EXCLUSIVE — The Centers for Medicare and Medicaid Services announced that it will no longer give states federal dollars to fund portions of their Medicaid programs that have nothing to do with providing health services to low-income Americans, such as internet services and housekeeping.

The powerful agency that oversees the Medicaid program sent a letter to states on Thursday that it no longer intends to approve or renew requests for federal matching funds that are not directly linked to healthcare expenditures.