Effective for dates of service from January 1, 2024, through September 30, 2024, the Federal Medical Assistance Percentage (FMAP) will change from 61.65% to 60.15%. The FMAP change only affects providers that certify expenses and are paid only the federal share of their claims. For these providers, reimbursement will be decreased to match the change in the FMAP.
Effective for dates of service from January 1, 2024, through September 30, 2024, the Enhanced Federal Medical Assistance Percentage (EFMAP) will change from 73.16% to 72.11%. This change will not affect provider reimbursement.
For more information, call the TMHP Contact Center at 800-925-9126.