The Medicaid Administrative Claiming (MAC) Program

May 2015 The Medicaid Administrative Claiming (MAC) ProgramWhat is Medicaid Administrative Claiming (MAC)?Often, when we think of Medicaid , we think of direct services . Although direct services account for about 96 percent of Medicaid expenditures, part of the remaining 4 percent is spent on Administrative functions, under a Program called Medicaid Administrative Claiming (MAC). What does MAC do?Just like Medicaid , MAC is a state-federal partnership, in which states or localities are reimbursed by the federal government for certain activities. Unlike Medicaid , however, reimbursement is not based upon the Federal Medical Assistance Percentage (FMAP), but on the reimbursable cost incurred by a jurisdiction through federal financial participation (FFP).What does MAC cover?MAC allows a jurisdiction to receive federal matching for costs incurred in administering Medicaid . These costs fall into several coded activity areas, including: nReferral, Coordination & Monitoring: For example, a probation officer monitoring his client s progress in a substance abuse treatment Program .

Ma 15 The Medicaid Administrative Claiming (MAC) Program What is Medicaid Administrative Claiming (MAC)? Often, when we think of Medicaid, we think of direct services.

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