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acute and preventive AFDC Aged enrollees Arizona and U.S. benefit level billion blind and disabled Boren Amendment budget caid cash assistance changes Child enrollees Coefficient of variation community-based constant dollar covered developmentally disabled DSH payments DSH programs Eligibility Group enrollment expenditure growth expenditures per enrollee expenditures per recipient federal mandates federal matching FQHC funds growth rate HCFA health insurance HMOs Holahan home health ICFs/MR included income inpatient inpatient hospital intergovernmental transfers low-income managed MED1CA1D Medicaid coverage Medicaid eligibility Medicaid expenditures Medicaid program Medicaid recipients Medicaid services Medicaid spending medically needy Medicare Medicare beneficiaries mentally retarded nursing home OBRA option outpatient overall percent of poverty percentage physician plans poor population poverty line pregnant women premiums provider taxes recent reimbursement special financing programs special revenues spending growth spending increases trends U.S. territories uninsured Unweighted mean waiver programs Weighted mean women and children