Financial & Activity Reports
Department of Health and Human Services
Total Paid Out:
Major Actions Taken to Date
Cumulative Recovery Act Medicaid FMAP outlays totaled approximately $84.6 billion as of Jan. 25. They represent the outlaying of increased FMAP obligations made through Dec. 31, 2010, and do not reflect Recovery Act Medicaid FMAP obligations from Jan. 1, 2011, to June 30, 2011, which were extended by PL 111-226.
*State Fiscal Relief: CMS estimates that more than $4.3 billion in fiscal relief to States has been provided through application of the ARRA FMAP increase when calculating State contributions for prescription drug costs for full-benefit dual eligible individuals enrolled in Medicare Part D by the end of December 2010. This recalculation due to ARRA significantly reduces each State's monthly State contribution amount. The additional monthly fiscal relief provided to each State because of this recalculation due to the increase in FMAP provided by ARRA is equal to the difference between: the amount CMS initially would have billed the State based on the pre-ARRA FMAP rate for each State, and the adjusted bill the State receives as a result of the increase in the FMAP rate provided by ARRA. The difference is reported in the ôTotal Gross Outlaysö column consistent with OMB guidance. These reductions in State contributions result in higher net federal outlays under the Part D program. This amount does not reflect the impact of PL 111-226.
Per OMB guidance, this report does not include obligations, outlays or major activities for (75-0129 2009 \ 2012) Office of the Inspector General - Recovery Act. OIG will report on this data separately in its monthly report.
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