Medicaid CMS-64 FFCRA Increased FMAP Expenditure

Description

During a public health emergency in the Families First Coronavirus Response Act (FFCRA), a new optional Medicaid eligibility group was added called COVID-19 testing eligibility group. States reported these expenditures under sections 6004 and 6008 through the Medicaid Budget and Expenditure System (MBES) on the Form CMS-64. The data in these reports constitute summary level preliminary expenditure information related to these FFCRA provisions for each state Notes: 1. The Families First Coronavirus Response Act (FFCRA), enacted on March 18, 2020, provided a temporary FMAP increase to states and territories meeting certain qualifications and added a new optional Medicaid eligibility group for uninsured individuals during a public health emergency in section 1902(a)(10)(A)(ii)(XXIII) of the Act, referred to as the “COVID - 19 Testing Group.” 2. FFCRA Section 6008 provides a temporary 6.2 percentage point FMAP increase to each qualifying state and territory's FMAP under section 1905(b) of the Act, beginning January 1, 2020 and lasting through the end of the quarter in which the public health emergency (PHE) declared by the Secretary for COVID-19 ends, including any extensions. 3. FFCRA Section 6004 provides a 100 percent match rate for individuals eligible under the new optional Medicaid eligibility group in section 1902(a)(10)(A)(ii)(XXIII) of the Act, beginning no earlier than March 18, 2020 and lasting through the end of the PHE for COVID-19. 4. States that have reported “0” either have no expenditures for that reporting category or have not yet reported expenditures for that category. 5. This report is a cumulative summary report that includes current and prior period adjustment expenditures that apply to this quarter 6. For the Quarter ending 03/31/2020: Delaware has Negative Total Computable Expenditures and Total Federal Share Expenditures due to the reporting of prior period adjustments during this period. 7. For the Quarter ending 09/30/2020: Colorado has Negative Total Computable Section 6004 Covid 19 Expenditures and Total Federal Share Section 6004 Covid 19 Expenditures due to the reporting of prior period adjustments during this period. 8. For the Quarter ending 03/31/2021: California has Negative Total Computable Section 6004 Covid 19 Expenditures and Total Federal Share Section 6004 Covid 19 Expenditures due to the reporting of prior period adjustments during this period. This corrected FY 2020 Q4 expenditures for Treatment services that are not allowed for Section 6004 100% FMAP match. 9. For the Quarter ending 03/31/2021: Utah has Negative Total Computable Section 6004 Covid 19 Expenditures and Total Federal Share Section 6004 Covid 19 Expenditures due to the reporting of prior period adjustments during this period. 10. For the Quarter ending 12/31/2022: California has Negative Total Computable Section 6004 Covid 19 Expenditures and Total Federal Share Section 6004 Covid 19 Expenditures due to the reporting of prior period adjustments during this period. 11. For the Quarter ending 12/31/2022: Connecticut has Negative Total Computable Section 6004 Covid 19 Expenditures and Total Federal Share Section 6004 Covid 19 Expenditures due to the reporting of prior period adjustments during this period. 12. For the Quarter ending 09/30/2023: Connecticut has Negative Total Computable Section 6004 Covid 19 Expenditures and Total Federal Share Section 6004 Covid 19 Expenditures due to the reporting of prior period adjustments during this period. 13. For the Quarter ending 09/30/2023: Illinois has Negative Total Computable Section 6004 Covid 19 Expenditures and Total Federal Share Section 6004 Covid 19 Expenditures due to the reporting of prior period adjustments during this period. 14. For the Quarter ending 09/30/2023: Minnesota has Negative Total Computable Section 6004 Covid 19 Expenditures and Total Federal Share Section 6004 Covid

Resources

Name Format Description Link
8 Medicaid-CMS-64-FFCRA-Increased-FMAP-Expenditure-02202024.csv https://download.medicaid.gov/data/Medicaid-CMS-64-FFCRA-Increased-FMAP-Expenditure-02202024.csv
8 Medicaid-CMS-64-FFCRA-Increased-FMAP-Expenditure-10182024.csv https://download.medicaid.gov/data/Medicaid-CMS-64-FFCRA-Increased-FMAP-Expenditure-10182024.csv
8 Medicaid-CMS-64-FFCRA-Increased-FMAP-Expenditure-08012025.csv https://download.medicaid.gov/data/Medicaid-CMS-64-FFCRA-Increased-FMAP-Expenditure-08012025.csv
8 Medicaid-CMS-64-FFCRA-Increased-FMAP-Expenditure-12102025.csv https://download.medicaid.gov/data/Medicaid-CMS-64-FFCRA-Increased-FMAP-Expenditure-12102025.csv
8 Medicaid-CMS-64-FFCRA-Increased-FMAP-Expenditure-03182026.csv https://download.medicaid.gov/data/Medicaid-CMS-64-FFCRA-Increased-FMAP-Expenditure-03182026.csv

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