Impact of Removing the Medicaid FMAP Floor on Federal Funding for Home and Community-Based ID/DD Services
03/25/2025
This one-pager, written by Hilltop Director of Analytics & Research Morgan Henderson, Senior Data Scientist Leigh Goetschius, Director of Aging & Disability Studies Christin Diehl, and Interim Executive Director Alice Middleton, quantifies the impact of removing the 50% Medicaid Federal Medical Assistance Percentage (FMAP) floor on federal spending on Medicaid-funded home and community-based intellectual and developmental disabilities (ID/DD) services in states. The one-pager estimates the federal funding decreases overall and for each of the ten states that would be the most impacted.