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As DHS will only consider Medicaid received after the effective date of the rule, new england patriots nfl full over print shirt and requires the alien to be likely to receive Medicaid above

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to obtain federal reimbursement of actual costs of Medicaid covered services under the IDEA). One commenter who generally supported new england patriots nfl full over print shirt the rule stated opposition to the Medicaid exclusion under IDEA and recommended that all disabilities should be individually assessed. Another commenter stated that Medicaid is a Federal-State program; it is funded jointly by the Federal Government and the States, and each state operates its own program within broad Federal guidelines. The commenter indicated that States have numerous options as to the people and benefits they cover and a great deal of flexibility in designing and administering their programs. The commenter stated that consequently, Medicaid eligibility and benefits vary widely from state to state.

For example, the commenter stated that Wisconsin is the only non-expansion state to cover childless adults at any income level. The commenter further stated that immigration authorities would have no way of predicting which states individuals would likely live in throughout their lives and therefore would not know which income thresholds would be relevant to consider when making a public charge determination, potentially leading them to assume that most people could end up using Medicaid at some point. DHS appreciates the suggestion to incorporate a two-year “exemption period” for Medicaid. However, DHS will not include a two-year period in the rule. Although DHS agrees that through the health insurance marketplace, an eligible person may be referred for Medicaid eligibility, DHS understands that generally the referral must still be approved by the State and accepted by the potential beneficiary. The person has a choice in accepting Medicaid through the health insurance marketplace. In addition, all individuals may voluntarily disenroll from Medicaid at any time.