Quote:Medicaid is a joint federal and state program. Each state has liberty to set their own fee schedule, but must be within the parameters of the federal guidelines if they want their share of the federal money. That's why Governor Scott's rejection of the new rulesa few years ago was a big deal, Florida didn't change our eligibilty rules and CMS withheld our funds.


Here's their page with tons of information about how that bureaucracy works.

<a class="bbc_url" href='https://www.medicaid.gov/medicaid/financing-and-reimbursement/'>https://www.medicaid.gov/medicaid/financing-and-reimbursement/</a>

At this point I have no idea why the link you gave me the other day would authorize $100 dollar in Medicaid reimbursement for a procedure that Medicare would pay $400 for, for example. It sounds, however, that it is a state decision to set those rates so low that they would only be 28% of Medicare. Not that that makes the messiness of the program any better, just trying to understand the disparity. From the whole fund matching and oversight standpoint, it seems like a pretty crap system.

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