State programs (1 - 10 of 42 items)
Medicaid Program Integrity: Expanded Federal Role Presents Challenges to and Opportunities for Assisting States
GAO-12-288T: Published: Dec 7, 2011. Publicly Released: Dec 7, 2011.
The Centers for Medicare & Medicaid Services (CMS), the federal agency that oversees Medicaid, estimated that improper payments in the federal-state Medicaid program were $21.9 billion in fiscal year 2011. The Deficit Reduction Act of 2005 established the Medicaid Integrity Program and gave CMS an expanded role in assisting and improving the effectiveness of state activities to ensure proper payme...
Medicaid Outpatient Prescription Drugs: Estimated Changes to Federal Upper Limits Using the Formula under the Patient Protection and Affordable Care Act
GAO-11-141R: Published: Dec 15, 2010. Publicly Released: Dec 17, 2010.
Spending on prescription drugs in Medicaid--the joint federal-state program that finances medical services for certain low-income adults and children--totaled $15.2 billion in fiscal year 2008. State Medicaid programs do not directly purchase prescription drugs; instead, they reimburse retail pharmacies for covered prescription drugs dispensed to Medicaid beneficiaries. The federal government prov...
Medicaid: State and Federal Actions Have Been Taken to Improve Children's Access to Dental Services, but More Can Be Done
GAO-10-112T: Published: Oct 7, 2009. Publicly Released: Oct 7, 2009.
Dental disease remains a significant problem for children in Medicaid. Although dental services are a mandatory benefit for the 30 million children served by Medicaid, these children often experience elevated levels of dental problems and have difficulty finding dentists to treat them. In testimony before your Subcommittee last September, we reported that children in Medicaid were almost twice as...
State and Local Fiscal Challenges: Rising Health Care Costs Drive Long-term and Immediate Pressures
GAO-09-210T: Published: Nov 19, 2008. Publicly Released: Nov 19, 2008.
GAO was asked to provide its views on projected trends in health care costs and their effect on the long-term outlook for state and local governments in the context of the current economic environment. This statement addresses three key points: (1) the state and local government sector's long-term fiscal challenges; (2) rapidly rising health care costs which drive the sector's long-term fiscal dif...
Medicare and Medicaid: CMS and State Efforts to Interact with the Indian Health Service and Indian Tribes
GAO-08-724: Published: Jul 11, 2008. Publicly Released: Aug 7, 2008.
By law, facilities funded by the Indian Health Service (IHS) may retain reimbursement from Medicare and Medicaid without an offsetting reduction in funding. Ensuring that IHS-funded facilities enroll individuals in--and obtain reimbursement from--Medicare and Medicaid can provide an important means of expanding the funding for health care services for the population served by IHS. The Centers for...
Residential Facilities: Surveys of State Child Welfare, Health and Mental Health, and Juvenile Justice Directors (GAO-08-631SP, May 2008), an E-supplement to GAO-08-346
GAO-08-631SP: Published: May 13, 2008. Publicly Released: May 13, 2008.
This is an E-Supplement to GAO-08-346, which was released on May 13, 2008. This product lists the questions asked and the summary results from three GAO surveys of state child welfare or protective service, health and mental health, and juvenile justice and rehabilitation agency directors. The Web-based surveys asked questions about the extent to which state agencies licensed and monitored residen...
Abstinence Education: Assessing the Accuracy and Effectiveness of Federally Funded Programs
GAO-08-664T: Published: Apr 23, 2008. Publicly Released: Apr 23, 2008.
Among the efforts of the Department of Health and Human Services (HHS) to reduce the incidence of sexually transmitted diseases and unintended pregnancies, the agency provides funding to states and organizations that offer abstinence-until-marriage education. GAO was asked to testify on the oversight of federally funded abstinence-until-marriage education programs. This testimony is primarily base...
State Children's Health Insurance Program: Program Structure, Enrollment and Expenditure Experiences, and Outreach Approaches for States That Cover Adults
GAO-08-50: Published: Nov 26, 2007. Publicly Released: Dec 20, 2007.
In 2006 about 4.5 million individuals were enrolled in the State Children's Health Insurance Program (SCHIP). Congress created SCHIP with the goal of significantly reducing the number of low-income uninsured children. Under certain circumstances, states may also cover adults, and in June 2006 about 349,000 adults were enrolled. Each state receives an annual allotment of federal funds, available as...
Children's Health Insurance: States' SCHIP Enrollment and Spending Experiences and Considerations for Reauthorization
GAO-07-501T: Published: Feb 15, 2007. Publicly Released: Feb 15, 2007.
In August 1997, Congress created the State Children's Health Insurance Program (SCHIP) with the goal of significantly reducing the number of low-income uninsured children, especially those who lived in families with incomes exceeding Medicaid eligibility requirements. Unlike Medicaid, SCHIP is not an entitlement to services for beneficiaries but a capped allotment to states. Congress provided a fi...
Information on Pesticide Illness Reporting Systems
GAO-01-501T: Published: Mar 13, 2001. Publicly Released: Mar 13, 2001.
This testimony discusses findings from two GAO reports that relate to Maryland's pending legislation on pesticide reporting. To determine how the nation's information on pesticide illnesses could be improved, GAO has worked with two federal agencies--the National Institute for Occupational Safety and Health (NIOSH) and the National Center for Environmental Health. These agencies told GAO that esta...