state relations (51 - 60 of 184 items)
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...
Nursing Homes: Success of Quality Initiatives Requires Sustained Federal and State Commitment
T-HEHS-00-209: Published: Sep 28, 2000. Publicly Released: Sep 28, 2000.
Pursuant to a congressional request, GAO discussed the quality of care in nursing homes, focusing on: (1) progress in improving the detection of quality problems during annual surveys; (2) how the prevalence of identified problems has changed; (3) the status of efforts to strengthen states' complaint investigation processes and federal enforcement policies; and (4) additional activities occurring...
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...
Ryan White Care Act: Opportunities to Enhance Funding Equity
T-HEHS-00-150: Published: Jul 11, 2000. Publicly Released: Jul 11, 2000.
Pursuant to a congressional request, GAO discussed ways to distribute Ryan White Comprehensive AIDS Resources Emergency (CARE) Act funds to states and localities, focusing on the: (1) potential for distributing funds on the basis of counts of persons with human immunodeficiency virus (HIV) infection in each geographic area rather than on counts of only persons whose disease has progressed to acqui...
Medicaid and SCHIP: Comparisons of Outreach, Enrollment Practices, and Benefits
HEHS-00-86: Published: Apr 14, 2000. Publicly Released: Apr 26, 2000.
Pursuant to a congressional request, GAO reviewed the Medicaid program and State Children's Health Insurance Program (SCHIP), focusing on the differences between both programs with regard to outreach, application and eligibility determination, screening and enrollment, and benefits.GAO noted that: (1) across GAO's sample of 10 states, Medicaid and SCHIP programs are similar in terms of their outre...
Medicaid Managed Care: Challenges in Implementing Safeguards for Children With Special Needs
HEHS-00-37: Published: Mar 3, 2000. Publicly Released: Apr 3, 2000.
Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) and the states' efforts to implement safeguards to protect children with disabilities who are enrolled in Medicaid managed care programs, focusing on the: (1) implications of the Balanced Budget Act of 1997 (BBA) provisions defining this population; (2) number of states enrolling children with speci...
Community Health Centers: Adapting to Changing Health Care Environment Key to Continued Success
HEHS-00-39: Published: Mar 10, 2000. Publicly Released: Mar 23, 2000.
Pursuant to a congressional request, GAO reviewed federal community and migrant health centers (C/MHC), focusing on: (1) the current status of C/MHCs, the populations they serve, the types of services they provide, and their primary sources of revenue; (2) changes in Medicaid that have had an effect on C/MHCs; (3) how C/MHCs have responded to these and other changes in the health care environment;...
Health Care Access: Programs for Underserved Populations Could Be Improved
T-HEHS-00-81: Published: Mar 23, 2000. Publicly Released: Mar 23, 2000.
Pursuant to a congressional request, GAO discussed the effectiveness of the Health Resources and Services Administration's (HRSA) two safety-net programs--the Community and Migrant Health Center program and the National Health Service Corps--to improve access to medically underserved populations.GAO noted that: (1) both the health centers and the Corps are important safety-net providers to the nat...
Medicaid and Special Education: Coordination of Services for Children With Disabilities Is Evolving
HEHS-00-20: Published: Dec 10, 1999. Publicly Released: Jan 10, 2000.
Pursuant to a congressional request, GAO reviewed the mechanisms of coordination between Medicaid and the Individuals With Disabilities Education Act (IDEA), focusing on: (1) how Medicaid and IDEA interact to meet the needs of low-income school-aged children with disabilities; and (2) issues that have arisen in coordinating Medicaid and IDEA services in schools.GAO noted that: (1) Medicaid and IDE...