Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children's Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2023 Through September 30, 2024
Notice.
Citation: "87 FR 74429"
Page Number: "74429"
"Notices"
Agency: "
AGENCY:
ACTION: Notice.
The Federal Medical Assistance Percentages (FMAP), Enhanced Federal Medical Assistance Percentages (eFMAP), and disaster-recovery FMAP adjustments for Fiscal Year 2024 have been calculated pursuant to the Social Security Act (the Act). These percentages will be effective from
Programs under title XIX of the Act exist in each jurisdiction. Programs under titles I, X, and XIV operate only in
Sections 1905(b) and 1101(a)(8)(B) of the Act require the Secretary of HHS to publish the FMAP rates each year. The Secretary calculates the percentages, using formulas in sections 1905(b) and 1101(a)(8), and calculations by the
Federal Medical Assistance Percentage (FMAP)
Section 1905(b) of the Act specifies the formula for calculating FMAPs as "Federal medical assistance percentage" for any State shall be 100 per centum less the State percentage; and the State percentage shall be that percentage which bears the same ratio to 45 per centum as the square of the per capita income of such State bears to the square of the per capita income of the continental
Section 1905(b) of the Act further specifies that the FMAPs for
Section 1905(y) of the Act, as added by section 2001 of the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act) (Pub. L. 111-148), provides for a significant increase in the FMAP for medical assistance expenditures for newly eligible individuals described in section 1902(a)(10)(A)(i)(VIII) of the Act, as added by the Affordable Care Act (the new adult group); "newly eligible" is defined in section 1905(
Section 6008 of the Families First Coronavirus Response Act (FFCRA) (Pub. L. 116-127) as amended by section 3720 of the CARES Act (Pub. L. 116-136), provides a temporary 6.2 percentage point FMAP increase to each qualifying State and territory's FMAP under section 1905(b) of the Act, effective
Other Adjustments to the FMAP
For purposes of Title XIX (Medicaid) of the Social Security Act, the Federal Medical Assistance Percentage (FMAP), defined in section 1905(b) of the Social Security Act, for each State beginning with fiscal year 2006, can be subject to an adjustment pursuant to section 614 of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), Public Law 111-3. Section 614 of CHIPRA stipulates that a State's FMAP under Title XIX (Medicaid) must be adjusted in two situations.
In the first situation, if a State experiences no growth or positive growth in total personal income and an employer in that State has made a significantly disproportionate contribution to an employer pension or insurance fund, the State's FMAP must be adjusted. The adjustment involves disregarding the significantly disproportionate employer pension or insurance fund contribution in computing the per capita income for the State (but not in computing the per capita income for
The second situation arises if a State experiences negative growth in total personal income. Beginning with Fiscal Year 2006, section 614(b)(3) of CHIPRA specifies that, for the purposes of calculating the FMAP for a calendar year in which a State's total personal income has declined, the portion of an employer pension or insurance fund contribution that exceeds 125 percent of the amount of such contribution in the previous calendar year shall be disregarded in computing the per capita income for the State (but not in computing the per capita income for
No Federal source of reliable and timely data on pension and insurance contributions by individual employers and States is currently available. We request that States report employer pension or insurance fund contributions to help determine potential FMAP adjustments for States experiencing significantly disproportionate pension or insurance contributions and States experiencing a negative growth in total personal income. See also the information described in the
Section 1905(aa) of the Social Security Act, as amended by section 2006 of the Affordable Care Act specifies that the annual FMAP rate shall be increased for a "disaster-recovery FMAP adjustment [s]tate." The statute defines a "disaster-recovery FMAP adjustment [s]tate" as one of the 50 States or
Enhanced Federal Medical Assistance Percentage (eFMAP) for CHIP
Section 2105(b) of the Act specifies the formula for calculating the eFMAP rates as the "enhanced FMAP", for a State for a fiscal year, is equal to the Federal medical assistance percentage (as defined in the first sentence of section 1905(b)) for the State increased by a number of percentage points equal to 30 percent of the number of percentage points by which (1) such Federal medical assistance percentage for the State, is less than (2) 100 percent; but in no case shall the enhanced FMAP for a State exceed 85 percent.
The eFMAP rates are used in CHIP under Title XXI, and in the Medicaid program for expenditures for medical assistance provided to certain children as described in sections 1905(u)(2) and 1905(u)(3) of the Act. There is no specific requirement to publish the eFMAP rates. We include them in this notice for the convenience of the States (Table 1, Column 2).
DATES: The percentages listed in Table 1 will be applicable for each of the four quarter-year periods beginning
FOR FURTHER INFORMATION CONTACT:
(Catalog of Federal Domestic Assistance Program Nos. 93.558: TANF Contingency Funds; 93.563: Child Support Enforcement; 93.596: Child Care Mandatory and Matching Funds of the
Secretary,
Table 1-Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages, EffectiveOctober 1 , 2023-September 30, 2024 State Federal medical Enhanced Federal assistance medical assistance percentages percentages Alabama 73.12 81.18 Alaska 50.01 65.01 American Samoa * 55.00 68.50 Arizona 66.29 76.40 Arkansas 72.00 80.40 California 50.00 65.00 Colorado 50.00 65.00 Connecticut 50.00 65.00 Delaware 59.71 71.80 District of Columbia ** 70.00 79.00 Florida 57.96 70.57 Georgia 65.89 76.12 Guam * 55.00 68.50 Hawaii 58.56 70.99 Idaho 69.72 78.80 Illinois 51.09 65.76 Indiana 65.62 75.93 Iowa 64.13 74.89 Kansas 60.97 72.68 Kentucky 71.78 80.25 Louisiana 67.67 77.37 Maine 62.65 73.86 Maryland 50.00 65.00 Massachusetts 50.00 65.00 Michigan 64.94 75.46 Minnesota 51.49 66.04 Mississippi 77.27 84.09 Missouri 66.07 76.25 Montana 63.91 74.74 Nebraska 58.60 71.02 Nevada 60.77 72.54 New Hampshire 50.00 65.00 New Jersey 50.00 65.00 New Mexico 72.59 80.81 New York 50.00 65.00 North Carolina 65.91 76.14 North Dakota 53.82 67.67 Northern Mariana Islands * 55.00 68.50 Ohio 64.30 75.01 Oklahoma 67.53 77.27 Oregon 59.31 71.52 Pennsylvania 54.12 67.88 Puerto Rico * 55.00 68.50 Rhode Island 55.01 68.51 South Carolina 69.53 78.67 South Dakota 54.98 68.49 Tennessee 65.28 75.70 Texas 60.15 72.11 Utah 65.90 76.13 Vermont 56.75 69.73 Virgin Islands * 55.00 68.50 Virginia 51.22 65.85 Washington 50.00 65.00 West Virginia 74.10 81.87 Wisconsin 60.66 72.46 Wyoming 50.00 65.00 * For purposes of section 1118 of the Social Security Act, the percentage used under titles I, X, XIV, and XVI will be 75 per centum. ** The values for theDistrict of Columbia in the table were set for the State plan under titles XIX and XXI and for capitation payments and disproportionate share hospital (DSH) allotments under those titles. For other purposes, the percentage for D.C. is 50.00, unless otherwise specified by law.
[FR Doc. 2022-26390 Filed 12-1-22;
BILLING CODE P
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