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Audit of State Medicaid Claims Reimbursed at the Enhanced FMAP Rate of 100 Percent

Announced on  | Last Modified on  | Project Number: OAS-26-01-015
Status
Active
Agency
Centers for Medicare and Medicaid Services

OBJECTIVE

Approximately 1.3 million American Indians and Alaska Natives (AI/ANs) are enrolled in State Medicaid programs. The Social Security Act indicates that States will receive 100 percent Federal Medical Assistance Percentage (FMAP) for Medicaid health services provided to eligible AI/ANs through an Indian Health Service (IHS) facility whether operated by IHS or by a Tribe or Tribal organization. We will determine whether the State agency claimed Medicaid AI/AN services that are eligible for reimbursement at the enhanced 100 percent FMAP rate in accordance with Federal and State requirements.

TIMELINE

  • February 17, 2026
    Announced
  • Today
    Office of Audit Services In-Progress
  • Est FY2028
    Estimated Fiscal Year for Project Completion
Work Plan Type
Office of Audit Services
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
Financial Stewardship
Target Groups
Native American
Financial Groups
Medicaid