{ "id": "R43847", "type": "CRS Report", "typeId": "R", "number": "R43847", "active": true, "source": "CRSReports.Congress.gov, EveryCRSReport.com, University of North Texas Libraries Government Documents Department", "versions": [ { "source_dir": "crsreports.congress.gov", "title": "Medicaid\u2019s Federal Medical Assistance Percentage (FMAP)", "retrieved": "2020-09-07T12:22:10.967960", "id": "R43847_10_2020-07-29", "formats": [ { "filename": "files/2020-07-29_R43847_491fe363145be1c797abcbfe5bea90cbb9fb173e.pdf", "format": "PDF", "url": "https://crsreports.congress.gov/product/pdf/R/R43847/10", "sha1": "491fe363145be1c797abcbfe5bea90cbb9fb173e" }, { "format": "HTML", "filename": "files/2020-07-29_R43847_491fe363145be1c797abcbfe5bea90cbb9fb173e.html" } ], "date": "2020-07-29", "summary": null, "source": "CRSReports.Congress.gov", "typeId": "R", "active": true, "sourceLink": "https://crsreports.congress.gov/product/details?prodcode=R43847", "type": "CRS Report" }, { "source": "EveryCRSReport.com", "id": 585000, "date": "2018-04-25", "retrieved": "2018-09-12T23:01:53.045760", "title": "Medicaid\u2019s Federal Medical Assistance Percentage (FMAP)", "summary": "Medicaid is a means-tested entitlement program that finances the delivery of primary and acute medical services as well as long-term services and supports. Medicaid is jointly funded by the federal government and the states. The federal government\u2019s share of most Medicaid expenditures is called the federal medical assistance percentage (FMAP). The remainder is referred to as the state share.\nGenerally determined annually, the FMAP formula is designed so that the federal government pays a larger portion of Medicaid costs in states with lower per capita incomes relative to the national average (and vice versa for states with higher per capita incomes). FMAP rates have a statutory minimum of 50% and a statutory maximum of 83%. For FY2019, regular FMAP rates range from 50.00% to 76.39%. The FMAP rate is used to reimburse states for the federal share of most Medicaid expenditures, but exceptions to the regular FMAP rate have been made for certain states, situations, populations, providers, and services.\nThis report describes the FMAP calculation used to reimburse states for most Medicaid expenditures, and it lists the statutory exceptions to the regular FMAP rate.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R43847", "sha1": "61c6310e51b470881e608a9906373aa6c167c72f", "filename": "files/20180425_R43847_61c6310e51b470881e608a9906373aa6c167c72f.html", "images": { "/products/Getimages/?directory=R/html/R43847_files&id=/1.png": "files/20180425_R43847_images_904302a30d70a109b8123a95c99c2ee42b66889b.png", "/products/Getimages/?directory=R/html/R43847_files&id=/0.png": "files/20180425_R43847_images_99e011897a60e2bf11c1565f2f2d8769f6cb30b7.png" } }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R43847", "sha1": "44d471630ede196ec3e40582283e6a6c95a81bb9", "filename": "files/20180425_R43847_44d471630ede196ec3e40582283e6a6c95a81bb9.pdf", "images": {} } ], "topics": [ { "source": "IBCList", "id": 4819, "name": "Medicaid & CHIP" } ] }, { "source": "EveryCRSReport.com", "id": 449599, "date": "2016-02-09", "retrieved": "2016-04-06T17:13:23.329186", "title": "Medicaid\u2019s Federal Medical Assistance Percentage (FMAP)", "summary": "Medicaid is a means-tested entitlement program that finances the delivery of primary and acute medical services as well as long-term services and supports. Medicaid is jointly funded by the federal government and the states. The federal government\u2019s share of most Medicaid expenditures is called the federal medical assistance percentage (FMAP). The remainder is referred to as the state share.\nGenerally determined annually, the FMAP formula is designed so that the federal government pays a larger portion of Medicaid costs in states with lower per capita incomes relative to the national average (and vice versa for states with higher per capita incomes). FMAP rates have a statutory minimum of 50% and a statutory maximum of 83%. For FY2017, regular FMAP rates range from 50.00% to 74.63%. The FMAP rate is used to reimburse states for the federal share of most Medicaid expenditures, but exceptions to the regular FMAP rate have been made for certain states, situations, populations, providers, and services.\nSome recent issues related to FMAP include changes to the federal matching rate in the Patient Protection and Affordable Care Act (ACA; P.L. 111-148 as amended) and the matching rate for Medicaid eligibility and enrollment systems. \nThe ACA contains a number of provisions affecting FMAP rates. Most notably, the ACA provides initial federal matching rates of up to 100% for certain \u201cnewly eligible\u201d individuals. Also, under the ACA, \u201cexpansion states\u201d receive an enhanced federal matching rate for certain individuals. In addition, ACA provided increased federal matching rates for certain disaster-affected states, primary care payment rate increases, specified preventive services and immunizations, smoking cessation services for pregnant women, specified home and community-based services, health home services for certain people with chronic conditions, home and community-based attendant services and supports, and state balancing incentive payments. \nOne of the exceptions to the FMAP allows states to receive an enhanced federal Medicaid matching rate for designing a new Medicaid claims or eligibility system and for the maintenance of such systems. In December 2015, Centers for Medicare & Medicaid Services released a final rule permanently extending the enhanced matching rate for Medicaid eligibility and enrollment systems.\nThis report describes the FMAP calculation used to reimburse states for most Medicaid expenditures, and it lists the statutory exceptions to the regular FMAP rate. In addition, this report discusses other FMAP-related issues, including federal matching rate changes in the ACA and the matching rate for Medicaid eligibility and enrollment systems.", "type": "CRS Report", "typeId": "REPORTS", "active": true, "formats": [ { "format": "HTML", "encoding": "utf-8", "url": "http://www.crs.gov/Reports/R43847", "sha1": "d7aa05e9598c1317d9d12be98c0881fb12baf17f", "filename": "files/20160209_R43847_d7aa05e9598c1317d9d12be98c0881fb12baf17f.html", "images": null }, { "format": "PDF", "encoding": null, "url": "http://www.crs.gov/Reports/pdf/R43847", "sha1": "989928d751eff95fffc62075ab1ce5be516ebb19", "filename": "files/20160209_R43847_989928d751eff95fffc62075ab1ce5be516ebb19.pdf", "images": null } ], "topics": [ { "source": "IBCList", "id": 594, "name": "Medicaid and CHIP" } ] }, { "source": "University of North Texas Libraries Government Documents Department", "sourceLink": "https://digital.library.unt.edu/ark:/67531/metadc820433/", "id": "R43847_2015Jan05", "date": "2015-01-05", "retrieved": "2016-03-19T13:57:26", "title": "Medicaid\u2019s Federal Medical Assistance Percentage (FMAP), FY2016", "summary": null, "type": "CRS Report", "typeId": "REPORT", "active": false, "formats": [ { "format": "PDF", "filename": "files/20150105_R43847_0893b41a50350b4988d415346f35146155e5d5df.pdf" }, { "format": "HTML", "filename": "files/20150105_R43847_0893b41a50350b4988d415346f35146155e5d5df.html" } ], "topics": [] } ], "topics": [ "Health Policy" ] }