Department of Health and Human Services, Centers for Medicare and Medicaid Services: Medicaid Program; Premiums and Cost Sharing
GAO-09-241R: Dec 10, 2008
- Full Report:
GAO reviewed the Department of Health and Human Services, Centers for Medicare and Medicaid Services' (CMS) new rule on Medicaid program premiums and cost sharing. GAO found that (1) the final rule implements and interprets the provisions of sections 6041, 6042, and 6043 of the Deficit Reduction Act of 2005 and section 405(a)(1) of the Tax Relief and Health Care Act of 2006 (TRHCA) including limitations on cost sharing for individuals with family incomes at or below 100 percent of the federal poverty line, amended the Social Security Act to provide state Medicaid agencies with increased flexibility to impose premium and cost sharing requirements on certain Medicaid recipients, and also address cost sharing for non-preferred drugs and non-emergency care furnished in a hospital emergency department; and (2) CMS complied with the applicable requirements in promulgating the rule.