Medicaid Administrative FFP Claiming for MAP

1. Maryland Department of Aging Medicaid Administrative FFP Claiming for MAP

2. Overview of Medicaid Administrative FFP claiming • There are two types of Medicaid Federal Financial Participation (FFP) that states can receive for Medicaid: • Service FFP: percentage that is paid according to each state’s Federal Medical Assistance Percentage (FMAP) for services provided to a Medicaid eligible individual. Maryland’s FMAP is 50%. • Administrative FFP: matching dollars (generally 50%) that are paid to cover administrative costs necessary to operate the program. • Administrative FFP may be claimed for activities that contribute to the efficient and effective administration of the Medicaid program. Claimable administrative activities include, but are not limited to: • intake for Medicaid services • eligibility determination • service authorization • quality assurance oversight for Medicaid services Maryland Department of Aging

3. Why is FFP Claiming Important • MAP has become a central component of Maryland’s BIP and other systems change efforts. • MAP sites will be assuming responsibility for new functions including: • Conducting the Level I Screen • Options counseling • BIP and MFP funding for these efforts is time limited. • FFP is an ongoing sustainable source of funding. Maryland Department of Aging

4. Operational Requirements for Claiming FFP • Document portion of time that is Medicaid related (time study) • Account for costs for providing services • MOU with Medicaid agency • Contractual relationships with agencies receiving FFP Maryland Department of Aging

5. Status of building FFP Claiming Infrastructure • Completed Work: • Agreement among MDoA and DHMH to claim FFP • Development of draft codes • Piloting of codes and time documentation approach • Work to be Done: • Development of infrastructure for ongoing time study • Development of process for documenting costs • Review and approval by DHMH and CMS Maryland Department of Aging