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FMAP and EFMAP Updates Effective April 1, 2023

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Effective for dates of service from April 1, 2023, through June 30, 2023, the Federal Medical Assistance Percentage (FMAP) will change to 64.87%. This FMAP change affects only providers that certify expenses and are paid only the federal share of their claims.

Effective for dates of service from April 1, 2023, through June 30, 2023, the Enhanced Federal Medical Assistance Percentage (EFMAP) will change to 75.41%. This change will not affect provider reimbursement.

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