[20080514]RS22101_国家医疗补助计划管理局：简要概述.pdf

1 For a program overview, see CRS Report RL33202, Medicaid: A Primer, by Elicia J. Herz.2 Discussion in this report excludes Medicaid administrative activities and expenditures that areexclusively federal (e.g., program oversight by HHS staff).Order Code RS22101Updated May 14, 2008State Medicaid Program Administration: A Brief OverviewApril GradyAnalyst in Health Care FinancingDomestic Social Policy DivisionSummaryMedicaid is jointly financed by the federal and state governments, but each statedesigns and administers its own program within broad federal guidelines.1 This reportprovides a brief overview of Medicaid program administration at the state level andincludes information on organization, responsibilities, and expenditures. It alsodescribes issues related to program administration that have attracted recent attention.OrganizationThe Centers for Medicare and Medicaid Services (CMS) within the U.S. Departmentof Health and Human Services (HHS) is responsible for Medicaid program administrationat the federal level,2 but individual state Medicaid agencies administer their own programson a day-to-day basis. Federal law requires each state to designate a single state agencyto admin