04/12/2026
For fiscal year (FY) 2026, Federal Medical Assistance Percentage (FMAP) rates—the federal share of Medicaid—are decreasing for 26 states, increasing for 13, and staying the same for 12, with rates ranging from 50% in 10 high-income states to 76.9% in Mississippi. Federal funding is under pressure, with $911 billion in projected federal cuts forcing states to consider provider rate reductions (e.g., Idaho's 4% cut) to manage budget shortfalls.