U.S. Virgin Islands Medicaid Overview

“Medicaid Overview
The Medicaid program in the United States Virgin Islands differs from Medicaid programs operating in each of the 50 states and the District of Columbia in three important ways.

• The United States Virgin Islands Medicaid delivery system is a subset of the larger public government healthcare delivery system for most of the island’s population. The United States Virgin Islands Department of Human Services is the single state agency.
• Through section 1108 of the Social Security Act (SSA), each territory is provided base funding to serve their Medicaid populations. For the period of July 1, 2011 through September 30, 2019, section 2005 of the Affordable Care Act provided an additional $273.8 million in Medicaid funding to the United States Virgin Islands.
• For the 50 states and the District of Columbia, the federal government will match all Medicaid expenditures at the federal matching assistance percentage (FMAP) rate based on the state’s per capita income. For the United States Virgin Islands, all Medicaid expenditures are matched until the Medicaid base funds and the Affordable Care Act funds are exhausted. The statutory FMAP local matching rate increased from 50%/ 50% to 55% federal /45% local, effective July 1, 2011. From January 1, 2014 to December 31, 2015 there is a temporary 2.2% FMAP increase for all Medicaid enrollees, bringing The United States Virgin Islands’ FMAP to 57.2%.

Medicaid-Marketplace Overview
The United States Virgin Islands was awarded $24.9 million for its Medicaid program in lieu of establishing a health marketplace. The United States Virgin Islands must exhaust its Affordable Care Act (section 2005) allotment prior to using these funds.”