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However , a broad range of health related items and services which either must or may be covered under Medicaid is enumerated and described in the federal Medicaid statute and regulations and HCFA guidance and opinions . Some of these concern improving clarity and ease of comprehension , while others concern loopholes that either will or may result in inadequate protection for customer information . The statutory definition of an HMO is broad enough to cover health care plans that either may or may not be able to obtain a certificate of authority , just as , for example , the statutory definition of the business of insurance is broad enough to cover companies that may or may not be authorized to engage in the business of insurance . The table below is designed to give you a list of the type of content which either must or may need to be contained in letters requesting clearance and papers for discussion at a Committee meeting . In this Fourth Order on Reconsideration , we address issues raised by petitioners that either must or should be addressed before the new universal service program begins . Commentary for Medicaid purchasers : A broad range of health related items and services which either must or may be covered under Medicaid for adult beneficiaries is enumerated and described in the federal Medicaid statute and regulations , Health Care Financing Administration ( HCFA ) guidance and opinions , and judicial rulings . Despite Bartlett 's recognition of all these changes , however , Bartlett believes there is some " soul " to " news machines " that either can or must remain unalterable .