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Beginning with claims paid on or after Oct. 1, 2022, coinciding with the beginning of the federal fiscal year until the end of the federal fiscal year 2023 (Sept. 30, 2023), regular FMAP increases from 50.51% to 50.79% (1905(b) of Social Security Act).
Review the 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, 2022 Through September 30, 2023 Federal Register webpage for more information.
Since Jan. 1, 2020, until the end of the quarter the COVID-19 federal public health emergency ends, the Families First Coronavirus Response Act (Public Law No. 116-127, section 6008) provides a temporary increase of 6.2% in the FMAP rate for the following services for children, parents or guardians with children under 19, individuals 65 and older and individuals blind or disabled:
- Individualized Education Program
- Rule 5 Children’s Residential includes Institutions for Mental Disease, which receives an increase in state funds equal to the federal fund increase.
- County-provided Targeted Case Management services (Child Welfare, Mental Health and Vulnerable Adult-Developmental Disability)
The 6.2% COVID-19 FMAP increase and the Federal Fiscal Year FMAP increase to 50.79% does not apply to adults without children whose eligibility was gained under the Affordable Care Act and some other populations already receiving an enhanced FMAP.
Counties and providers do not need to do anything to receive the increased FMAP. Claims paid from Oct. 11, 2022, until the end of the quarter the COVID-19 federal public health emergency has ended (defined by federal government) will be paid at the higher 56.99% rate. If the COVID-19 federal public health emergency ends before Sept. 30, 2023, the percentage paid will be 50.79%.
Contact the MHCP Provider Resource Center at 651-431-2700 or 800-366-5411 if you have questions about this message.
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