Provisions of the Notice Sample Clauses

Provisions of the Notice. This notice sets forth the final QI allotments for FY 2007. In the final rule published on October 16, 2006 (71 FR 60663), we set forth a two step/two phase methodology/ process for determining States’ QI allotments for FY 2007, and that regulation implemented phase one of the process. Under the first step of phase one, an ‘‘initial’’ allocation was determined for each State under the formula specified in section 1933 of the Act and based only on the data obtained from the Census Bureau (the 3-year average of the number of Medicare beneficiaries in the State who are not enrolled in the Medicaid program but whose incomes are at least 120 percent of the FPL and less than 135 percent of the FPL). However, we further obtained States’ projected QI expenditures for the fiscal year. We then compared the initial allocations for the fiscal year to the States’ projected QI expenditures for the fiscal year to determine those States with a projected need (that is, those States whose initial allocation is less than their projected expenditures) or a projected surplus (that is, those States whose initial allocation is greater than the projected expenditures) for FY 2007. Under the second step of the process, implemented now through this notice, we adjusted the States’ initial allocations by considering the States’ projected QI expenditures for FY 2007. This was done by proportionately reducing the QI allotments of States with surpluses for the fiscal year by the amount of the total need for States that do not have sufficient QI allotments for the fiscal year. We are thus completing the two phase methodology/process for the fiscal year. This notice accounts for the fact that at the beginning of the fiscal year, we determined the initial allocations based on the Census Bureau data, obtained States’ projections of QI expenditures for the fiscal year, and made any adjustments based on the projected surpluses/needs for the fiscal year. The amounts of the States’ QI allotments determined under this first phase at the beginning of the fiscal year were considered the States’ ‘‘initial’’ QI allotments for the fiscal year and are shown on the table below. Now, under phase two of the process, during the fourth quarter of the fiscal year we obtained States’ updated projected QI expenditures for the fiscal year. We then established the ‘‘final’’ QI allotments for the fiscal year based on these updated projections. As indicated in this notice and as shown on the table below, the Stat...
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