Earlier this month, NORD reached out to state lawmakers and Medicaid directors across the country with a heads up a significant federal Medicaid "disturbance" was approaching, and we would be in CMS Ends Federal Funding for State DSHP DSIP Programs Untitled CMS is not a healthcare agency they're in the reimbursement business. Medicaid is best handled by the States and could be run much better with less federal interference. Office of the Louisiana