[Federal Register Volume 60, Number 153 (Wednesday, August 9, 1995)]
[Notices]
[Pages 40594-40597]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-19648]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[ORD-077-N]
New and Pending Demonstration Project Proposals Submitted
Pursuant to Section 1115(a) of the Social Security Act: May 1995
AGENCY: Health Care Financing Administration (HCFA).
ACTION: Notice.
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SUMMARY: This notice lists new proposals for Medicaid demonstration
projects submitted to the Department of Health and Human Services
during the month of May 1995 under the authority of section 1115 of the
Social Security Act. This notice also lists proposals that were
approved, disapproved, pending, or withdrawn during this time period.
(This notice can also be accessed on the Internet at HTTP://
WWW.SSA.GOV/ HCFA/HCFAHP2.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, Room 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.
II. Listing of New, Pending, Approved, and Withdrawn Proposals for the
Month of May 1995
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.
A. Comprehensive Health Reform Programs
1. New Proposals
No new comprehensive health reform proposals were received during
the month of May.
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 persons with incomes up to 100
percent of the Federal poverty level.
Date Received: March 17, 1995.
State Contact: Mabel Chen, M.D., Director, Arizona Health Care Cost
Containment System, 801 East Jefferson, Phoenix, Arizona 85034, (602)
271-4422.
Federal Project Officer: Joan Peterson, Health Care Financing
Administration, Office of Research and Demonstrations, Room C3-18-26,
7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Demonstration Title/State: MediPlan Plus--Illinois.
Description: Illinois seeks to develop a managed care delivery
system using a series of networks, either local or statewide, to tailor
its Medicaid delivery
[[Page 40595]]
system to the needs of local urban neighborhoods or large rural areas.
Date Received: September 15, 1994.
State Contact: Tom Toberman, Manager, Federal/State Monitoring, 201
South Grand Avenue East, Springfield, Illinois 62763, (217) 782-2570.
Federal Project Officer: Gina Clemons, Health Care Financing
Administration, Office of Research and Demonstrations, Room 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 recipients currently eligible in
the 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, Kansas
66612, (913) 296-4719.
Federal Project Officer: Jane Forman, Health Care Financing
Administration, Office of Research and Demonstrations, Room C3-21-04,
7500 Security Boulevard, Baltimore, Maryland 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 (FPL); those with incomes above 133 percent of the FPL
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, Louisiana 70821-2871, (504) 342-2964.
Federal Project Officer: Gina Clemons, Health Care Financing
Administration, Office of Research and Demonstrations, Room C3-18-26,
7500 Security Boulevard, Baltimore, Maryland 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: Donna Checkett, Director, Division of Medical
Services, Missouri Department of Social Services, P.O. Box 6500,
Jefferson City, Missouri 65102-6500, (314) 751-6922.
Federal Project Officer: Nancy Goetschius, Health Care Financing
Administration, Office of Research and Demonstrations, Room C3-18-26,
7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Demonstration Title/State: The Granite State Partnership for Access
and Affordability in Health Care--New Hampshire.
Description: New Hampshire proposes to extend Medicaid eligibility
to adults with incomes below the AFDC cash standard and to create a
public insurance product for low income workers. The State also seeks
to implement a number of pilot initiatives to help redesign its health
care delivery system.
Date Received: June 14, 1994.
State Contact: Barry Bodell, New Hampshire Department of Health and
Human Services, Office of the Commissioner, 6 Hazen Drive, Concord, New
Hampshire 03301-6505, (603) 271-4332.
Federal Project Officer: Maria Boulmetis, Health Care Financing
Administration, Office of Research and Demonstrations, Room C3-18-26,
7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Demonstration Title/State: SoonerCare--Oklahoma.
Description: Oklahoma proposes to implement a 5-year statewide
managed care demonstration using both fully and partially capitated
delivery systems. The emphasis of the program is to address access
problems in rural areas by encouraging the development of rural-based
managed care initiatives. The State will employ traditional fully
capitated managed care delivery models for urban areas and will
introduce a series of partial capitation models in the rural areas of
the State. All currently eligible, non-institutionalized Medicaid
beneficiaries will be enrolled during the first 2 years of the project.
Date Received: January 6, 1995.
State Contact: Dr. Garth Splinter, Oklahoma Health Care Authority,
Lincoln Plaza, 4545 North Lincoln Blvd., Suite 124, Oklahoma City,
Oklahoma 73105, (405) 530-3439.
Federal Project Officer: Helaine I. Fingold, Health Care Financing
Administration, Office of Research and Demonstrations, Room C3-18-26,
7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Demonstration Title/State: Health Access Plan Demonstration--
Vermont.
Description: Vermont proposes to integrate Medicaid recipients into
managed care plans and expand coverage to uninsured individuals up to
150 percent of the Federal poverty level. The State also proposes to
provide pharmacy coverage to low income Medicare beneficiaries.
Date Received: February 24, 1995.
State Contact: Veronica Celani, Health Policy Director, Vermont
Agency of Human Services, 103 State Street, Waterbury, Vermont 05671,
(802) 828-2949.
Federal Project Officer: Sherrie Fried, Health Care Financing
Administration, Office of Research and Demonstrations, Room C3-18-26,
7500 Security Boulevard, Baltimore, Maryland 21244-1850.
3. Approved Conceptual Proposals (Awards of Waivers Pending)
No conceptual proposals were approved during the month of May.
4. Approved Grant Proposals (Award of Waivers Pending)
No grant proposals were awarded during the month of May.
5. Approved Proposals
Demonstration Title/State: The Diamond State Health Plan--Delaware.
Description: Delaware plans to expand eligibility for Medicaid to
persons with incomes up to 100 percent of the Federal poverty level and
require that the Medicaid population enroll in managed care delivery
systems. The State's current section 1115 demonstration project, the
Delaware Health Care Partnership for Children, will be incorporated
into the statewide program as an optional provider for eligible
children.
Date Received: July 29, 1994.
Date Approved: May 16, 1995.
State Contact: Kay Holmes, DSHP Coordinator, DHSS Medicaid Unit,
Biggs Building, P.O. Box 906, New Castle, Delaware 19720, (302) 577-
4900.
Federal Project Officer: Alisa Adamo, Health Care Financing
Administration, Office of Research and Demonstrations, Room C3-18-26,
7500 Security
[[Page 40596]]
Boulevard, Baltimore, Maryland 21244-1850.
6. Disapproved Proposals
No comprehensive health reform proposals have been disapproved
since January 1, 1993.
7. Withdrawn Proposals
No comprehensive health reform proposals were withdrawn during the
month of May.
B. Other Section 1115 Demonstration Proposals
1. New Proposals
The following new proposal was received during the month of May.
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, PO Box 8206, Columbia, South
Carolina 29202-8206, (517) 335-5117.
Federal Project Officer: Suzanne Rotwein, Ph.D., Health Care
Financing Administration, Office of Research and Demonstrations, Room
C3-24-07, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.
2. Pending Proposals
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 aged 1 through 5 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, Georgia 30303-3159,
(404) 651-5785.
Federal Project Officer: Maria Boulmetis, Health Care Financing
Administration, Office of Research and Demonstrations, Room C3-18-26,
7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Demonstration Title/State: High Cost User Initiative--Maryland.
Description: Maryland proposes to implement an integrated case
management system for high-cost, high-risk Medicaid recipients.
Date Received: July 8, 1994.
State Contact: John Folkemer, Maryland Department of Health and
Mental Hygiene, Office of Medical Assistance Policy, 201 West Preston
Street, Baltimore, Maryland 21201, (410) 225-5206.
Federal Project Officer: William Clark, Health Care Financing
Administration, Office of Research and Demonstrations, Room C3-21-06,
7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Demonstration Title/State: Family Planning Services Section 1115
Waiver Request--Michigan.
Description: Michigan seeks to extend Medicaid coverage for family
planning services to all women of childbearing age living in families
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, Michigan 48909, (517) 335-
5117.
Federal Project Officer: Suzanne Rotwein, Ph.D., Health Care
Financing Administration, Office of Research and Demonstrations, Room
C3-24-07, 7500 Security Boulevard, Baltimore, Maryland 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, PO Box 2348, Santa Fe, New Mexico 87504-2348, (505) 827-
3106.
Federal Project Officer: Suzanne Rotwein, Ph.D., Health Care
Financing Administration, Office of Research and Demonstrations, Room
C3-24-07, 7500 Security Boulevard, Baltimore, Maryland 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, Rhode Island 02920, (401) 464-3234.
Federal Project Officer: Melissa McNiff, Health Care Financing
Administration, Office of Research and Demonstrations, Room C3-21-06,
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 recipients.
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, PO Box 7850, Madison, Wisconsin 53707, (608) 266-0613.
Federal Project Officer: J. Donald Sherwood, Health Care Financing
Administration, Office of Research and Demonstrations, Room C3-16-26,
7500 Security Boulevard, Baltimore, Maryland 21244-1850.
3. Approved Conceptual Proposals (Award of Waivers Pending)
No conceptual proposals were awarded during the month of May.
4. Approved Proposals
No proposals were approved during the month of May.
5. Disapproved Proposals
No proposals were disapproved during the month of May.
6. Withdrawn Proposals
No proposals were withdrawn during the month of May.
III. Requests for Copies of a Proposal
Requests for copies of a specific Medicaid proposal should be made
to
[[Page 40597]]
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 28, 1995.
Bruce C. Vladeck,
Administrator, Health Care Financing Administration.
[FR Doc. 95-19648 Filed 8-8-95; 8:45 am]
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