, most recently by 

the Bipartisan Budget Act of 2018 (Pub. 

L. 115–123, enacted February 9, 2018), 

delayed the start of these reductions 

until FY 2020. A proposed rule 

delineating a revised methodology for 

the calculation of DSH allotment 

reductions previously scheduled to 

begin in FY 2018 was published in the 

July 28, 2017 Federal Register (82 FR 

35155). 

Because there are no reductions to 

DSH allotments for FY 2016 and FY 

2018 under section 1923(f)(7) of the Act, 

as amended, this notice contains only 

the state-specific final FY 2016 DSH 

allotments and preliminary FY 2018 

DSH allotments, as calculated under the 

statute without application of the 

reductions that would have been 

imposed under the Affordable Care Act 

provisions beginning with FY 2014. 

This notice also provides information 

on the calculation of such FY DSH 

allotments, the calculation of the states’ 

institutions for mental diseases (IMDs) 

DSH limits, and the amounts of states’ 

final FY 2016 IMD DSH limits and 

preliminary FY 2018 IMD DSH limits. 

B. Determination of Fiscal Year DSH 

Allotments 

Generally, in accordance with the 

methodology specified under section 

1923(f)(3) of the Act, a state’s FY DSH 

allotment is calculated by increasing the 

amount of its DSH allotment for the 

preceding FY by the percentage change 

in the CPI–U for the previous FY. Also 

in accordance with section 1923(f)(3) of 

the Act, a state’s DSH allotment for a FY 

is subject to the limitation that an 

increase to a state’s DSH allotment for 

a FY cannot result in the DSH allotment 

exceeding the greater of the state’s DSH 

allotment for the previous FY or 12 

percent of the state’s total medical 

assistance expenditures for the 

allotment year (this is referred to as the 

12 percent limit). 

Furthermore, under section 1923(h) of 

the Act, federal financial participation 

(FFP) for DSH payments to IMDs and 

other mental health facilities is limited 

to state-specific aggregate amounts. 

Under this provision, the aggregate limit 

for DSH payments to IMDs and other 

mental health facilities is the lesser of 

a state’s FY 1995 total computable (state 

and federal share) IMD and other mental 

health facility DSH expenditures 

applicable to the state’s FY 1995 DSH 

allotment (as reported on the Form 

CMS–64 as of January 1, 1997), or the 

amount equal to the product of the 

state’s current year total computable 

DSH allotment and the applicable 

percentage specified in section 1923(h) 

of the Act. 

In general, we determine states’ DSH 

allotments for a FY and the IMD DSH 

limits for the same FY using the most 

recent available estimates of or actual 

medical assistance expenditures, 

including DSH expenditures in their 

Medicaid programs and the most recent 

available change in the CPI–U used for 

the FY in accordance with the 

methodology prescribed in the statute. 

The indicated estimated or actual 

expenditures are obtained from states 

for each relevant FY from the most 

recent available quarterly Medicaid 

budget reports (Form CMS–37) or 

quarterly Medicaid expenditure reports 

(Form CMS–64), respectively, submitted 

by the states. For example, as part of the 

initial determination of a state’s FY DSH 

allotment (referred to as the preliminary 

DSH allotments) that is determined 

before the beginning of the FY for which 

the DSH allotments and IMD DSH limits 

are being determined, we use estimated 

expenditures for the FY obtained from 

the August submission of the CMS–37 

submitted by states prior to the 

beginning of the FY; such estimated 

expenditures are subject to update and 

revision during the FY before such 

actual expenditure data become 

available. We also use the most recent 

available estimated CPI–U percentage 

change that is available before the 

beginning of the FY for determining the 

states’ preliminary FY DSH allotments; 

such estimated CPI–U percentage 

change is subject to update and revision 

during the FY before the actual CPI–U 

percentage change becomes available. In 

determining the final DSH allotments 

and IMD DSH limits for a FY we use the 

actual expenditures for the FY and 

actual CPI–U percentage change for the 

previous FY. 

II. Provisions of the Notice 

A. Calculation of the Final FY 2016 

Federal Share State DSH Allotments, 

and the Preliminary FY 2018 Federal 

Share State DSH Allotments 

1. Final FY 2016 Federal Share State 

DSH Allotments 

Addendum 1 to this notice provides 

the states’ final FY 2016 DSH allotments 

determined in accordance with section 

1923(f)(3) of the Act. As described in the 

background section, in general, the DSH 

allotment for a FY is calculated by 

increasing the FY DSH allotment for the 

preceding FY by the CPI–U increase for 

the previous fiscal year. For purposes of 

calculating the states’ final FY 2016 

DSH allotments, the preceding final 

fiscal year DSH allotments (for FY 2015) 

were published in the November 3, 2017 

Federal Register (82 FR 51259). For 

purposes of calculating the states’ final 

FY 2016 DSH allotments we are using 

the actual Medicaid expenditures for FY 

2016. Finally, for purposes of 

calculating the states’ final FY 2016 

DSH allotments, the applicable 

historical percentage change in the CPI– 

U for the previous FY (FY 2015) was 0.3 

percent; we note that this is the same as 

the estimated 0.3 percentage change in 

the CPI–U for FY 2015 that was 

available and used in the calculation of 

the preliminary FY 2016 DSH 

allotments which were published in the 

October 26, 2016 Federal Register (81 

FR 74432). 

2. Calculation of the Preliminary FY 

2018 Federal Share State DSH 

Allotments 

Addendum 2 to this notice provides 

the preliminary FY 2018 DSH 

allotments determined in accordance 

with section 1923(f)(3) of the Act. The 

preliminary FY 2018 DSH allotments 

contained in this notice were 

determined based on the most recent 

available estimates from states of their 

FY 2018 total computable Medicaid 

expenditures. Also, the preliminary FY 

2018 allotments contained in this notice 

were determined by increasing the 

preliminary FY 2017 DSH allotments. 

The estimated percentage increase in 

the CPI–U for FY 2017 was 2.4 percent 

(CMS originally published the 

preliminary FY 2017 DSH allotments in 

the November 3, 2017 Federal Register 

(82 FR 51259)). 


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31538 Federal Register / Vol. 83, No. 130 / Friday, July 6, 2018 / Notices 

We will publish states’ final FY 2018 

DSH allotments in a future notice based 

on the states’ four quarterly Medicaid 

expenditure reports (Form CMS–64) for 

FY 2018 available following the end of 

FY 2018 utilizing the actual change in 

the CPI–U for FY 2017. 

B. Calculation of the Final FY 2016 and 

Preliminary FY 2018 IMD DSH Limits 

Section 1923(h) of the Act specifies 

the methodology to be used to establish 

the limits on the amount of DSH 

payments that a state can make to IMDs 

and other mental health facilities. FFP 

is not available for DSH payments to 

IMDs or other mental health facilities 

that exceed the IMD DSH limits. In this 

notice, we are publishing the final FY 

2016 and the preliminary FY 2018 IMD 

DSH limits determined in accordance 

with the provisions discussed above. 

Addendums 3 and 4 to this notice 

detail each state’s final FY 2016 and 

preliminary FY 2018 IMD DSH limit, 

respectively, determined in accordance 

with section 1923(h) of the Act. 

III. Collection of Information 

Requirements 

As it relates to the Paperwork 

Reduction Act of 1995 (44 U.S.C. 3501 

et seq.), this notice does not impose any 

new or revised collection of information 

requirements or burden. While 

discussed in section I.B. and in 

Addendums 3 and 4 of this notice, the 

requirements and burden associated 

with Form CMS–37 and Form CMS–64 

are unaffected by this notice. Both forms 

are approved by the Office of 

Management and Budget (OMB) under 

control number 0938–1265. Since this 

notice will not impose any new or 

revised requirements/burden, we are not 

making any changes under that control 

number. 

IV. Regulatory Impact Analysis 

We have examined the impact of this 

notice as required by Executive Order 

12866 on Regulatory Planning and 

Review (September 1993), the 

Regulatory Flexibility Act (RFA) 

(September 19, 1980, Pub. L. 96–354), 

section 1102(b) of the Act, section 202 

of the Unfunded Mandates Reform Act 

of 1995 (Pub. L. 104–4; enacted on 

March 22, 1995) (UMRA ’95), Executive 

Order 13132 on Federalism (August 4, 

1999) and the Congressional Review Act 

(5 U.S.C. 804(2)), and Executive Order 

13771 on Reducing Regulation and 

Controlling Regulatory Costs (January 

30, 2017). 

Executive Order 12866 directs 

agencies to assess all costs and benefits 

of available regulatory alternatives and, 

if regulation is necessary, to select 

regulatory approaches that maximize 

net benefits (including potential 

economic, environmental, public health 

and safety effects, distributive impacts, 

and equity). A regulatory impact 

analysis (RIA) must be prepared for 

major rules with economically 

significant effects ($100 million or more 

in any 1 year). This notice reaches the 

$100 million economic threshold and 

thus is considered a major rule under 

the Congressional Review Act. 

The final FY 2016 DSH allotments 

being published in this notice are 

approximately $11 million more than 

the preliminary FY 2016 DSH 

allotments published in the October 26, 

2016 Federal Register (81 FR 74432). 

The increase in the final FY 2016 DSH 

allotments is a result of being calculated 

by multiplying the actual increase in the 

CPI–U for 2015 by the final FY 2015 

DSH allotments, while the preliminary 

FY 2016 DSH allotments were 

calculated by multiplying the estimated 

CPI–U for 2015 by the preliminary FY 

2015 DSH allotments. Although the 

estimated and actual increase in the 

CPI–U remained the same at 0.3 percent, 

the preliminary FY 2015 DSH 

allotments were lower than the final FY 

2015 DSH allotments and therefore the 

final FY 2016 DSH allotments are higher 

than the preliminary FY 2016 DSH 

allotments. The final FY 2016 IMD DSH 

limits being published in this notice are 

approximately $14 million more than 

the preliminary FY 2016 IMD DSH 

limits published in the October 26, 2016 

Federal Register (81 FR 74432). The 

increases in the IMD DSH limits are 

because the DSH allotment for a FY is 

a factor in the determination of the IMD 

DSH limit for the FY. Since the final FY 

2016 DSH allotments were increased as 

compared to the preliminary FY 2016 

DSH allotments, the associated FY 2016 

IMD DSH limits for some states were 

also increased. 

The preliminary FY 2018 DSH 

allotments being published in this 

notice have been increased by 

approximately $288 million more than 

the preliminary FY 2017 DSH 

allotments published in the November 

3, 2017 Federal Register (82 FR 51259). 

The increase in the DSH allotments is 

due to the application of the statutory 

formula for calculating DSH allotments 

under which the prior fiscal year 

allotments are increased by the 

percentage increase in the CPI–U for the 

prior fiscal year. The preliminary FY 

2018 IMD DSH limits being published 

in this notice are approximately $24 

million more than the preliminary FY 

2017 IMD DSH limits published in the 

November 3, 2017 Federal Register (82 

FR 51259). The increases in the IMD 

DSH limits are because the DSH 

allotment for a FY is a factor in the 

determination of the IMD DSH limit for 

the FY. Since the preliminary FY 2018 

DSH allotments are greater than the 

preliminary FY 2017 DSH allotments, 

the associated preliminary FY 2018 IMD 

DSH limits for some states also 

increased. 

The RFA requires agencies to analyze 

options for regulatory relief of small 

businesses, if a rule has a significant 

impact on a substantial number of small 

entities. For purposes of the RFA, small 

entities include small businesses, 

nonprofit organizations, and small 

governmental jurisdictions. Most 

hospitals and most other providers and 

suppliers are small entities, either by 

nonprofit status or by having revenues 

of less than $7.0 million to $34.5 

million in any one year. Individuals and 

states are not included in the definition 

of a small entity. We are not preparing 

an analysis for the RFA because the 

Secretary has determined that this 

notice will not have significant 

economic impact on a substantial 

number of small entities. Specifically, 

any impact on providers is due to the 

effect of the various controlling statutes; 

providers are not impacted as a result of 

the independent regulatory action in 

publishing this notice. The purpose of 

the notice is to announce the latest DSH 

allotments and IMD DSH limits, as 

required by the statute. 

In addition, section 1102(b) of the Act 

requires us to prepare a regulatory 

impact analysis if a rule may have a 

significant impact on the operations of 

a substantial number of small rural 

hospitals. This analysis must conform to 

the provisions of section 604 of the 

RFA. For purposes of section 1102(b) of 

the Act, we define a small rural hospital 

as a hospital that is located outside of 

a Core-Based Statistical Area for 

Medicaid payment regulations and has 

fewer than 100 beds. We are not 

preparing analysis for section 1102(b) of 

the Act because the Secretary has 

determined that this notice will not 

have a significant impact on the 

operations of a substantial number of 

small rural hospitals. 

The Medicaid statute specifies the 

methodology for determining the 

amounts of states’ DSH allotments and 

IMD DSH limits; and as described 

previously, the application of the 

methodology specified in statute results 

in the decreases or increases in states’ 

DSH allotments and IMD DSH limits for 

the applicable FYs. The statute 

applicable to these allotments and limits 

does not apply to the determination of 

the amounts of DSH payments made to 

specific DSH hospitals; rather, these 


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Federal Register / Vol. 83, No. 130 / Friday, July 6, 2018 / Notices 31539 

allotments and limits represent an 

overall limit on the total of such DSH 

payments. For this reason, we do not 

believe that this notice will have a 

significant economic impact on a 

substantial number of small entities. 

Section 202 of the Unfunded 

Mandates Reform Act of 1995 also 

requires that agencies assess anticipated 

costs and benefits before issuing any 

rule whose mandates require spending 

in any 1 year of $100 million in 1995 

dollars, updated annually for inflation. 

In 2018, that threshold is approximately 

$150 million. This notice will have no 

consequential effect on spending by 

state, local, or tribal governments, in the 

aggregate, or on the private sector. 

Executive Order 13132 establishes 

certain requirements that an agency 

must meet when it promulgates a 

proposed rule (and subsequent final 

rule) that imposes substantial direct 

requirement costs on state and local 

governments, preempts state law, or 

otherwise has Federalism implications. 

Since this notice does not impose any 

costs on state or local governments or 

otherwise have Federalism implications, 

the requirements of E.O. 13132 are not 

applicable. 

Executive Order 13771, titled 

‘‘Reducing Regulation and Controlling 

Regulatory Costs,’’ was issued on 

January 30, 2017. It has been 

determined that this notice is a transfer 

rule and is not a regulatory action for 

the purposes of Executive Order 13771. 

A. Alternatives Considered 

The methodologies for determining 

the states’ fiscal year DSH allotments 

and IMD DSH limits, as reflected in this 

notice, were established in accordance 

with the methodologies and formula for 

determining states’ allotments and 

limits as specified in statute. This notice 

does not put forward any further 

discretionary administrative policies for 

determining such allotments and limits, 

or otherwise. 

B. Accounting Statement 

As required by OMB Circular A–4 

(available at http://

www.whitehouse.gov/omb/circulars/ 

a004/a-4.pdf), in Table 1, we have 

prepared an accounting statement 

showing the classification of the 

estimated expenditures associated with 

the provisions of this notice. Table 1 

provides our best estimate of the change 

(decrease) in the federal share of states’ 

Medicaid DSH payments resulting from 

the application of the provisions of the 

Medicaid statute relating to the 

calculation of states’ FY DSH allotments 

and the increase in the FY DSH 

allotments from FY 2017 to FY 2018. 

TABLE 1—ACCOUNTING STATEMENT: 

CLASSIFICATION OF ESTIMATED EXPENDITURES, FROM THE FY 2017 TO

FY 2018 

[In millions] 

Category Transfers 

Annualized Monetized 

Transfers.

$288. 

From Whom To 

Whom? 

Federal Government 

to States. 

Congressional Review Act 

This proposed regulation is subject to 

the Congressional Review Act 

provisions of the Small Business 

Regulatory Enforcement Fairness Act of 

1996 (5 U.S.C. 801 et seq.) and has been 

transmitted to the Congress and the 

Comptroller General for review. 

In accordance with the provisions of 

Executive Order 12866, this notice was 

reviewed by the Office of Management 

and Budget. 

Dated: May 30, 2018. 

Seema Verma, 

Administrator, Centers for Medicare & 

Medicaid Services. 

Dated June 28, 2018. 

Alex M. Azar II, 

Secretary, Department of Health and Human 

Services. 

KEY TO ADDENDUM 1—FINAL DSH ALLOTMENTS FOR FY 2015 

The Final FY 2016 DSH Allotments for the NON-Low DSH States are presented in the top section of this addendum, and the Final FY 2016 

DSH Allotments for the Low-DSH States are presented in the bottom section of this addendum. 

Column Description 

Column A .......... State. 

Column B .......... FY 2016 FMAPs. This column contains the States’ FY 2016 Federal Medical Assistance Percentages. 

Column C ......... Prior FY (2015) DSH Allotments. This column contains the States’ prior FY 2015 DSH Allotments. 

Column D ......... Prior FY (2015) DSH Allotments (Col C) × (100 percent + Percentage Increase in CPIU): 100.3 percent. This column contains 

the amount in Column C increased by 1 plus the percentage increase in the CPI–U for the prior FY (100.3 percent). 

Column E .......... FY 2016 TC MAP Exp. Including DSH. This column contains the amount of the States’ FY 2016 total computable (TC) medical assistance expenditures including DSH expenditures. 

Column F .......... FY 2016 TC DSH Expenditures. This column contains the amount of the States’ FY 2016 total computable DSH expenditures. 

Column G ......... FY 2016 TC MAP Exp. Net of DSH. This column contains the amount of the States’ FY 2016 total computable medical assistance expenditures net of DSH expenditures, calculated as the amount in Column E minus the amount in Column F. 

Column H ......... 12 percent Amount. This column contains the amount of the ‘‘12 percent limit’’ in Federal share, determined in accordance 

with the provisions of section 1923(f)(3) of the Act. 

Column I ........... Greater of FY 2015 Allotment or 12 percent Limit. This column contains the greater of the State’s prior FY (FY 2015) DSH allotment or the amount of the 12 percent Limit, determined as the maximum of the amount in Column C or Column H. 

Column J .......... FY 2016 DSH Allotment. This column contains the States’ final FY 2016 DSH allotments, determined as the minimum of the 

amount in Column I or Column D. For states with ‘‘na’’ in Columns I or D, refer to the footnotes in the addendum. 


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EN06JY18.009</GPH>daltland on DSKBBV9HB2PROD with NOTICES

ADDENDUM 1: FINAL DSH ALLOTMENTS FOR FISCAL YEAR: 2016 

Prior FY (2015) 

DSH allotment 

FY 2016 Prior FY (20 15) (Col C) x 100% FY 2016 TC MAP FY 2016 FY 2016 "12% Amount" = 

STATE FMAPs DSH + Exp. including TC DSH TC MAP EXP. Col Gx C

(percent) allotments Pet Increase in DSH expenditures net OfDSH .12/(1-.12/Col B)' (12

CPIU: ColE- F (In FS) 

100.3% 

ALABAMA 69.87 $333,514,963 $334,515,508 $5,435,036,771 $478,107,126 $4,956,929,645 $718,176,619 

ARIZONA 68.92 109,815,903 110,145,351 11,118,985,133 189,441,573 10,929,543,560 1,588,048,086 

CALIFORNIA 50.00 1,188,994,401 1,192,561,384 83,175,819,924 2,294,310,296 80,881,509,628 12,770,764,678 

COLORADO 50.72 100,325,639 100,626,616 7,885,768,808 191,712,503 7,694,056,305 1,209,429,346 CONNECTICUT 50.00 216,920,301 217,571,062 7,344,137,284 199,756,136 7,144,381,148 1,128,060,181 

DISTRICT OF 70.00 66,431,842 66,631,138 2,761,584,285 39,648,028 2,721,936,257 394,211 ,458 

COLUMBIA 

FLORIDA 60.67 216,920,301 217,571,062 21,689,957,388 357,672,706 21,332,284,682 3,191,032,780 

GEORGIA 67.55 291,486,655 292,361,115 9,723,814,007 432,380,982 9,291,433,025 1,355,829,993 

ILLINOIS 50.89 233,189,324 233,888,892 19,178,940,763 470,855,203 18,708,085,560 2,937,684,158 INDIANA 66.60 231,833,5 73 232,529,074 10,371,904,061 351,344,249 10,020,559,812 1,466,745,678 

KANSAS 55.96 44,739,812 44,874,031 3,252,725,194 66,439,556 3,186,285,638 486,727,600 

KENTUCKY 70.32 157,267,219 157,739,021 9,609,364,927 226,104,508 9,383,260,419 1,357,676,693 

LOUISIANA 62.21 743,671,360 745,902,374 8,536,666,882 1,283,724,677 7,252,942,205 1 ,078,364,154 

MAINE 62.67 113,883,158 114,224,807 2,490,164,925 42,332,641 2,447,832,284 363,305,268 MARYLAND 50.00 82,700,865 82,948,968 10,398,319,397 119,001,246 10,279,318,151 1,623,050,234 

MASSACHUSE 50.00 330,803,459 331,795,869 16,990,908,511 0 16,990,908,511 2,682,775,028 

TTS 

MICHIGAN 65.60 287,419,400 288,281,658 16,714,754,874 415,106,163 16,299,648,711 2,393,858,855 

MISSISSIPPI 74.17 165,401,730 165,897,935 5,397,714,759 223,355,122 5,174,359,637 740,773,211 

MISSOURI 63.28 513,829,963 515,371,453 9,811,515,212 661,694,759 9,149,820,453 1,354,915,690 

NEVADA 64.93 50,162,819 50,313,307 3,335,480,165 77,412,264 3,258,067,901 479,606,308 

NEW 50.00 173,643,098 174,164,027 1,948,727,991 248,325,661 1,700,402,330 268,484,578 

HAMPSHIRE 

NEW JERSEY 50.00 698,212,220 700,306,857 14,319,021,372 1,083,026,899 13,235,994,473 2,089,893,864 NEW YORK 50.00 1,742,141,169 1,7 47,367,593 60,995,857,591 3,395,485,268 57,600,372,323 9,094, 795,630 

EN06JY18.010</GPH>daltland on DSKBBV9HB2PROD with NOTICES

Prior FY (2015) 

DSH allotment 

FY 2016 Prior FY (20 15) (Col C) X 100% FY 2016 TC MAP FY 2016 FY 2016 "12% Amount" = 

STATE FMAPs DSH + Exp. including TC DSH TC MAP EXP. Col Gx C

(percent) allotments Pet Increase in DSH expenditures net OfDSH .12/(1-.12/Col B)* (12

CPIU: ColE- F (In FSl 

NORTH 66.24 319,957,444 320,917,316 12,157,764,904 459,922,639 11,697,842,265 1,714,303,256 

CAROLINA 

OHIO 62.47 440,619,363 441,941,221 21,473,065,804 702,913,525 20,770,152,279 3,085,028,126 

PENNSYLVANI 52.01 608,732,595 610,558,793 27,350,279,117 923,597,202 26,426,681,915 4,122,324,598 

A 

RHODE ISLAND 5Q.42 70,499,098 70,710,595 2,411,382,026 139,680,713 2,271,701,313 357,748,611 

SOUTH 71.08 355,206,993 356,272,614 5,941,185,838 532,052,436 5,409,133,402 780,936,768 

CAROLINA 

TENNESSEE Na 53,100,000 na na na na na 

TEXAS 57.13 1,037, 150,191 1,040,261,642 39,563,147,154 2,820,435,388 36,742,711,766 5,581,505,313 

VERMONT 54.45 $24,403,535 24,476,746 1,679,425,056 37,448,781 1,641,976,275 252,736,702 

VIRGINIA 50.00 $95,019,307 95,304,365 8,498,905,069 177,422,312 8,321,482,757 1,313,918,330 

WASHINGTON 50.00 $200,651,279 201,253,233 10,787,810,275 429,732,157 10,358,078,118 1,635,486,019 WEST VIRGINIA 71.42 $73,210,602 73,430,234 3,655,890,862 73,502,498 3,582,388,364 516,703,151 

TOTAL 0.00 11,371,859,581 11,352,715,860 476,006,026,329 19,143,945,217 456,862,081,112 70,134,900,964 

LOW DSH STATES 

ALASKA 50.00 22,092,999 22,159,278 1 ,785,355,973 23,183,505 1,762,172,468 278,237,758.11 

ARKANSAS 70.00 46,787,305 46,927,667 5,955,864,929 41,908,658 5,913,956,271 856,504,012 

DELAWARE 54.83 9,819,111 9,848,568 1 ,883,220,982 0 1 ,883,220,982 289,302,843 

HAWAII 53.98 10,570,301 10,602,012 2,156,012,061 8,107,072 2,164,119,133 333,928,015.62 

IDAHO 71.24 17,828,139 17,881,623 1 ,689,500,076 23,288,276 1 ,666,211 ,800 240,447,525.93 IOWA 54.91 42,712,842 42,840,981 4,716,461 ,091 35,224,693 4,681 ,236,398 718,844,1 59 

MINNESOTA 50.00 81,007,666 81,250,689 10,893,812,759 4,956,777 10,888,855,982 1,719,293,050 

MONTANA 65.24 12,311,068 12,348,001 1 ,361,662,906 18,908,411 1 ,342,754,495 197,448,467 

NEBRASKA 51.16 30,692,294 30,784,371 1,968,891,548 39,394,164 1 ,929,497,384 302,491 ,582 NEW MEXICO 70.37 22,092,999 22,159,278 5,339, 766,195 16,101,218 5,323,664,977 770,175,716 

EN06JY18.011</GPH>daltland on DSKBBV9HB2PROD with NOTICES

Prior FY (2015) 

DSH allotment 

FY 2016 Prior FY (20 15) (Col C) x 100% FY 2016 TC MAP FY 2016 FY 2016 "12% Amount" = 

STATE FMAPs DSH + Exp. including TC DSH TC MAP EXP. Col Gx C

(percent) allotments Pet Increase in DSH expenditures net OfDSH .12/(1-.12/Col B)* (12

CPIU: ColE- F (In FS) 

NORTH 50.00 10,360,093 10,391 '173 1,162,904,244 1,385,593 1,161,518,651 183,397,682 

DAKOTA 

OKLAHOMA 60.99 39,276,442 39,394,271 4,460,334,118 44,416,344 4,415,917,774 659,710,533 

OREGON 64.38 49,095,555 49,242,842 8,316,707,109 127,373,075 8,189,334,034 1,207,856,415 

SOUTH 51.61 11,979,041 12,014,978 832,399,125 1,496,978 830,902,147 129,915,253 

DAKOTA UTAH 70.24 21,277,695 21,341,528 2,100,346,398 33,093,465 2,067,252,933 299,183,749 

WISCONSIN 58.23 102,530,441 102,838,032 7,626,998,105 39,461,949 7,587,536,156 1 '146,845,504 

WYOMING 50.00 245,478 246,214 573,809,794 462,433 573,347,361 90,528,531 

TOTAL LOW 0.00 530,679,469 532,271,507 62,824,047,413 442,548,467 62,381,498,946 9,424,110,794 

DSH STATES 

TOTAL 0.00% 11,902,539,050 11,884,987,367 538,830,073,742 19,586,493,684 519,243,580,058 79,559,011,758 

FOOTNOTES: 

/1 Tennessee's DSH allotment for FY 2016, determined under section 1923(f)(6)(A) of the Social Security Act, is $53,100,000. /2 Per 1905(z)(1)(A) of Act, Vermont's regular FMAP is increased by 2.2 percentage points for the period 1/1/2014 -12/31/2015. 
Federal Register / Vol. 83, No. 130 / Friday, July 6, 2018 / Notices 31543 

KEY TO ADDENDUM 2—PRELIMINARY DSH ALLOTMENTS FOR FY 2018 

The Preliminary FY 2018 DSH Allotments for the NON-Low DSH States are presented in the top section of this addendum, and the Preliminary 

FY 2018 DSH Allotments for the Low-DSH States are presented in the bottom section of this addendum. 

Column Description 

Column A .......... State. 

Column B .......... FY 2018 FMAPs. This column contains the States’ FY 2018 Federal Medical Assistance Percentages. 

Column C ......... Prior FY (2017) DSH Allotments. This column contains the States’ prior preliminary FY 2017 DSH Allotments. 

Column D ......... Prior FY (2017) DSH Allotments (Col C) × (100 percent + Percentage Increase in CPIU): 102.4 percent. This column contains 

the amount in Column C increased by 1 plus the estimated percentage increase in the CPI–U for the prior FY (102.4 percent). 

Column E .......... FY 2018 TC MAP Exp. Including DSH. This column contains the amount of the States’ projected FY 2018 total computable 

(TC) medical assistance expenditures including DSH expenditures. 

Column F .......... FY 2018 TC DSH Expenditures. This column contains the amount of the States’ projected FY 2018 total computable DSH expenditures. 

Column G ......... FY 2018 TC MAP Exp. Net of DSH. This column contains the amount of the States’ projected FY 2018 total computable medical assistance expenditures net of DSH expenditures, calculated as the amount in Column E minus the amount in Column 

F. 

Column H ......... 12 percent Amount. This column contains the amount of the ‘‘12 percent limit’’ in Federal share, determined in accordance 

with the provisions of section 1923(f)(3) of the Act. 

Column I ........... Greater of FY 2017 Allotment or 12 percent Limit. This column contains the greater of the State’s preliminary prior FY (FY 

2017) DSH allotment or the amount of the 12 percent Limit, determined as the maximum of the amount in Column C or 

Column H. 

Column J .......... FY 2018 DSH Allotment. This column contains the States’ preliminary FY 2018 DSH allotments, determined as the minimum 

of the amount in Column I or Column D. For states with ‘‘na’’ in Columns I or D, refer to the footnotes in the addendum. 


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EN06JY18.012</GPH>daltland on DSKBBV9HB2PROD with NOTICES

ADDENDUM 2: PRELIMINARY DSH ALLOTMENTS FOR FISCAL YEAR: 2018 

Prior FY (2017) 

FY 2018 Prior FY (2017) DSH Allotment FY 2018 FY 2018 FY 2018 "12% Amount" Gr

FMAPs DSH Allotments (Col C) x TC MAP Exp. TC DSH TC MAP EXP. =Col G x O

STATE (percent) 100% +Pet Including DSH Expenditures Net OfDSH .12/(1-.12/Col B)* L

Increase in ColE- F (In FS) 

CPIU: 

102.4% 

ALABAMA 71.44 $337,526,148 $345,626,776 6,438,602,000 477,896,000 $5,960,706,000 $859,689,441 

ARIZONA 69.89 111,136,659 113,803,939 12,761 ,090,000 131 ,593,000 12,629,497,000 1 ,829,695,378 

CALIFORNIA 50.00 1 ,203,294,436 1 ,232,173,502 95,266,251 ,000 96,560,000 95,169,691 ,000 15,026,793,316 

COLORADO 50.00 101 ,532,256 103,969,030 9,012,198,000 202,670,000 8,809,528,000 1 ,390,978, 105 

CONNECTICUT 50.00 219,529,202 224,797,903 7,595,837,000 134,842,000 7,460,995,000 1,178,051,842 

DISTRICT OF 70.00 67,230,818 68,844,358 2,923,831 ,000 43,077,000 2,880,754,000 417,212,648 

COLUMBIA 

FLORIDA 61.79 219,529,202 224,797,903 25,048,032,000 354,933,000 24,693,099,000 3,677,332,606 

GEORGIA 68.50 294,992,365 302,072,182 11 ,076,453,000 434,088,000 10,642,365,000 1 ,548,322,837 

ILLINOIS 50.74 235,993,892 241,657,745 20,479,620,000 442,416,000 20,037,204,000 3,149,265,042 

INDIANA 65.59 234,621 ,836 240,252,760 11,343,341,000 81,086,000 11 ,262,255,000 1 ,654,095, 105 

KANSAS 54.74 45,277.897 46,364,567 3,337,185,000 80,472,000 3.256,713,000 500,531 ,033 KENTUCKY 71.17 159,158,672 162,978,480 9,852,595,000 227,396,000 9,625,199,000 1 ,389,269,047 

LOUISIANA 63.69 752,615,495 770,678,267 12,160,406,000 1 ,032,353,000 11.128,053,000 1 ,645,375,962 

MAINE 64.34 115,252,830 118,018,898 2,653,122,000 42,529,000 2.610,593,000 385,094,888 

MARYLAND 50.00 83,695,509 85,704,201 12,383,588,000 136,614,000 12.246,974,000 1,933,732,737 

MASSACHUSETTS 50.00 334,782,032 342,816,801 19,026,584,000 0 19,026,584,000 3,004,197,474 

MICHIGAN 64.78 290,876.193 297,857,222 18,494,528,000 365,564,000 18.128,964,000 2.670,089,325 

MISSISSIPPI 75.65 167,391,016 171 ,408,400 5,660,629,000 226,579,000 5,434,050,000 775,024,445 

MISSOURI 64.61% 520,009,796 532,490,031 11 ,596,997,000 652,923,000 10,944,074,000 1 ,612,841 ,561 

NEVADA 65.75 50,766,127 51,984,514 3,807,476,000 91,764,000 3,715,712,000 545,431 ,957 

NEW HAMPSHIRE 50.00 175,731,503 179,949,059 2,168,807,000 180,511,000 1 ,988,296,000 313,941,474 

NEW JERSEY 50.00 706,609,619 723,568,250 15,882,292,000 784,079,000 15,098,213,000 2,383,928,368 

EN06JY18.013</GPH>daltland on DSKBBV9HB2PROD with NOTICES

Prior FY (2017) 

FY 2018 Prior FY (2017) DSH Allotment FY 2018 FY 2018 FY 2018 "12% Amount" Gr

FMAPs DSH Allotments (Col C) x TC MAP Exp. TC DSH TC MAP EXP. =Col G x O

STATE (percent) 100% +Pet Including DSH Expenditures Net OfDSH .12/(1-.12/Col B)' L

Increase in ColE- F (In FS) 

CPIU: 

102.4% 

NEW YORK 50.00 1 ,763,093.901 1 ,805,408,155 77,129,127,000 6,859,300,000 70.269,827,000 11.095,235,842 

NORTH CAROLINA 67.61 323,805.572 331 ,576,906 13,674,561,000 595,840,000 13.078.721,000 1.908,115,073 

OHIO 62.78 445,918.692 456,620,741 23,543,753,000 0 23.543,753,000 3.492,895,187 

PENNSYLVANIA 51.82 616,053.822 630,839,114 28,987,279,000 977,385,000 28.009.894,000 4.374,101,578 

RHODE ISLAND 51.45 71,346.990 73,059,318 2,635,184,000 139,704,000 2.495,480,000 390,547,364 

SOUTH CAROLINA 71.58 359,4 79.068 368,106,566 6,340,892,000 530,923,000 5.809,969,000 837,618,491 

TENNESSEE /1 65.82 na na na na na na 

TEXAS 56.88 1 ,049,623.997 1 ,07 4,814,973 40,052,765,000 1 ,889,603,000 38.163,162,000 5.804,065,921 

VERMONT 53.47 24,697.037 25,289,766 1,641,243,000 27,449,000 1.613,794,000 249,692,496 

VIRGINIA 50.00 96,162.104 98,469,994 9,786,362,000 233,386,000 9.552,976,000 1.508,364,632 

WASHINGTON 50.00 203,064.512 207,938,060 14,685,096,000 487,940,000 14.197.156,000 2.241 ,656,211 

WEST VIRGINIA 73.24 74,091,106 75,869,293 4,158,425,000 74,018,000 4,084,407,000 586,169,762 

TOTAL 11,454,890,304 11,729,807,671 541,604,151,000 18,035,493,000 523,568,658,000 80,379,357 '149 

ALASKA 50.00 22,358,712 22,895,321 2,321 ,499,000 19,711,000 2,301 ,788,000 363,440,21 0.53 

ARKANSAS 70.87 47,350,016 48,486,416 6,744,319,000 52,850,000 6,691 ,469,000 966,654,136 

DELAWARE 56.43 9,937,205 10,175,698 2,332,230,000 14,062,000 2,318,168,000 353,313,221 HAWAII 54.78 10,697,430 10,954,168 2,444,830,000 0 2,444,830,000 375,67 4,017.95 

IDAHO 71.17 18,042,558 18,475,579 2,134,805,000 25,206,000 2,109,599,000 304,492,467.46 

IOWA 58.48 43,226,550 44,263,987 4,428,123,000 45,204,000 4,382,919,000 661,737,788 

MINNESOTA 50.00 81,981,945 83,949,512 12,542,446,000 536,000 12,541 ,910,000 1 ,980,301 ,579 

MONTANA 65.38 12,459,133 12,758,152 1 ,633,918,000 19,745,000 1,614,173,000 237,245,330 

EN06JY18.014</GPH>daltland on DSKBBV9HB2PROD with NOTICES

Prior FY (2017) 

FY 2018 Prior FY (2017) DSH Allotment FY 2018 FY 2018 FY 2018 "12% Amount" Gr

FMAPs DSH Allotments (Col C) x TC MAP Exp. TC DSH TC MAP EXP. =Col G x O

STATE (percent) 100% +Pet Including DSH Expenditures Net OfDSH .12/(1-.12/Col B)' L

Increase in ColE- F (In FS) 

CPIU: 

102.4% 

NEBRASKA 52.55 31,061,430 31,806,904 2,338,039,000 37,064,000 2,300,975,000 357,828,566 

NEW MEXICO 72.16 22,358,712 22,895,321 5,395,007,000 34,484,000 5.360,523,000 771,573,151 

NORTH DAKOTA 50.00 10,484,694 10,736,327 1 ,385,355,000 2,002,000 1 .383,353,000 218,424,158 

OKLAHOMA 58.57 39,748,819 40,702,791 5,193,661 ,000 43,978,000 5.149,683,000 777,196,307 

OREGON 63.62 49,686,028 50,878,493 9,712,803,000 61,563,000 9.651 ,240,000 1.427,381 ,377 

SOUTH DAKOTA 55.34 12,123,113 12,414,068 943,669,000 1,577,000 942,092,000 144,352,666 

UTAH 70.26 21,533,602 22,050,408 2,610,371 ,000 30,619,000 2.579,752,000 373,333,420 

WISCONSIN 58.77 103,763,574 106,253,900 8,687,664,000 102,737,000 8.584,927,000 1.294,512,277 

WYOMING 50.00 248,430 254,392 615,509,000 482,000 615,027,000 97,109,526 

TOTAL LOW DSH 537,061,951 549,951,438 71,464,248,000 491,820,000 70,972,428,000 10,704,570,196 

STATES 

TOTAL 11,991,952,255 12,279,759,109 613,068,399,000 18,527,313,000 594,541,086,000 91,083,927,346 

FOOTNOTES: 

/1 Tennessee's DSH allotment for FY 2018, determined under section 1923(f)(6)(A) of the Social Security Act, is $53,100,000. 
Federal Register / Vol. 83, No. 130 / Friday, July 6, 2018 / Notices 31547 

KEY TO ADDENDUM 3—FINAL IMD DSH LIMITS FOR FY 2016 

The final FY 2016 IMD DSH Limits for the Non-Low DSH States are presented in the top section of this addendum and the preliminary FY 2016 

IMD DSH Limits for the Low-DSH States are presented in the bottom section of the addendum. 

Column Description 

Column A .......... State. 

Column B .......... Inpatient Hospital Services FY 95 DSH Total Computable. This column contains the States’ total computable FY 1995 inpatient hospital DSH expenditures as reported on the Form CMS–64 as of January 1, 1997. 

Column C ......... IMD and Mental Health Services FY 95 DSH Total Computable. This column contains the total computable FY 1995 mental 

health facility DSH expenditures as reported on the Form CMS–64 as of January 1, 1997. 

Column D ......... Total Inpatient Hospital & IMD & Mental Health FY 95 DSH Total Computable, Col. B + C. This column contains the total 

computation of all inpatient hospital DSH expenditures and mental health facility DSH expenditures for FY 1995 as reported 

on the Form CMS–64 as of January 1, 1997 (representing the sum of Column B and Column C). 

Column E .......... Applicable Percentage, Col. C/D. This column contains the ‘‘applicable percentage’’ representing the total Computable FY 

1995 mental health facility DSH expenditures divided by total computable all inpatient hospital and mental health facility 

DSH expenditures for FY 1995 (the amount in Column C divided by the amount in Column D) Per section 

1923(h)(2)(A)(ii)(III) of the Act, for FYs after FY 2002, the applicable percentage can be no greater than 33 percent. 

Column F .......... FY 2016 Federal Share DSH Allotment. This column contains the states’ FY 2016 DSH allotments from Addendum 1, Column 

J. 

Column G ......... FY 2016 FMAP. 

Column H ......... FY 2016 DSH Allotments in Total Computable, Col. F/G. This column contains states’ FY 2016 total computable DSH allotment (determined as Column F/Column G). 

Column I ........... Applicable Percentage Applied to FY 2016 Allotments in TC, Col E × Col H. This column contains the applicable percentage 

of FY 2016 total computable DSH allotment (calculated as the percentage in Column E multiplied by the amount in Column 

H). 

Column J .......... FY 2016 TC IMD DSH Limit. Lesser of Col. I or C. This column contains the total computable FY 2016 TC IMD DSH Limit 

equal to the lesser of the amount in Column I or Column C. 

Column K .......... FY 2016 IMD DSH Limit in Federal Share, Col. G × J. This column contains the FY 2016 Federal Share IMD DSH limit determined by converting the total computable FY 2016 IMD DSH Limit from Column J into a federal share amount by multiplying it by the FY 2016 FMAP in Column G. 


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EN06JY18.015</GPH>daltland on DSKBBV9HB2PROD with NOTICES

ADDENDUM 3: FINAL IMD DSH LIMIT FOR FY: 2016 

Applicable 

Inpatient IMD And Mental Total Inpatient Applicable FY 2016 FY 2016 FY 2016 Percentage 

STATE Hospital Health Services & IMD & Mental Percent Allotment In FS FMAPs Allotments in Applied to FY 

Services FY 95 FY 95 DSH total Health FY95 CoiCID (percent) TC Col FIG 2013 

DSH total computable DSH Total Allotments in 

computable Computable TC ColE x Col 

Col B + C H 

ALABAMA $413,006,229 $4,451,770 $417,457,999 1.07 $334,515,508 69.87 $478,768,439 $5,105,584 

ARIZONA 93,916,100 28,474,900 122,391 ,000 23.27 11 0,145,351 68.92 159,816,238 37,182,075 

CALIFORNIA 2,189,879,543 1,555,919 2,191 ,435,462 0.07 1 '1 92,561 ,384 50.00 2,385,122,768 1,693,437 

COLORADO 173,900,441 594,776 174,495,217 0.34 100,626,616 50.72 198,396,325 676,244 

CONNECTICUT 303,359,275 105,573,725 408,933,000 25.82 217,571 ,062 50.00 435,142,124 112,340,1 02 

DISTRICT OF 39,532,234 6,545,136 46,077,370 14.20 66,631,138 70.00 95,187,340 13,521,043 

COLUMBIA 

FLORIDA 184,468,014 149,714,986 334,183,000 33.00 217,571 ,062 60.67 358,613,915 118,342,592 

GEORGIA 407,343,557 0 407,343,557 0.00 292,361 '115 67.55 432,806,980 0 

ILLINOIS 315,868,508 89,408,276 405,276,784 22.06 233,888,892 50.89 459,596,958 101 ,391 ,872 

INDIANA 79,960,783 153,566,302 233,527,085 33.00 232,529,074 66.60 349,142,754 115,217,109 

KANSAS 11,587,208 76,663,508 88,250,716 33.00 44,874,031 55.96 80,189,476 26,462,527 

KENTUCKY 158,804,908 37,443,073 196,247,981 19.08 157,739,021 70.32 224,316,014 42,798,305 

LOUISIANA 1,078,512,169 132,917,149 1 ,211 ,429,318 10.97 745,902,374 62.21 1 '1 99,007,192 131 ,554,202 

MAINE 99,957,958 60,958,342 160,916,300 33.00 114,224,807 62.67 182,263,933 60,147,098 

MARYLAND 22,226,467 120,873,531 143,099,998 33.00 82,948,968 50.00 165,897,936 54,746,319 

MASSACHUSETTS 469,653,946 105,635,054 575,289,000 18.36 331,795,869 50.00 663,591 ,738 121 ,849,278 

MICHIGAN 133,258,800 304,765,552 438,024,352 33.00 288,281 ,658 65.60 439,453,747 145,019,736 MISSISSIPPI 182,608,033 0 182,608,033 0.00 165,897,935 74.17 223,672,556 0 

MISSOURI 521 ,946,524 207,234,618 729,181,142 28.42 515,371 ,453 63.28 814,430,235 231 ,462,567 

NEVADA 73,560,000 0 73,560,000 0.00 50,313,307 64.93 77,488,537 0 

NEW HAMPSHIRE 92,675,916 94,753,948 187,429,864 33.00 174,164,027 50.00 348,328,054 114,948,258 NEW JERSEY 736,742,539 357,370,461 1 ,094,113,000 32.66 700,306,857 50.00 1,400,613,714 457,482,882 

NEW YORK 2,418,869,368 605,000,000 3,023,869,368 20.01 1,747,367,593 50.00 3,494,735,186 699,208,375 

EN06JY18.016</GPH>daltland on DSKBBV9HB2PROD with NOTICES

Applicable 

Inpatient IMD And Mental Total Inpatient Applicable FY 2016 FY 2016 FY 2016 Percentage 

STATE Hospital Health Services & IMD & Mental Percent Allotment In FS FMAPs Allotments in Applied to FY 

Services FY 95 FY 95 DSH total Health FY95 CoiCID (percent) TC Col FIG 2013 

DSH total computable DSH Total Allotments in 

computable Computable TC ColE x Col 

Col B + C H 

NORTH 193,201 ,966 236,072,627 429,274,593 33.00 320,917,316 66.24 484,476,624 159,877,286 

CAROLINA OHIO 535,731 ,956 93,432,758 629,164,714 14.85 441 ,941 ,221 62.47 707,445,527 105,057,683 

PENNSYLVANIA 388,207,319 579,199,682 967,407,001 33.00 610,558,793 52.01 1 '173,925, 770 387,395,504 

RHODE ISLAND 108,503,167 2,397,833 110,901 ,000 2.16 70,710,595 50.42 140,243,148 3,032,251 

SOUTH 366,681,364 72,076,341 438,757,705 16.43 356,272,614 71.08 501,227,651 82,338,509 

CAROLINA 

TENNESSEE 0 0 0 0.00 53,100,000 65.05 81,629,516 0 TEXAS 1,220,515,401 292,513,592 1 ,513,028,993 19.33 1,040,261 ,642 57.13 1 ,820,867,569 352,027,962 

VERMONT 19,979,252 9,071,297 $29,050,549 31.23 $24,476,746 54.45 44,952,702 14,036,888 

VIRGINIA 129,313,480 7,770,268 137,083,748 5.67 $95,304,365 50.00 190,608,730 10,804,205 

WASHINGTON 171,725,815 163,836,435 335,562,250 33.00 $201 ,253,233 50.00 402,506,466 132,827,134 

WEST VIRGINIA 66,962,606 18,887,045 85,849,651 22.00 $73,430,234 71.42 102,814,665 22,619,372 

TOTAL 13,402,460,846 4,118,758,904 17,521,219,750 11,405,815,861 20,317,280,526 3,861,166,398 

LOW DSH STATES 

ALASKA 2,506,827 17,611,765 20,118,592 33.00 22,159,278 50.00 44,318,556 14,625,123 ARKANSAS 2,422,649 819,351 3,242,000 25.27 46,927,667 70.00 67,039,524 16,942,906 

DELAWARE 0 7,069,000 7,069,000 33.00 9,848,568 54.83 17,962,006 5,927,462 

HAWAII 0 0 0 0.00 10,602,012 53.98 19,640,630 0 

IDAHO 2,081,429 0 2,081 ,429 0.00 17,881,623 71.24 25,100,538 0 

IOWA 12,011,250 0 12,011,250 0.00 42,840,981 54.91 78,020,362 0 

MINNESOTA 24,240,000 5,257,214 29,497,214 17.82 81,250,689 50.00 162,501 ,378 28,962,210 

MONTANA 237,048 0 237,048 0.00 12,348,001 65.24 18,927,040 0 

NEBRASKA 6,449,102 1,811,337 8,260,439 21.93 30,784,371 51.16 60,172,735 13,194,589 NEW MEXICO 6,490,015 254,786 6,744,801 3.78 22,159,278 70.37 31,489,666 1,189,527 

NORTH DAKOTA 214,523 988,478 1,203,001 33.00 10,391,173 50.00 20,782,346 6,858,174 

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Applicable 

Inpatient IMD And Mental Total Inpatient Applicable FY 2016 FY 2016 FY 2016 Percentage 

STATE Hospital Health Services & IMD & Mental Percent Allotment In FS FMAPs Allotments in Applied to FY 

Services FY 95 FY 95 DSH total Health FY95 Col C/O (percent) TC Col FIG 2013 

DSH total computable DSH Total Allotments in 

computable Computable TC ColE x Col 

Col B + C H 

OKLAHOMA 20,019,969 3,273,248 23,293,217 14.05 39,394,271 60.99 64,591,361 9,076,614 

OREGON 11,437,908 19,975,092 31,413,000 33.00 49,242,842 64.38 76,487,794 25,240,972 

SOUTH DAKOTA 321,120 751,299 1 ,072,419 33.00 12,014,978 51.61 23,280,329 7,682,509 

UTAH 3,621,116 934,586 4,555,702 20.51 21,341,528 70.24 30,383,724 6,233,113 

WISCONSIN 6,609,524 4,492,011 11,101,535 33.00 102,838,032 58.23 176,606,615 58,280,183 

WYOMING 0 0 0 0.00 246,214 50.00 492,428 0 

TOTAL LOW DSH 98,662,480 63,238,167 161,900,647 532,271,506 917,797,033 194,213,384 

STATES 

TOTAL 13,501,123,326 4,181,997,071 17,683,120,397 11,938,087,367 21,235,077,559 4,055,379,782 
Federal Register / Vol. 83, No. 130 / Friday, July 6, 2018 / Notices 31551 

KEY TO ADDENDUM 4—PRELIMINARY IMD DSH LIMITS FOR FY 2018 

The preliminary FY 2018 IMD DSH Limits for the Non-Low DSH States are presented in the top section of this addendum and the preliminary 

FY 2018 IMD DSH Limits for the Low-DSH States are presented in the bottom section of the addendum. 

Column Description 

Column A .......... State. 

Column B .......... Inpatient Hospital Services FY 95 DSH Total Computable. This column contains the States’ total computable FY 1995 inpatient hospital DSH expenditures as reported on the Form CMS–64 as of January 1, 1997. 

Column C ......... IMD and Mental Health Services FY 95 DSH Total Computable. This column contains the total computable FY 1995 mental 

health facility DSH expenditures as reported on the Form CMS–64 as of January 1, 1997. 

Column D ......... Total Inpatient Hospital & IMD & Mental Health FY 95 DSH Total Computable, Col. B + C. This column contains the total 

computation of all inpatient hospital DSH expenditures and mental health facility DSH expenditures for FY 1995 as reported 

on the Form CMS–64 as of January 1, 1997 (representing the sum of Column B and Column C). 

Column E .......... Applicable Percentage, Col. C/D. This column contains the ‘‘applicable percentage’’ representing the total Computable FY 

1995 mental health facility DSH expenditures divided by total computable all inpatient hospital and mental health facility 

DSH expenditures for FY 1995 (the amount in Column C divided by the amount in Column D) Per section 

1923(h)(2)(A)(ii)(III) of the Act, for FYs after FY 2002, the applicable percentage can be no greater than 33 percent. 

Column F .......... FY 2018 Federal Share DSH Allotment. This column contains the states’ preliminary FY 2017 DSH allotments from Addendum 1, Column J. 

Column G ......... FY 2018 FMAP. 

Column H ......... FY 2018 DSH Allotments in Total Computable, Col. F/G. This column contains states’ FY 2018 total computable DSH allotment (determined as Column F/Column G). 

Column I ........... Applicable Percentage Applied to FY 2018 Allotments in TC, Col E × Col H. This column contains the applicable percentage 

of FY 2018 total computable DSH allotment (calculated as the percentage in Column E multiplied by the amount in Column 

H). 

Column J .......... FY 2018 TC IMD DSH Limit. Lesser of Col. I or C. This column contains the total computable FY 2018 TC IMD DSH Limit 

equal to the lesser of the amount in Column I or Column C. 

Column K .......... FY 2018 IMD DSH Limit in Federal Share, Col. G × J. This column contains the FY 2018 Federal Share IMD DSH limit determined by converting the total computable FY 2018 IMD DSH Limit from Column J into a federal share amount by multiplying it by the FY 2018 FMAP in Column G. 


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ADDENDUM 4: PRELIMINARY IMD DSH LIMIT FOR FISCAL YEAR: 2018 

Inpatient IMDAnd Total Inpatient Applicab FY 2018 FY FY 2018 Applicable 

Hospital Mental Health &IMD& le Allotment 2018 Allotments Percentage 

STATE Services FY 95 Services FY 95 Mental Health Percent FMAP inTC Applied to FY 

DSH DSH FY 95 DSH In FS s Col F/G 2018 

Total Total Total CoiC/D Allotments in 

Computable Computable Computable TC 

Col B + C ColE x Col H 

ALABAMA $413,006,229 $4,451,770 $417.457,999 1.07 345,626,776 71.44 $483,800.078 $5,159,242 

ARIZONA 93,916,100 28,474,900 122,391 ,000 23.27 113,803,939 69.89 162,832.936 37,883,926 

CALIFORNIA 2,189,879,543 1,555,919 2,191.435,462 0.07 1,232,173,502 50.00 2.464,347.004 1,749,686 

COLORADO 173,900,441 594,776 174,495,217 0.34 103,969,030 50.00 207,938.060 708,768 

CONNECTICUT 303,359,275 105,573,725 408,933,000 25.82 224,797,903 50.00 449,595.806 116,071,591 

DISTRICT OF 39,532,234 6,545,136 46,077,370 14.20 68,844,358 70.00 98,349.083 13,970,158 

COLUMBIA 

FLORIDA 184,468,014 149,714,986 334,183,000 33.00 224,797,903 61.79 363,809.521 120,057,142 

GEORGIA 407,343,557 0 407,343,557 0.00 302,072,182 68.50 440,981 ,288 0 

ILLINOIS 315,868,508 89,408,276 405,276,784 22.06 241,657,745 50.74 476,266.742 105,069,400 

INDIANA 79,960,783 153,566,302 233,527,085 33.00 240,252,760 65.59 366,294,801 120,877,284 

KANSAS 11,587,208 76,663,508 88,250,716 33.00 46,364,567 54.74 84,699.611 27,950,872 KENTUCKY 158,804,908 37,443,073 196,247,981 19.08 162,978,480 71.17 228,998,848 43,691,765 

LOUISIANA 1,078,512,169 132,917,149 1 ,211,429,318 10.97 770,678,267 63.69 1 .210,045.952 132,765,367 

MAINE 99,957,958 60,958,342 160,916,300 33.00 118,018,898 64.34 183,430,056 60,531,918 

MARYLAND 22,226,467 120,873,531 143,099,998 33.00 85,704,201 50.00 171 ,408,402 56,564,773 

MASSACHUSETTS 469,653,946 105,635,054 575,289,000 18.36 342,816,801 50.00 685,633,602 125,896,623 

MICHIGAN 133,258,800 304,765,552 438,024,352 33.00 297,857,222 64.78 459,798.120 151 ,733,380 

MISSISSIPPI 182,608,033 0 182,608,033 0.00 171,408,400 75.65 226,580,833 0 

MISSOURI 521 ,946,524 207,234,618 729,181 '142 28.42 532,490,031 64.61 824,160.395 234,227,896 

NEVADA 73,560,000 0 73,560,000 0.00 51,984,514 65.75 79,063,900 0 

NEW HAMPSHIRE 92,675,916 94,753,948 187,429,864 33.00 179,949,059 50.00 359,898.118 118,766,379 

NEW JERSEY 736,742,539 357,370,461 1 ,094,113,000 32.66 723,568,250 50.00 1 ,447,136,500 472,678,634 

NEW YORK 2,418,869,368 605,000,000 3,023.869,368 20.01 1,805,408,155 50.00 3.610,816.310 722,433,281 

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Inpatient IMDAnd Total Inpatient Applicab FY 2018 FY FY 2018 Applicable 

Hospital Mental Health &IMD& le Allotment 2018 Allotments Percentage 

STATE Services FY 95 Services FY 95 Mental Health Percent FMAP inTC Applied to FY 

DSH DSH FY 95 DSH In FS s Col F/G 2018 

Total Total Total Col C/D Allotments in 

Computable Computable Computable TC 

Col B + C ColE x Col H 

NORTH CAROLINA 193,201 ,966 236,072,627 429,274,593 33.00 331,576,906 67.61 490,425,833 161 ,840,525 

OHIO 535,731,956 93,432,758 629,164,714 14.85 456,620,7 41 62.78 727,334,726 108,011 ,285 

PENNSYLVANIA 388,207,319 579,199,682 967,407,001 33.00 630,839,114 51.82 1 ,217,366, 1 02 401 ,730,814 

RHODE ISLAND 108,503,167 2,397,833 110,901,000 2.16 73,059,318 51.45 142,000,618 3,070,250 

SOUTH CAROLINA 366,681 ,364 72,076,341 438,757,705 16.43 368,106,566 71.58 514,258,963 84,479,210 

TENNESSEE* 0 0 0 0.00 53,100,000 65.82 80,674,567 0 

TEXAS 1 ,220,515,401 292,513,592 1 ,513,028,993 19.33 1,074,814,973 56.88 1 ,889,618,448 365,319,556 

VERMONT** 19,979,252 9,071,297 29,050,549 31.23 25,289,766 53.47 47,297,112 14,768,952 VIRGINIA 129,31 3,480 7,770,268 137,083,748 5.67 98,469,994 50.00 196,939,988 11,163,077 

WASHINGTON 171,725,815 163,836,435 335,562,250 33.00 207,938,060 50.00 415,876,120 137,239,120 

WEST VIRGINIA 66,962,606 18,887,045 85,849,651 22.00 75,869,293 73.24 103,589,969 22,789,940 

TOTAL 13,402,460,846 4, 118,758,904 17,521,219,750 11,782,907,674 20,911,268,411 3,979,200,811 

LOW DSH STATES 

ALASKA 2,506,827 17,611,765 20,118,592 33.00 22,895,321 50.00 45,790,642 15,110,912 ARKANSAS 2,422,649 819,351 3,242,000 25.27 48,486,416 70.87 68,415,995 17,290,782 

DELAWARE 0 7,069,000 7,069,000 33.00 10,175,698 56.43 18,032,426 5,950,701 

HAWAII 0 0 0 0.00 10,954,168 54.78 19,996,656 0 

IDAHO 2,081,429 0 2,081,429 0.00 18,475,579 71.17 25,959,785 0 

IOWA 12,011,250 0 12,011,250 0.00 44,263,987 58.48 75,690,812 0 

MINNESOTA 24,240,000 5,257,214 29,497,214 17.82 83,949,512 50.00 167,899,024 29,924,219 

MONTANA 237,048 0 237,048 0.00 12,758,152 65.38 19,513,845 0 

NEBRASKA 6,449,102 1,811,337 8,260,439 21.93 31,806,904 52.55 60,526,934 13,272,258 

NEW MEXICO 6,490,015 254,786 6,744,801 3.78 22,895,321 72.16 31,728,549 1,198,551 

NORTH DAKOTA 214,523 988,478 1,203,001 33.00 10,736,327 50.00 21,472,654 7,085,976 

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Inpatient IMD And Total Inpatient Applicab FY 2018 FY FY 2018 Applicable 

Hospital Mental Health &IMD& le Allotment 2018 Allotments Percentage 

STATE Services FY 95 Services FY 95 Mental Health Percent FMAP in TC Applied to FY 

DSH DSH FY95 DSH In FS s Col F/G 2018 

Total Total Total Col C/D Allotments in 

Computable Computable Computable TC 

Col B + C ColE x Col H 

OKLAHOMA 20,019,969 3,273,248 23,293,217 14.05 40,702,791 58.57 69,494,265 9,765,588 

OREGON 11,437,908 19,975,092 31 ,413,000 33.00 50,878,493 63.62 79,972,482 26,390,919 

SOUTH DAKOTA 321,120 751,299 1,072,419 33.00 12,414,068 55.34 22,432,360 7,402,679 

UTAH 3,621,116 934,586 4,555,702 20.51 22,050,408 70.26 31,384,014 6,438,318 

WISCONSIN 6,609,524 4,492,011 11,101,535 33.00 106,253,900 58.77 180,796,155 59,662,731 

WYOMING 0 0 0 000 254,392 50.00 508,784 0 

TOTAL LOW DSH 98,662,480 63,238,167 161,900,647 549,951,437 939,615,382 199,493,634 

STATES 

TOTAL 13,501,123,326 4,181,997,071 17,683,120,397 12,332,859,111 21,850,883,793 4,178,694,444 
Federal Register / Vol. 83, No. 130 / Friday, July 6, 2018 / Notices 31555 

[FR Doc. 2018–14533 Filed 7–5–18; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Healthy Marriage and 

Responsible Fatherhood performance 

measures and additional data collection 

(part of the Fatherhood and Marriage 

Local Evaluation and Cross-Site (FaMLE 

Cross-Site) Project)—Extension. 

OMB No.: 0970–0460. 

Description 

Background 

For decades various organizations and 

agencies have been developing and 

operating programs to strengthen 

families through healthy marriage and 

relationship education and responsible 

fatherhood programming. The 

Administration for Children and 

Families (ACF), Office of Family 

Assistance (OFA), has had 

administrative responsibility for federal 

funding of such programs since 2006 

through the Healthy Marriage (HM) and 

Responsible Fatherhood (RF) Grant 

Programs. The authorizing legislation 

for the programs may be found in 

Section 403(a)(2) of the Social Security 

Act [1]. 

Extension of Current Approval 

The Offices of Family Assistance 

(OFA) and Planning, Research and 

Evaluation (OPRE) in the 

Administration for Children and 

Families (ACF), U.S. Department of 

Health and Human Services (HHS) are 

proposing to extend performance 

measure and other data collection 

activities, in service to the HM and RF 

programs. This data collection is part of 

the Fatherhood and Marriage Local 

Evaluation and Cross-Site (FaMLE 

Cross-Site) project, whose purpose is to 

support high quality data collection, 

strengthen local evaluations, and 

conduct cross-site analysis for the 

Responsible Fatherhood and Healthy 

Marriage grantees. 

ACF is requesting comment on the 

following data collection, which has 

been ongoing under OMB #0970–0460 

since 2016. There are no changes 

proposed to the information collection, 

we are only requesting an extension to 

continue data collection with the 

current grantees for another three years. 

Performance measures. ACF is 

proposing to extend collection of a set 

of performance measures that are 

collected by all grantees. These 

measures collect standardized 

information in the following areas: 

• Applicant characteristics; 

• Program operations (including 

program characteristics and service 

delivery); and 

• Participant outcomes: 

Æ Entrance survey, with four 

versions: (1)Healthy Marriage Program 

Pre-Program Survey for Adult-Focused 

Programs; (2) Healthy Marriage Program 

Pre-Program Survey for Youth-Focused 

Programs; (3) Responsible Fatherhood 

Program Pre-Program Survey for 

Community-Based-Fathers; and 

(4)Responsible Fatherhood Program PreProgram Survey for Incarcerated 

Fathers. 

Æ Exit survey, with four versions: (1) 

Healthy Marriage Program Post-Program 

Survey for Adult-Focused Programs; (2) 

Healthy Marriage Program Post-Program 

Survey for Youth-Focused Programs; (3) 

Responsible Fatherhood Program PostProgram Survey for Community-BasedFathers; and (4) Responsible Fatherhood 

Program Post-Program Survey for 

Incarcerated Fathers. 

These measures were developed per 

extensive review of the research 

literature and grantees’ past measures. 

Grantees are required to submit data 

on these standardized measures on a 

regular basis (e.g., quarterly). In addition 

to the performance measures mention 

above, ACF proposes to extend 

collection for these data submissions: 

• Semi-annual Performance Progress 

Report (PPR), with two versions: (1) 

Performance Progress Report for Healthy 

Marriage Programs, and (2) Performance 

Progress Report for Responsible 

Fatherhood Programs; and 

• Quarterly Performance Report 

(QPR), with two versions: (1) Quarterly 

Performance Progress Report for Healthy 

Marriage Programs, and (2)Quarterly 

Performance Progress Report for 

Responsible Fatherhood Programs. 

A management information system 

has been implemented which improves 

efficiency and the quality of data, and 

makes reporting easier. 

Additional data collection. We also 

seek to extend the approval to collect 

information from a sub-set of grantees 

on how they designed and implemented 

their programs (information on 

outcomes associated with programs will 

also be assessed), per the following 

protocols: 

• Staff interview protocol on program 

design (will be collected from about half 

of all grantees); 

• Staff interview protocols on 

program implementation (will be 

collected from about 20 grantees); and 

• Program participant focus group 

protocol (will be conducted with about 

20 grantees). 

Respondents: Responsible Fatherhood 

and Healthy Marriage Program grantees 

(e.g., grantee staff) and program 

applicants and participants— 

participants are called ‘‘clients.’’ 

ANNUAL BURDEN ESTIMATES

Instrument Respondent Total number 

of respondents 

Annual 

number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden 

hours per 

response 

Annual 

burden hours 

Data Collection by Grantees 

(DCS, or Data Collected by Sites) 

Instrument DCS–1: Applicant characteristics.Program applicants ............................. 265,838 88,613 1 0.25 22,153 

Program staff ...................................... 360 360 246 0.10 8,856 

Instrument DCS–2:Grantee program 

operations.

Program staff ...................................... 120 120 1 0.75 90 

Instrument DCS–3: Service receipt in 

MIS.

Program staff ...................................... 239,493 79,831 15 0.033 39,916 

Instrument DCS–4:Entrance and Exit 

Surveys.

Program clients (Entrance Survey; 4 

versions).

239,493 79,831 1 0.42 33,529 

Program clients (Exit Survey; 4 

versions).

132,087 44,029 1 0.42 18,492 

Program staff (Entrance and Exit surveys on paper).60 20 1,285 0.30 7,710 


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