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The Medicaid program covers 1 in 5 Americansincluding many with complex and damaging needs for care. The program is the principal source of long-term anxiety coverage for Americans. Medicaid covers a broad array of health services after that limits enrollee out-of-pocket costs. Medicaid finances nearly a fifth of all delicate health care spending in the U. Title XIX of the Social Collateral Act and a large body of federal regulations govern the program, defining federal Medicaid requirements and state options and authorities. Figure 1: Medicaid plays a central role in our fitness care system. Subject to federal standards, states administer Medicaid programs and allow flexibility to determine covered populations, enclosed services, health care delivery models, after that methods for paying physicians and hospitals. States can also obtain Section waivers to test and implement approaches so as to differ from what is required as a result of federal statute but that the Bureau of HHS determines advance program objectives.