The enhanced FMAP may not exceed 85 percent. Only States with approved State plans by the end of the fiscal year will be included in the final allotment calculation. These factors will be multiplied to yield a final allotment project for each State. Each State's product will be divided by this national total to determine a State specific percentage of the national Title available amount for allotment that each State would be eligible to receive. The State specific percentage is then multiplied by the national total amount available for allotment, resulting in the final allotment for each State.
Enrolled children receive medical services as necessary.
Federal funds are obligated to the States by issuing Title XI grant awards. To ensure that all of the appropriated funds are available to States, HCFA will issue grant awards to all States with Title XI State plans approved by the end of the fiscal year equaling the national amount available for allotment to the 50 States, DC, and the Commonwealths and Territories for that fiscal year. No State is eligible for payments for child health assistance for coverage provided prior to October 1, 1997. Standards used to determine eligibility may include those related to geographic areas to be served by the plan. Standards may not discriminate on the basis of diagnosis.