97-7987. New and Pending Demonstration Project Proposals Submitted Pursuant to Section 1115(a) of the Social Security Act: January 1997 and Supplement to December 1996 Listing

[Federal Register Volume 62, Number 61 (Monday, March 31, 1997)]
[Notices]
[Pages 15187-15191]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-7987]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[ORD-097-N]


New and Pending Demonstration Project Proposals Submitted 
Pursuant to Section 1115(a) of the Social Security Act: January 1997 
and Supplement to December 1996 Listing

AGENCY: Health Care Financing Administration (HCFA).

ACTION: Notice.

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SUMMARY: This notice identifies proposals that were submitted under the 
authority of section 1115 of the Social Security Act during the month 
of January 1997. No proposals were approved, disapproved, or withdrawn 
during this time period. The notice also identifies pending proposals 
for the month of January 1997. In addition, it also identifies an 
additional proposal received in December 1996 that we inadvertently 
omitted in the December listing. (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, [phone].

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. Supplement to December 1996 Listing of New Proposals

    In the December 1996 listing published in the Federal Register (62 
FR 8451), under Section II. Other Section 1115 Demonstration Proposals, 
we inadvertently omitted the following new proposal:

[[Page 15188]]

    Demonstration Title/State: South Dakota Quality Initiative--South 
Dakota.
    Description: The South Dakota Quality Initiative project is 
designed to test the effectiveness and efficiency of replacing the 
existing mandated nursing home survey and certification process under 
the Omnibus Budget Reconciliation Act 1987 with a new system for 
quality measurement and improvement for nursing facilities 
participating in Medicare and Medicaid. Participation by nursing 
facilities will be voluntary.
    Date Received: December 12, 1996.
    State Contact: Joan Bachman, Administrator, Office of Health Care 
Facilities Licensure and Certification, South Dakota Department of 
Health, 615 East 4th Street, C/O 500 East Capitol Avenue, Pierre, South 
Dakota 57501, [phone].
    Federal Project Officer: Kay Lewandowski, Health Care Financing 
Administration, Office of Research and Demonstration, Mail Stop C3-21-
06, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

III. Listing of New, Pending, Approved, Disapproved, and Withdrawn 
Proposals for the Month of January 1997

A. Comprehensive Health Reform Care Programs

1. New Proposals
    No new proposals were received during the month of January.
2. Pending Proposals
    Demonstration Title/State: Arizona Health Care Cost Containment 
System (AHCCCS)--Arizona.
    Description: Arizona proposes to expand eligibility under its 
current section 1115 AHCCCS program to individuals with incomes up to 
100 percent of the Federal poverty level.
    Date Received: March 17, 1995.
    State Contact: Jack Kelly, Arizona Health Care Cost Containment 
System, 801 East Jefferson, Phoenix, AZ 85034, [phone].
    Federal Project Officer: Joan Peterson, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: The Georgia Behavioral Health Plan--
Georgia.
    Description: Georgia proposes to provide behavioral health services 
under a managed care system through a section 1115 demonstration. The 
plan would be implemented by regional boards that would contract with 
third party administrators to develop a network of behavioral health 
providers. The currently eligible Medicaid population would be enrolled 
in the program and would have access to a full range of behavioral 
health services. Once the program realizes savings, the State proposes 
to expand coverage to individuals who are not otherwise eligible for 
Medicaid.
    Date Received: September 1, 1995.
    State Contact: Margaret Taylor, Coordinator for Strategic Planning, 
Department of Medical Assistance, 1 Peachtree Street, NW, Suite 27-100, 
Atlanta, GA 30303-3159, [phone].
    Federal Project Officer: Nancy Goetschius, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Demonstration Title/State: Community Care of Kansas--Kansas.
    Description: Kansas proposes to implement a ``managed cooperation 
demonstration project'' in four predominantly rural counties, and to 
assess the success of a non-competitive managed care model in rural 
areas. The demonstration would enroll persons currently eligible in the 
Aid to Families with Dependent Children (AFDC) and AFDC-related 
eligibility categories, and expand Medicaid eligibility to children 
ages 5 and under with family incomes up to 200 percent of the Federal 
poverty level.
    Date Received: March 23, 1995.
    State Contact: Karl Hockenbarger, Kansas Department of Social and 
Rehabilitation Services, 915 Southwest Harrison Street, Topeka, KS 
66612, [phone].
    Federal Project Officer: Jane Forman, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-21-
04, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    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 Medicaid 
eligibility to persons with incomes up to 250 percent of the Federal 
poverty level; those with incomes above 133 percent of the Federal 
poverty level would pay all or a portion of premiums.
    Date Received: January 3, 1995.
    State Contact: Carolyn Maggio, Executive Director, Bureau of 
Research and Development, Louisiana Department of Health and Hospitals, 
P.O. Box 2870, Baton Rouge, LA 70821-2871, [phone].
    Federal Project Officer: Alisa Adamo, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: Missouri.
    Description: Missouri proposes to require Medicaid beneficiaries to 
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: Jackie Jung, Division of Medical Services, Missouri 
Department of Social Services, P.O. Box 6500, Jefferson City, MO 65102-
6500, [phone].
    Federal Project Officer: Nancy Goetschius, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: Community Care Systems--New Hampshire.
    Description: The State submitted a revised proposal for ``Community 
Care Systems.'' This system will provide capitated, managed acute care 
services not included in the health plan service package. The State 
proposed to implement this program in three phases: Phase 1 will enroll 
AFDC and AFDC-related children and families; Phase 2 will enroll the 
elderly population; and Phase 3 will enroll disabled adults and 
disabled children. The current waiver request is for Phase 1 only.
    Date Received: June 5, 1996.
    State Contact: Terry Morton, Planning and Policy Development, State 
of New Hampshire, Department of Health and Human Services, 6 Hazen 
Drive, Concord, NH 03301-6505, [phone].
    Federal Project Officer: Cindy Shirk, 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.

    Demonstration Title/State: The Partnership Plan--New York.
    Description: New York proposes to move most of the currently 
eligible Medicaid population and Home Relief

[[Page 15189]]

(General Assistance) populations from a primarily fee-for-service 
system to a managed care environment. The State also proposes to 
establish special needs plans to serve individuals with HIV/AIDS and 
certain children with mental illnesses.
    Date Received: March 17, 1995.
    State Contact: Ellen Anderson, Deputy Commissioner, Division of 
Health and Long Term Care, 40 North Pearl Street, Albany, NY 12243, 
[phone].
    Federal Project Officer: Debbie Van Hoven, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: State of Texas Access Reform (STAR)--
Texas.
    Description: Texas is proposing a section 1115 demonstration that 
will restructure the Medicaid program using competitive managed care 
principles. A focal point of the proposal is to utilize local 
governmental entities (referred to as Intergovernmental Initiatives 
(IGIs)) and to make the IGI responsible for designing and administering 
a managed care system in its region. Approximately 876,636 new 
beneficiaries would be served during the 5-year demonstration in 
addition to the current Medicaid population. Texas proposes to 
implement the program in June 1996.
    Date Received: September 6, 1995.
    State Contact: Kay Ghahrermani, State Medicaid Office, P. O. Box 
13247, Austin, TX 78711, [phone].
    Federal Project Officer: Alisa Adamo, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: Section 1115 Demonstration Waiver for 
Medicaid Expansion--Utah.
    Description: Utah proposes to expand eligibility for Medicaid to 
all individuals with incomes up to 100 percent of the Federal poverty 
level (subject to limited cost sharing) and to enroll all Medicaid 
beneficiaries in managed care plans. The State also proposes to 
streamline eligibility and administrative processes and to develop a 
subsidized small employer health insurance plan.
    Date Received: July 5, 1995.
    State Contact: Michael Deily, Acting Division Director, Utah 
Department of Health, Division of Health Care Financing, 288 North 1460 
West, P.O. Box 142901, Salt Lake City, UT 84114-2901, [phone].
    Federal Project Officer: Maria Boulmetis, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: State of Washington Medicaid Section 
1115(a) Waiver Request--Washington.
    Description: Under ``The State of Washington Medicaid Section 
1115(a) Waiver Request,'' the State is requesting waivers of the 75/25 
and lock-in requirements. The State's intent is for the demonstration 
to subsume the current 1915(b) Healthy Options Program. The State is 
planning innovations with encounter data, Medicaid HEDIS, and quality 
measures for the disabled population.
    Date Received: October 2, 1996.
    State Contact: Fred Fisher, Medical Assistance Administration, 
Department of Social and Health Services, P.O. Box 45500, Olympia, 
Washington 98504-5500, [phone].
    Federal Project Officer: Nancy Goetschius, Health Care Financing 
Administration, Office of Research & Demonstration, Office of State 
Health Reform Demonstrations. Mail Stop C3-18-26, 7500 Security 
Boulevard, Baltimore, MD 21244-1850.
3. Approved Conceptual Proposals
    No conceptual proposals were approved during the month of January.
4. Approved Proposals
    No proposals were approved during the month of January.
5. Disapproved Proposals
    No proposals were disapproved during the month of January.
6. Withdrawn Proposals
    No proposals were withdrawn during the month of January.
B. Other Section 1115 Demonstration Proposals
1. New Proposals
    The following proposal was received during the month of January.
    Demonstration Title/State: Minnesota Long-Term Care Facility 
Waiver--Minnesota.
    Description: The State of Minnesota has submitted a waiver 
application to provide Medicare waivers to conduct a demonstration 
related to the Medicare skilled nursing facility (SNF) benefit. This 
demonstration would involve: (1) the elimination of the 3-day hospital 
stay before Medicare pays for nursing home stays; (2) a change in 
coverage policy relating to respiratory therapy to allow for Medicare 
reimbursement for respiratory therapists in SNFs or in a home; (3) 
elimination of the minimum data set assessment for nursing home 
residents expected to stay in nursing facilities for fewer than 30 
days; and (4) a change in coverage policy relating to waiving the 
requirements according to which certified aides are authorized to feed 
long-term care facility residents.
    Date Received: January 6, 1997.
    State Contact: Stephanie L. Schwartz, Minnesota Department of Human 
Services, 444 Lafayette North, St. Paul, Minnesota 55155, (612) 297-
7198.
    Federal Project Officer: Sam Brown, Health Care Financing 
Administration, Office of Research and Demonstrations, Office of 
Beneficiary and Program, R&D, Mail Stop C3-21-06, 75500 Security 
Boulevard, Baltimore, MD 21244-1850.
2. Pending Proposals
    Demonstration Title/State: Alternatives in Medicaid Home Care 
Demonstration--Colorado.
    Description: Colorado proposes to conduct a pilot project that 
eliminates the restriction on provision of Medicaid home health 
services in locations other than the beneficiary's place of residence. 
The proposal would also permit nursing aides to perform functions that 
historically have been provided only by skilled nursing staff. Medicaid 
beneficiaries participating in the project will be adults (including 
both frail elderly clients and younger clients with disabilities) who 
can live independently and self-direct their own care. The project 
would provide for delegation of specific functions from nurses to 
certified nurses aides, pay nurses for shorter supervision and 
monitoring visits, and allow higher payments to aides performing 
delegated nursing tasks. Currently, home health agency nursing and 
nurse aide services are paid on a per visit basis. Each visit is 
approximately 2-4 hours in duration, and recipients must require 
skilled, hands-on care.
    Date Received: June 3, 1995.
    State Contact: Dann Milne, Director, Department of Health Care 
Policy and Financing, 1575 Sherman Street, Denver, CO 80203-1714, (303) 
866-5912.
    Federal Project Officer: Phyllis Nagy, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-21-
06, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration/Title: Integrated Care and Financing Project 
Demonstration--Colorado.
    Description: Colorado proposes to conduct an Integrated Care and 
Financing Project demonstration. Specifically, the Colorado Department 
of Health Care Policy and Financing proposes to add institutional and

[[Page 15190]]

community-based long-term care services to a health maintenance 
organization (HMO) and make the HMO responsible for providing 
comprehensive medical and supportive services through one capitated 
rate. The project would include all Medicaid eligibility groups, 
including individuals with dual eligibility.
    Date Received: September 28, 1995.
    State Contact: Dann Milne, Office of Long-Term Care System 
Development, State of Colorado Department of Health Care Policy and 
Financing, 1575 Sherman Street, Denver, CO 80203-1714, [phone].
    Federal Project Officer: Melissa McNiff, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: Georgia's Children's Benefit Plan--
Georgia.
    Description: Georgia submitted a section 1115 proposal entitled 
``Georgia Children's Benefit Plan'' to provide preventive and primary 
care services to children ages 1 through 5 years living in families 
with incomes between 133 percent and 185 percent of the Federal poverty 
level. The duration of the project 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 Northwest, Atlanta, GA 30303-3159, (404) 
651-5785.
    Federal Project Officer: Maria Boulmetis, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-18-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: Family Planning Services Section 1115 
Waiver Request--Michigan.
    Description: Michigan seeks 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, and to provide an 
additional benefit package consisting of home visits, outreach services 
to identify eligibility, and reinforced support for utilization of 
services. The duration of the project is 5 years.
    Date Received: March 27, 1995.
    State Contact: Gerald Miller, Director, Department of Social 
Services, 235 South Grand Avenue, Lansing, MI 48909, [phone].
    Federal Project Officer: Suzanne Rotwein, Ph.D., Health Care 
Financing Administration, Office of Research and Demonstrations, Mail 
Stop C3-24-07, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    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, NM 87504-2348, [phone].
    Federal Project Officer: Rosemarie Hakim, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-24-
07, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: Continuing Care Networks (CCN) 
Demonstration--Monroe County, New York.
    Description: The CCN project is designed to test the efficiency and 
effectiveness of financing and delivery systems which integrate 
primary, acute and long term care services under combined Medicare and 
Medicaid capitation payments. Participants will be both Medicare only, 
and dually eligible Medicare/Medicaid beneficiaries, who are 65 or 
older. Enrollment will be voluntary for all participants.
    Date Received: July 1, 1996.
    State Contact: C. Christopher Rush, Assistant Bureau Director, 
Bureau of Long Term Care, Division of Health and Long Term Care, New 
York State Department of Social Services, 40 North Pearl Street, 
Albany, New York 12243-0001, [phone].
    Federal Project Officer: Kay Lewandowski, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-23-
04, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    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, RI 02920, [phone].
    Federal Project Officer: Melissa McNiff, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-21-
06, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: Family Planning Services Eligibility 
Requirements Waiver--South Carolina
    Description: South Carolina proposes to extend Medicaid coverage 
for family planning services for 22 additional months to postpartum 
women with monthly incomes under 185 percent of the Federal poverty 
level. The objectives of the demonstration are to increase the number 
of reproductive age women receiving either Title XIX or Title X funded 
family planning services following the completion of a pregnancy, 
increase the period between pregnancies among mothers eligible for 
maternity services under the expanded eligibility provisions of 
Medicaid, and estimate the overall savings in Medicaid spending 
attributable to providing family planning services to women for 2 years 
postpartum. The duration of the proposed project would be 5 years.
    Date Received: May 4, 1995.
    State Contact: Eugene A. Laurent, Executive Director, State Health 
and Human Services Finance Commission, P.O. Box 8206, Columbia, SC 
29202-8206, [phone].
    Federal Project Officer: Suzanne Rotwein, Ph.D., Health Care 
Financing Administration, Office of Research and Demonstrations, Mail 
Stop C3-24-07, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Demonstration Title/State: South Dakota Quality Initiative --South 
Dakota.
    Description: The South Dakota Quality Initiative project is 
designed to test the effectiveness and efficiency of replacing the 
existing mandated nursing home survey and certification process under 
the Omnibus Budget Reconciliation Act of 1987 with a new system for 
quality measurement and improvement for nursing facilities 
participating in Medicare and Medicaid. Participation by nursing 
facilities will be voluntary.
    Date Received: December 12, 1996.
    State Contact: Joan Bachman, Administrator, Office of Health Care 
Facilities Licensure and Certification, South Dakota Department of 
Health, 615 East 4th Street, C/O 500 East Capitol Avenue, Pierre, South 
Dakota 57501, [phone].
    Federal Project Officer: Kay Lewandowski, Health Care Financing 
Administration, Office of Research and Demonstration, Mail Stop C3-21-
06,

[[Page 15191]]

7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Demonstration Title/State: Wisconsin.
    Description: Wisconsin proposes to limit the amount of exempt funds 
that may be set aside as burial and related expenses for SSI-related 
Medicaid beneficiaries.
    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, WI 53707, [phone].
    Federal Project Officer: J. Donald Sherwood, Health Care Financing 
Administration, Office of Research and Demonstrations, Mail Stop C3-16-
26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    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, [phone].
    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.
3. Approved, Disapproved, and Withdrawn Proposals
    There were no proposals approved, disapproved, or withdrawn during 
the month of January.

IV. 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: February 28, 1997.
Barbara Cooper,
Acting Director, Office of Research and Demonstrations.
[FR Doc. 97-7987 Filed 3-28-97; 8:45 am]
BILLING CODE 4120-01-P