Health Reform WK-EDGE HHS updates 2019 FMAP for state Medicaid, CHIP spending
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Wednesday, December 6, 2017

HHS updates 2019 FMAP for state Medicaid, CHIP spending

By Dietrich Knauth

HHS updated the amount of federal matching that will be available for state Medicaid, Children's Health Insurance Program (CHIP), and other related spending in fiscal year 2019, based on changes to per capita income. It provided three rates for each U.S. state and territory: the Federal Medical Assistance Percentages (FMAP) for Medicaid, the Enhanced Federal Medical Assistance Percentages (eFMAP) for CHIP, and increased eFMAPs for CHIP (Notice, 82 FR 55383, November 21, 2017).

Matching rates for FMAP and eFMAP are calculated annually by HHS. Under the Social Security Act, the FMAP ranges from 50 percent to 83 percent. The Affordable Care Act (ACA) (P.L. 111-148) temporarily boosted eFMAP rates for states by 23 percentage points, up to 100 percent, for fiscal years 2016 through 2019.

For 2019, the states with the lowest FMAPs, at 50 percent, include Alaska, California, Colorado, Connecticut, Maryland, Massachusetts, New York, New Jersey, New Hampshire, North Dakota, Washington, and Wyoming. States with FMAPs over 70 percent include West Virginia, South Carolina, New Mexico, Kentucky, Idaho, and Alabama. The eFMAPs range from 65 to 80 percent, before the temporary ACA boost is included.

FederalRegisterIssuances: Notices AgencyNews CHIPNews FederalFMAPNews MedicaidNews NewsFeed

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