Medicaid is not purely federal or purely state. It is a joint federal-state program. Congress created Medicaid under Title Nineteen. Federal law supplies requirements, CMS approves state plans and pays a federal share, and states administer benefits within those requirements. For federal fiscal year twenty twenty-six, Connecticut's regular federal matching percentage is fifty percent, while different populations or expenditures may use other rates. That percentage does not prove that any particular dollar was misspent. A state label, budget argument, waitlist, eligibility error, unused authorization, complaint, or payment anomaly does not alone prove concealment, fraud, rights violations, or mismanagement. For each claim, record eight fields: legal authority, eligibility group, covered benefit, funding category, applicable match rate, state action, service result, and audit or final disposition. Build the funding record at david-medeiros.com/medicaid-funding.