Medicaid Matching Rates Get Their Yearly Refresh
Published Date: 11/28/2025
Notice
Summary
Starting October 1, 2026, through September 30, 2027, the federal government will update how much money it matches for state programs like Medicaid, CHIP, and aid for needy elderly or disabled people. These new matching rates affect all 50 states and U.S. territories, helping states cover healthcare and support costs. No special disaster or pension fund adjustments apply this year, so states can plan their budgets with these fresh, official numbers.
Analyzed Economic Effects
3 provisions identified: 1 benefits, 1 costs, 1 mixed.
Territory FMAP Statutory Rates Noted
The notice records statutory FMAP levels for U.S. territories: American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands have a permanent FMAP of 83.00 percent, and Puerto Rico’s FMAP is set at 76.00 percent through September 30, 2027. The table also shows the eFMAP values for those jurisdictions (e.g., territorial eFMAP values listed as 85.00 or 83.20 for Puerto Rico).
FY2027 FMAP and eFMAP Published
The Department of Health and Human Services published the Federal Medical Assistance Percentages (FMAP) and enhanced FMAP (eFMAP) that will apply from October 1, 2026 through September 30, 2027. These percentages (listed in Table 1) will be used to determine the Federal matching share for Medicaid and related programs and the eFMAP for the Children’s Health Insurance Program (CHIP); examples include Alabama FMAP 72.55 and eFMAP 80.79, California FMAP 50.00 and eFMAP 65.00, and Puerto Rico FMAP 76.00 and eFMAP 83.20.
No Disaster or Pension FMAP Adjustments
HHS states that no state qualifies for disaster-recovery FMAP adjustments and no state qualifies for disproportionate employer pension or insurance fund FMAP adjustments for the October 1, 2026–September 30, 2027 period. Territories are not eligible for those adjustments.
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