Advocates worry that Medicaid funding for people with disabilities could be jeopardized if some states succeed in overhauling how they receive federal dollars.  Some states have shown interested in receiving "block grants" from the Centers for Medicare and Medicaid Services.  Currently, states receive matching funding from the federal government without pre-set limits.  If states choose to change that approach, they would have better flexibility on how to spend the money, but they'd receive a fixed amount.  Advocates are worried that this wouldn't allow enough funding for health care or  home and community based services for people with disabilities.

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