Federal Medical Assistance Percentage

E123943

The Federal Medical Assistance Percentage is the formula-based rate at which the U.S. federal government reimburses states for their Medicaid program expenditures, varying by state according to factors like per capita income.

All labels observed (1)

Label Occurrences
Federal Medical Assistance Percentage canonical 1

How this entity was disambiguated

Statements (44)

Predicate Object
instanceOf Medicaid financing mechanism
U.S. federal matching rate
federal reimbursement formula
administeredBy Centers for Medicare & Medicaid Services
United States Department of Health and Human Services
surface form: U.S. Department of Health and Human Services
affects state Medicaid budget requirements
state decisions on Medicaid eligibility and benefits
appliesTo 50 U.S. states
District of Columbia
surface form: District of Columbia (with special rules)

most Medicaid-covered services
appliesToProgram Children's Health Insurance Program
surface form: Children’s Health Insurance Program (for certain services)

Medicaid
calculatedBy formula based on a three‑year average of state per capita income relative to U.S. per capita income
definedIn Social Security Act of 1935
surface form: Social Security Act
definedInSection Title XIX of the Social Security Act
dependsOn state per capita income
statutory minimum and maximum rates set in federal law
excludes certain Medicaid administrative costs from the standard FMAP
hasAcronym FMAP
hasMaximumRate 83 percent federal share for most states
hasMinimumRate 50 percent federal share for most states
hasPolicyGoal to share Medicaid program costs between federal and state governments
hasSpecialRuleFor U.S. territories (statutory FMAPs and caps)
hasType enhanced FMAP for specific populations or services
standard FMAP
influencedBy changes in national per capita income
changes in state economic conditions
isExpressedAs percentage of allowable state Medicaid expenditures
jurisdiction United States of America
surface form: United States
legalBasis federal statute rather than regulation alone
notUsedFor disproportionate share hospital (DSH) payments
most Medicaid administrative expenditures
purpose to equalize federal Medicaid support across states with different fiscal capacities
to provide higher federal matching rates to poorer states
relatedConcept Children’s Health Insurance Program enhanced match
enhanced FMAP (E-FMAP)
temporary FMAP increases during economic downturns
subjectTo congressional modification through legislation
updated annually
usedFor federal reimbursement of state Medicaid expenditures
usedIn federal budget projections for Medicaid
state Medicaid financial planning
usedToDetermine federal share of most Medicaid benefit payments
variesBy state

How these facts were elicited

Referenced by (1)

Full triples — surface form annotated when it differs from this entity's canonical label.

Medicaid federalMatchRate Federal Medical Assistance Percentage