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This Livewire page asks what the federal government was

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supposed to do in Connecticut's Medicaid crisis.

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Start with an eight-part responsibility map.

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Record the state-plan requirement; CMS review or approval;

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federal financial participation; program review; audit or

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disallowance authority; program-integrity referral; civil-rights complaint route; and the dated disposition for each submission.

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Medicaid is jointly financed, but states administer their programs within federal requirements.

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CMS can review state plans and practices, audits, funding claims, and corrective mechanisms.

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Other agencies have separate jurisdictions.

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Those structures do not prove that a particular complaint was received, investigated, ignored, or resolved.

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Federal funding, delay, silence, referral, or continued

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state action does not alone establish approval, complicity, obstruction, discrimination, fraud, or liability.

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Build the responsibility map at david-medeiros.com/federal-map.
