Oklahoma Facing $1.3 Billion Budget Gap

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4. Texas has said No to Medicaid Expansion for too long according to CMS.

http://www.modernhealthcare.com/article/20150420/NEWS/150429987
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Texas' five-year Medicaid waiver is on track to end in September 2016. Under the waiver, the state draws $4 billion a year that's combined with state matching funds and split into two pools—one for uncompensated care and another (known as the Delivery System Reform Incentive Payment, or DSRIP, program) to encourage providers to increase the quality and cost effectiveness of care by creating innovative programs.
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Texas providers, which have struggled in vain to persuade state leaders to expand Medicaid, say the end of the federal assistance could be devastating.
more at link


CMS-Center for Medicaid and Social Security/Medicare