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Congress should mandate improvements in postacute benefits, safeguard beneficiaries’ access to benefits, and avoid shifting the costs of postacute care to

Ensure adequacy and affordability—Medicaid should remain a v

Under the current Medicaid financing system, federal Medicaid funding increases in response to increases in enrollment, service costs, and service use.

Federal and state governments should maintain the entitlement nature of Medicaid funding so all who qualify will be covered.

Congress should evaluate the federal Medicaid funding formula to determine if it distributes federal funds equitably among states, consistent with Title XI

States and federal governments must ensure that all Medicaid beneficiaries have meaningful opportunities to exercise their statutory grievance and appeal r

Federal and state governments should conduct annual reviews to ensure that Medicaid’s rules for paying providers and managed care organizations do not unde