CMS is not a healthcare agency they're in the reimbursement business. Medicaid is best handled by the States and could be run much better with less federal interference. Office of the Louisiana Probabilistically Shaped DMT for IM DD Systems with Low Complexity Fast WHT Based PDSP CMS ends federal funding for state Medicaid DSHPs, DSIPs TechTarget CMS Ends Medicaid Matching Funds for DSHP DSIP Programs
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