"The Medicaid program is jointly funded by the federal government and states. The federal government pays states for a specified percentage of program expenditures, called the Federal Medical Assistance Percentage (FMAP).The high cost of medical care is because of health care providers, doctors and hospitals having free reign on billing. The only way to get control of this run away train is having a single payer system. Then we could replace the $100 dollar aspirin ,$10,000 cat scans , and $5000 consultation and reading fees with more reasonable fees based on actual cost and profits. I too admire talented and dedicated doctors, but they are not royalty and I see no reason to treat them as such. While we and our political parties fight, our wallets are being stolen by doctors, hospitals, insurance companies and drug companies..
FMAP varies by state based on criteria such as per capita income. The regular average state FMAP is 57%, but ranges from 50% in wealthier states up to 75% in states with lower per capita incomes (the maximum regular FMAP is 82 %).
FMAPs are adjusted for each state on a three-year cycle to account for fluctuations in the economy. The FMAP is published annually in the Federal Register.
For technical questions and answers about the increased FMAP rates available beginning in 2014 and beyond"
Non-emergency Use of the Emergency Department
States have the option to impose higher copayments when people visit a hospital emergency department for non-emergency services. This copayment is limited to non-emergency services, as emergency services are exempted from all out of pocket charges. For people with incomes above 150% FPL, such copayments may be established up to the state’s cost for the service, but certain conditions must be met.
The hospital emergency department must meet the following requirements before the non-emergency medical services are provided:
The hospital has determined, after an appropriate medical screening, that the individual does not need emergency medical services.
An alternative non-emergency services provider is actually available and accessible in a timely manner to provide the services needed by the individual with the imposition of no or a lesser copayment.
The hospital has provided the individual with (a) notice that a copayment may be required before the service is provided; (b) the name and location of an alternative non-emergency services provider (as described above); and (c) a referral to coordinate scheduling of the individual’s treatment by this provider."