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COVID-19 Increased FMAP State Eligibility Audit

The Federal Government pays its share of a State's Medicaid expenditures based on the Federal Medical Assistance Percentages (FMAPs), which vary depending on the State's per capita income. Although FMAPs are adjusted annually for economic changes in the States, Congress may increase FMAPs at any time. On March 18, 2020, the then President signed into law the Families First Coronavirus Response Act (FFCRA), which provided a temporary 6.2-percentage-point increase to each qualifying State's and territory's FMAP under section 1905(b) of the Act effective January 1, 2020. States must meet the requirements of section 6008(b) and (c) of the FFCRA to qualify to receive the temporary 6.2-percentage-point increase. We plan to perform audit work at selected States to determine whether those States met the requirements to receive the temporary COVID-19 FMAP increase.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
August 2021 Centers for Medicare and Medicaid Services COVID-19 Increased FMAP State Eligibility Audit Office of Audit Services W-00-21-31556 2022