# New and Pending Demonstration Project Proposals Submitted Pursuant to Section 1115(a) of the Social Security Act: February and March 1996

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URL: https://www.frixlaw.com/law-library/documents/fr%3A96-12018

## Record

- **Collection:** Federal Register
- **Document type:** Notice
- **Published:** May 14, 1996
- **Citation:** 61 FR 24318

## Text

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
[ORD-086-N]

New and Pending Demonstration Project Proposals Submitted
Pursuant to Section 1115(a) of the Social Security Act: February and
March 1996

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 months of February and March 1996 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proposals that were approved, disapproved, pending, or withdrawn during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 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
Months of February and March 1996

A. Comprehensive Health Reform Programs

1. New Proposals: The following comprehensive health reform
proposal was received during the month of February.
Demonstration Title/State: Medicaid Demonstration Project for Los
Angeles County--California.
Description: The State is pursuing a section 1115 demonstration
designed to stabilize the Los Angeles County health care system, and to
foster a restructuring process that is responsive to the needs of the
community in the development of a more cost effective system.
Date Received: February 29, 1996.
State Contact: John Rodriguez, Deputy Director, Medical Care
Services, Department of Health Services, 714/744 P Street, P.O. Box
942732, Sacramento, CA 94234-7320, (916) 654-0391.
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.
No new proposals were received during the month of March.
2. Pending, Approved, and Withdrawn Proposals: We did not approve
or disapprove any proposals during February or March nor were any
proposals withdrawn during those months. The one new pending proposal
added to the month of March is: Medicaid Demonstration Project for Los
Angeles County--California. See above II.A.1. for further description.
Pending proposals for the month of November 1995 published in the
Federal Register on January 23, 1996, 61 FR 1769, remain unchanged with
the addition of above for the months of February and March.

[[Page 24319]]

B. Other Section 1115 Demonstration Proposals

1. New Proposals: The following new proposal was received during
the month of February.
Demonstration Title/State: Wisconsin Partnership Program--
Wisconsin.
Description: Wisconsin has submitted Medicare section 222
demonstration and Medicaid section 1115 waiver requests to implement
the ``Wisconsin Partnership Program'' in specific counties of the
State. This program will test two innovative models of care, one for
frail elderly and one for persons with disabilities, utilizing a multi-
disciplinary team to manage care. The team is to include the
beneficiary, a nurse practitioner, the beneficiary's choice of primary
care physician, and a social worker or independent living coordinator.
Consumer choice of care, settings and the manner of service delivery is
a key component of the program. The demonstration will test the use of
consumer-defined quality indicators to measure and improve the quality
of service provided to people who are elderly and people with
disabilities.
Date Received: February 28, 1996.
State Contact: Mary Rowin, State of Wisconsin, Department of Health
and Social Services, 1 West Wilson Street, P.O. Box 7850, Madison, WI
53707, (608) 261-8885.
Federal Contact: William Clark, Health Care Financing
Administration, Office of Research and Demonstrations, Office of
Beneficiary and Program Research and Demonstrations, Mail Stop C3-21-
06, 7500 Security Boulevard, Baltimore, MD 21244-1850.
No new proposals were received in March.
2. Pending, Approved, and Withdrawn Proposals: We did not approve
or disapprove any Comprehensive Health Reform Programs or Other Section
1115 Demonstration Proposals during February or March nor were any
proposals withdrawn during those months. The one new pending proposal
added to the month of March is: Wisconsin Partnership Program--
Wisconsin. See above II.B.1. for further description. Pending proposals
for the month of November 1995 published in the Federal Register on
January 23, 1996, 61 FR 1769, remain unchanged with the addition of
above for the months of February and March.

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: April 24, 1996.
Barbara Cooper,
Acting Director, Office of Research and Demonstrations.
[FR Doc. 96-12018 Filed 5-13-96; 8:45 am]
BILLING CODE 4120-01-P

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/fr%3A96-12018. Public record. Not legal advice.
