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Medicaid is not purely federal or purely state.

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It is a joint federal-state program.

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Congress created Medicaid under Title Nineteen.

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Federal law supplies requirements, CMS approves

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state plans and pays a federal share, and states administer benefits within those requirements.

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For federal fiscal year twenty twenty-six, Connecticut's

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regular federal matching percentage is fifty percent,

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while different populations or expenditures may use other rates.

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That percentage does not prove that any particular dollar was misspent.

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A state label, budget argument, waitlist, eligibility

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error, unused authorization, complaint, or payment anomaly

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does not alone prove concealment, fraud, rights violations, or mismanagement.

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For each claim, record eight fields: legal authority,

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eligibility group, covered benefit, funding category, applicable

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match rate, state action, service result, and audit or final disposition.

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Build the funding record at david-medeiros.com/medicaid-funding.