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FMAP and EFMAP Updates Effective October 1, 2023

Last updated on 8/11/2023

Effective for dates of service from October 1, 2023, through December 31, 2023, the Federal Medical Assistance Percentage (FMAP) will change to 61.65%. 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, 2023, through December 31, 2023, the Enhanced Federal Medical Assistance Percentage (EFMAP) will change to 73.16%. This change will not affect provider reimbursement.

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