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FMAP and EFMAP to Change on October 1, 2025

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On October 1, 2025, the Federal Medical Assistance Percentage (FMAP) and the Enhanced Federal Medical Assistance Percentage (EFMAP) will change for dates of service from October 1, 2025, through September 30, 2026.

FMAP Changes

The FMAP will decrease from 60.00% to 59.83%. This change only affects providers that certify expenses and that receive only the federal share of their claims. Texas Medicaid will adjust payments to these providers to reflect the updated FMAP rate.

EFMAP Changes

The EFMAP will decrease from 72.00% to 71.88%. This change will not affect provider reimbursement.

For more information, call the TMHP Contact Center at 800-925-9126.