Final FY 2022 FMAPs

The Bureau of Economic Analysis (BEA) released revised state personal income data for 2019. The federal government uses state per capita income to calculate each state’s federal reimbursement rate—the Federal Medical Assistance Percentage (FMAP)—for Medicaid and other grant programs. The Children’s Health Insurance Program (CHIP) uses an enhanced FMAP, which is higher than the Medicaid matching rate.

The BEA release facilitates calculation of the final fiscal year (FY) 2022 FMAPs and enhanced FMAPs, which are based on per capita incomes for calendar years (CYs) 2017-2019.

This Issue Brief summarizes the BEA data and provides FFIS’s estimates of the final FY 2022 FMAPs and enhanced FMAPs. FFIS estimates that FMAPs will increase in 26 states and decline in 11, ranging from a +1.90 percentage-point change in Vermont to a -1.01 percentage-point change in Texas.

Of note, the FY 2022 FMAPs are based on personal income data prior to the COVID-19 pandemic. Additionally, the base FMAPs and enhanced FMAPs do not reflect a 6.2 percentage-point increase provided in the Families First Coronavirus Response Act (FFCRA). These temporary FMAPs are presented in a separate section of the brief.