State-administered programs (51 - 60 of 119 items)
Medicaid Managed Care: Challenges in Implementing Safeguards for Children With Special Needs
HEHS-00-37: Published: Mar 3, 2000. Publicly Released: Apr 3, 2000.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) and the states' efforts to implement safeguards to protect children with disabilities who are enrolled in Medicaid managed care programs, focusing on the: (1) implications of the Balanced Budget Act of 1997 (BBA) provisions defining this population; (2) number of states enrolling children with speci...
Community Health Centers: Adapting to Changing Health Care Environment Key to Continued Success
HEHS-00-39: Published: Mar 10, 2000. Publicly Released: Mar 23, 2000.
Pursuant to a congressional request, GAO reviewed federal community and migrant health centers (C/MHC), focusing on: (1) the current status of C/MHCs, the populations they serve, the types of services they provide, and their primary sources of revenue; (2) changes in Medicaid that have had an effect on C/MHCs; (3) how C/MHCs have responded to these and other changes in the health care environment;...
Medicaid: Federal and State Leadership Needed to Control Fraud And Abuse
T-HEHS-00-30: Published: Nov 9, 1999. Publicly Released: Nov 9, 1999.
Pursuant to a congressional request, GAO discussed ways to combat fraud and abuse in the Medicaid program, focusing on: (1) an overview of the problem; (2) key components of fraud control; and (3) the importance of federal and state cooperation.GAO noted that: (1) GAO's body of work on health care fraud and abuse indicates that programs the size and structure of Medicaid are inherently vulnerable...
Reported Medicaid Year 2000 Readiness
AIMD-00-22R: Published: Oct 5, 1999. Publicly Released: Oct 5, 1999.
Pursuant to a congressional request, GAO determined: (1) what the Health Care Financing Administration (HCFA) is doing to ensure that the year 2000 computing challenge does not adversely affect the delivery of Medicaid benefits; and (2) the readiness of states to successfully transition to year 2000 for Medicaid.GAO noted that: (1) HCFA has taken several actions that have significantly reduced the...
Children's Health Insurance Program: State Implementation Approaches Are Evolving
HEHS-99-65: Published: May 14, 1999. Publicly Released: Jun 14, 1999.
Pursuant to a congressional request, GAO provided information on the implementation of the State Children's Health Insurance Program (SCHIP), focusing on states': (1) initial SCHIP design choices, including the use of the statutory flexibility to design their programs; (2) pursuit of statutory options, particularly extending coverage to adults in families with children; (3) development of innovati...
Adults With Severe Disabilities: Federal and State Approaches for Personal Care and Other Services
HEHS-99-101: Published: May 14, 1999. Publicly Released: May 14, 1999.
Pursuant to a congressional request, GAO provided information on community-based, long-term care for severely disabled adults, focusing on: (1) the number and characteristics of adults with severe disabilities; (2) the federal assistance available to such individuals; (3) Medicaid coverage of personal care and related services; and (4) how a sample of selected states have implemented Medicaid poli...
Low-Income Medicare Beneficiaries: Further Outreach and Administrative Simplification Could Increase Enrollment
HEHS-99-61: Published: Apr 9, 1999. Publicly Released: Apr 16, 1999.
Pursuant to a congressional request, GAO provided information on the level of enrollment in the Qualified Medicare Beneficiary (QMB) program and the Specified Low-Income Medicare Beneficiary (SLMB) program, focusing on: (1) the demographic and socioeconomic characteristics of: (a) Medicare beneficiaries who enroll as a QMB or SLMB; and (b) Medicare beneficiaries who qualify for QMB or SLMB but do...
Medicare Home Health Agencies: Role of Surety Bonds in Increasing Scrutiny and Reducing Overpayments
HEHS-99-23: Published: Jan 29, 1999. Publicly Released: Mar 3, 1999.
Pursuant to a congressional request, GAO evaluated the surety bond requirements for home health agencies (HHA) participating in Medicare, focusing on: (1) analyzing the key features of surety bonds that affect their costs and effect; (2) examining the Florida Medicaid program's experience with a surety bond requirements for HHAs and its relevance to the Medicare surety bond requirement; (3) review...
Health Financing and Systems Issues: Issue Area Plan for Fiscal Years 1999-2001
IAP-98-13: Published: Jun 1, 1998. Publicly Released: Jun 1, 1998.
GAO provided information on its Health Financing and Systems issue area plan for fiscal years 1999-2001.GAO plans to examine: (1) how effectively the Health Care Financing Administration is managing Medicare's fee-for-service and managed care components--particularly the implementation of recent legislative reforms; (2) how payment and pricing reforms will be implemented and what effect they might...
Tobacco Settlements: States' Use of Settlement Proceeds
HEHS-98-147R: Published: Apr 22, 1998. Publicly Released: May 27, 1998.
Pursuant to a congressional request, GAO provided information on how three states are using the proceeds of tobacco settlement agreements, focusing on: (1) whether any of the settlements specify how the proceeds are to be spent, including expenditures for health-related activities such as tobacco prevention or control efforts; (2) whether funds need to be spent within certain timeframes; (3) who i...