Who manages Medicaid programs?

Medicaid programs are indeed federally funded but managed at the state level. The program was created at the federal level to provide health coverage for individuals and families with low income. However, each state has the authority to design and implement its own Medicaid program within the guidelines set by federal law. This includes establishing eligibility requirements, determining the benefits covered, and setting reimbursement rates for providers.

Thus, while the federal government provides funding for Medicaid, it is the state governments that handle the administration of the program. This state-level management allows for variations in how Medicaid is delivered across different states, reflecting local needs and priorities.