Medicaid personal care services, more harmonized program requirements and better data are needed: testimony before the Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, House of Representatives

Medicaid personal care services, more harmonized program requirements and better data are needed: testimony before the Subcommittee on Oversight and Investigations, Committee on Energy and Commerce, House of Representatives

by U.S. Government Accountability Office
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Overview

Medicaid, a joint federal-state health care program, provides long-term services and supports for disabled and aged individuals, increasingly in home and community settings. Federal and state Medicaid spending on home- and community-based services was about $80 billion in 2014. Personal care services are a key component of this care. States can offer personal care services through many different types of programs, and each may be subject to different federal requirements established by statute, regulations, and guidance. The provision of personal care in beneficiaries' homes can pose safety risks, and these services have a high and growing rate of improper payments, including cases where services for which the state was billed were not provided. In recent years Congress has directed HHS to improve coordination of these programs which could harmonize requirements--that is, implement a more consistent administration of policies and procedures--and enhance oversight.
This statement highlights key issues regarding (1) the federal program requirements to protect beneficiaries' safety and ensure that billed services are provided, and (2) the usefulness of data collected by CMS for oversight. This testimony is based on reports GAO issued in 2016 and 2017. For these reports, GAO assessed CMS data on personal care services provided to beneficiaries and state spending. GAO also reviewed federal statutes, regulations, and guidance, and interviewed CMS officials.

Product Details

ISBN-13: 9781548830519
Publisher: CreateSpace Publishing
Publication date: 07/12/2017
Pages: 28
Product dimensions: 8.50(w) x 11.02(h) x 0.06(d)

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