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State Flexibility Overview

Under Medicaid’s federal-state partnership, states currently have flexibility to design and administer their Medicaid programs; policy levers include managing enrollment, limiting benefits, determining provider payments, moving to different delivery systems, and strengthening program integrity. This presentation provides an update on the Commission’s work related to state flexibility, and previews a forthcoming overview of state plan requirements and options, state responses to fiscal pressures, and mandatory and optional enrollment and spending.

Read more about Medicaid spending and financing in the June 2016 Report to Congress on Medicaid and CHIP.