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FMAP and EFMAP to Change Effective October 1, 2021

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Effective for dates of service from October 1, 2021, through December 31, 2021, the federal medical assistance percentage (FMAP) will change from 68.01 percent to 67.00 percent. The FMAP change affects only providers that certify expenses and are paid only the federal share of their claims.

Effective for dates of service from October 1, 2021, through December 31, 2021, the enhanced federal medical assistance percentage (EFMAP) will change from 77.61 percent to 76.90 percent. This change will not affect provider reimbursement.

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