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Diane Publishing Books
Medicaid Financing and Expenditures
Alison Mitchell (au)
Medicaid, a means-tested entitlement program that finances the delivery of primary and acute medical services as well as long-term services and supports, is a federal and state partnership that is jointly financed by both the federal government and the states. The federal governmentäó»s share for most Medicaid expenditures is called the federal medical assistance percentage (FMAP) rate. Generally determined annually, the FMAP formula is designed so that the federal government pays a larger portion of Medicaid costs in states with lower per capita incomes relative to the national average (and vice versa for states with higher per capita incomes). Federal Medicaid funding to states is open-ended. This report provides an overview of Medicaidäó»s financing structure, including both federal and state financing issues. The Medicaid expenditures section of the report discusses economic factors affecting Medicaid, state variability in spending, and projected program spending. Other issues that are examined include congressional proposals to turn Medicaid into a block grant program, federal deficit reduction proposals affecting Medicaid, and state fiscal conditions affecting Medicaid financing and services. Figures. This is a print on demand report.
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