Current Issues in Medicaid Financing

In recent years there has been much discussion about states’ use of creative financing to draw down additional federal funds for Medicaid financing. Some suggest a curb on these practices and the President’s FY2006 budget includes provisions targeting intergovernmental transfers (IGTs). The Commission has produced a fact sheet and briefs on Medicaid financing issues.

Medicaid Financing Issues: Intergovernmental Transfers and Fiscal Integrity

– An Overview of IGTs, UPLs, and DSH – Issue Brief

Medicaid's Federal-State Partnership: Alternatives for Improving Financial Integrity – Report

Financing the Medicaid Program: The Many Roles of Federal and State Matching Funds – Policy Brief

Medicaid: Issues In Restructuring Federal Financing