Hurricane Katrina Relief

 

To provide additional Federal payments under Katrina hurricane-related multi-State Section 1115 Demonstrations to reimburse affected States for the nonfederal share of specified medical care hurricane-related expenditures and associated administrative costs, and the total uncompensated care costs for affected States. Also, with respect to Katrina hurricane-related affected counties or parishes in Alabama, Louisiana and Mississippi, to provide the nonfederal share of medical care expenditures furnished to Title XIX and Title XXI individuals under existing State plans. In addition, if approved by the Secretary, funds may be used by the State to restore access to health care in Katrina impacted communities.

Deleted 08/20/2009 (Archived.) 93.776 CENTERS FOR MEDICARE AND MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES Project Grants. None. New Program. Deficit Reduction Act of 2005 (DRA), Subtitle C-Katrina Relief, Section 6201, Additional Federal Payments Under Hurricane-Related Multi-State Section 1115 Demonstrations, Public Law 109-171. State: Katrina Section 1115 demonstration approved by CMS, Title XIX and Title XXI participant. Evacuee/affected individual (i.e., displaced individual) status under the demonstrations is limited to parents, pregnant women, children under age 19, individuals with disabilities, low-income Medicare recipients, low-income individuals in need of long-term care with income levels simplified to reflect home State Title XIX and Title XXI eligibility rules. Evacuee/affected individual status under UCCP's varies by State with the approved UCCP methodology plan. Eligibility for medical costs of individuals under Section 6201(a)(3) DRA 2005, is based on the State's approved Title XIX or Title XXI plan. Federal funds must go to a designated State Medicaid Agency with appropriate approved plans. Individuals must meet State requirements. Administrative costs will be determined in accordance with OMB Circular No. A-87 "Cost Principals for State and Local Governments." States are encouraged to work with CMS in the development of their Section 1115 demonstration projects. This program is excluded from coverage under E.O. 12372. Submission of Section 1115 Katrina demonstration plan to CMS. No application required for Section 6201(a)(3). Approved States will receive award funds quarterly based on estimates and reconciliations of prior period awards to reported approved nonfederal share and total expenditures, as applicable. Section 1115 Katrina demonstration plan must be submitted to CMS by January 31, 2006. None. Not applicable. None. Not applicable. Demonstration grants will be awarded to States for use in accordance with provisions of their approved Katrina Section 1115 demonstration projects for the nonfederal share or total uncompensated costs of medical care provided for eligible evacuees and affected individuals and associated administrative costs (Section 6201(a)(1)&(2) DRA 2005). Under the demonstration projects, costs are reimbursable to the State for: the nonfederal share cost of services incurred by eligible individuals between August 24, 2005 and June 30, 2006; and the total uncompensated care pool (UCCP) costs for services incurred by eligible individuals between August 24, 2005 and January 31, 2006. For Hurricane Katrina-related affected counties or parishes in Alabama, Louisiana and Mississippi, costs are also reimbursable to the State for the nonfederal share of expenditures, for medical care only, incurred by Title XIX and Title XXI individuals under existing State plans (i.e., not under a Katrina demonstration) beginning August 24, 2005 (Section 6201(a)(3) DRA 2005). States must submit fiscal and statistical reports, as required, to CMS. The State will afford the Secretary access to any records or information relating to these plans for the purposes of review or audit. Financial records, supporting documents, statistical records, and all other records pertinent to the demonstration shall be retained for at least three years or until resolution of any audit questions. This program has no statutory formula or matching requirements. The nonfederal share paid under this Section shall not be regarded as Federal funds for purposes of Medicaid matching requirements, the effect of which is to provide fiscal relief to the State in which the Medicaid eligible individual originally resided. Project Period: No payments shall be made under Section 6201(a)(1)(A) or (a)(1)(C) of DRA 2005 for costs of health care provided to an eligible evacuee or affected individual for services for such individual incurred after June 30, 2006. No payments shall be made under Section 6201(a)(1)(B) or (a)(1)(D) of DRA 2005 for costs of health care incurred after January 31, 2006. No payments may be made under Section 6201(a)(1)(B)or (a)(1)(D) for an item or service that an evacuee or an affected individual has received from an individual or organization as part of a public or private hurricane relief effort. Budget Period: Appropriated funds are available until expended. Contact the Regional Administrator, Centers for Medicare and Medicaid Services (See Appendix IV of the Catalog for addresses and telephone numbers). Contacts: Program questions--Cheryl Powell, Center for Medicaid and State Operations, Centers for Medicare and Medicaid Services, 7500 Security Boulevard, Mail Stop S2-01-16, Baltimore, MD 21244. Telephone: (410) 786-8693. Financial questions--Betsy Hanczaryk, Center for Medicaid and State Operations, Centers for Medicare and Medicaid Services, 7500 Security Boulevard, Mail Stop S3-13-15, Baltimore, MD 21244. Telephone: (410) 786-2013. http://www.cms.hhs.gov 75-0516-0-1-551. FY 05 $0; FY 06 est $2,000,000,000; and FY 07 est to be determined. Floor: $0; Ceiling: $2,000,000,000 for FY 2006 and beyond. Information regarding this program may be accessed through the world wide web at: www.cms.hhs.gov/emergency. Not applicable.