Skip to main content
U.S. flag

An official website of the United States government

Return to Search

Additional Guidance on Section 9815 of the American Rescue Plan Act of 2021 (SMD 22-006)

This State Medicaid Director Letter (SMDL) provides additional guidance to states on section
9815 of the American Rescue Plan Act of 2021 (ARP) (P.L. 117-2). Section 9815 of the ARP
amends the third sentence of section 1905(b) of the Social Security Act (Act) to make a 100
percent federal medical assistance percentage (FMAP) temporarily available for Medicaid
services received through certain Urban Indian Organizations (UIOs) and certain Native
Hawaiian health care providers.

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 27, 2022

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.