1、 https:/crsreports.congress.gov Updated May 27, 2020Medicaid Financing for the TerritoriesMedicaid is a joint federal-state program that finances the delivery of medical services for low-income individuals. The territories (i.e., American Samoa, Commonwealth of the Northern Mariana Islands CNMI, Gua
2、m, Puerto Rico, and the U.S. Virgin Islands) operate Medicaid programs under rules that differ from those applicable to the 50 states and the District of Columbia (DC). American Samoa and CNMI operate their Medicaid programs under the Section 1902(j) waiver authority. Under these waivers, the only M
3、edicaid requirements that may not be waived are (1) the federal medical assistance percentage (FMAP) rate (i.e., federal matching rate); (2) the annual federal capped funding; and (3) the requirement that Medicaid payments are for services otherwise coverable. For Guam, Puerto Rico, and the U.S. Vir
4、gin Islands, most of the eligibility and benefit requirements for the states apply. However, the Government Accountability Office has documented that these three territories do not cover all of the federally mandated coverage groups or benefits. Medicaid financing for the territories is different fr
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