ELIGIBILITY
SYSTEMS.—Payments under 
subparagraphs (A)(i) and (H)(i) of section 
1903(a)(3) for expenditures for design, de-
velopment, and installation of the Medicaid 
management 
information 
systems 
and 
mechanized verification and information 
retrieval systems (related to eligibility). 
‘‘(5) PAYMENT OF AMOUNTS.— 
‘‘(A) IN
GENERAL.—Except as the Sec-
retary may otherwise provide, amounts shall be 
payable to a State under this section in the 
same manner as amounts are payable under 
subsection (d) of section 1903 to a State under 
subsection (a) of such section. 
‘‘(B) INFORMATION AND FORMS.— 
‘‘(i) SUBMISSION.—As a condition of 
receiving payment under this section, a 
State shall submit such information, in 
such form, and manner, as the Secretary 
shall specify, including information nec-
essary to make the computations under 
subsections (c)(2)(C) and (e). 
‘‘(ii) 
UNIFORM
REPORTING.—The 
Secretary shall develop such forms as may 
be needed to assure a system of uniform 
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reporting 
of 
such 
information 
across 
States. 
‘‘(C) REQUIRED REPORTING OF INFORMA-
TION ON MEDICAL LOSS RATIOS FOR MANAGED 
CARE.—The information required to be reported 
under subparagraph (B)(i) shall include infor-
mation on the medical loss ratio with respect to 
coverage provided under each Medicaid man-
aged care plan with a contract with the State 
under section 1903(m) or 1932. 
‘‘(b) AGGREGATE CAPITATED AMOUNT.— 
‘‘(1) IN
GENERAL.—The aggregate capitated 
amount specified in this subsection for a State for 
a quarter is equal to the sum of the products, for 
each of the categories of Medicaid beneficiaries spec-
ified in paragraph (2), of the following: 
‘‘(A) PER CAPITA QUARTERLY AMOUNT.— 
The per capita quarterly amount for such cat-
egory computed under subsection (c) for such 
State for such quarter. 
‘‘(B) NUMBER
OF
INDIVIDUALS
IN
CAT-
EGORY.—The average number of Medicaid 
beneficiaries enrolled in such category in the 
State in such quarter, as computed under sub-
section (d). 
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‘‘(2) CATEGORIES.—The categories specified in 
this paragraph are the following: 
‘‘(A) ELDERLY.—A category of individuals 
who are 65 years of age or older. 
‘‘(B) BLIND OR DISABLED.—A category of 
individuals not described in subparagraph (A) 
who are described in section 1937(a)(2)(B)(ii). 
‘‘(C) CHILDREN.—A category of individ-
uals not described in subparagraph (B) who are 
under 21 years of age. 
‘‘(D) OTHER ADULTS.—A category of indi-
viduals who are not described in a previous sub-
paragraph. 
‘‘(c) COMPUTATION OF PER CAPITA, PER CATEGORY 
QUARTERLY AMOUNT.— 
‘‘(1) IN GENERAL.—For a State, for each cat-
egory of beneficiary for a quarter— 
‘‘(A) FISCAL YEAR 2014.—For quarters in 
fiscal year 2014, the per capita quarterly 
amount is equal to 1⁄4 of the base average per 
capita Federal payments for such State for 
such category determined under paragraph (2), 
increased by a factor that reflects the sum of 
the following: 
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‘‘(i) HISTORICAL MEDICAL CARE COM-
PONENT
OF
CPI
THROUGH
FISCAL
YEAR 
2013.—The percentage increase in the his-
torical medical care component of the Con-
sumer Price Index for all urban consumers 
(U.S. city average) from the midpoint of 
the base fiscal year (as defined in para-
graph (6)) to the midpoint of fiscal year 
2013. 
‘‘(ii) PROJECTED MEDICAL CARE COM-
PONENT OF CPI FOR FISCAL YEAR 2014.— 
The percentage increase in the projected 
medical care component of the Consumer 
Price Index for all urban consumers (U.S. 
city average) from the midpoint of fiscal 
year 2013 to the midpoint of fiscal year 
2014. 
‘‘(B) FISCAL YEARS 2015 AND 2016.—The 
per capita quarterly amount for a State for a 
category for quarters in fiscal year 2015 or fis-
cal year 2016 is equal to the per capita quar-
terly amount under this paragraph for such 
State and category for the previous fiscal year 
increased by the per capita percentage increase 
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(as defined in subparagraph (E)) for such cat-
egory and fiscal year. 
‘‘(C) FISCAL YEARS 2017 THROUGH 2024.— 
The per capita quarterly amount for a State for 
a category for quarters in a fiscal year begin-
ning with fiscal year 2017 and ending with fis-
cal year 2024 is— 
‘‘(i) in the case of a State that is a 
high per capita State or a low per capita 
State (as defined in paragraph (4)(B)(iii)) 
for the category, the amount determined 
under clause (i) or (ii) of paragraph (4)(B) 
for such State, category, and fiscal year; or 
‘‘(ii) in the case of any other State, 
the per capita quarterly amount under this 
paragraph for such State and category for 
the previous fiscal year increased by the 
per capita percentage increase for such 
category and fiscal year. 
‘‘(D) FISCAL YEAR 2025 AND SUBSEQUENT 
FISCAL
YEARS.—The per capita quarterly 
amount for a State for a category for quarters 
in a fiscal year beginning with fiscal year 2025 
is equal to the per capita quarterly amount 
under this paragraph for such State and cat-
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egory for the previous fiscal year increased by 
the per capita percentage increase for such cat-
egory and fiscal year. 
‘‘(E) ANNUAL PERCENTAGE INCREASE BE-
GINNING WITH FISCAL YEAR 2015.—For pur-
poses of this subsection, the term ‘per capita 
percentage increase’ means, for a fiscal year, 
the sum of— 
‘‘(i) the projected percentage change 
in nominal gross domestic product from 
the midpoint of the previous fiscal year to 
the midpoint of the fiscal year for which 
the percentage increase is being applied; 
and 
‘‘(ii) one percentage point. 
‘‘(2) BASE
PER
CAPITA, 
PER
CATEGORY 
AMOUNT FOR EACH STATE.— 
‘‘(A) AVERAGE PER CATEGORY.— 
‘‘(i) IN
GENERAL.—The Secretary 
shall determine, consistent with this para-
graph and paragraph (3), a base per cap-
ita, per category amount for each of the 50 
States and the District of Columbia equal 
to the average amount, per Medicaid bene-
ficiary, of Federal payments under this 
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