Question: What factor has led to differences in the Medicaid program within different states in the U . S . ? Flexibility in state administration ACA

What factor has led to differences in the Medicaid program within different states in the U.S.?
Flexibility in state administration
ACA required that states expand Medicaid
Medicaid is solely state funded
Differences in capitated payments
 What factor has led to differences in the Medicaid program within

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