State-administered programs (41 - 50 of 240 items)
Children's Health Insurance: SCHIP Enrollment and Expenditure Information
GAO-01-993R: Published: Jul 25, 2001. Publicly Released: Sep 6, 2001.
Congress created the State Children's Health Insurance Program (SCHIP) in 1997 to reduce the number of uninsured poor children whose families incomes are too high to qualify for Medicaid. Congress appropriated $40 billion over 10 years (fiscal years 1998 through 2007) for SCHIP. Each state's SCHIP allotment is available as a federal match based on state expenditures. Although the SCHIP statute gen...
Medicaid: Stronger Efforts Needed to Ensure Children's Access to Health Screening Services
GAO-01-749: Published: Jul 13, 2001. Publicly Released: Aug 13, 2001.
The Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Program calls for states to provide children and adolescents under age 21 with access to comprehensive, periodic evaluations of health, development, and nutritional status, as well as vision, hearing, and dental services. There is concern that state Medicaid programs are not doing an adequate job of screening children for medical...
Health Centers and Rural Clinics: Payments Likely to Be Constrained Under Medicaid's New System
GAO-01-577: Published: Jun 19, 2001. Publicly Released: Jun 21, 2001.
To increase the accessibility of primary and preventive health services for low-income people living in medically underserved areas, Congress made federally qualified health centers and rural health clinics eligible for Medicaid payments. Since 1989, federal law has required Medicaid to reimburse both the centers and the clinics on the basis of reasonable costs they incurred in providing services...
Health Insurance: Proposals for Expanding Private and Public Coverage
GAO-01-481T: Published: Mar 15, 2001. Publicly Released: Mar 15, 2001.
Various approaches have been proposed to increase private and public health care coverage of uninsured persons. The success of these proposals will depend on several key factors. The impact of tax subsidies on promoting private health insurance will depend on whether the subsidies reduce premiums enough to induce uninsured low-income individuals to buy health insurance and on whether these subsidi...
Mental Health: Community-Based Care Increases for People With Serious Mental Illness
GAO-01-224: Published: Dec 19, 2000. Publicly Released: Dec 19, 2000.
Between 1987 and 1997, the growth in mental health spending in the United States roughly paralleled the growth in overall health care spending. However, federal mental health spending grew at more than twice the rate of state and local spending. This led to the federal government's share surpassing that of state and local governments, while the share attributable to private sources declined slight...
Medicaid Managed Care: States' Safeguards for Children With Special Needs Vary Significantly
HEHS-00-169: Published: Sep 29, 2000. Publicly Released: Oct 30, 2000.
Pursuant to a congressional request, GAO reviewed the Medicaid managed care services for children with special needs, focusing on the: (1) extent to which states are enrolling children with special needs, as defined by the Balanced Budget Act (BBA), in capitated managed care plans; and (2) scope and effectiveness of the safeguards states are implementing to ensure that children with special needs...
Oral Health: Factors Contributing to Low Use of Dental Services by Low-Income Populations
HEHS-00-149: Published: Sep 11, 2000. Publicly Released: Sep 25, 2000.
Pursuant to a congressional request, GAO reviewed Medicaid and the State Children's Health Insurance Program's (SCHIP) efforts to make dental care more available to low-income people, focusing on: (1) factors that explain low dental service use by Medicaid and SCHIP beneficiaries; and (2) the role of other federal safety-net programs in improving access to dental care.GAO noted that: (1) while sev...
Medicare and Medicaid: Implementing State Demonstrations for Dual Eligibles Has Proven Challenging
HEHS-00-94: Published: Aug 18, 2000. Publicly Released: Sep 18, 2000.
Pursuant to a congressional request, GAO reviewed states' initiatives to enroll dual eligibles (beneficiaries who qualify for both Medicare and Medicaid benefits) into one managed care plan, focusing on: (1) the status and key features of state initiatives focusing on: (1) the status and key features of state initiatives to integrate care for dual-eligible beneficiaries; and (2) factors that have...
Medicaid: State Financing Schemes Again Drive Up Federal Payments
T-HEHS-00-193: Published: Sep 6, 2000. Publicly Released: Sep 6, 2000.
Pursuant to a congressional request, GAO discussed the federal government's role in helping pay for Medicaid, focusing on how: (1) the current financing scheme works; and (2) it compromises the agreement for federal/state sharing of Medicaid financing.GAO noted that: (1) the current scheme inappropriately increases federal Medicaid payments by paying certain providers more than they would normally...
HCFA: Medicaid Program--State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals, Federal Fiscal Year 2000
OGC-00-49: Published: Jul 31, 2000. Publicly Released: Jul 31, 2000.
Pursuant to a legislative requirement, GAO reviewed the Health Care Financing Administration (HCFA) new rule on state allotments for payment of Medicare Part B premiums for qualifying individuals. GAO noted that: (1) the rule would announce that the federal fiscal year 2000 allotments that are available for state agencies to pay Medicare Part B premiums for two eligibility groups; and (2) HCFA com...