ERIC Number: ED207177
Record Type: RIE
Publication Date: 1980-Oct-29
Reference Count: 0
Federal and State Actions Needed To Overcome Problems in Administering the Title XX Program. Report to the Congress by the Comptroller General of the United States.
Comptroller General of the U.S., Washington, DC.
The results of a reivew by the United States General Accounting Office (GAO), this paper examines the Title XX Program of the Social Security Act and makes suggestions for its improvement. The Title XX Program provides funds to states to enable them to tailor social services programs to fit the needs of local communities. Such services are primarily for the elderly, such as home health aides or adult day care programs, but also include other services, such as child day care and delinquency prevention. The services are provided directly by public agencies or purchased from other agencies. Programs reviewed were offered in New York, Maryland, North Carolina, California, and New Mexico. The GAO found that most contracts awarded to purchase services under Title XX in four of the states visited were stated in such general terms that the states did not know what contractors were committed to deliver or whether commitments were met. The GAO recommends that the Secretary of Health and Human Services improve state contracting by encouraging the use of contracts based on unit prices or specific levels of service and prompt states that authorize elderly persons to hire their own homemaker and chore service providers to monitor the quality of services and assure that the required hours are delivered. (Author/JM)
Descriptors: Adult Day Care, Community Services, Contracts, Federal Programs, Federal State Relationship, Home Health Aides, Older Adults, Social Agencies, Social Services, State Programs, Visiting Homemakers
U.S. General Accounting Office, Document Handling and Information Services Facility, P.O. Box 6015, Gaithersburg, MD 20760 (First five copies are free, additional copies are $1.00; checks should be made out to the "Superintendent of Documents").
Publication Type: Reports - Evaluative
Education Level: N/A
Authoring Institution: Comptroller General of the U.S., Washington, DC.
Identifiers: California; Department of Health and Human Services; Maryland; New Mexico; New York; North Carolina; Social Security Act Title XX