Medicaid FFCRA COVID-19 FMAP Expenditure Reports by State

State-reported Medicaid expenditure data under the Families First Coronavirus Response Act (FFCRA), detailing federal funding for COVID-19 testing and treatment. The dataset includes cumulative summary reports with adjustments, covering expenditures from at least January 2020 through the end of the public health emergency. It is published by the U.S. Department of Health & Human Services.

Use Cases

• Analyze Total Computable Expenditures and Total Federal Share Expenditures by state to track federal funding allocation under FFCRA Sections 6004 and 6008.
• Model the impact of the temporary 6.2 percentage point FMAP increase (Section 6008) on state Medicaid budgets using reported expenditure categories.
• Identify states with negative expenditure values due to prior period adjustments for data quality assessment and anomaly detection.
• Compare expenditure patterns for the COVID-19 Testing Group (Section 6004, 100% match rate) across different quarters and states.

Strengths

• Data is sourced from the official Medicaid Budget and Expenditure System (MBES) via Form CMS-64, ensuring an authoritative origin.
• Includes detailed notes on data adjustments and negative values for specific states and quarters, providing context for interpretation.
• Covers a significant time period from the start of the COVID-19 public health emergency in January 2020 through its declared end.

Limitations

• The dataset appears to be summary-level, lacking granular row-level or patient-level detail for deeper analysis.
• Specific quantitative dimensions like total row count, column count, and file size are unknown from the provided input.
• Contains known data corrections and negative values for certain states and quarters, which may complicate straightforward aggregation.

Provenance

Source

U.S. Department of Health & Human Services, via the Medicaid Budget and Expenditure System (MBES).

Collection Method

States reported expenditures on Form CMS-64 under FFCRA Sections 6004 and 6008.

Time Range

From at least January 1, 2020, through the end of the COVID-19 public health emergency quarter.

Freshness

Last updated on March 21, 2026, indicating recent maintenance.

Geography

Covers all U.S. states and territories participating in Medicaid.