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Medicaid expenditures do not include administrative costs, accounting adjustments, or the U.S. Territories. Total Medicaid spending including these additional items $860 billion in FY 2023. 
Federal Fiscal Year runs from October 1 through September 30. FY 2023 refers to the period from October 1, 2022 through September 30, 2023.
Acute care services include payments inpatient, physician, lab, X-ray, outpatient, clinic, prescription drugs, family planning, dental, vision, other practitioners' care.
Long-term care services include nursing facilities, intermediate care facilities for the mentally retarded, mental health, home health services, and personal care support services.
Payments to Medicare are primarily premiums paid by Medicaid for Medicare enrollees. Medicaid may also pay Medicare cost-sharing for some individuals, but these amounts typically should be reported as payments for other services (e.g., "Inpatient Hospital").
Managed Care & Health Plans includes payments to health maintenance organizations (HMOs), prepaid health plans (PHPs), and other health plans, as well as primary care case management (PCCM) fees.