Medicaid Administrative Claiming · FY2023
How much federal Medicaid match could Mississippi capture through MAC?
Mississippi's aging network already does the work that qualifies for federal Medicaid Administrative Claiming reimbursement — outreach, eligibility help, referrals, training. This estimator starts from AGID State Performance Report data and lets you override any number to model your own scenario.
Medicaid Eligibility Rate (MER)
Share of your client population who are Medicaid-eligible. Applied to general-population activities like outreach.
Personnel ratio
Share of program spend that is salary + employer-paid benefits. The CMS-approved cost base.
FFP rate
Federal share. 50% is the standard for Medicaid administration (42 CFR 433.15(b)(7)); 75% applies to PASRR within an approved cost allocation plan.
Override per-category activity rates and personnel ratios to match your state's published RMTS data or your agency's specific cost structure.
Non-federal expenditure pre-filled from your state's FY2023 AGID State Performance Report where available. Edit any value to model your own scenario.
Information & Assistance
Activity 18.0%–40.0% (28.0% base) · MER applies: Partial
Case Management
Activity 30.0%–55.0% (45.0% base) · MER applies: No
Person-Centered / Options Counseling
Activity 25.0%–45.0% (35.0% base) · MER applies: No
Outreach
Activity 40.0%–70.0% (55.0% base) · MER applies: Yes
ADRC / No Wrong Door
Activity 15.0%–35.0% (25.0% base) · MER applies: Partial
Care Transitions
Activity 20.0%–40.0% (30.0% base) · MER applies: Partial
Family Caregiver Support
Activity 5.0%–18.0% (10.0% base) · MER applies: Yes
SHIP / SMP / MIPPA
Activity 8.0%–25.0% (15.0% base) · MER applies: Yes
Long-Term Care Ombudsman
Activity 5.0%–20.0% (12.0% base) · MER applies: No
Legal Assistance
Activity 3.0%–15.0% (8.0% base) · MER applies: No
Disease Prevention & Health Promotion
Activity 2.0%–10.0% (5.0% base) · MER applies: Yes
Other state-funded aging program
Activity 5.0%–20.0% (10.0% base) · MER applies: Partial
How the math works
Federal $ = (Non-federal $ × Personnel ratio)
× Activity rate (Low / Base / High)
× Eligibility discount (1.0 | MER | (1+MER)/2)
× FFP rate (50%) - Non-federal $ — state + local + cash match. Federal Title III dollars are excluded (federal $ cannot match federal $).
- Personnel ratio — share of total spend that is salary + employer-paid benefits. Default 75%.
- Activity rate — share of staff time spent on the five CMS-approved Medicaid-administrative activities (Outreach, Referral/Coordination, Eligibility Facilitation, Training, Program Planning). Calibrated to Oregon OMAC, Washington CLC, and Mass SBMP-AAC published rates.
- Eligibility discount — for general-population activities, the cost is discounted by the Medicaid Eligibility Rate (MER) of the served population. Activities targeted to Medicaid recipients (like application assistance) don't apply the discount.
- FFP rate — 50% federal share for Medicaid administrative expenditures per 42 CFR 433.15(b)(7).