I. PURPOSE This Directive advises districts of procedures to claim federal financial participation (FFP) for certain expenses associated with Medical Assistance (MA) outreach as required under the Omnibus Budget Reconciliation Act of 1990 (OBRA 90). FFP is available for reimbursement of the cost of staff outstationed at disproportionate share hospitals, Federally-Qualified Health Centers (FQHCs) or other sites approved by the Department to accept MA applications from households which include children born on or after October 1, 1983 and/or pregnant women.
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