Medicaid: Making Georgia's Nursing Home Reimbursement More Equitable
HRD-86-58
Published: May 12, 1986. Publicly Released: May 12, 1986.
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Highlights
GAO studied Georgia's reimbursement system for free-standing intermingled nursing homes to determine whether: (1) its grouping methodology for reimbursement purposes resulted in equitable reimbursement for intermingled homes; and (2) applying minimum nursing standards resulted in appropriate payment levels.
Recommendations
Recommendations for Executive Action
| Agency Affected | Recommendation | Status |
|---|---|---|
| Region IV, Atlanta, GA | The Region IV Administrator, HCFA, should require Georgia to perform adequate studies or analyses to support its findings and assurances that its payment rates for intermingled nursing homes are reasonable and adequate to meet the costs incurred by efficiently and economically operated homes. |
Closed – Not Implemented
HCFA concurred with this recommendation, but it will not require states to take corrective action because it believes that it does not have legislative authority.
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Topics
Extended care facilitiesHealth care cost controlMedical services ratesNursing homesProgram managementSkilled nursing facilitiesState-administered programsMedicaidSkilled nursingPatient care