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    Subject Term: "Medically uninsured"

    1 publication with a total of 2 open recommendations including 2 priority recommendations
    Director: Katherine Iritani
    Phone: (202) 512-7114

    2 open recommendations
    including 2 priority recommendations
    Recommendation: To promote consistency in the distribution of supplemental payments among states and with CMS policy, the Administrator of CMS should issue written guidance clarifying its policy that requires a link between the distribution of supplemental payments and the provision of Medicaid-covered services.

    Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
    Status: Open
    Priority recommendation

    Comments: As of December 2017, the Centers for Medicare & Medicaid Services (CMS) had issued clarifying letters to some states, but had no plans to issue written guidance to all states clarifying that the distribution of supplemental payments be linked to the provision of Medicaid-covered services, as GAO recommended in February 2016. CMS stated in November 2017 that it was considering a proposed rule or other guidance to address this issue. To the extent that the agency's efforts link individual provider payment levels and the provision of Medicaid-covered services, they would address this recommendation.
    Recommendation: To promote consistency in the distribution of supplemental payments among states and with CMS policy, the Administrator of CMS should issue written guidance clarifying its policy that payments should not be made contingent on the availability of local funding.

    Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
    Status: Open
    Priority recommendation

    Comments: As of December 2017, CMS had not issued written guidance to communicate its policy that Medicaid payments may not be made contingent on the availability of local funding for the nonfederal share, as GAO recommended in February 2016. In light of GAO's finding that, among selected states, supplemental payments were often contingent on the availability of local funding, GAO maintains that CMS should issue written guidance to all states communicating its policy prohibiting Medicaid payments contingent on the availability of local funding. Such action could help curtail the practice of states making large supplemental payments in excess of costs.