Federal Medical Assistance Percentages (FMAP), Fiscal Year 2004


Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the State Children's Health Insurance Program, and Aid to Needy, Aged, Blind, or Disabled Persons for October 1, 2002 Through September 30, 2003

[Federal Register: November 30, 2001 (Volume 66, Number 231)]


[Page 59790-59793]

From the Federal Register Online via GPO Access [wais.access.gpo.gov]



Office of the Secretary

AGENCY: Office of the Secretary, DHHS.

ACTION: Notice.

SUMMARY: The Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages for Fiscal Year 2003 have been calculated pursuant to the Social Security Act (the Act). These percentages will be effective from October 1, 2002 through September 30, 2003. This notice announces the calculated "Federal Medical Assistance Percentages" and "Enhanced Federal Medical Assistance Percentages" that we will use in determining the amount of Federal matching for State medical assistance (Medicaid) and State Children's Health Insurance Program (SCHIP) expenditures, and Foster Care Maintenance and Adoption Assistance payments. The table gives figures for each of the 50 States, the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands.

Programs under title XIX of the Act exist in each jurisdiction; programs under titles I, X, and XIV operate only in Guam and the Virgin Islands; while a program under title XVI (AABD) operates only in Puerto Rico. Programs under title XXI began functioning in fiscal year 1998.

The percentages in this notice apply to State expenditures for assistance payments, most medical services and medical insurance services. The statute provides separately for Federal matching of administrative costs.

Sections 1905(b) 1101(a)(8)(B) of the Act require the Secretary of Health and Human Services to publish the Federal medical assistance percentages each year. The Secretary is to figure the percentages, by formulas in sections 1905(b) and 1101(a)(8)(B), from the Department of Commerce's statistics of average income per person in each State and in the Nation as a whole. The percentages are within the upper and lower limits given in those two sections of the Act. The statute specifies the percentages to be applied to the District of Columbia, Puerto Rico, the Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands. A provision in the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 modified the formula to calculate the percentages to be applied to Alaska only for fiscal years 2001 through 2005.

The "Federal Medical Assistance Percentages" are for Medicaid.

The "Enhanced Federal Medical Assistance Percentages" are for use in the State Children's Health Insurance Program under Title XXI, and in the Medicaid program for certain children for expenditures for medical assistance described in sections 1905(u)(2) and 1905(u)(3). There is no specific requirement to publish these percentages. We include them in this notice for the convenience of the States.

EFFECTIVE DATES: The percentages listed will be effective for each of the 4 quarter-year periods in the period beginning October 1, 2002 and ending September 30, 2003.

FOR FURTHER INFORMATION CONTACT: Adelle Simmons or Robert Stewart, Office of Health Policy, Office of the Assistant Secretary for Planning and Evaluation, Room 442E--Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201, (202) 690-6870.

(Catalog of Federal Domestic Assistance Program Nos. 93.563--Child Support Enforcement; 93.658--Foster Care Title IV-E; 93.659-- Adoption Assistance; 93.778--Medical Assistance Program; 93.767-- State Children's Health Insurance Program)

Dated: November 28, 2001.

Tommy G. Thompson, Secretary of Health and Human Services.

Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages, Effective October 1, 2002 - September 30, 2003 (Fiscal Year 2003)
State Federal Medical Assistance Percentages Enhanced Federal Medical Assistance Percentages
Alabama 70.60 79.42
Alaska** 58.27 70.79
American Samoa* 50.00 65.00
Arizona 67.25 77.08
Arkansas 74.28 82.00
California 50.00 65.00
Colorado 50.00 65.00
Connecticut 50.00 65.00
Delaware 50.00 65.00
District of Columbia** 70.00 79.00
Florida 58.83 71.18
Georgia 59.60 71.72
Guam* 50.00 65.00
Hawaii 58.77 71.14
Idaho 70.96 79.67
Illinois 50.00 65.00
Indiana 61.97 73.38
Iowa 63.50 74.45
Kansas 60.15 72.11
Kentucky 69.89 78.92
Louisiana 71.28 79.90
Maine 66.22 76.35
Maryland 50.00 65.00
Massachusetts 50.00 65.00
Michigan 55.42 68.79
Minnesota 50.00 65.00
Mississippi 76.62 83.63
Missouri 61.23 72.86
Montana 72.96 81.07
Nebraska 59.52 71.66
Nevada 52.39 66.67
New Hampshire 50.00 65.00
New Jersey 50.00 65.00
New Mexico 74.56 82.19
New York 50.00 65.00
North Carolina 62.56 73.79
North Dakota 68.36 77.85
Northern Mariana Islands* 50.00 65.00
Ohio 58.83 71.18
Oklahoma 70.56 79.39
Oregon 60.16 72.11
Pennsylvania 54.69 68.28
Puerto Rico* 50.00 65.00
Rhode Island 55.40 68.78
South Carolina 69.81 78.87
South Dakota 65.29 75.70
Tennessee 64.59 75.21
Texas 59.99 71.99
Utah 71.24 79.87
Vermont 62.41 73.69
Virgin Islands* 50.00 65.00
Virginia 50.53 65.37
Washington 50.00 65.00
West Virginia 75.04 82.53
Wisconsin 58.43 70.90
Wyoming 61.32 72.92

* For purposes of section 1118 of the Social Security Act, the percentage used under titles I, X, XIV, and XVI and Part A of title IV will be 75 per centum.

** The values for Alaska and the District of Columbia in the table were set for the state plan under titles XIX and XXI and for capitation payments and DSH allotments under those titles. For other purposes, including programs remaining in Title IV of the Act, the percentage for Alaska is 53.99 and for D.C. is 50.00.