[Federal Register Volume 78, Number 144 (Friday, July 26, 2013)] [Notices] [Pages 45213-45216] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 2013-17962] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [CMS-2387-N] RIN 0938-AR78 Medicaid Program; State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals (QIs): Federal Fiscal Years 2012 and 2013 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) 2012 and the preliminary QI allotments for FY 2013. 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 2012 are effective October 1, 2011. The preliminary QI allotments for FY 2013 are effective October 1, 2012. FOR FURTHER INFORMATION CONTACT: Richard Strauss, (410) 786-2019. SUPPLEMENTARY INFORMATION: I. Background A. QI Allotments for FY 2012 Section 110 of the Medicare and Medicaid Extenders Act of 2010 (Pub. L. 111-309, enacted on December 15, 2010) (MMEA) extended the authority and funding for the QI program for the first quarter of FY 2012 (that is, through December 31, 2011) by providing $280 million available for the first quarter of FY 2012. Section 310 of the Temporary Payroll Tax Cut Continuation Act of 2011 (Pub. L. 112-78, enacted on December 23, 2011) (TPTCA) provided temporary continued authority and an additional $150 million in funding for the QI program for the period January 1, 2012 through February 29, 2012. With the enactment of TPTCA, the QI program was authorized and funded at a total amount nationally of $430 million ($280 million plus $150 million) for FY 2012 through February 29, 2012. 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 for FY 2012; in particular, authority for the QI program was extended for all of FY 2012 and funding for the program for the period January 1, 2012 through September 30, 2012 was increased to $450 million. Therefore, the total funding available for the QI program for FY 2012 is $730 million ($280 million plus $450 million). B. QI Allotments for FY 2013 and Thereafter Section 3101 of the 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. Most recently, 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). Finally, section 621 of ATRA further extended the authority and funding for the QI program by providing $300 million, available for the period October 1, 2013 through December 31, 2013, the first quarter of FY 2014. C. Methodology for Calculating the Fiscal Year QI Allotments. The amounts of the states' final FY 2012 and preliminary FY 2013 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. Charts The final QI allotments for FY 2012 and the preliminary QI allotments for FY 2013 are shown by state in Chart 1 and Chart 2 below, respectively: Chart 1--Final Qualifying Individuals Allotments for October 1, 2011 through September 30, 2012. Chart 2--Preliminary Qualifying Individuals Allotments for October 1, 2012 through September 30, 2013. [[Page 45214]] Table 1--Final Qualifying Individuals Allotments for October 1, 2011 Through September 30, 2012 ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Initial QI allotments for FY 2012 ------------------------------------------------ Initial QI FY 2012 Pct of Tot. need Reduction pool for Pct of Tot. non- Reduction adj. for Increase adj. for State Number of Percentage of allotment Col estimated QI Need (difference) states F/(Tot. of non-need states If need states H/ non-need states need states Col. Final FY 2012 individuals/3 total Col B/ C x expenditures/1 If E>D, E-D F) D >= E, D-E (Tot. of H) Col. I x G x $82,487,822 QI allotment/2 (000s) Tot. Col B ---------------- $82,487,822 $730,000,000 A B C D E F................. G................. H................. I................. J................. K................. L ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Alabama......................... 43 3.22 $23,513,109 $21,324,574 NA................ NA................ $2,188,535........ 1.2003............ $990,139.......... NA................ $22,522,970 Alaska.......................... 2 0.15 1,093,633 283,429 NA................ NA................ 810,204........... 0.4444............ 366,553........... NA................ 727,080 Arizona......................... 14 1.05 7,655,431 16,592,682 8,937,252......... 10.8346........... Need.............. Need.............. Need.............. 8,937,252......... 16,592,682 Arkansas........................ 21 1.57 11,483,146 12,996,962 1,513,816......... 1.8352............ Need.............. Need.............. Need.............. 1,513,816......... 12,996,962 California...................... 89 6.67 48,666,667 27,247,615 NA................ NA................ 21,419,052........ 11.7477........... 9,690,422......... NA................ 38,976,244 Colorado........................ 16 1.20 8,749,064 5,418,415 NA................ NA................ 3,330,649......... 1.8268............ 1,506,854......... NA................ 7,242,209 Connecticut..................... 15 1.12 8,202,247 2,292,128 NA................ NA................ 5,910,119......... 3.2415............ 2,673,860......... NA................ 5,528,387 Delaware........................ 4 0.30 2,187,266 3,030,541 843,275........... 1.0223............ Need.............. Need.............. Need.............. 843,275........... 3,030,541 District of Columbia............ 2 0.15 1,093,633 0 NA................ NA................ 1,093,633......... 0.5998............ 494,782........... NA................ 598,851 Florida......................... 83 6.22 45,385,768 66,783,222 21,397,454........ 25.9401........... Need.............. Need.............. Need.............. 21,397,454........ 66,783,222 Georgia......................... 35 2.62 19,138,577 35,076,093 15,937,516........ 19.3211........... Need.............. Need.............. Need.............. 15,937,516........ 35,076,093 Hawaii.......................... 5 0.37 2,734,082 1,308,325 NA................ NA................ 1,425,758......... 0.7820............ 645,042........... NA................ 2,089,040 Idaho........................... 6 0.45 3,280,899 2,501,976 NA................ NA................ 778,923........... 0.4272............ 352,401........... NA................ $2,928,498 Illinois........................ 64 4.79 34,996,255 23,748,898 NA................ NA................ 11,247,356........ 6.1688............ 5,088,537......... NA................ 29,907,718 Indiana......................... 39 2.92 21,325,843 6,522,130 NA................ NA................ 14,803,712........ 8.1194............ 6,697,506......... NA................ 14,628,336 Iowa............................ 16 1.20 8,749,064 4,338,994 NA................ NA................ 4,410,070......... 2.4188............ 1,995,207......... NA................ 6,753,857 Kansas.......................... 19 1.42 10,389,513 4,613,481 NA................ NA................ 5,776,032......... 3.1680............ 2,613,196......... NA................ 7,776,317 Kentucky........................ 32 2.40 17,498,127 15,249,091 NA................ NA................ 2,249,037......... 1.2335............ 1,017,511......... NA................ 16,480,617 Louisiana....................... 28 2.10% 15,310,861 19,883,851 4,572,989......... 5.5438............ Need.............. Need.............. Need.............. 4,572,989......... 19,883,851 Maine........................... 6 0.45 3,280,899 5,308,878 2,027,979......... 2.4585............ Need.............. Need.............. Need.............. 2,027,979......... 5,308,878 Maryland........................ 19 1.42 10,389,513 7,562,402 NA................ NA................ 2,827,111......... 1.5506............ 1,279,044......... NA................ 9,110,470 Massachusetts................... 34 2.55 18,591,760 10,276,939 NA................ NA................ 8,314,821......... 4.5604%........... 3,761,797......... NA................ 14,829,963 Michigan........................ 39 2.92 21,325,843 16,321,547 NA................ NA................ 5,004,296......... 2.7447............ 2,264,047......... NA................ 19,061,796 Minnesota....................... 21 1.57 11,483,146 5,943,209 NA................ NA................ 5,539,937......... 3.0385............ 2,506,382......... NA................ 8,976,764 Mississippi..................... 19 1.42 10,389,513 14,400,900 4,011,386......... 4.8630............ Need.............. Need.............. Need.............. 4,011,386......... 14,400,900 Missouri........................ 35 2.62 19,138,577 4,570,341 NA................ NA................ 14,568,235........ 7.9902............ 6,590,971......... NA................ 12,547,606 Montana......................... 7 0.52 3,827,715 1,425,081 NA................ NA................ 2,402,634......... 1.3178............ 1,087,001......... NA................ 2,740,714 Nebraska........................ 7 0.52 3,827,715 2,313,332 NA................ NA................ 1,514,383......... 0.8306............ 685,138........... NA................ 3,142,577 Nevada.......................... 9 0.67 4,921,348 4,662,209 NA................ NA................ 259,140........... 0.1421............ 117,240........... NA................ 4,804,108 New Hampshire................... 5 0.37 2,734,082 2,212,296 NA................ NA................ 521,787........... 0.2862............ 236,067........... NA................ 2,498,015 New Jersey...................... 29 2.17 15,857,678 9,166,126 NA................ NA................ 6,691,552......... 3.6701............ 3,027,397......... NA................ 12,830,281 New Mexico...................... 10 0.75 5,468,165 4,058,656 NA................ NA................ 1,409,509......... 0.7731............ 637,691........... NA................ 4,830,474 New York........................ 78 5.84 42,651,685 44,692,419 2,040,734......... 2.4740............ Need.............. Need.............. Need.............. 2,040,734......... 44,692,419 North Carolina.................. 47 3.52 25,700,375 28,365,556 2,665,181......... 3.2310............ Need.............. Need.............. Need.............. 2,665,181......... 28,365,556 North Dakota.................... 3 0.22 1,640,449 629,590 NA................ NA................ 1,010,859......... 0.5544............ 457,334........... NA................ 1,183,116 Ohio............................ 58 4.34 31,715,356 24,831,767 NA................ NA................ 6,883,589......... 3.7754............ 3,114,278......... NA................ 28,601,078 Oklahoma........................ 17 1.27 9,295,880 10,241,906 946,026........... 1.1469............ Need.............. Need.............. Need.............. 946,026........... 10,241,906 Oregon.......................... 17 1.27 9,295,880 13,072,852 3,776,972......... 4.5788............ Need.............. Need.............. Need.............. 3,776,972......... 13,072,852 Pennsylvania.................... 66 4.94 36,089,888 32,079,327 NA................ NA................ 4,010,560......... 2.1997............ 1,814,460......... NA................ 34,275,427 Rhode Island.................... 5 0.37 2,734,082 2,388,025 NA................ NA................ 346,058........... 0.1898............ 156,564........... NA................ 2,577,519 South Carolina.................. 26 1.95 14,217,228 13,359,233 NA................ NA................ 857,995........... 0.4706............ 388,175........... NA................ 13,829,054 South Dakota.................... 4 0.30 2,187,266 1,915,993 NA................ NA................ 271,273........... 0.1488............ 122,729........... NA................ 2,064,536 Tennessee....................... 32 2.40 17,498,127 29,077,199 11,579,072........ 14.0373........... Need.............. Need.............. Need.............. 11,579,072........ 29,077,199 Texas........................... 105 7.87 57,415,730 34,868,400 NA................ NA................ 22,547,330........ 12.3665........... 10,200,879........ NA................ 47,214,851 Utah............................ 5 0.37 2,734,082 2,429,445 NA................ NA................ 304,638........... 0.1671............ 137,824........... NA................ 2,596,258 Vermont......................... 2 0.15 1,093,633 3,331,803 2,238,170......... 2.7133............ Need.............. Need.............. Need.............. 2,238,170......... 3,331,803 Virginia........................ 25 1.87 13,670,412 13,050,355 NA................ NA................ 620,057........... 0.3401............ 280,526........... NA................ 13,389,886 Washington...................... 26 1.95 14,217,228 6,502,266 NA................ NA................ 7,714,963......... 4.2314............ 3,490,409......... NA................ 10,726,820 West Virginia................... 16 1.20 8,749,064 6,165,223 NA................ NA................ 2,583,841......... 1.4172............ 1,168,983......... NA................ 7,580,080 Wisconsin....................... 27 2.02 14,764,045 4,954,841 NA................ NA................ 9,809,204......... 5.3801............ 4,437,887......... NA................ 10,326,158 Wyoming......................... 3 0.22 1,640,449 771,814 NA................ NA................ 868,636........... 0.4764............ 392,989........... NA................ 1,247,461 Total....................... 1,335 100.00 730,000,000 630,162,333 82,487,822........ 100.0000.......... 182,325,489....... 100.0000.......... 82,487,822........ 82,487,822........ 730,000,000 ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Footnotes: /1 FY 2012 Estimates from July 2012 CMS Survey of States; Estimates Are For Months October 2011 Through September 2012. /2 For Need States, Final FY 2012 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K. For Non-Need States, Final FY 2012 QI Allotment is equal to Initial QI Allotment in Column D reduced by amount in Column J. /3 Three-year average (2008-2010) 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 2011 Current Population Survey (CPS). [[Page 45215]] Table 2--Preliminary Qualifying Individuals Allotments for October 1, 2012 Through September 30, 2013 ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Initial QI allotments for FY 2013 ------------------------------------------------ Initial QI FY 2013 Pct of Tot. need Reduction pool for Pct of Tot. non- Reduction adj. for Increase adj. for Preliminary FY State Number of Percentage of allotment Col estimated QI Need (difference) states F/(Tot. of non-need states If need states H/ non-need states need states Col. G 2013 QI individuals/3 total Col B/ C x expenditures/1 If E>D, E-D F) D > = E, D-E (Tot. of H) Col. I x x $103,554,487 allotment/2 (000s) Tot. Col B ---------------- $103,554,487 $765,000,000 A B C D E F................. G................. H................. I................. J................. K................. L ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Alabama......................... 38 2.64 $20,159,501 $24,188,697 $4,029,197........ 3.8909............ Need.............. Need.............. Need.............. $4,029,197........ $24,188,697 Alaska.......................... 2 0.14 1,061,026 378,052 NA................ NA................ 682,974........... 0.4239............ 438,933........... NA................ 622,093 Arizona......................... 21 1.46 11,140,777 20,302,279 9,161,503......... 8.8470............ Need.............. Need.............. Need.............. 9,161,503......... 20,302,279 Arkansas........................ 27 1.87 14,323,856 14,968,578 644,722........... 0.6226............ Need.............. Need.............. Need.............. 644,722........... 14,968,578 California...................... 107 7.42 56,764,910 30,667,238 NA................ NA................ 26,097,672........ 16.1967........... 16,772,428........ NA................ 39,992,482 Colorado........................ 16 1.11 8,488,211 6,261,250 NA................ NA................ 2,226,960......... 1.3821............ 1,431,221......... NA................ 7,056,990 Connecticut..................... 15 1.04 7,957,698 4,295,522 NA................ NA................ 3,662,176......... 2.2728............ 2,353,604......... NA................ 5,604,094 Delaware........................ 4 0.28 2,122,053 3,516,899 1,394,847......... 1.3470............ Need.............. Need.............. Need.............. 1,394,847......... 3,516,899 District of Columbia............ 2 0.14 1,061,026 0 NA................ NA................ 1,061,026......... 0.6585............ 681,899........... NA................ 379,127 Florida......................... 96 6.66 50,929,265 75,922,288 24,993,023........ 24.1351........... Need.............. Need.............. Need.............. 24,993,023........ 75,922,288 Georgia......................... 45 3.12 23,873,093 37,187,452 13,314,359........ 12.8573........... Need.............. Need.............. Need.............. 13,314,359........ 37,187,452 Hawaii.......................... 6 0.42 3,183,079 1,502,678 NA................ NA................ 1,680,401......... 1.0429............ 1,079,959......... NA................ 2,103,120 Idaho........................... 7 0.49 3,713,592 2,746,709 NA................ NA................ 966,883........... 0.6001............ 621,396........... NA................ 3,092,197 Illinois........................ 68 4.72 36,074,896 28,872,870 NA................ NA................ 7,202,026......... 4.4697............ 4,628,592......... NA................ 31,446,304 Indiana......................... 43 2.98 22,812,067 6,951,308 NA................ NA................ 15,860,759........ 9.8435............ 10,193,378........ NA................ 12,618,688 Iowa............................ 16 1.11 8,488,211 4,940,141 NA................ NA................ 3,548,070......... 2.2020............ 2,280,271......... NA................ 6,207,940 Kansas.......................... 18 1.25 9,549,237 5,443,274 NA................ NA................ 4,105,963......... 2.5482............ 2,638,817......... NA................ 6,910,420 Kentucky........................ 34 2.36 18,037,448 18,127,195 89,747............ 0.0867............ Need.............. Need.............. Need.............. 89,747............ 18,127,195 Louisiana....................... 29 2.01 15,384,882 22,144,578 6,759,696......... 6.5277............ Need.............. Need.............. Need.............. 6,759,696......... 22,144,578 Maine........................... 7 0.49 3,713,592 7,045,460 3,331,867......... 3.2175............ Need.............. Need.............. Need.............. 3,331,867......... 7,045,460 Maryland........................ 24 1.66 12,732,316 8,602,875 NA................ NA................ 4,129,441......... 2.5628............ 2,653,906......... NA................ 10,078,411 Massachusetts................... 28 1.94 14,854,369 10,893,600 NA................ NA................ 3,960,769......... 2.4581............ 2,545,503......... NA................ 12,308,866 Michigan........................ 38 2.64 20,159,501 20,967,835 808,334........... 0.7806............ Need.............. Need.............. Need.............. 808,334........... 20,967,835 Minnesota....................... 22 1.53 11,671,290 6,559,682 NA................ NA................ 5,111,608......... 3.1724............ 3,285,124......... NA................ 8,386,166 Mississippi..................... 18 1.25 9,549,237 16,529,838 6,980,601......... 6.7410............ Need.............. Need.............. Need.............. 6,980,601......... 16,529,838 Missouri........................ 39 2.70 20,690,014 4,700,909 NA................ NA................ 15,989,105........ 9.9231............ 10,275,864........ NA................ 10,414,150 Montana......................... 6 0.42 3,183,079 1,512,121 NA................ NA................ 1,670,958......... 1.0370............ 1,073,890......... NA................ 2,109,189 Nebraska........................ 6 0.42 3,183,079 2,506,770 NA................ NA................ 676,309........... 0.4197............ 434,650........... NA................ 2,748,429 Nevada.......................... 10 0.69 5,305,132 5,177,080 NA................ NA................ 128,052........... 0.0795............ 82,296............ NA................ 5,222,836 New Hampshire................... 6 0.42 3,183,079 2,861,766 NA................ NA................ 321,313........... 0.1994............ 206,501........... NA................ 2,976,578 New Jersey...................... 40 2.77 21,220,527 9,901,642 NA................ NA................ 11,318,885........ 7.0247............ 7,274,411......... NA................ 13,946,116 New Mexico...................... 9 0.62 4,774,619 4,787,611 12,993............ 0.0125............ Need.............. Need.............. Need.............. 12,993............ 4,787,611 New York........................ 85 5.89 45,093,620 50,481,630 5,388,010......... 5.2031............ Need.............. Need.............. Need.............. 5,388,010......... 50,481,630 North Carolina.................. 38 2.64 20,159,501 28,897,791 8,738,290......... 8.4383............ Need.............. Need.............. Need.............. 8,738,290......... 28,897,791 North Dakota.................... 3 0.21 1,591,540 692,912 NA................ NA................ 898,628........... 0.5577............ 577,529........... NA................ 1,014,010 Ohio............................ 54 3.74 28,647,712 28,435,844 NA................ NA................ 211,867........... 0.1315............ 136,163........... NA................ 28,511,549 Oklahoma........................ 27 1.87 14,323,856 11,348,409 NA................ NA................ 2,975,446......... 1.8466%........... 1,912,257......... NA................ 12,411,598 Oregon.......................... 17 1.18 9,018,724 16,832,070 7,813,346......... 7.5452............ Need.............. Need.............. Need.............. 7,813,346......... 16,832,070 Pennsylvania.................... 78 5.41 41,380,028 34,628,979 NA................ NA................ 6,751,049......... 4.1898............ 4,338,758......... NA................ 37,041,270 Rhode Island.................... 6 0.42 3,183,079 2,625,070 NA................ NA................ 558,009........... 0.3463............ 358,621........... NA................ 2,824,458 South Carolina.................. 33 2.29 17,506,935 13,456,800 NA................ NA................ 4,050,135......... 2.5136............ 2,602,937......... NA................ 14,903,998 South Dakota.................... 4 0.28 2,122,053 2,344,945 222,892........... 0.2152............ Need.............. Need.............. Need.............. 222,892........... 2,344,945 Tennessee....................... 48 3.33 25,464,632 30,163,578 4,698,945......... 4.5377............ Need.............. Need.............. Need.............. 4,698,945......... 30,163,578 Texas........................... 106 7.35 56,234,397 35,884,800 NA................ NA................ 20,349,597........ 12.6294........... 13,078,261........ NA................ 43,156,136 Utah............................ 6 0.42 3,183,079 2,680,802 NA................ NA................ 502,277........... 0.3117............ 322,803........... NA................ 2,860,276 Vermont......................... 2 0.14 1,061,026 4,047,877 2,986,851......... 2.8843............ Need.............. Need.............. Need.............. 2,986,851......... 4,047,877 Virginia........................ 23 1.60 12,201,803 14,387,068 2,185,265......... 2.1103............ Need.............. Need.............. Need.............. 2,185,265......... 14,387,068 Washington...................... 23 1.60 12,201,803 7,274,362 NA................ NA................ 4,927,441......... 3.0581............ 3,166,764......... NA................ 9,035,039 West Virginia................... 17 1.18 9,018,724 6,550,585 NA................ NA................ 2,468,139......... 1.5318............ 1,586,221......... NA................ 7,432,503 Wisconsin....................... 22 1.53 11,671,290 5,416,651 NA................ NA................ 6,254,639......... 3.8817............ 4,019,726......... NA................ 7,651,564 Wyoming......................... 3 0.21 1,591,540 810,736 NA................ NA................ 780,803........... 0.4846............ 501,806........... NA................ 1,089,734 Total....................... 1,442 100.00 765,000,000 707,425,105 103,554,487....... 100.0000.......... 161,129,382....... 100.0000.......... 103,554,487....... 103,554,487....... 765,000,000 ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Footnotes: /1 FY 2013 Estimates from July 2012 CMS Survey of States; Estimates Are For Months October 2012 Through September 2013. /2 For Need States, Preliminary FY 2013 QI Allotment is equal to Initial QI Allotment in Column D increased by amount in Column K. For Non-Need States, Preliminary 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). [[Page 45216]] The following describes the information contained in the columns of Chart 1 and Chart 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 2012 (Chart 1) or FY 2013 (Chart 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 2012 QI allotment (Chart 1), Column B contains the number of such individuals for the years 2008 through 2010, as obtained from the Census Bureau's Annual Social and Economic Supplement to the 2011 Current Population Survey. With respect to the preliminary FY 2013 QI allotment (Chart 2), Column B contains the number of such individuals for the years 2009 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 2012 (Chart 1) or FY 2013 (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 $730,000,000 for FY 2012 (Chart 1) and $765,000,000 for FY 2013 (Chart 2). Columns E through L show the determination of the States' Final QI Allotments for FY 2012 (Chart 1) or Preliminary QI Allotments for FY 2013 (Chart 2). Column E --FY 2012 or FY 2013 Estimated QI Expenditures. Column E contains the states' estimates of their total QI expenditures for FY 2012 (Chart 1) or FY 2013 (Chart 2) based on information obtained from states in the summer of 2012 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 2012 (Chart 1) or for FY 2013 (Chart 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 2012 (Chart 1) or FY 2013 (Chart 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 2012 (Chart 1) or FY 2013 (Chart 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 2012 or FY 2013, respectively, are equal to or less than their Initial QI allotments in Column D for FY 2012 or FY 2013, 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 2012 (Chart 1) or FY 2013 (Chart 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 2012 (Chart 1) or FY 2013 (Chart 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 2012 (Chart 1) or FY 2013 (Chart 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 2012 QI Allotment (Chart 1) or Preliminary FY 2013 QI Allotment (Chart 2). Column L contains the Final QI Allotment for each state for FY 2012 (Chart 1) or the Preliminary QI Allotment for FY 2013 (Chart 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 2012 (Chart 1) or FY 2013 (Chart 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.). Authority: (Section 1102 of the Social Security Act (42 U.S.C. 1302)) (Catalog of Federal Domestic Assistance Program No. 93.778, Medical Assistance Program) Dated: May 15, 2013. Marilyn Tavenner, Administrator, Centers for Medicare & Medicaid Services. Dated: June 28, 2013. Kathleen Sebelius, Secretary, Department of Health and Human Services. [FR Doc. 2013-17962 Filed 7-25-13; 8:45 am] BILLING CODE 4120-01-P