New and Pending Demonstration Project Proposals Submitted Pursuant to Section 1115(a) of the Social Security Act: April 1997

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

[ORD-100-N]

New and Pending Demonstration Project Proposals Submitted

Pursuant to Section 1115(a) of the Social Security Act: April 1997

AGENCY: Health Care Financing Administration (HCFA), HHS.

ACTION: Notice.

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SUMMARY: No new proposals for Medicaid demonstration project were

submitted to the Department of Health and Human Services during the

month of April under the authority of section 1115 of the Social

Security Act. One proposal was withdrawn and no proposals were approved

or disapproved during that time period. (This notice can be accessed on

the Internet at http://www.hcfa.gov/ord/sect1115.htm.)

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 grant or bid is

awarded, so as to prevent interference with the awards process.

II. Listing of New, Pending, Approved, Disapproved, and Withdrawn

Proposals for the Month of April 1997

A. Comprehensive Health Reform Programs

1. New Proposals

No new proposals were received during the month of April.

2. Pending Proposals

Pending proposals for the month of March 1997 found in the Federal

Register of May 12, 1997 (62 FR 25957) remain unchanged, except for the

deletion of the Community Care of Kansas, which was withdrawn on April

23, 1997, and the addition of the New Jersey Managed Charity Care

Demonstration, which was received in March.

3. Approved Conceptual Proposals (Award of Waivers Pending)

No conceptual proposals were approved during the month of April.

4. Approved Proposals

No proposals were approved during the month of April.

5. Disapproved Proposals

No proposals were disapproved during the month of April.

6. Withdrawn Proposals

The following comprehensive health reform proposal was withdrawn

voluntarily by the State during the month of April.

Demonstration Title/State: Community Care of Kansas--Kansas.

Description: Kansas proposed to implement a ``managed cooperation

demonstration project'' in four predominantly rural counties, and to

assess the success of a non-competitive

[[Page 30605]]

managed care model in rural areas. The demonstration would have

enrolled persons currently eligible in the Aid to Families with

Dependent Children (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.

Date Withdrawn: April 23, 1997.

B. Other Section 1115 Demonstration Proposals

1. New, Pending, Approved, Disapproved, and Withdrawn Proposals

No proposals were received, approved, disapproved, or withdrawn

during the month of April.

Pending proposals for the month of March 1997 found in the Federal

Register of May 12, 1997 (62 FR 25957) remain unchanged.

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, 1997.

Barbara Cooper,

Acting Director, Office of Research and Demonstrations.

[FR Doc. 97-14537 Filed 6-3-97; 8:45 am]

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