No, the one percentage point FMAP increase does not pertain to prescribed drugs (including over-the-counter drugs prescribed by a healthcare professional) that are claimed on the "Prescribed Drugs" line of the CMS-64 form. However, the one percentage point FMAP increase applies to injectable drugs that receive a United States Preventive Services Task Force (USPSTF) grade A or B recommendation and are provided in a clinical setting for the primary purpose of prevention. Cost-sharing should be waived for such services.
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Date
Topic
Sub Topic
FAQ ID
91576
FAQ Page
FAQ Question
In some of the recommendations, a drug is mentioned, for example, "aspirin to prevent cardiovascular disease." Does the 1% federal medical assistance percentage (FMAP) increase apply to the drug under section 4106 of the Affordable Care Act?