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Worker and Family Assistance (71 - 80 of 1,682 items)
Child Welfare: States Use Flexible Federal Funds, But Struggle to Meet Service Needs
GAO-13-170: Published: Jan 30, 2013. Publicly Released: Jan 30, 2013.
The four states GAO selected used funds provided under Title IV-B of the Social Security Act for a variety of child welfare services and other activities, and had different strategies for spending these funds. For instance, in fiscal year 2011 Virginia provided funding to all local child welfare agencies to spend on their own priorities, such as parenting classes. New Mexico targeted certain count...
Veterans' Disability Benefits: Timely Processing Remains a Daunting Challenge
GAO-13-89: Published: Dec 21, 2012. Publicly Released: Jan 18, 2013.
A number of factors—both external and internal to the Veterans Benefits Administration (VBA)—have contributed to the increase in processing timeframes and subsequent growth in the backlog of veterans’ disability compensation claims. As the population of new veterans has swelled in recent years, the annual number of claims received by VBA has gone up. Compared to the past, these claims have a...
Department of Defense Policies on Accommodating Children with Special Needs in Child Care Programs
GAO-13-165R: Published: Jan 16, 2013. Publicly Released: Jan 16, 2013.
DOD officials stated that their policy is to accommodate children with special needs unless those accommodations fundamentally alter the nature of the program. However, DOD does not centrally collect or maintain data on accommodation decisions; instead they are kept at the installation level. Two services--Army and Air Force--have begun or plan to collect specific data at the service level to moni...
Children's Mental Health: Concerns Remain about Appropriate Services for Children in Medicaid and Foster Care
GAO-13-15: Published: Dec 10, 2012. Publicly Released: Jan 9, 2013.
An annual average of 6.2 percent of noninstitutionalized children in Medicaid nationwide and 4.8 percent of privately insured children took one or more psychotropic medications, according to GAO's analysis of 2007-2009 data from the Department of Health and Human Services' (HHS) Medical Expenditure Panel Survey (MEPS). MEPS data also showed that children in Medicaid took antipsychotic medications...
Temporary Assistance For Needy Families: More Accountability Needed to Reflect Breadth of Block Grant Services
GAO-13-33: Published: Dec 6, 2012. Publicly Released: Jan 7, 2013.
Nationwide, states have used Temporary Assistance for Needy Families (TANF) block grant funds not only to provide cash assistance, but also to provide noncash services, such as job preparation and work supports for low-income families and aid for at-risk children. Among our 10 selected states, job preparation and work activities included help with the job search process, skills training, and subsi...
Supplemental Security Income: SSA Has Taken Steps to Prevent and Detect Overpayments, but Additional Actions Could Be Taken to Improve Oversight
GAO-13-109: Published: Dec 14, 2012. Publicly Released: Dec 14, 2012.
On October 19, 2012, we briefed Congressional staff on the results of our study of the extent to which SSA makes overpayments to and recovers overpayments from SSI beneficiaries. In summary, we found that cumulative SSI overpayment debt nearly doubled from $3.8 billion in fiscal year 2002 to $7.3 billion in fiscal year 2011. SSI overpayment debt recovery also increased from $860 million to almost...
Older Americans Act: Options to Better Target Need and Improve Equity
GAO-13-74: Published: Nov 30, 2012. Publicly Released: Dec 11, 2012.
We found that:States use a variety of factors to distribute OAA intrastate funding to AAAs and local service providers. All states that use intrastate funding formulas--which help determine the distribution of funds within a given state--use one or more demographic measures of need to target funding for OAA titles III and VII services. Factors included age, income, rural residence, disability impa...
Elder Justice: Strengthening Efforts to Combat Elder Financial Exploitation
GAO-13-140T: Published: Nov 15, 2012. Publicly Released: Nov 15, 2012.
We found that state and local social services, criminal justice, and consumer protection agencies face many challenges as they work to prevent and respond to elder financial exploitation. For example:Officials in each of the four states we contacted cited the need for more safeguards to prevent exploitation by financial services providers, power of attorney agents, and paid in-home caregivers;Offi...
Elder Justice: National Strategy Needed to Effectively Combat Elder Financial Exploitation
GAO-13-110: Published: Nov 15, 2012. Publicly Released: Nov 15, 2012.
Officials in each of the four states GAO contacted identified the need for more safeguards and public awareness activities to help prevent elder financial exploitation. They also noted that it is difficult to prevent exploitation by individuals such as financial services providers, power of attorney agents, guardians, and paid in-home caregivers. Although states have primary responsibility for com...
Information Technology: Department of Labor Could Further Facilitate Modernization of States' Unemployment Insurance Systems
GAO-12-957: Published: Sep 26, 2012. Publicly Released: Sep 26, 2012.
The Department of Labor (Labor) facilitates states efforts to modernize information technology (IT) systems supporting their unemployment insurance (UI) programs by (1) providing funds for administrating overall UI operations and (2) participating in groups that provide technical support to states. While the federal-state structure of the UI program places primary responsibility for its admi...