![]() Guam must exhaust its Affordable Care Act (Section 2005) allotment prior to using these funds Medicaid Standard Monthly Income Eligibility Levels Household Size Guam was awarded $24.4 million for its Medicaid program in lieu of establishing a health marketplace. Starting in January 2014 Congress has temporarily increased the FMAP along with federal funding, bringing Guam’s FMAP to 83% for federal fiscal year 2021. The statutory FMAP rate increased to 55% effective July 1, 2011. Unlike the 50 states and the District of Columbia, where the federal government will match all Medicaid expenditures at the appropriate federal matching assistance percentage (FMAP) rate for that state, in Guam, the FMAP is applied until the Medicaid ceiling funds and any other specified federal funds are exhausted.For federal fiscal year 2021 Guam’s ceiling is $129.7 million. Over the past decade Congress has temporarily increased federal funding for the territories’ Medicaid Programs via a number of specific statutory provisions. Through Section 1108 of the Social Security Act (SSA), each territory is provided base funding to serve their Medicaid populations.Unlike states, Guam residents are not eligible for Medicare Part D low-income subsidies instead the Medicaid program receives an additional grant through the Enhanced Allotment Plan (EAP) which must be utilized solely for the distribution of Part D medications to dual-eligible or low-income Medicare eligible individuals. There are no deductibles or co-payments for any other populations under the Guam Medicaid program. Expansion adults are served through an Alternative Benefit Plan, with co-payments for individuals at higher income levels.Effective JanuGuam elected to cover otherwise eligible individuals who lawfully reside in Guam in accordance with the Compacts of Free Association (COFA) between the US and Micronesia, the Marshall Islands and Palau. Guam elected to expand Medicaid to the Adult Group effective January 1, 2014. It is a 100% fee-for-service delivery system with two hospitals currently servicing the territory. ![]() Guam became a territory in 1950 and its Medicaid program was established in 1975.The Medicaid program in Guam differs from Medicaid programs operating in each of the 50 states and the District of Columbia. Medicaid MAGI & CHIP Application Processing Time.Testing Experience & Functional Tools demonstration.Alternatives to Psychiatric Residential Treatment Facilities Demonstration.Balancing Long Term Services & Supports.Person-Centered Hospital Discharge Model.Vision and Hearing Screening Services for Children and Adolescents.Early and Periodic Screening, Diagnostic, and Treatment.State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services.SUPPORT Act Provider Capacity Demonstration.SUPPORT Act Innovative State Initiatives and Strategies.Medicaid Information Technology Architecture.Section 223 Demonstration Program to Improve Community Mental Health Services.Actuarial Report on the Financial Outlook for Medicaid.CMS-64 FFCRA Increased FMAP Expenditure Data.State Budget & Expenditure Reporting for Medicaid and CHIP.Medicaid Eligibility Quality Control Program.Medicaid Third Party Liability & Coordination of Benefits.Seniors & Medicare and Medicaid Enrollees.Coronavirus Disease 2019 (COVID-19): Section 1115 Demonstrations. ![]()
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