1. Medicaid Administrative FFP Claiming for MAP
Maryland Department of Aging
Medicaid Administrative FFP Claiming for MAP

2. Overview of Medicaid Administrative FFP claiming
There are two types of Medicaid Federal Financial Participation (FFP) that states can receive for Medicaid:
Service FFP: percentage that is paid according to each state’s Federal Medical Assistance Percentage (FMAP) for services provided to a Medicaid eligible individual. Maryland’s FMAP is 50%.
Administrative FFP: matching dollars (generally 50%) that are paid to cover administrative costs necessary to operate the program.
Administrative FFP may be claimed for activities that contribute to the efficient and effective administration of the Medicaid program. Claimable administrative activities include, but are not limited to:
intake for Medicaid services
eligibility determination
service authorization
quality assurance oversight for Medicaid services
Maryland Department of Aging

3. Why is FFP Claiming Important
MAP has become a central component of Maryland’s BIP and other systems change efforts.
MAP sites will be assuming responsibility for new functions including:
Conducting the Level I Screen
Options counseling
BIP and MFP funding for these efforts is time limited.
FFP is an ongoing sustainable source of funding.
Maryland Department of Aging

4. Operational Requirements for Claiming FFP
Document portion of time that is Medicaid related (time study)
Account for costs for providing services
MOU with Medicaid agency
Contractual relationships with agencies receiving FFP
Maryland Department of Aging

5. Status of building FFP Claiming Infrastructure
Completed Work:
Agreement among MDoA and DHMH to claim FFP
Development of draft codes
Piloting of codes and time documentation approach
Work to be Done:
Development of infrastructure for ongoing time study
Development of process for documenting costs
Review and approval by DHMH and CMS
Maryland Department of Aging