Providing Medicaid recipients with access to preventive services addressing leading causes of poor health can reduce the incidence and severity of diseases and chronic conditions for a population with some of the highest health care expenditures.

*Milestone details:

*Full name: Evaluate the option of providing additional preventive services and vaccines in Medicaid without cost sharing in order to quality for increased FMAP.

*Relevance to the ACA:

States have the opportunity to offer additional preventive services to Medicaid beneficiaries and receive a higher federal match for these services.

§4106 – Effective Jan 1, 2013, specific additional preventive services will qualify for a Medicaid FMAP increase of 1%.

The services that are eligible for increased FMAP include:

1. Any clinical preventive services that are assigned a grade of A or B by the United States Preventive Services Task Force;

2. Approved adult vaccine recommended by the Advisory Committee on Immunization Practices; and

3. Any medical or remedial services (provided in a facility, a home, or other setting) recommended by a physician or other licensed practitioner for the maximum reduction of physical or mental disability and restoration of an individual to the best possible functional level.