tci Medicare Compliance & Reimbursement - 2005 Issue 8

Medicaid: To Cap, Or Not To Cap - Or Have Congress Do It

To fulfill promise of $60 billion, there may be no other waySpeaking to reporters Feb. 2 after his first speech as Health and Human Services Secretary, Mike Leavitt promised that the administration would not cap federal Medicaid payments for mandatory services to mandatory beneficiaries. But he pointedly did not make the same promises about optional populations and benefits. In 2003, the administration proposed capping federal payments for optionals in return for greater state flexibility, and many expect the administration to make the same proposal this year.Indeed, Leavitt said governors have flocked to waiver agreements essentially containing the caps-for-flexibility...

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