[Federal Register Volume 60, Number 113 (Tuesday, June 13, 1995)]
[Notices]
[Pages 31158-31161]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 95-14434]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[ORD-075-N]
New and Pending Demonstration Project Proposals Submitted
Pursuant to Section 1115(a) of the Social Security Act: February and
March 1995
AGENCY: Health Care Financing Administration (HCFA).
ACTION: Notice.
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SUMMARY: This notice lists new proposals for demonstration projects
submitted to the Department of Health and Human Services during the
months of February and March 1995 under the authority of section 1115
of the Social Security Act. This notice also lists approved,
disapproved, pending, and withdrawn proposals. (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, 2230 Oak
Meadows, 6325 Security Boulevard, Baltimore, MD 21207.
FOR FURTHER INFORMATION CONTACT: Susan Anderson (410) 966-3996.
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
Months of February and March 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.
We have added a new category in this notice entitled ``Withdrawn
Proposals'' to identify project proposals that the States have
withdrawn from consideration for approval under section 1115.
A. Comprehensive Health Reform Programs
1. New 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: Ron Lambert, Health Care Financing
Administration, Office of Research and Demonstrations, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
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 SW Harrison Street, Topeka, Kansas 66612,
(913) 296-4719.
Federal Project Officer: Jane Forman, Health Care Financing
Administration, Office of Research and Demonstrations, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
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, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
2. Pending Proposals
Demonstration Title/State: The Diamond State Health Plan--Delaware.
Description: Delaware proposes 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, would be
incorporated into the statewide program as an optional provider for
eligible children.
Date Received: July 29, 1994.
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: Rosana Hernandez, Health Care Financing
Administration, Office of Research and Demonstrations, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
Demonstration Title/State: MediPlan Plus--Illinois.
Description: Illinois seeks to develop a managed care delivery
system using a [[Page 31159]] series of networks, either local or
statewide, to tailor its Medicaid delivery 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, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
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 eligibility
of persons with incomes up to 250 percent of the Federal poverty level
(FPL), with persons with incomes above 133 percent of the FPL paying
all or a portion of premiums. To fund the demonstration, the State is
seeking a waiver of Federal Medical Assistance Payments (FMAP)
requirements, which would effectively create a block grant whereby the
Federal share of the demonstration would be fixed over the course of
the demonstration and the State would assume the cost of increases as
they occurred.
Date Received: January 3, 1995.
State Contact: Carolyn Maggio, Executive Director, Bureau of
Research and Development, Louisiana Department of Health and Hospitals,
Post Office 2870, Baton Rouge, Louisiana 70821-2871, (504) 342-2964.
Federal Project Officer: Gina Clemons, Health Care Financing
Administration, Office of Research and Demonstrations, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
Demonstration Title/State: MassHealth--Massachusetts.
Description: Massachusetts proposes a range of strategies that
would extend Medicaid coverage to its low-income and uninsured
citizens, including the employed, the short-term unemployed, and the
long-term unemployed. The proposed program would employ direct
provision of health services as well as indirect strategies that would
promote market forces to address the needs of the uninsured, by
providing subsidies to employers and low-income employees with incomes
up to 200 percent of the Federal poverty level.
Date Received: April 15, 1994.
State Contact: Laurie Burgess, Director, Managed Care Program,
Development, Division of Medical Assistance, 600 Washington Street,
Boston, Massachusetts 02111, (617) 348-5695.
Federal Project Officer: Ed Hutton, Health Care Financing
Administration, Office of Research and Demonstrations, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
Demonstration Title/State: MinnesotaCare--Minnesota.
Description: Minnesota proposes to expand its use of managed care
service delivery and to extend Medicaid eligibility to families and
children with incomes up to 275 percent of the Federal poverty level.
The State would also integrate Medicaid with other public entities that
deliver health services.
Date Received: July 28, 1994.
State Contact: Maria Gomez, Commissioner, Health Care Services
Delivery , Minnesota Department of Human Services, 444 Lafayette Road
N, St. Paul, Minnesota 55155, (612) 297-4113.
Federal Project Officer: Penny Pine, Health Care Financing
Administration, Office of Research and Demonstrations, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
Demonstration Title/State: Missouri.
Description: Missouri proposes to require that beneficiaries
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, PO Box 6500,
Jefferson City, Missouri 65102-6500, (314) 751-6922.
Federal Project Officer: Nancy Goetschius, Health Care Financing
Administration, Office of Research and Demonstrations, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
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, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
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 individuals
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 N. 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, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
3. Approved Conceptual Proposals (Awards of Waivers Pending)
No conceptual proposals were approved during the months of February
and March.
4. Approved Grant Proposals (Award of Waivers Pending)
No grant proposals were awarded during the months of February and
March.
5. Approved Proposals
No comprehensive health reform proposals were approved during the
months of February and March.
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
months of February and March. [[Page 31160]]
B. Other Section 1115 Demonstration Proposals
1. New Proposals
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
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, 2306
Oak Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
2. Pending Proposals
Demonstration Title/State: Georgia's Children's Benefit Plan--
Georgia.
Description: The State of Georgia submitted a Section 1115 proposal
entitled ``Georgia Children's Benefit Plan'' that provides preventive
and primary care services for children 1 through 5 years of age who are
between 133 and 185 percent of the Federal poverty level. The duration
of the waiver 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 NW., 201 South Grand Avenue East,
Atlanta, Georgia 30303-3159, (404) 651-5785.
Federal Project Officer: Maria Boulmetis, Health Care Financing
Administration, Office of Research and Demonstrations, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
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: Rosana Hernandez, Health Care Financing
Administration, Office of Research and Demonstrations, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
Demonstration Title/State: Minnesota Long-Term Care Options
Project--Minnesota.
Description: The State proposes to integrate long-term care and
acute care services under combined Medicare and Medicaid capitation
payments for elderly dual eligibles.
Date Received: April 18, 1994.
State Contact: Pamela Parker, Minnesota Department of Human
Services, Human Services Building, 444 Lafayette Road North, St. Paul,
Minnesota 55155, (612) 296-2140.
Federal Project Officer: Melissa McNiff, Health Care Financing
Administration, Office of Research and Demonstrations, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
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: Alisa Adamo, Health Care Financing
Administration, Office of Research and Demonstrations, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
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, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
Demonstration Title/State: Virginia.
Description: Virginia proposes to expand Medicaid eligibility to
children in the State-funded KIDS CARE program, and provide them with a
limited Medicaid benefit restricted to ambulatory services.
Date Received: May 18, 1994.
State Contact: Janet Kennedy, Suite 1300, 600 East Broad Street,
Richmond, Virginia 23219, (804) 371-8855.
Federal Project Officer: Maria Boulmetis, Health Care Financing
Administration, Office of Research and Demonstrations, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
Demonstration Title/State: Wisconsin.
Description: The State 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, P.O. Box 7850, Madison, Wisconsin 53707, (608) 266-0613.
Federal Project Officer: J. Donald Sherwood, Health Care Financing
Administration, Office of Research and Demonstrations, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
3. Approved Conceptual Proposals (Award of Waivers Pending)
No conceptual proposals were awarded during the months of February
and March.
4. Approved Proposals
No proposals were approved during the months of February and March.
5. Disapproved Proposals
No proposals were disapproved during the months of February and
March.
6. Withdrawn Proposals
The following proposals were withdrawn from consideration by their
respective States.
Demonstration Title/State: Pay-in Spenddown Pilot--Ohio.
Description: Ohio proposed to implement a one-county pilot program
to allow the medically needy to pay in spenddown amounts in order to
qualify for Medicaid to simplify eligibility administration.
Date Received: April 28, 1994.
Date Withdrawn: February 15, 1995.
State Contact: Jeanne Carroll, Ohio Department of Human Services,
30 East Broad Street, Columbus, Ohio 43266, (614) 466-6024.
[[Page 31161]]
Federal Project Officer: David Walsh, Health Care Financing
Administration, Office of Research and Demonstrations, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
Demonstration Title/State: Family Planning Demonstration--
Washington.
Description: The State proposed to provide family planning services
to low-income women for an additional 10 months postpartum, extending
total coverage for such services to one year.
Date Received: April 21, 1994.
Date Withdrawn: January 20, 1995.
State Contact: Claudia Lewis, Medical Assistance Administration,
Division of Client Services, P.O. Box 45530, Olympia, Washington 98504-
5530, (206) 586-2751.
Federal Project Officer: Maria Boulmetis, Health Care Financing
Administration, Office of Research and Demonstrations, 2302 Oak
Meadows, 6325 Security Boulevard, Baltimore, Maryland 21207.
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: May 22, 1995.
Bruce C. Vladeck,
Administrator, Health Care Financing Administration.
[FR Doc. 95-14434 Filed 6-12-95; 8:45 am]
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