The U.S. Department of Agriculture oversees nutrition assistance programs, and the Centers for Medicare and Medicaid Services oversees Medicaid. Food stamps and Medicaid programs are often undertaken at the state level, and most states have specific agencies that oversee these programs.
In most states, various departments dealing with health and human services handle the tasks of dispensing food stamp benefits and Medicaid to citizens in a specific state. In Ohio, the state Department of Medicaid handles benefit allocation. In Washington, the state's Department of Social and Health Services dispenses food stamp benefits to its citizens through a local extension program of the U.S. Department of Agriculture's large-scale nutrition assistance programs.