I'm confused on the logistics of this. Medicaid is a federal program but states have their own versions (MediCal in California, Fidelis and other Medicaid Managed Plans in NY). I'm wondering if this is specifically for those types of things because I don't believe a state can dictate what Medicaid does and does not cover.

Ex: Medicaid will cover family planning services, like birth control, but Fidelis, a Medicaid Managed Care Plan exclusive to NY will not cover any birth control or family planning because it is a catholic based organization. So when a patient has any family planning services you bill it to straight Medicaid.