This Livewire page asks what the federal government was supposed to do in Connecticut's Medicaid crisis. Start with an eight-part responsibility map. Record the state-plan requirement; CMS review or approval; federal financial participation; program review; audit or disallowance authority; program-integrity referral; civil-rights complaint route; and the dated disposition for each submission. Medicaid is jointly financed, but states administer their programs within federal requirements. CMS can review state plans and practices, audits, funding claims, and corrective mechanisms. Other agencies have separate jurisdictions. Those structures do not prove that a particular complaint was received, investigated, ignored, or resolved. Federal funding, delay, silence, referral, or continued state action does not alone establish approval, complicity, obstruction, discrimination, fraud, or liability. Build the responsibility map at david-medeiros.com/federal-map.