![]() From Januto Decemthere is a temporary 2.2% FMAP increase for all Medicaid enrollees, bringing Puerto Rico’s FMAP to 57.2%. The statutory FMAP local matching rate increased from 50%/ 50% to 55% federal /45% local, effective July 1, 2011. Unlike the 50 states and the District of Columbia, where the federal government will match all Medicaid expenditures at the appropriate federal matching assistance percentage (FMAP) rate for that state, in Puerto Rico, the FMAP is applied until the Medicaid ceiling funds and the Affordable Care Act available funds are exhausted.For the period of Jthrough September 30, 2019, Section 2005 of the Affordable Care Act provided an additional $5.4 billion in Medicaid funding to Puerto Rico. Through Section 1108 of the Social Security Act (SSA), each territory is provided base funding to serve their Medicaid populations.Approximately half of Puerto Rico's 3.5 million residents have low incomes and depend upon the public health system for their medical care. The Puerto Rico Department of Health is the single state agency, and they have a cooperative agreement with the Puerto Rico Health Insurance Administration (PRHIA) also known as Administracion de Seguros Salud de Puerto Rico (ASES) which implements and administers island-wide health insurance system. The Puerto Rico Medicaid delivery system is a subset of the larger public government healthcare delivery system for most of the island’s population.The Medicaid program in Puerto Rico differs from Medicaid programs operating in each of the 50 states and the District of Columbia in three important ways. Medicaid MAGI & CHIP Application Processing Time.Testing Experience & Functional Tools demonstration.Alternatives to Psychiatric Residential Treatment Facilities Demonstration.Balancing Long Term Services & Supports. ![]() Person-Centered Hospital Discharge Model.Vision and Hearing Screening Services for Children and Adolescents.Early and Periodic Screening, Diagnostic, and Treatment.State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services.SUPPORT Act Provider Capacity Demonstration.SUPPORT Act Innovative State Initiatives and Strategies.Medicaid Eligibility & Enrollment Toolkit.Medicaid Enterprise Certification Toolkit.Medicaid Information Technology Architecture.Section 223 Demonstration Program to Improve Community Mental Health Services.Actuarial Report on the Financial Outlook for Medicaid.CMS-64 FFCRA Increased FMAP Expenditure Data.State Budget & Expenditure Reporting for Medicaid and CHIP.Medicaid Eligibility Quality Control Program.Medicaid Third Party Liability & Coordination of Benefits.Seniors & Medicare and Medicaid Enrollees. ![]() Coronavirus Disease 2019 (COVID-19): Section 1115 Demonstrations.1115 Substance Use Disorder Demonstrations.1115 Demonstration Monitoring & Evaluation.Medicaid & CHIP Marketplace Interactions.Performance Indicator Technical Assistance.Medicaid Enrollment Data Collected Through MBES.March 2023 Medicaid & CHIP Enrollment Data Highlights.Home & Community Based Services Authorities.Lawfully Residing Immigrant Children & Pregnant Individuals.Medicaid and CHIP Quality Resource Library.Affordable Care Act Program Integrity Provisions.Medicaid and CHIP Eligibility & Enrollment Webinars.Unwinding and Returning to Regular Operations after COVID-19.Home & Community-Based Services in Public Health Emergencies.Using Section 1115 Demonstrations for Disaster Response. ![]()
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