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CT expects our state share of Medicaid spending to drop, actually drop, by $247 million from this fiscal year to next, according to a new analysis. In fact, it is projected that it will take about two years to climb back to current year spending levels. While spending per capita dropped (and quality improved) in the last two years due to payment and delivery reforms, most of the expected future reductions are due to higher federal matching funds under the ACA. Over at least the next four years, it is expected that CT’s state spending on Medicaid will remain under control.