Gov. Jan Brewer believes she found her “game-changer” in her quest to expand Arizona’s Medicaid program. On April 25, the U.S. Centers for Medicare and Medicaid Services (CMS) issued a guidance memo for the states that appeared to answer a question that has been hovering over Brewer’s top agenda item — whether the state can continue its enrollment freeze for childless adults in the Arizona Health Care Cost Containment System.

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