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Medicaid freedom of choice generally means a beneficiary may receive covered services

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from a qualified provider willing to serve them.

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But the rule has exceptions, including certain waivers

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and managed-care arrangements.

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So a small provider getting fewer referrals

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does not by itself prove unlawful steering.

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Ask for the qualified-provider list.

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Record which options were explained, which provider the person selected,

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who was willing and authorized, and any written reason a choice was denied.

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Compare that record with 42 CFR 431.51

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and the person-centered plan.

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Provider choice protects the beneficiary;

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it does not guarantee referrals to any agency.

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A pattern can trigger review.

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It is not an audit, finding, or proof of fraud.

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Read the source-linked record at david-medeiros.com.