In the next fiscal year, Missouri is slated to see the biggest percentage increase in the federal matching rate for Medicaid of any state, from 62.03 percent to 63.45 percent of the cost of Missouri’s health care program for the poor. The new rate, which is not yet final, could translate into an extra $100 million for state coffers.
The downside: The boon results from a formula that gives more money to states where per capita personal income lags the national average. It’s supposed to reflect how much a state can afford to pay for Medicaid. The formula is based in part on reports from the U.S. Bureau of Economic Analysis, and the latest showed Missouri’s per capita personal income grew 3 percent in 2012. That was slightly below the national average of 3.4 percent but far from the worst record. Experts are unsure why is Missouri likely to get the biggest bump in the Medicaid match rate.