There are concerns all across the state that the public is getting what they pay for.

This is a section of law and jurisdiction that continues to evolve, but because you have really three different services, it is not as clear as it could be.

We have not studied all of them. Many of them may be sound, while there may be others that merit override consideration.

We have had a number of conversations regarding the scope of the letter and expect to be responding shortly.

The rest was old-fashioned shoe-leather and investigative technique.

You can see from a case like this how the Medicaid system can have a substantial impact on county budgets.