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One indicator of smart fiscal practices is maintaining balance between spending and revenues. Occasionally deficits may be necessary.

At the federal level, there are two categories of budgetary expenditures: entitlement

MedicaidA joint federal/state program that provides health care and LTSS

Federal law and regulations specify the general eligibility and coverage requirements for mandatory and optional Medicaid

Many chronic illnesses and other health conditions—such as heart disease, cancer, multiple sclerosis, arthritis, diabetes, and emphysema—can result in functional limitations

Many states are enrolling MedicaidA joint federal/state program that pro

Government and providers of long-term services and supportsLTSS encompas

Nursing facilities provide long-term services and supportsLTSS encompasses a broad range of assi

Residential care settings is an umbrella term that refers to many types of certified and licensed housing plus services options.

Two government budget practices that can have significant implications for lower levels of government are block grants and unfunded mandates.