When setting reimbursement rates, states must

Question

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States must set reimbursement rates that are high enough to ensure that adequate services are available to Medicaid beneficiaries. This includes paying healthcare providers enough to cover their costs and maintain a sustainable practice, as well as providing reasonable access to care for enrollees. Setting rates based on private insurance, a uniform national standard, or median rates charged by physicians may not necessarily achieve these goals.

When Setting Reimbursement Rates, States Must