The FMAP for each state defines the percentage shares of federal and state funding for Medicaid payments associated with a particular federal fiscal year (October 1 – September 30). If FMAP is 0.60 the federal share of a Medicaid payment will be 60%, and the state share will be 40%. In other words, in order to obtain federal Medicaid assistance, the state must contribute 40 cents of each Medicaid dollar paid to a service provider. If FMAP is 0.60, and the state contributes $1 toward a Medicaid payment, the federal share will be $1.50, for a total payment of $2.50. Thus the state receives a return on this dollar of 150% or a multiple of 1.5–sometimes referred to as the multiplier.
The state portion of Medicaid payments is assumed by the federal authorities to be based on state and/or local government revenues. Routine Medicaid payments typically are funded through state legislative appropriations, as are some supplemental payments. However, many states fund part of their Medicaid programs through local governmental entities such as cities, counties, hospital districts, and Local Provider Participation Funds (LPPFs). In such cases, the “state” portion of the Medicaid payment is sent to the state from the local entity by means of an on-line Inter- Governmental Transfer (IGT).
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Last Modified: September 13, 2016
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The mission of AHCV is to generate innovative solutions that enhance the ability of healthcare providers to serve patients and the communities in which they live.
Our solutions focus on improving not only the health of patients, but also healthcare services in their communities at large. As a leader in the healthcare consulting industry, our responsibility is to emphasize public health and patient service to the providers with whom we work. We develop transparent, compliant, and ethical solutions that strengthen the safety-net system while balancing the need to control costs. It is our duty and our obligation to serve our clients by meeting their goals while always focusing on the overall benefit to the community.
Our vision at AHCV is to build a stronger safety-net system for communities across the country.
To accomplish this the AHCV Team uses its full scope of resources to identify innovative solutions for healthcare providers. By continuously innovating the healthcare reimbursement system, we believe that we will expand services and increase efficiency for the healthcare network.
The AHCV Team is a network of business consultants that includes former high-ranking officials at state Medicaid agencies, lawyers who helped healthcare providers complete complex business transactions, and former high-ranking executives at public and private healthcare institutions. Our cross-functional team of expert consultants has the experience your entity needs to boost revenue, identify solutions to complex risks, and increase financial efficiency.
Specializing in Medicaid, our job is to ensure that healthcare providers receive their fair share of reimbursement for the services they provide. Whether it is designing a patient-centered service expansion initiative or conducting a detailed data-mining analysis, the AHCV Team ensures that your entity is tracking data accurately, efficiently, and, most important, within compliance.
While improving financial efficiency for healthcare providers, AHCV prioritizes expanding healthcare services for patients who typically are underserved. We help providers meet this challenge while balancing the need to manage increasing costs. Consistent with this, AHCV makes charitable donations to organizations that are committed to helping underserved patients.
AHCV’s highly acclaimed team of consultants specializes in healthcare transactional advisory support, reimbursement analysis, and revenue cycle. Our professionals have the domain expertise and skills to assist organizations with the numerous types of analyses and support to enable effective strategic decision making. AHCV’s data-driven approach provides our clients with the tools necessary to make strong strategic decisions.
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