Hey Marie,

The Medicaid program in Florida is run by the State of Florida.  Since the Federal Government pays 56 cents and the State pays 44 cents towards the Medicaid funding, the Federal Government certainly has a say in the overall structure.  However, the fine tuning and administering of the program is the responsibility of the State as the Kerr-Mills Act intended.  Since the cost of living varies from state to state, so does the benefit criteria and the benefits vary.  In other words, the cost of living in Orlando would be much less than say the city of New York.  I hope this helps.

Jerry Bateman