2024-27910. Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the Children's Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2025, Through September 30, ...  

  • Table 1—Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages, Effective October 1, 2025-September 30, 2026

    [Fiscal year 2026]

    State Federal medical assistance percentages Enhanced Federal medical assistance percentages
    Alabama 72.63 80.84
    Alaska 52.42 66.69
    American Samoa * 83.00 85.00
    Arizona 64.34 75.04
    Arkansas 69.23 78.46
    California 50.00 65.00
    Colorado 50.00 65.00
    Connecticut 50.00 65.00
    Delaware 59.41 71.59
    District of Columbia ** 70.00 79.00
    Florida 57.22 70.05
    Georgia 66.40 76.48
    Guam* 83.00 85.00
    Hawaii 59.68 71.78
    Idaho 66.91 76.84
    Illinois 51.82 66.27
    Indiana 64.74 75.32
    Iowa 62.70 73.89
    Kansas 60.67 72.47
    Kentucky 71.41 79.99
    Louisiana 67.83 77.48
    Maine 61.29 72.90
    Maryland 50.00 65.00
    Massachusetts 50.00 65.00
    Michigan 65.30 75.71
    ( print page 94745)
    Minnesota 50.68 65.48
    Mississippi 76.90 83.83
    Missouri 64.44 75.11
    Montana 61.47 73.03
    Nebraska *** 55.94 68.05
    Nevada 59.80 71.86
    New Hampshire 50.00 65.00
    New Jersey 50.00 65.00
    New Mexico 71.66 80.16
    New York 50.00 65.00
    North Carolina 64.62 75.23
    North Dakota 50.99 65.69
    Northern Mariana Islands * 83.00 85.00
    Ohio 64.85 75.40
    Oklahoma 66.47 76.53
    Oregon 57.75 70.43
    Pennsylvania 56.06 69.24
    Puerto Rico * 76.00 83.20
    Rhode Island 57.50 70.25
    South Carolina 69.53 78.67
    South Dakota 51.01 65.71
    Tennessee 64.16 74.91
    Texas 59.83 71.88
    Utah 62.46 73.72
    Vermont 59.01 71.31
    Virgin Islands * 83.00 85.00
    Virginia 50.39 65.27
    Washington 50.00 65.00
    West Virginia 74.22 81.95
    Wisconsin 60.68 72.48
    Wyoming 50.00 65.00
    * The Consolidated Appropriations Act, 2023 set the FMAP for American Samoa, Guam, Northern Marianas, and Virgin Islands permanently at 83 percent and set the FMAP for Puerto Rico at 76 percent through Fiscal Year 2027. For purposes of section 1118 of the Act, the percentage used under titles I, X, XIV, and XVI will be 75 per centum for Puerto Rico, the Virgin Islands, and Guam.
    ** The values for the District of Columbia (DC) in the table were set for the state plan under titles XIX and XXI and for capitation payments and disproportionate share hospital (DSH) allotments under those titles. For other purposes, the percentage for DC is 50.00, unless otherwise specified by law.
    *** Nebraska received the FMAP for a disaster-recovery FMAP adjustment State.

    Table 2—Fiscal Year 2026 Disaster-Recovery Adjusted FMAP Rates

    State FY 2025 FMAP FY 2026 regular FMAP Decrease in FMAP Disaster- recovery adjustment * Disaster- recovery adjusted FMAP FY 2026
    Nebraska 57.52 54.36 3.16 1.58 55.94
    * In the first year, the Disaster-Recovery Adjustment is 50 percent of the percentage point decrease between the regular FMAP for such fiscal year and the FMAP from the preceding fiscal year.

Document Information

Effective Date:
10/1/2025
Published:
11/29/2024
Department:
Health and Human Services Department
Entry Type:
Notice
Action:
Notice.
Document Number:
2024-27910
Dates:
The percentages listed in Table 1 will be effective for each of the four quarter-year periods beginning October 1, 2025, and ending September 30, 2026.
Pages:
94742-94746 (5 pages)
PDF File:
2024-27910.pdf