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Does the district need to record expenditures as Medicaid and record a receivable on its accounting records when the Medicaid expenditure is incurred and the claim is filed?

The district can record the transactions that way. As an alternative, the district can wait until the reimbursement is received and then make corrective general journal entries to the extent of the reimbursement and match. If the district is not certain of the total reimbursement it will receive, the latter method may be easier.