In the case of any State which has in effect a plan approved under subchapter XIX for any calendar quarter, the total of the payments to which such State is entitled for such quarter, and for each succeeding quarter in the same fiscal year (which for purposes of this section means the 4 calendar quarters ending with September 30), under paragraphs (1) and (2) of sections 303(a),11 See References in Text note below. 1203(a),1 1353(a),1 and 1383(a) 1 of this title shall, at the option of the State, be determined by application of the Federal medical assistance percentage (as defined in section 1396d of this title), instead of the percentages provided under each such section, to the expenditures under its State plans approved under subchapters I, X, XIV, and XVI, which would be included in determining the amounts of the Federal payments to which such State is entitled under such sections, but without regard to any maximum on the dollar amounts per recipient which may be counted under such sections. For purposes of the preceding sentence, the term “Federal medical assistance percentage” shall, in the case of Puerto Rico, the Virgin Islands, and Guam, mean 75 per centum.
Notes of Decisions
Cited in
6
cases, 1973–2020 · leading case:
Lindsay v. Wyman, 372 F. Supp. 1360 (S.D.N.Y. 1974).
Lindsay v. Wyman, 372 F. Supp. 1360 (S.D.N.Y. 1974).
· cites it 2× “The second, the ‘Medicaid’ formula, see 42 U.S.C. § 1318 , takes into account not fixed but actual payments made by a state for public assistance and is based upon a sliding percentage scale, with a minimum reimbursement level to the states of 50%.”
Venus Mandley v. James L. Trainor, 545 F.2d 1062 (7th Cir. 1976).
“This is because HEW has recently informed us that the federal funding is solely under 42 U.S.C. § 1318 . Section 1318 provides in pertinent part: “In the case of any State which has in effect a plan approved under subchapter XIX of this chapter for any calendar quarter, the…”
City of New York v. Richardson, 473 F.2d 923 (2d Cir. 1973).
“The second, the “Medicaid” formula, see 42 U.S.C. § 1318 , takes into account not fixed but actual payments made by a state for public assistance and is based upon a sliding percentage scale, with a minimum reimbursement level to the states of 50%.”
Lottery v. Comm'r of Soc. Sec. (N.D. Ohio 2020).
“Plaintiff challenges the final decision of defendant Andrew Saul, Commissioner of Social Security (“Commissioner”), denying her application for Supplemental Security Income (“SSI”) under Title XVI of the Social Security Act, 42 U.S.C. § 1318 et seq. (“Act”). After the initial…”
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