WEBVTT

00:00:00.000 --> 00:00:02.905
This Livewire page asks what the federal government was

00:00:02.905 --> 00:00:05.377
supposed to do in Connecticut's Medicaid crisis.

00:00:05.377 --> 00:00:07.664
Start with an eight-part responsibility map.

00:00:07.664 --> 00:00:10.630
Record the state-plan requirement; CMS review or approval;

00:00:10.630 --> 00:00:13.659
federal financial participation; program review; audit or

00:00:13.659 --> 00:00:20.395
disallowance authority; program-integrity referral; civil-rights complaint route; and the dated disposition for each submission.

00:00:20.395 --> 00:00:25.464
Medicaid is jointly financed, but states administer their programs within federal requirements.

00:00:25.464 --> 00:00:30.160
CMS can review state plans and practices, audits, funding claims, and corrective mechanisms.

00:00:30.160 --> 00:00:32.509
Other agencies have separate jurisdictions.

00:00:32.509 --> 00:00:38.010
Those structures do not prove that a particular complaint was received, investigated, ignored, or resolved.

00:00:38.010 --> 00:00:40.791
Federal funding, delay, silence, referral, or continued

00:00:40.791 --> 00:00:46.416
state action does not alone establish approval, complicity, obstruction, discrimination, fraud, or liability.

00:00:46.416 --> 00:00:49.691
Build the responsibility map at david-medeiros.com/federal-map.