| Medicaid administrative activity | Federal match rate | Social Security Act citation | Regulation (all citations are to 42 CFR) |
|---|---|---|---|
| General Medicaid administration | 50 percent | 1903(a)(7) | 432.50, 433.15 |
| General Medicaid eligibility determination and redetermination processes | 50 percent | 1903(a)(7) | 435.1001 |
| Determining presumptive eligibility for children and providing services to presumptively eligible children | 50 percent | 1903(a)(7) | 435.1001 |
| Costs incident to an eye examination or medical examination to determine whether an individual is blind or disabled for eligibility purposes | 50 percent | 1903(a)(7) | 435.1001 |
| Activities conducted by skilled professional medical personnel (and their direct support staff), including training | 75 percent | 1903(a)(2) | 432.50(b)(1);432.50(d); 433.15(b)(5) |
| Preadmission screening and resident review (PASRR) for individuals with mental illness or mental retardation who are admitted to a nursing facility | 75 percent | 1903(a)(2)(C), 1919(e)(7) | Part 483, subparts C and E; 433.15(b)(9) |
| Survey and certification of nursing facilities | 75 percent | 1903(a)(2)(D) | No corresponding regulation |
| Translation and interpretation services for children in families for whom English is not the primary language | 75 percent | 1903(a)(2)(E) | No corresponding regulation |
| Operation of an approved Medicaid management information system (MMIS) for claims and information processing | 75 percent | 1903(a)(3)(B) | 433, subpart C; 432.50(b)(2); 433.15(b)(3), (4); 433.116; 433.117(c) |
| Medical and utilization review activities performed by an external quality review organization (EQRO) or quality improvement organization (QIO) | 75 percent | 1903(a)(3)(C) | 433.15(b)(6) |
| Quality review of Medicaid managed care organizations performed by a EQRO | 75 percent | 1903(a)(3)(C)(ii) | 438.358, 438.320 |
| Operation of a state Medicaid fraud control unit (MFCU) | 75 percent | 1903(a)(6)(B); 1903(b)(3) | 1007.19 |
| Implementation of a state MFCU | 90 percent | 1903(a)(6)(A); 1903(b)(3) | 1007.19 |
| Implementation of an MMIS | 90 percent | 1903(a)(3)(A)(i) | 433 subpart C, 432.50 (b)(3) |
| Administration of family planning services | 90 percent | 1903(a)(5) | 432.50(b)(5); 433.15(b)(2) |
| Operation of an approved updated system for eligibility determinations | 75 percent | 1903(a)(3)(A)(i) | 433.112(c) |
| Administration of incentive payment programs for the adoption of electronic health records (EHR) | 90 percent | 1903(t) | 495 subpart D |
| Implementation and operation of immigration status verification systems | 100 percent | 1903(a)(4) | No corresponding regulation |
| Incentive payments to eligible providers for the adoption of EHR | 100 percent | 1903(a)(3)(F) | 495.320-495.322, 495.326-495.362 |
| MMIS modifications necessary for collection and reporting on child health measures | Equivalent to state FMAP rate | 1903(a)(3)(A)(iii) |
Notes: SSA is Social Security Act. CFR is Code of Federal Regulations. FMAP is Federal Medical Assistance Percentage (the standard federal Medicaid match rate).
If the SSA or CFR describes an administrative activity for which the match rate is 50 percent, it is not included in the table (even though the match rate may be specifically mentioned in statute or regulation). If the SSA or CFR describes a match rate that is no longer applicable or applies to a service or activity that is no longer applicable, it is not included in the table (e.g., 1903(a)(3)(D), which describes a 75 percent match for costs incurred between 1991 and 1993 to adopt a drug use review program).
