Federal oversight can split Medicaid disability complaints across agency lanes. That does not prove coordination failure or wrongdoing. Build a case map with five handoff receipts. First: intake. Who received the submission, and when? Second: scope. What could that office review? Third: referral. Where was the matter sent, and was delivery confirmed? Fourth: preservation. Which files and correspondence were retained? Fifth: disposition. Who owns the next step, and what written outcome exists? DOJ, HHS OCR, OIG, and CMS have different authorities. A copied agency is not a case opening. A report number is not an investigation. Silence is not a finding. A missing combined review is not proof of obstruction, and an anomaly is not proof of fraud. Read the source-linked record at david-medeiros.com.