Analysis of GAO Reports To Determine Federal Approaches Most Conducive to State Consistency in Delivering Services and Monitoring Results
HRD-81-76, Apr 10, 1981
GAO was asked to examine recent GAO reports which discuss State administration and monitoring of selected federally funded programs to determine Federal approaches most conductive to State consistency in delivering services and monitoring the results. GAO was asked to emphasize cases where programs have been consistently administered and monitored by States.
Twelve GAO reports were examined concerning Title XX, vocational rehabilitation, developmental disabilities, foster care, aid to families with dependent children, and Medicaid. The information in these reports did not show any examples of what could be classified as consistent administration and monitoring among the States. It did show significant differences in State administration and monitoring and, in many instances, poor State administration and monitoring. State administration and monitoring was often not the primary focus of the report from which the information was extracted; thus, these GAO findings cannot be considered as representative of State management of the various programs and can be used only in the context spelled out in the individual reports. Substantial time and effort would be required to update the findings to determine whether the problems and differences still exist at the State or local level. While the findings indicate inconsistent administration and management among the States, it must be recognized that these variances, in some cases, are the result of the laws establishing the programs. These laws allow each State to implement the program according to its individual needs.