Medicaid sprawling under Obamacare, but some states ill-equipped: report

Some states are better than others at providing access to care and keeping tabs on their Medicaid managed care programs, according to a federal report released Monday that raises questions about government oversight of the massive health program for the poor, which is rapidly expanding under Obamacare.

For instance, the Health and Human Services Department’s inspector general found some states required one primary care provider for every 100 enrollees, while some employed a 1-to-2,500 provider-enrollee ratio.

States have “considerable latitude” in the standards they impose, and those that fo