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Opportunities to Maximize Delegation within Medicaid Agencies

This commentary explains how Medicaid leaders have significant opportunities to impact the health and well-being of millions but must balance a myriad of federal and state priorities related to fiscal stewardship, quality assurance, program integrity, and more. The to-do list in a Medicaid agency is long, and there are numerous competing priorities and external stakeholders — the governor’s office, legislature, providers, consumers, among others — who influence the agency’s strategic agenda.