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Why Is Medicaid Different In Every State?

Medicaid is a joint federal­state program. It provides medical assistance to eligible needy persons. Unlike Medicare it is an entitlement program based on income and asset guidelines. The federal contribution is approximately 50%. The states pay the remaining costs and they are given wide discretion about whom to cover and what benefits to provide. There is a single state agency in charge of the program in each state, but many states have the program administered by county and city governments.