CMS released a letter to State Medicaid/CHIP directors on July 1 offering guidance on a provision of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) authorizing enhanced Medicaid and CHIP administrative funding for a wide range of translation and interpretation activities to help with enrollment, retention, and service delivery for children in families for whom English is not their primary language. This provision is effective February 4, 2009. Seventy-five percent federal financial participation (FFP) is available for administrative expenditures for qualifying activities under Medicaid. The FFP match rate under CHIP is 75 percent or the state's special CHIP federal medical assistance percentage (FMAP) plus 5 per cent, whichever is higher. CMS says that qualifying activities include translating Web site information, enrollment materials, and other program forms, as well as helping non-English speaking persons directly. Qualifying activities and costs must be allocated per an approved cost allocation plan. The enhanced FFP may not be claimed on capitation rates for managed care plans but, according to CMS, states may carve out the qualifying activities from capitation rates and contract separately for those activities at the enhanced administrative match rates. A recent CMS report shows that 47 percent of Medicaid recipients are now enrolled in Medicaid managed care plans.