Medicaid: Questionable Practices Boost Federal Payments for School-Based Services

Pursuant to a congressional request, GAO discussed the rise in claims for administrative costs associated with school-based health services, focusing on: (1) trends in Medicaid's spending for administrative costs; (2) the distribution of Medicaid payments for administrative claims to schools and other entities; and (3) the adequacy of federal oversight in approving school districts' claims for reimbursement.