Milestone: Evaluate the higher FMAP option of providing additional preventive services and vaccines in Medicaid without cost sharing
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.
*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.less