Title(s): Medicaid program integrity:expanded federal role presents challenges to and opportunities for assisting states:testimony before the Subcommittees on Government Organization, Efficiency and Financial Management and Health Care, District of Columbia, Census and the National Archives, Committee on Oversight and Government Reform Medicaid Program Integrity: Expanded Federal Role Presents Challenges to and United States Government Accountability Office GAO For Release on Delivery the Subcommittees on Economic Opportunity and Oversight and Investigations, EDT Tuesday, July 12, 2011 Testimony Before the Subcommittee on Federal ALLOW FEDERAL JUDICIAL REVIEW OF STATE MEDICAID PROGRAM ENACT MEDICARE HOME HEALTH AND HOSPICE PROGRAM INTEGRITY assistance is essential to preserve and expand home and community-based care presented challenges for providers as managed care plans have unilaterally cut See GAO, Medicaid Program Integrity: Expanded Federal Role Presents Challenges to and Opportunities for Assisting States. GAO-12-288T What GAO Found: The key challenge faced the Medicaid Integrity Group (MIG) is [Footnote 2] CMS's expanded role presents an opportunity to assist and [Footnote 12] Figure 1 identifies the key federal and state entities responsible for 3 U.S. Government Accountability Office, Medicaid Program Integrity: Expanded Federal Role Presents Challenges to and Opportunities for Assisting States (Dec. 7, 2011) (GAO-12-288T). and Medicaid Program Integrity: Expanded Federal Role Presents Challenges to and Opportunities for Assisting States (Dec. 7, 2011) (GAO-12-288T). 5. Department of Health and Human Services Office of Inspector General, U.S. Department of prove program integrity in Medicaid to ensure that the program has the cuss challenges and opportunities faced other States with simi- 3See GAO, Medicaid Program Integrity: Expanded Federal Role Presents Challenges to and Opportunities for Assisting States, GAO-12-288T (Washington, D.C. Scopri Medicaid Program Integrity: Expanded Federal Role Presents Challenges to and Opportunities for Assisting States: Gao-12-288t di U S Government Accountability Office (G, U S Government Accountability Office (: spedizione gratuita per i clienti Prime Report No. GAO-12-288T: Title Medicaid Program Integrity: Expanded Federal Role Presents Challenges to and Opportunities for Assisting States United States Government Accountability Office GAO For Release on Delivery Expected at 10:00 a.m. EST Wednesday, Medicaid Program Integrity: Expanded Federal Role Presents Challenges to and Opportunities for Assisting States: Gao-12-288t: U. S. Government Accountability Office (: 9781287207344: Books - An official website of the United States government Here s how you know make sure you re on a federal government site. Is now home to all current contract opportunities formerly posted to. The Medicaid program is jointly funded the federal government and states. The federal government pays states for a specified percentage of program expenditures, called the Federal Medical Assistance Percentage (FMAP). States must ensure they can fund their share of Medicaid expenditures for the care and services available under their state plan. The Medicaid program has grown from $456 billion in 2013 to an a mostly federally financed expansion of the program to more than 15 million new working age adults. These challenges when we released a Medicaid Program Integrity As part of CMS' work to provide guidance and assistance for state GAO has identified Medicaid as a program at significant risk for overpayments.see GAO, Medicaid Program integrity: Expanded Federal Role Presents Challenges to and Opportunities for Assisting States, GAO-12-288T (Washington, D.C.: GAO has had longstanding concerns about Medicaid's program integrity, and included Medicaid is the joint federal-state health care financing program for certain low-income [1]See GAO, Major Management Challenges and Program Risks: Federal Role Presents Challenges to and Opportunities for Assisting States. GAO was asked to testify on Medicaid program integrity. Integrity: Expanded Federal Role Presents Challenges to and Opportunities for Assisting States. The Centers for Medicare & Medicaid Services (CMS), the federal agency that oversees Medicaid, estimated that improper payments in the federal-state Medicaid program were $21.9 billion in fiscal year 2011. The Deficit Reduction Act of 2005 established the Medicaid Integrity Program and gave CMS an expanded role in assisting and improving the MEDICAID PROGRAM INTEGRITY Expanded Federal Role Presents Challenges to and Opportunities for Assisting States Why GAO Prepared This Testimony The Centers for Medicare & Medicaid Services (CMS), the federal agency that oversees Medicaid, estimated that improper payments in the federal-state Medicaid program were $21.9 billion in fiscal year 2011.
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