This Livewire page asks why federal oversight has not resolved reported Connecticut Medicaid problems. A sound review should separate system design from alleged motive. Map seven layers: the governing state plan or waiver; the state action or omission; the federal reporting record; CMS review or corrective action; OIG audit or hotline intake; DOJ civil-rights intake; and any final agency or court disposition. Medicaid is jointly funded and administered by states under federal requirements, but that structure does not prove indifference, collusion, or a duty to investigate every complaint. A long HCBS wait, disputed payment, or delayed response can raise serious access questions without establishing unlawful segregation or fraud. Preserve dates, jurisdiction, referrals, findings, and remedies as separate records. Build the oversight map at david-medeiros.com/federal-map.