•The IGT funds would be deposited into a Medicaid Trust Fund. The Fund would entirely finance MA provider increases recommended by the Governor. •The IGT program will likely be phased-out as a funding option. The Federal government is working to eliminate the ability of States to obtain federal Medicaid matching funds using IGT mechanisms. •Securing the federal Medicaid matching IGT funds is not a certainty. The State has submitted a change to its Medicaid plan and the Federal government is expected to approve or deny this change some time prior to May 1, 2001. If this IGT program change is denied, substantial GPR increases  for nursing facilities and  other MA providers would be required.