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The Nexus
HEALTHJun 22 · 07:00 UTCWISCONSIN EXAMINERNada Hassanein

Trump administration tightens oversight of state Medicaid demonstration programs

The Trump administration announced stricter financial oversight of Medicaid demonstration waivers, requiring certification from the CMS chief actuary to ensure programs do not increase federal spending. Starting January 1, 2024, states must provide enhanced spending analyses and documentation for waiver approvals, with CMS implementing increased monitoring and evaluation.

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