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There is no doubt that in the process of reacting to crises , the University did not deal with ongoing , longer-term problems so that frustration levels on all sides are very high . The following policy issues deserve particular attention : Safeguarding children 's eligibility for coverage during and after the transition to Medicaid 's new citizenship verification requirements.Configuring Medicaid coverage for children in states that opt to create benchmark plans so that the EPSDT guarantee , including access to developmental services , is preserved.Applying new cost-sharing flexibility to ensure that the exemption applicable to preventive services includes developmental services.Interpreting and applying the case management amendments through the development of a list of case management activities permitted and excluded by the legislation , to ensure that child welfare claims against Medicaid adhere to the new standards.The DRA adds a new layer of complexity to state Medicaid program design , and there are many areas of uncertainty about its potential impacts . The food-group metaphor suggests that optimal life satisfaction is a dynamic process that requires monitoring your nutritional levels so that no essential food group falls permanently out of your emotional diet . We have improved our system for responding to the reports of external examiners so that all should be assured that their comments have been fully considered and , where necessary , acted on . They want nothing more than to create a three-ring political circus they know will get favorable coverage from the liberal media so that they can discredit , and then undo the Bush tax cuts and other important elements of the Bush agenda .