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The murky world of Medicaid funding: Recycled money, accounting tricks and pay-to-play schemes Tony Cook, Tim Evans and Emily Hopkins, Indianapolis Star © J. Scott Applewhite, AP Centers for Medicare and Medicaid Services Administrator Seema Verma testifies Oct. 23 before the House Commerce Subcommittee on Oversight and Investigations. Federal Medicaid officials are concerned some states might be using accounting tricks to grab extra federal nursing home dollars without meeting their obligation to share in the cost. Popular Searches In order to receive supplemental Medicaid nursing home funds from the federal government, states must pony up a share called the state match. It’s typically somewhere around 33% here in Indiana. In other words, for every dollar the state contributes the federal government contributes $2 more.

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