Medicaid rates are set by the state. They are not set by the federal government.
OverstatedSusan Collins, at Maine U.S. Senate General Election Debate 1 (WGME)
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Why we checked itCollins asserts that Medicaid reimbursement rates are exclusively set by states, not the federal government. This is a specific policy claim that could mislead voters about accountability for Medicaid reimbursement levels, and the reality of federal/state shared authority may be more nuanced.
What we foundStates do set specific Medicaid provider payment rates, but the claim omits that they do so within binding federal requirements, and that CMS must approve all rate changes via State Plan Amendments.