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Higher levels of government should provide adequate resources when mandating functions to lower levels of government.

Services should be implemented and operated by the level of government that can most appropriately and efficiently deliver them.

The Centers for Medicare & Medicaid Services should closely monitor and vigorously enforce balance-billing limits.

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

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

The federal government should require states to have procedures ensuring continuity of coverage for beneficiaries transitioning to Medicare.