2015-13043. Medicaid Program; State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals (QIs): Federal Fiscal Years 2013 and 2014

AGENCY:

Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION:

Notice.

SUMMARY:

This notice sets forth the states' final allotments available to pay the Medicare Part B premiums for Qualifying Individuals (QIs) for the federal fiscal year (FY) 2013 and the preliminary QI allotments for FY 2014. The amounts of these QI allotments were determined in accordance with the methodology set forth in regulations and reflect funding for the QI program made available under recent legislation.

DATES:

The final QI allotments for payment of Medicare Part B premiums for FY 2013 are effective October 1, 2012. The preliminary QI allotments for FY 2014 are effective October 1, 2013.

FOR FURTHER INFORMATION CONTACT:

Diana Kuhn, [phone] or Toni Cincibus at [phone].

SUPPLEMENTARY INFORMATION:

I. Background

A. QI Allotments for FY 2013

Section 3101 of the Middle Class Tax Relief and Job Creation Act of 2012 (Pub. L. 112-96, enacted on February 22, 2012) (MCTRJCA) extended the authority and funding for the QI program by providing $280 million, available for the period October 1, 2012 through December 31, 2012, the first quarter of FY 2013. Section 621 of the American Taxpayer Relief Act of 2012 (Pub. L. 112-240, enacted on January 2, 2013) (ATRA), extended the authority for the QI program for all of FY 2013 and provided $485 million in additional funding for the program for the period January 1, 2013 through September 30, 2013. Therefore the total funding available for the QI program for FY 2013 is $765 million ($280 million plus $485 million).

B. QI Allotments for FY 2014 and Thereafter

As amended by section 621 of the American Taxpayer Relief Act of 2012 (ATRA, Pub. L. 112-240, enacted on January 2, 2013), section 1933(g)(2) of the Social Security Act provided $300 million in funding for the period October 1, 2013 through December 31, 2013, the first quarter of FY 2014. Section 1201 of Division B of the legislation “Pathway for SGR Reform Act of 2013” (Pub. L. 113-67 enacted on December 26, 2013) provided an additional $200 million and authority for the QI program for the period January 1, 2014 through March 31, 2014 (second quarter of FY 2014). In addition, section 201 of the Protecting Access to Medicare Act of 2014 (PAMA) (Pub. L. 113-93 enacted on April 1, 2014) revised the $200 to $485 million and extended the period for which such funds were available to the end of September 2014. Therefore, a total of $785 million is now available for all of FY 2014 ($300 million for the first quarter of FY 2014, and $485 million for the second through fourth quarters of FY 2014). Finally, section 201 of PAMA further extended the authority and funding for the QI program for FY 2015 as follows: $300 million for the period October 1, 2014 through December 31, 2014 (first quarter of FY 2015); and, $250 million for the period January 1, 2015 through March 31, 2015 (second quarter FY 2015). Therefore, a total of $550 million is available for the QI program for FY 2015.

C. Methodology for Calculating the Fiscal Year QI Allotments

The amounts of the states' final FY 2013 and preliminary FY 2014 QI allotments, contained in this notice, were determined in accordance with the methodology set forth in existing regulations at 42 CFR 433.10(c)(5) and reflect funding for the QI program made available under the legislation discussed above.

II. Tables

The final QI allotments for FY 2013 and the preliminary QI allotments for FY 2014 are shown by state in Table 1 and Table 2, respectively:

Table 1—Final Qualifying Individuals Allotments for October 1, 2012 through September 30, 2013.

Table 2—Preliminary Qualifying Individuals Allotments for October 1, 2013 through September 30, 2014.

Table 1—Final Qualifying Individuals Allotments for October 1, 2012 Through September 30, 2013

State	Initial QI allotments for FY 2013			FY 2013 estimated QI expenditures 1	Need (difference) If E > D, E − D	Percentage of total need states F/(tot. of F)	Reduction pool for non-need states If D >= E, D − E	Percentage of total non-need states H/ (tot. of H)	Reduction adj. for non-need states Col. I × $105,466,335	Increase adj. for need states Col. G × $105,466,335	Final FY 2013 QI allotment 2
	Number of individuals 3 (000s)	Percentage of total Col B/ Tot. Col B	Initial QI allotment Col C × $765,000,000
A	B	C	D	E	F	G	H	I	J	K	L
Alabama	38	2.64	$20,159,501	$22,544,081	$2,384,580	2.2610	Need	Need	Need	$2,384,580	$22,544,081
Alaska	2	0.14	1,061,026	326,300	NA	NA	$734,726	0.4320	$455,613	NA	605,414
Arizona	21	1.46	11,140,777	19,563,390	8,422,614	7.9861	Need	Need	Need	8,422,614	19,563,390
Arkansas	27	1.87	14,323,856	13,956,348	NA	NA	367,508	0.2161	227,896	NA	14,095,960
California	107	7.42	56,764,910	28,189,619	NA	NA	28,575,291	16.8015	17,719,883	NA	39,045,026
Colorado	16	1.11	8,488,211	6,005,621	NA	NA	2,482,589	1.4597	1,539,484	NA	6,948,727
Connecticut	15	1.04	7,957,698	3,902,339	NA	NA	4,055,359	2.3844	2,514,777	NA	5,442,921
Delaware	4	0.28	2,122,053	3,211,361	1,089,308	1.0328	Need	Need	Need	1,089,308	3,211,361
District of Columbia	2	0.14	1,061,026	0	NA	NA	1,061,026	0.6239	657,955	NA	403,071
Florida	96	6.66	50,929,265	72,316,568	21,387,303	20.2788	Need	Need	Need	21,387,303	72,316,568
Georgia	45	3.12	23,873,093	34,507,397	10,634,304	10.0831	Need	Need	Need	10,634,304	34,507,397
Hawaii	6	0.42	3,183,079	1,409,689	NA	NA	1,773,390	1.0427	1,099,701	NA	2,083,378
Idaho	7	0.49	3,713,592	2,677,626	NA	NA	1,035,967	0.6091	642,415	NA	3,071,177
Illinois	68	4.72	36,074,896	24,744,637	NA	NA	11,330,259	6.6619	7,026,031	NA	29,048,864
Indiana	43	2.98	22,812,067	5,829,210	NA	NA	16,982,857	9.9854	10,531,275	NA	12,280,791
Iowa	16	1.11	8,488,211	4,584,319	NA	NA	3,903,892	2.2954	2,420,851	NA	6,067,360
Kansas	18	1.25	9,549,237	5,023,657	NA	NA	4,525,580	2.6609	2,806,367	NA	6,742,870
Kentucky	34	2.36	18,037,448	15,065,051	NA	NA	2,972,397	1.7477	1,843,219	NA	16,194,229
Louisiana	29	2.01	15,384,882	20,831,932	5,447,049	5.1647	Need	Need	Need	5,447,049	20,831,932
Maine	7	0.49	3,713,592	6,075,634	2,362,042	2.2396	Need	Need	Need	2,362,042	6,075,634
Maryland	24	1.66	12,732,316	8,959,072	NA	NA	3,773,244	2.2186	2,339,834	NA	10,392,482
Massachusetts	28	1.94	14,854,369	9,694,545	NA	NA	5,159,824	3.0338	3,199,669	NA	11,654,700
Michigan	38	2.64	20,159,501	14,816,534	NA	NA	5,342,966	3.1415	3,313,238	NA	16,846,263
Minnesota	22	1.53	11,671,290	6,389,653	NA	NA	5,281,637	3.1055	3,275,207	NA	8,396,083
Mississippi	18	1.25	9,549,237	15,212,658	5,663,421	5.3699	Need	Need	Need	5,663,421	15,212,658
Missouri	39	2.70	20,690,014	4,395,160	NA	NA	16,294,854	9.5809	10,104,636	NA	10,585,377
Montana	6	0.42	3,183,079	1,543,785	NA	NA	1,639,294	0.9639	1,016,546	NA	2,166,533
Nebraska	6	0.42	3,183,079	2,283,431	NA	NA	899,648	0.5290	557,882	NA	2,625,197
Nevada	10	0.69	5,305,132	5,391,707	86,575	0.0821	Need	Need	Need	86,575	5,391,707
New Hampshire	6	0.42	3,183,079	2,269,086	NA	NA	913,993	0.5374	566,778	NA	2,616,301
New Jersey	40	2.77	21,220,527	7,810,549	NA	NA	13,409,979	7.8847	8,315,690	NA	12,904,836
New Mexico	9	0.62	4,774,619	4,117,952	NA	NA	656,667	0.3861	407,207	NA	4,367,412
New York	85	5.89	45,093,620	46,198,147	1,104,527	1.0473	Need	Need	Need	1,104,527	46,198,147
North Carolina	38	2.64	20,159,501	29,670,994	9,511,493	9.0185	Need	Need	Need	9,511,493	29,670,994
North Dakota	3	0.21	1,591,540	670,202	NA	NA	921,338	0.5417	571,333	NA	1,020,207
Ohio	54	3.74	28,647,712	26,381,913	NA	NA	2,265,799	1.3322	1,405,049	NA	27,242,662
Oklahoma	27	1.87	14,323,856	10,320,039	NA	NA	4,003,816	2.3541	2,482,815	NA	11,841,041
Oregon	17	1.18	9,018,724	14,297,554	5,278,830	5.0052	Need	Need	Need	5,278,830	14,297,554
Pennsylvania	78	5.41	41,380,028	33,265,180	NA	NA	8,114,848	4.7713	5,032,115	NA	36,347,913
Rhode Island	6	0.42	3,183,079	2,439,790	NA	NA	743,289	0.4370	460,923	NA	2,722,156
South Carolina	33	2.29	17,506,935	14,903,998	NA	NA	2,602,937	1.5305	1,614,113	NA	15,892,822
South Dakota	4	0.28	2,122,053	1,623,719	NA	NA	498,334	0.2930	309,023	NA	1,813,030
Tennessee	48	3.33	25,464,632	31,271,663	5,807,030	5.5061	Need	Need	Need	5,807,030	31,271,663
Texas	106	7.35	56,234,397	78,081,412	21,847,015	20.7147	Need	Need	Need	21,847,015	78,081,412
Utah	6	0.42	3,183,079	2,018,266	NA	NA	1,164,813	0.6849	722,315	NA	2,460,765
Vermont	2	0.14	1,061,026	3,574,197	2,513,171	2.3829	Need	Need	Need	2,513,171	3,574,197
Virginia	23	1.60	12,201,803	14,128,876	1,927,073	1.8272	Need	Need	Need	1,927,073	14,128,876
Washington	23	1.60	12,201,803	5,963,337	NA	NA	6,238,466	3.6680	3,868,548	NA	8,333,255
West Virginia	17	1.18	9,018,724	6,218,910	NA	NA	2,799,814	1.6462	1,736,199	NA	7,282,525
Wisconsin	22	1.53	11,671,290	4,839,536	NA	NA	6,831,754	4.0169	4,236,453	NA	7,434,837
Wyoming	3	0.21	1,591,540	873,450	NA	NA	718,090	0.4222	445,296	NA	1,146,244
Total	1,442	100.00	765,000,000	700,390,091	105,466,335	100.0000	170,076,244	100.0000	105,466,335	105,466,335	765,000,000
Footnotes:
1 FY 2013 Estimates from July 2013 CMS Survey of States; Estimates Are For Months October 2012 Through September 2013.
2 For Need States, Final FY 2013 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K; For Non-Need States, Final FY 2013 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J.
3 Three-year average (2009-2011) of number (000) of Medicare beneficiaries in State who are not enrolled in Medicaid but whose incomes are at least 120% but less than 135% of Federal poverty level.
Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2012 Current Population Survey (CPS).

Table 2—Preliminary Qualifying Individuals Allotments for October 1, 2013 Through September 30, 2014

State	Initial QI allotments for FY 2014			FY 2014 estimated QI expenditures 1	Need (difference) if E > D, E−D	Percentage of total need states F/(tot. of F)	Reduction pool for non-need states if D >= E, D − E	Percent of total non-need states H/(tot. of H)	Reduction adj. for non-need states Col. I × $116,087,180	Increase adj. for need states Col. G × $116,087,180	Preliminary FY 2014 QI allotment 2
	Number of individuals 3 (000s)	Percentage of total Col B/tot. Col B	Initial QI allotment Col C × $785,000,000
A	B	C	D	E	F	G	H	I	J	K	L
Alabama	33	2.13	$16,756,145	$24,304,910	$7,548,766	6.5027	Need	Need	Need	$7,548,766	$24,304,910
Alaska	2	0.13	1,015,524	374,073	NA	NA	$641,451	0.4288	$497,751	NA	517,772
Arizona	29	1.88	14,725,097	21,719,024	6,993,927	6.0247	Need	Need	Need	6,993,927	21,719,024
Arkansas	25	1.62	12,694,049	14,283,289	1,589,240	1.3690	Need	Need	Need	1,589,240	14,283,289
California	130	8.41	66,009,056	29,497,236	NA	NA	36,511,819	24.4061	28,332,367	NA	37,676,689
Colorado	12	0.78	6,093,144	6,744,021	650,877	0.5607	Need	Need	Need	650,877	6,744,021
Connecticut	15	0.97	7,616,429	5,030,002	NA	NA	2,586,428	1.7289	2,007,011	NA	5,609,418
Delaware	5	0.32	2,538,810	3,208,262	669,452	0.5767	Need	Need	Need	669,452	3,208,262
District of Columbia	2	0.13	1,015,524	0	NA	NA	1,015,524	0.6788	788,024	NA	227,500
Florida	133	8.60	67,532,342	78,905,990	11,373,648	9.7975	Need	Need	Need	11,373,648	78,905,990
Georgia	46	2.98	23,357,050	37,475,498	14,118,447	12.1619	Need	Need	Need	14,118,447	37,475,499
Hawaii	6	0.39	3,046,572	1,472,570	NA	NA	1,574,002	1.0521	1,221,391	NA	1,825,181
Idaho	8	0.52	4,062,096	2,684,609	NA	NA	1,377,487	0.9208	1,068,899	NA	2,993,196
Illinois	63	4.08	31,989,004	28,168,168	NA	NA	3,820,836	2.5540	2,964,885	NA	29,024,119
Indiana	41	2.65	20,818,241	6,077,393	NA	NA	14,740,848	9.8534	11,438,573	NA	9,379,668
Iowa	17	1.10	8,631,953	4,924,019	NA	NA	3,707,935	2.4785	2,877,276	NA	5,754,678
Kansas	18	1.16	9,139,715	5,698,955	NA	NA	3,440,760	2.3000	2,669,954	NA	6,469,761
Kentucky	35	2.26	17,771,669	17,488,089	NA	NA	283,580	0.1896	220,052	NA	17,551,617
Louisiana	29	1.88	14,725,097	22,748,614	8,023,517	6.9116	Need	Need	Need	8,023,517	22,748,614
Maine	7	0.45	3,554,334	7,632,104	4,077,771	3.5127	Need	Need	Need	4,077,771	7,632,104
Maryland	22	1.42	11,170,763	10,821,904	NA	NA	348,860	0.2332	270,707	NA	10,900,056
Massachusetts	27	1.75	13,709,573	10,070,400	NA	NA	3,639,173	2.4326	2,823,918	NA	10,885,655
Michigan	37	2.39	18,787,193	18,446,036	NA	NA	341,157	0.2280	264,730	NA	18,522,462
Minnesota	18	1.16	9,139,715	6,901,960	NA	NA	2,237,755	1.4958	1,736,449	NA	7,403,266
Mississippi	20	1.29	10,155,239	16,214,118	6,058,879	5.2192	Need	Need	Need	6,058,879	16,214,118
Missouri	44	2.85	22,341,527	6,154,273	NA	NA	16,187,253	10.8203	12,560,952	NA	9,780,575
Montana	6	0.39	3,046,572	1,617,663	NA	NA	1,428,909	0.9551	1,108,802	NA	1,937,770
Nebraska	7	0.45	3,554,334	2,347,662	NA	NA	1,206,672	0.8066	936,351	NA	2,617,983
Nevada	7	0.45	3,554,334	6,220,570	2,666,236	2.2968	Need	Need	Need	2,666,236	6,220,570
New Hampshire	6	0.39	3,046,572	2,755,828	NA	NA	290,744	0.1943	225,611	NA	2,820,961
New Jersey	45	2.91	22,849,288	8,686,979	NA	NA	14,162,310	9.4667	10,989,640	NA	11,859,648
New Mexico	9	0.58	4,569,858	4,491,904	NA	NA	77,953	0.0521	60,490	NA	4,509,368
New York	102	6.60	51,791,721	47,248,495	NA	NA	4,543,226	3.0369	3,525,443	NA	48,266,278
North Carolina	48	3.10	24,372,574	31,199,358	6,826,784	5.8807	Need	Need	Need	6,826,784	31,199,358
North Dakota	4	0.26	2,031,048	708,704	NA	NA	1,322,343	0.8839	1,026,109	NA	1,004,938
Ohio	59	3.82	29,957,956	27,260,048	NA	NA	2,697,908	1.8034	2,093,517	NA	27,864,439
Oklahoma	23	1.49	11,678,525	11,187,585	NA	NA	490,940	0.3282	380,959	NA	11,297,566
Oregon	16	1.03	8,124,191	16,228,030	8,103,839	6.9808	Need	Need	Need	8,103,839	16,228,030
Pennsylvania	83	5.37	42,144,243	33,836,544	NA	NA	8,307,699	5.5532	6,446,591	NA	35,697,652
Rhode Island	5	0.32	2,538,810	2,519,698	NA	NA	19,112	0.0128	14,830	NA	2,523,979
South Carolina	33	2.13	16,756,145	15,105,600	NA	NA	1,650,545	1.1033	1,280,786	NA	15,475,358
South Dakota	3	0.19	1,523,286	2,110,798	587,512	0.5061	Need	Need	Need	587,512	2,110,798
Tennessee	43	2.78	21,833,765	32,496,447	10,662,682	9.1851	Need	Need	Need	10,662,682	32,496,447
Texas	108	6.99	54,838,292	78,683,812	23,845,519	20.5410	Need	Need	Need	23,845,519	78,683,813
Utah	7	0.45	3,554,334	2,394,138	NA	NA	1,160,196	0.7755	900,286	NA	2,654,047
Vermont	3	0.19	1,523,286	3,813,371	2,290,085	1.9727	Need	Need	Need	2,290,085	3,813,371
Virginia	33	2.13	16,756,145	14,627,256	NA	NA	2,128,889	1.4230	1,651,971	NA	15,104,174
Washington	26	1.68	13,201,811	6,660,311	NA	NA	6,541,500	4.3726	5,076,060	NA	8,125,751
West Virginia	20	1.29	10,155,239	6,415,789	NA	NA	3,739,450	2.4996	2,901,731	NA	7,253,508
Wisconsin	22	1.42	11,170,763	4,908,586	NA	NA	6,262,178	4.1859	4,859,312	NA	6,311,452
Wyoming	4	0.26	2,031,048	915,357	NA	NA	1,115,690	0.7458	865,751	NA	1,165,297
Total	1,546	100.00	785,000,000	751,486,048	116,087,180	100.0000	149,601,132	100.0000	116,087,180	116,087,180	785,000,000
Footnotes:
1 FY 2014 Estimates in Column E are from July 2013 CMS Survey of States; Estimates are for months October 2013 through September 2014.
2 For Need States, Preliminary FY 2014 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K; For Non-Need States, Preliminary FY 2014 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J.
3 Three-year average (2010-2012) of number (000) of Medicare beneficiaries in State who are not enrolled in Medicaid but whose incomes are at least 120% but less than 135% of Federal poverty level.
Source: Census Bureau Annual Social and Economic Supplement (ASEC) to the 2012 Current Population Survey (CPS).

The following describes the information contained in the columns of Table 1 and Table 2:

Column A—State. Column A shows the name of each state. Columns B through D show the determination of an Initial QI Allotment for FY 2013 (Table 1) or FY 2014 (Table 2) for each state, based only on the indicated Census Bureau data.

Column B—Number of Individuals. Column B contains the estimated average number of Medicare beneficiaries for each state that are not covered by Medicaid whose family income is at least 120 but less than 135 percent of the federal poverty level. With respect to the final FY 2013 QI allotment (Table1), Column B contains the number of such individuals for the years 2009 through 2011, as obtained from the Census Bureau's Annual Social and Economic Supplement to the 2012 Current Population Survey. With respect to the preliminary FY 2014 QI allotment (Table 2), Column B contains the number of such individuals for the years 2010 through 2012, as obtained from the Census Bureau's Annual Social and Economic Supplement to the Current Population Survey.

Column C—Percentage of Total. Column C provides the percentage of the total number of individuals for each state, that is, the Number of Individuals for the state in Column B divided by the sum total of the Number of Individuals for all States in Column B.

Column D—Initial QI Allotment. Column D contains each state's Initial QI Allotment for FY 2013 (Table 1) or FY 2014 (Chart 2), calculated as the state's Percentage of Total in Column C multiplied by the total amount available nationally for QI allotments for the fiscal year. The total amount available nationally for QI allotments each fiscal year is $765,000,000 for FY 2013 (Table 1) and $785,000,000 for FY 2014 (Table 2).

Columns E through L show the determination of the States' Final QI Allotments for FY 2013 (Table 1) or Preliminary QI Allotments for FY 2014 (Table 2).

Column E—FY 2013 or FY 2014 Estimated QI Expenditures. Column E contains the states' estimates of their total QI expenditures for FY 2013 (Table 1) or FY 2014 (Table 2) based on information obtained from states in the summer of 2013 and as updated.

Column F—Need (Difference). Column F contains the additional amount of QI allotment needed for those states whose estimated expenditures in Column E exceeded their Initial QI allotments in Column D for FY 2013 (Table 1) or for FY 2014 (Table 2) for such states, Column F shows the amount in Column E minus the amount in Column D. For other “Non-Need” states, Column F shows “NA.”

Column G—Percent of Total Need States. For states whose projected QI expenditures in Column E are greater than their Initial QI allotment in Column D for FY 2013 (Table 1) or FY 2014 (Table 2), respectively, Column G shows the percentage of total need, determined as the amount for each Need State in Column F divided by the sum of the amounts for all states in Column F. For Non-Need states, the entry in Column G is “NA.”

Column H—Reduction Pool for Non-Need States. Column H shows the amount of the pool of surplus QI allotments for FY 2013 (Table 1) or FY 2014 (Table 2), respectively, for those states that project QI expenditures for the fiscal year that are less than the Initial QI allotment for the fiscal year (referred to as Non-Need states). For states for which the estimates in Column E of QI expenditures for FY 2013 or FY 2014, respectively, are equal to or less than their Initial QI allotments in Column D for FY 2013 or FY 2014, respectively, Column H shows the amount in Column D minus the amount in Column E. For the states with a need, Column H shows “Need.” The reduction pool of excess QI allotments is equal to the sum of the amounts in Column H.

Column I—Percent of Total Non-Need States. For states whose projected QI expenditures in Column E are less than their Initial QI allotment in Column D for FY 2013 (Table 1) or FY 2014 (Table 2), Column I shows the percentage of the total reduction pool in Column H, determined as the amount for each Non-Need state in Column H divided by the sum of the amounts for all states in Column H. For Need states, the entry in Column I is “Need”.

Column J—Reduction Adjustment for Non-Need States. Column J shows the amount of adjustment needed to reduce the Initial QI allotments in Column D for FY 2013 (Table 1) or FY 2014 (Table 2) for Non-Need States in order to address the total need shown in Column F. The amount in Column J is determined as the percentage in column I for Non-Need States multiplied by the lesser of the total need in Column F (equal to the sum of Needs in Column F) or the total Reduction Pool in Column H (equal to the sum of the Non-Need amounts in Column H). For Need States, the entry in Column J is “Need.”

Column K—Increase Adjustment for Need States. Column K shows the amount of adjustment to increase the Initial QI Allotment in Column D for FY 2013 (Table 1) or FY 2014 (Table 2) for Need States in order to address the total need shown for the fiscal year in Column F. The amount in Column K is determined as the percentage in Column G for Need States multiplied by the lesser of the total need in Column F (equal to the sum of Needs in Column F) or the total Reduction Pool in Column H (equal to the sum of the Non-Need amounts in Column H). For Non-Need States, the entry in Column K is “NA.”

Column L—Final FY 2013 QI Allotment (Chart 1) or Preliminary FY 2014 QI Allotment ( Table 2). Column L contains the Final QI Allotment for each state for FY 2013 (Table 1) or the Preliminary QI Allotment for FY 2014 (Table 2). For states that need additional QI allotment amounts for the fiscal year based on Estimated QI Expenditures in Column E as compared to their Initial QI allotments in Column D for the fiscal year (states with a projected need amount are shown in Column F), Column L is equal to the Initial QI allotment in Column D for FY 2013 (Table 1) or FY 2014 (Table 2) plus the amount determined in Column K for Need States. For Non-Need States (states with a projected surplus in Column H), Column L is equal to the QI Allotment in Column D reduced by the Reduction Adjustment amount in Column J.

III. Collection of Information Requirements

This notice does not impose any information collection or recordkeeping requirements. Consequently, it does not need Office of Management and Budget review under the authority of the Paperwork Reduction Act of 1995 (44 U.S.C. 3501 et seq.).

Dated: April 17, 2015.

Andrew M. Slavitt,

Acting Administrator, Centers for Medicare & Medicaid Services.

Dated: May 21, 2015.

Sylvia M. Burwell,

Secretary, Department of Health and Human Services.