An Overview of Changes in the Federal Medical Assistance Percentages (FMAPs) for Medicaid
The joint federal-state financing of the Medicaid program works through a matching mechanism known as the Federal Medical Assistance Percentage (FMAP). This mechanism determines the federal and state shares of Medicaid costs based on a state’s per capita personal income relative to the national average. While the FMAP formula has remained unchanged since the enactment of the Medicaid program in 1965, changes in per capita income have resulted in substantial changes in the federal and state shares of Medicaid costs in many states.
This issue brief describes the FMAP formula, analyzes how actual FMAPs have changed since the beginning of Medicaid and discusses the outlook for FMAPs in 2013 and beyond.
Issue Brief (.pdf)
also of interest
- Implementing the ACA: Medicaid Spending & Enrollment Growth for FY 2014 and FY 2015
- State Fiscal Conditions and Medicaid: 2014 Update
- How Do Medicaid Disproportionate Share Hospital (DSH) Payments Change Under the ACA?
- Quick Take: Key Considerations in Evaluating the ACA Medicaid Expansion for States