The Federal Medical Assistance Percentage (FMAP) determines the state and federal shares of funding for Medicaid, Adoption Assistance, and Foster Care. It is determined annually by the Secretary of Health and Human Services and is based on each state’s per capita personal income compared with the average per capita personal income in other states.
The Families First Coronavirus Response Act (FFCRA) provided a temporary 6.2 percentage point increase to the FMAP beginning on January 1, 2020. The 6.2 percent increase was originally intended to last the duration of the federal public health emergency (PHE) associated with the COVID-19 pandemic; however, the federal Omnibus bill, signed into law in December 2022, uncoupled the 6.2 percent increase from the PHE. The same legislation created a phase-down approach to phase out the 6.2 percent increase by the end of calendar year 2023. With this approach, quarter 1 of calendar year 2023 included a 6.2 percent increase; quarter 2 included a 5.0 percent increase; quarter 3 included a 2.5 percent increase; and quarter 4 included a 1.5 percent increase. It is expected that there will not be any enhanced FMAP associated with the COVID-19 pandemic beginning in January 2024.
The Kansas Department of Health and Environment (KDHE) provided the information displayed in the table below. The table details the savings accumulated thus far due to the 6.2 percent increase to the federal share, and it also includes the savings due to the increased enhanced FMAP (eFMAP). The eFMAP applies to Medicaid Services, such as the Children’s Health Insurance Program (CHIP), and is calculated using a different formula than the regular FMAP. The eFMAP is increased by 4.34 percentage points during the PHE. KDHE reports the total SGF savings through the end of State FY 2023 is $959.6 million.
Federal Medical Assistance Percentage Savings
The Federal Medical Assistance Percentage (FMAP) determines the state and federal shares of funding for Medicaid, Adoption Assistance, and Foster Care. It is determined annually by the Secretary of Health and Human Services and is based on each state’s per capita personal income compared with the average per capita personal income in other states.
The Families First Coronavirus Response Act (FFCRA) provided a temporary 6.2 percentage point increase to the FMAP beginning on January 1, 2020. The 6.2 percent increase was originally intended to last the duration of the federal public health emergency (PHE) associated with the COVID-19 pandemic; however, the federal Omnibus bill, signed into law in December 2022, uncoupled the 6.2 percent increase from the PHE. The same legislation created a phase-down approach to phase out the 6.2 percent increase by the end of calendar year 2023. With this approach, quarter 1 of calendar year 2023 included a 6.2 percent increase; quarter 2 included a 5.0 percent increase; quarter 3 included a 2.5 percent increase; and quarter 4 included a 1.5 percent increase. It is expected that there will not be any enhanced FMAP associated with the COVID-19 pandemic beginning in January 2024.
The Kansas Department of Health and Environment (KDHE) provided the information displayed in the table below. The table details the savings accumulated thus far due to the 6.2 percent increase to the federal share, and it also includes the savings due to the increased enhanced FMAP (eFMAP). The eFMAP applies to Medicaid Services, such as the Children’s Health Insurance Program (CHIP), and is calculated using a different formula than the regular FMAP. The eFMAP is increased by 4.34 percentage points during the PHE. KDHE reports the total SGF savings through the end of State FY 2023 is $959.6 million.
| Quarter Ending | FMAP Savings (6.2%) | Enhanced FMAP Savings (4.34%) | Total SGF Savings | |||
| March 2020 | $ | 58,435,092 | $ | 1,882,863 | $ | 60,317,955 |
| June 2020 | 63,476,684 | 1,947,016 | 65,423,700 | |||
| Subtotal FY 2020: | $ | 121,911,776 | $ | 3,829,879 | $ | 125,741,655 |
| September 2020 | $ | 60,205,603 | $ | 1,895,712 | $ | 62,101,315 |
| December 2020 | 59,806,369 | 1,958,688 | 61,765,057 | |||
| March 2021 | 61,581,962 | 1,955,930 | 63,537,892 | |||
| June 2021 | 66,029,133 | 2,032,091 | 68,061,224 | |||
| Subtotal FY 2021: | $ | 247,623,067 | $ | 7,842,421 | $ | 255,465,488 |
| September 2021 | $ | 66,399,011 | $ | 1,951,806 | $ | 68,350,817 |
| December 2021 | 67,485,073 | 2,195,241 | 69,680,314 | |||
| March 2022 | 67,586,668 | 2,177,830 | 69,764,498 | |||
| June 2022 | 65,283,708 | 2,125,248 | 67,408,956 | |||
| Subtotal FY 2022: | $ | 266,754,460 | $ | 8,450,125 | $ | 275,204,585 |
| September 2022 | $ | 64,230,674 | $ | 1,901,444 | $ | 66,132,118 |
| December 2022 | 85,493,466 | 2,276,639 | 87,770,105 | |||
| March 2023 | 82,346,512 | 2,027,614 | 84,374,126 | |||
| June 2023* | 63,186,409 | 1,682,020 | 64,868,429 | |||
| Subtotal FY 2023: | 295,257,061 | 7,887,717 | 303,144,778 | |||
| GRAND TOTAL: | $ | 931,546,364 | $ | 28,010,142 | $ | 959,556,506 |
by Megan Leopold, PhD
Fiscal Analyst
785-296-4419