state relations (91 - 100 of 375 items)
Long-Term Care: Federal Oversight of Growing Medicaid Home and Community-Based Waivers Should Be Strengthened
GAO-03-576: Published: Jun 20, 2003. Publicly Released: Jul 7, 2003.
Home and community-based settings have become a growing part of states' Medicaid long-term care programs, serving as an alternative to care in institutional settings, such as nursing homes. To cover such services, however, states often obtain waivers from certain federal statutory requirements. GAO was asked to review (1) trends in states' use of Medicaid home and community-based service (HCBS) wa...
Newborn Screening: Characteristics of State Programs
GAO-03-449: Published: Mar 17, 2003. Publicly Released: Apr 16, 2003.
Each year state newborn screening programs test 4 million newborns for disorders that require early detection and treatment to prevent serious illness or death. GAO was asked to provide the Congress with information on the variations among state newborn screening programs, including information on criteria considered in selecting disorders to include in state programs, education for parents and pr...
Medicaid and SCHIP: States Use Varying Approaches to Monitor Children's Access to Care
GAO-03-222: Published: Jan 14, 2003. Publicly Released: Feb 14, 2003.
Over 25 million children have health insurance coverage through Medicaid or the State Children's Health Insurance Program (SCHIP). Coverage alone, however, does not guarantee that services will be available or that children will receive needed care. GAO was asked to evaluate states' efforts to facilitate and monitor access to primary and preventive services for children in these jointly funded fed...
Environmental Protection: MTBE Contamination From Underground Storage Tanks
GAO-02-753T: Published: May 21, 2002. Publicly Released: May 21, 2002.
To help limit air pollution, about a third of the states use gasoline that contains methyl tertiary butyl ether (MTBE), which burns cleaner. However, MTBE has migrated into wells and groundwater from leaking underground tanks used to store gasoline. The Environmental Protection Agency (EPA) has the responsibility through the Underground Storage Tank Program and works through the states to ensure t...
Financial Privacy: Status of State Actions on Gramm-Leach-Bliley Act's Privacy Provisions
GAO-02-361: Published: Apr 12, 2002. Publicly Released: May 16, 2002.
Subtitle A of Title V of the Gramm-Leach-Bliley Act (GLBA) of 1999 requires that each financial institution, which is defined to include most insurance providers or companies, has "an affirmative and continuing obligation to respect the privacy of its customers and to protect the security and confidentiality of those customers' nonpublic personal information." This prohibits the disclosure of cons...
Children's Health Insurance: Inspector General Reviews Should Be Expanded to Further Inform the Congress
GAO-02-512: Published: Mar 29, 2002. Publicly Released: Mar 29, 2002.
Congress created the State Children's Health Insurance Program (SCHIP) in 1997 to reduce the number of uninsured children in families with incomes that are too high to qualify for Medicaid. Financed jointly by the states and the federal government, SCHIP encourages state participation by offering a higher federal matching rate than the Medicaid program. Concerns have been raised that states might...
Nursing Homes: Federal Efforts to Monitor Resident Assessment Data Should Complement State Activities
GAO-02-279: Published: Feb 15, 2002. Publicly Released: Mar 18, 2002.
Nursing homes that participate in Medicare and Medicaid must periodically assess the needs of residents in order to develop an appropriate plan of care. Such resident assessments are known as the minimum data set (MDS). According to officials in the 10 states with MDS accuracy review programs in operation as of January 2001, these programs were established to set Medicaid payments and identify qua...
Medicaid: HCFA Reversed Its Position and Approved Additional State Financing Schemes
GAO-02-147: Published: Oct 30, 2001. Publicly Released: Nov 2, 2001.
Some states have taken advantage of the flexibility that Congress built into the Medicaid program by devising schemes that inappropriately boost the federal share of program expenditures. These schemes were adding billions of dollars a year to federal Medicaid costs without the states paying their statutorily specified share of program costs. Moreover, some of the federal funds were being spent fo...
VA Long-Term Care: Oversight of Community Nursing Homes Needs Strengthening
GAO-01-768: Published: Jul 27, 2001. Publicly Released: Sep 7, 2001.
The Department of Veterans Affairs (VA) spent about $1.9 billion--or about 10 percent of its health care budget--to provide nursing home care to veterans in fiscal year 2000. VA will likely see increasing demand for nursing home care during the next decade. The number of veterans age 85 and older is expected to triple--from 422,000 veterans in 2000 to nearly 1.3 million in 2010. Among the very old...
Medicaid: Stronger Efforts Needed to Ensure Children's Access to Health Screening Services
GAO-01-749: Published: Jul 13, 2001. Publicly Released: Aug 13, 2001.
The Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Program calls for states to provide children and adolescents under age 21 with access to comprehensive, periodic evaluations of health, development, and nutritional status, as well as vision, hearing, and dental services. There is concern that state Medicaid programs are not doing an adequate job of screening children for medical...