新闻 & 视角

Ways States Can Reinvest the 美国救援计划法案’s Ten Percent FMAP Enhancement for 家庭和社区服务

14. 2021年6月 PCG 新兴解决方案
新闻

《日博网站》,1 于3月11日签署成为法律, 2021, provides relief for Medicaid home and community-based services (六氯苯) programs with scheduled, enhanced federal financing participation to offset state expenditures. 的 ARP defines 六氯苯 as a host of Medicaid services and programs that are typically referenced by the Centers for Medicare and Medicaid Services (CMS). It also broadly includes some Medicaid services for participants who are not typically viewed as part of 六氯苯 populations.2

在ARP的9817节中,3 所有的你.S. states that currently have HBCS programs will receive a temporary 10 percent enhancement to their 联邦医疗援助百分比 (FMAP) for the costs they incur when continuing to deliver the programs between April 1, 2021, 和3月31日, 2022.  

If they currently do not have 六氯苯 programs, states can amend their state plan to include new 六氯苯 programs and apply their FMAP and enhanced FMAP to applicable administrative costs associated with establishing and implementing them. Every state is required to 再投资 the enhanced FMAP into new Medicaid-covered 六氯苯 programs; additional enrollees of existing 六氯苯 programs; and or technology and administrative personnel required during the program expansion process.

States are not permitted to use these enhanced funds to supplant their existing state spending. 的y must use the funds to supplement their state spending. 除了, although states will receive more optimal funding from service-related expenses than administrative costs during the temporary timeframe the enhanced FMAP is offered, it will likely be challenging for states to retract the enhanced service offerings once the funding opportunity ends. 

除了, FMAP may not exceed 95 percent for any state. Based on Congressional Budget Office (CBO) estimates, the enhanced FMAP would increase federal funding for Medicaid by $12.70亿年.4 State savings resulting from the FMAP increase must be 再投资ed in 六氯苯 services and programs.

日博官网 (PCG) has proven approaches to help states navigate the enhanced FMAP 再投资ment process. 成立于1986年, PCG is a leading public sector solutions implementation and operations improvement firm that partners with health, 教育, and human services agencies to improve lives. We offer a multidisciplinary approach to meet challenges, 寻找机会, and serve constituents across the public sector.

PCG准备通过以下方式支持状态:

  • Increasing and improving access to 自主 六氯苯 services and supports, 哪一个将优化国家资金5
  • Creating targeted efforts to 过渡 individuals from institutions to the community
  • Assuring and improving quality in 六氯苯, as our firm is a QIO-Like Certified Agency
  • Simplifying monitoring/reporting for critical incident management; compliance audits; the provider-remediation process; and enhanced beneficiary risk mitigation
  • 支持规划过程, 程序的实现, and operations related to building 员工的能力 in the 六氯苯 system

 

Our team can help states decide on the best categorical use of the enhanced FMAP funds—whether for direct services or time-limited administrative costs. 的 more states spend on eligible 六氯苯 now, the more FMAP states will receive to spend on COVID-19 relief during the period of public health emergency (PHE) or capacity building in the next few years. States must spend the 增强FMAP资金 by March 31, 2024.

To learn more, access our comprehensive guide 在这里. You can also access the guide by visiting our dedicated enhanced FMAP web page 在这里

 

_________________

[1] 美国2021年拯救计划法案, s 9817, Additional Support for Medicaid 家庭和社区服务 During the COVID-19 Emergency
<http://www.congress.gov/bill/117th-congress/house-bill/1319/text>
(2021年3月31日)

[2] Two examples of typical CMS 六氯苯 definitions include: 1) 2017 DHHS Report to President and Congress: 的 Money Follows the Person (MFP) Rebalancing Demonstration, http://www.medicaid.gov/sites/default/files/2019-12/mfp-rtc.pdf, pg 1; and 2) LTSS Models, 家居及社区服务, http://www.cms.gov/Outreach-and-Education/American-Indian-Alaska-Native/AIAN/LTSS-TA-Center/info/hcbs

[3]
美国2021年拯救计划法案, s 9817, Additional Support for Medicaid 家庭和社区服务 During the COVID-19 Emergency
<http://www.congress.gov/bill/117th-congress/house-bill/1319/text>
 
[4] 的 CBO scored an earlier proposed FMAP increase of 7.35%, 9美元.30亿,调整为10%. 这相当于12美元.70亿年, though it may be slightly overstated if more states reach the 95 percent FMAP cap. http://www.congress预算Offices.gov/system/files/2021-02/EnergyandCommerceReconciliationEstimate.pdf

[5]
“Implementation of 美国2021年拯救计划法案 Section 9817: Additional Support for Medicaid 家居及社区服务 during the COVID-19 Emergency,医疗保险中心 & 医疗补助服务,卫生部 & 公众服务,于2021年5月19日访问, http://www.medicaid.gov/federal-policy-guidance/downloads/smd21003.pdf