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Oregon Medicaid Local Match Rates

Overview

The local match prepayment amount is a percentage of the total amount paid for claims submitted. The percentage is determined by the Medicaid or State Children's Health Insurance Program (SCHIP) local match rate. Use the rates listed here, based on the claim's payment date.

The Federal Medical Assistance Percentage (FMAP) rates determine how much the local match rate will be.

Effective Jan. 1, 2020, the federal government has approved COVID-19 enhanced rates through June 30, 2021. Please check back regularly for any potential changes.

 
 

Questions and answers about FMAP and local match rates

The FMAP is the federal government’s share of expenditures for the Medicaid and Children’s Health Insurance Program (CHIP) programs. These programs are jointly funded by the federal, state or local government.

The FMAP determines the local match rate.​

Generally, the FMAP changes annually on October 1 (the beginning of the federal fiscal year).

The American Recovery and Reinvestment Act of 2009 (ARRA, Public Law 111-5) contained provisions that increased Medicaid FMAP rates and the frequency of FMAP changes.

  • ARRA increased Medicaid FMAPs from Oct. 1, 2008, through Dec. 31, 2010, through a hold-harmless provision, a 6.2 percentage-point across-the-board increase, and a bonus adjustment related to the change in a state's unemployment rate. Because the bonus could change each quarter, the FMAP rates were calculated on a quarterly basis.
  • Public Law 111-226, enacted in August 2010, provided a two-quarter phased-down extension of the increased FMAP included in ARRA, from Jan. 1, 2011, through June 30, 2011.

The annual FMAP schedule resumed Oct. 1, 2011.​

Approximately one month prior to the start of a new federal fiscal year, the ODHS|OHA Budget Planning and Analysis Unit (BPA) receives new rates from the Federal Funds Information for States subscription service.
 
The division updates the local match rates table with the new rates once BPA verifies them and distributes them to ODHS|OHA staff.
  • Submit prepayment with the DMAP 3049 form (Word) (PDF) by 5 p.m. Wednesday of the week that claims are submitted. Otherwise, the claims will suspend until prepayment is received.
  • For the amounts you need to prepay, refer to the "Leverage Claims Payable - Not Paid" section of the paper RA for each service provider.
  • You can also use the local match rates, based on the claim's payment date.

  • Submit prepayment with the MSC 1419​ form.
  • For the amounts you need to prepay, refer to the federal financial participation (FFP) amount indicated in your Intergovernmental Agreement (IGA).​​



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