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The agency intends to safeguard the financial health of the Medicaid program by focusing on improving health outcomes of the most vulnerable dependent on Medicaid. In a letter to state Medicaid directors, Deputy Administrator and Director Drew Snyder said the agency would no longer approve new or extend existing requests for federal matching funds for state expenditures on designated state health programs (DSHP) and designated state investment programs (DSIP)

Another significant advantage is its impact on metabolic health