[Federal Register Volume 61, Number 160 (Friday, August 16, 1996)]
[Notices]
[Pages 42637-42638]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-20918]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[ORD-090-N]
New and Pending Demonstration Project Proposals Submitted
Pursuant to Section 1115(a) of the Social Security Act: June 1996
AGENCY: Health Care Financing Administration (HCFA), HHS.
ACTION: Notice.
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SUMMARY: During the month of June, one new proposal for a Medicaid
demonstration project was submitted to the Department of Health and
Human Services, one proposal was approved and one proposal was
withdrawn. No proposals were disapproved during this time period. (This
notice can be accessed on the Internet at HTTP://WWW.HCFA.GOV/ORD/
ORDHP1.HTML.)
COMMENTS: We will accept written comments on these proposals. We will,
if feasible, acknowledge receipt of all comments, but we will not
provide written responses to comments. We will, however, neither
approve nor disapprove any new proposal for at least 30 days after the
date of this notice to allow time to receive and consider comments.
Direct comments as indicated below.
ADDRESSES: Mail correspondence to: Susan Anderson, Office of Research
and Demonstrations, Health Care Financing Administration, Mail Stop C3-
11-07, 7500 Security Boulevard, Baltimore, MD 21244-1850.
FOR FURTHER INFORMATION CONTACT: Susan Anderson, (410) 786-3996.
SUPPLEMENTARY INFORMATION:
I. Background
Under section 1115 of the Social Security Act (the Act), the
Department of Health and Human Services (HHS) may consider and approve
research and demonstration proposals with a broad range of policy
objectives. These demonstrations can lead to improvements in achieving
the purposes of the Act.
In exercising her discretionary authority, the Secretary has
developed a number of policies and procedures for reviewing proposals.
On September 27, 1994, we published a notice in the Federal Register
(59 FR 49249) that specified (1) the principles that we ordinarily will
consider when approving or disapproving demonstration projects under
the authority in section 1115(a) of the Act; (2) the procedures we
expect States to use in involving the public in the development of
proposed demonstration projects under section 1115; and (3) the
procedures we ordinarily will follow in reviewing demonstration
proposals. We are committed to a thorough and expeditious review of
State requests to conduct such demonstrations.
As part of our procedures, we publish a notice in the Federal
Register with a monthly listing of all new submissions, pending
proposals, approvals, disapprovals, and withdrawn proposals. Proposals
submitted in response to a grant solicitation or other competitive
process are reported as received during the month that such grant or
bid is awarded, so as to prevent interference with the awards process.
II. Listing of New, Pending, Approved, and Withdrawn Proposals for the
Month of June 1996
A. Comprehensive Health Reform Programs
1. New Proposals
The following comprehensive health reform proposal was received
during the month of June:
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 and coordination for specialty and support services not
included in the health plan service package. The State proposes 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: Lorrie Lutz, Planning and Policy Development, State
of New Hampshire, Department of Health and Human Services, 6 Hazen
Drive, Concord, NY 03301-6505, (603) 271-4478.
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.
2. Pending, Approved and Disapproved Proposals
We did not approve or disapprove any proposals during the month of
June. The one new proposal submitted in May and now pending is as
follows:
Demonstration Title/State: Maryland Medicaid Reform Proposal--
Maryland.
[[Page 42638]]
Description: A statewide section 1115 demonstration proposal has
been developed to: provide a patient-focused system through managed
care entities; build on the strengths of the current Maryland health
care system; provide comprehensive, prevention-orientated systems of
care; hold Managed Care Organizations (MCOs) accountable for high-
quality care; and achieve better value and predictability for State
expenditures.
Date Received: May 3, 1996.
State Contact: Mary Mussman, M.D., M.P.H., Acting Executive
Director, Center for Health Program Development and Management, Social
Sciences Building, Room 309A, 5401 Wilkens Avenue, Baltimore, MD 21228-
5398, (410)455-6804.
Federal Project Officer: Gina Clemons, Health Care Financing
Administration, Office of Research and Demonstrations, Office of State
Health Reform Demonstrations, Mail Stop C3-18-26, 7500 Security
Boulevard, Baltimore, MD 21244-1850.
Other pending proposals can be found in the Federal Register of
January 23, 1996, 61 FR 1769.
3. Withdrawn Proposals
The following proposal was withdrawn June 4, 1996:
Demonstration Title/State: The Granite State Partnership for Access
and Affordability in Health Care--New Hampshire.
B. Other Section 1115 Demonstration Proposals
1. New Proposals
No new proposals were received during the month of June.
2. Approved Proposals
The following proposal was approved during the month of June:
Demonstration Title/State: Medicaid Family Planning Services for
Women of Childbearing Age--Arkansas.
Description: This State demonstration will provide Medicaid covered
family planning services for all women of childbearing age with incomes
at or below 133 percent of the Federal Poverty Level.
Date Received: September 13, 1995 (October 2, 1995 date listed in
61 FR 1771 was not correct).
Date Approved: June 18, 1996.
State Contact: Thomas Dalton, Director, Arkansas Department of
Human Services, P.O. Box 1437, Little Rock, Arkansas 72203-1437, (501)
682-8650.
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.
3. Pending and Withdrawn Proposals
We did not disapprove any Other Section 1115 Demonstration
Proposals during June nor were any proposals withdrawn during that
month. Pending proposals for the month of November 1995 published in
the Federal Register on January 23, 1996, 61 FR 1769, and for the
months of February and March 1996 published in the Federal Register on
May 14, 1996, 61 FR 24318 remain unchanged with the exception of the
approved proposal as shown above.
III. Requests for Copies of a Proposal
Requests for copies of a specific Medicaid proposal should be made
to the State contact listed for the specific proposal. If further help
or information is needed, inquiries should be directed to HCFA at the
address above.
(Catalog of Federal Domestic Assistance Program, No. 93.779; Health
Financing Research, Demonstrations, and Experiments.)
Dated: July 24, 1996.
Barbara Cooper,
Acting Director, Office of Research and Demonstrations.
[FR Doc. 96-20918 Filed 8-15-96; 8:45 am]
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