Review of Systems Used by Georgia and Tennessee in 1975 and 1976 to Assure that the Care Received by Medicaid Patients in Intermediate Care Facilities Was Proper
HRD-77-129: Published: Aug 16, 1977. Publicly Released: Aug 16, 1977.
- Full Report:
A review of the systems used by Georgia and Tennessee in 1975 and 1976 to assure that the care received by Medicaid patients in intermediate care facilities was appropriate indicated that the state systems were not functioning properly.
Medicaid payments were being made for intermediate care facilities patients even though required written evaluations and plans of care were missing or incomplete. Without such evaluations and plans of care, facilities could not have adequately treated these patients, and the special needs of mentally retarded patients could not have been identified and met. Federal regulations provided that payments should not have been authorized for such patients unless their condition was independently evaluated and a written plan of care was developed. State surveys did not identify many deficiencies in the care provided to intermediate care facility patients.