ERIC Number: ED433144
Record Type: Non-Journal
Publication Date: 1999-Jun-17
Reference Count: N/A
Medicaid: Questionable Practices Boost Federal Payments for School-Based Services. Statement of William J. Scanlon, Director Health Financing and Public Health Issues, Health, Education, and Human Services Division. Testimony before the Committee on Finance, U.S. Senate.
Scanlon, William J.
This Senate testimony regarding potential improprieties in Medicaid claims for school-based health services focuses 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. The testimony asserts that over the past 4 years, school districts' claims for administrative costs associated with school-based health services have increased five-fold, and that federal oversight of claims has been weak, permitting an environment for opportunism and inappropriate claims. Sections of the testimony include: (1) "Background" (Medicaid's reimbursement of school-based administrative services, previous financing mechanisms used by states and later prohibited in law); (2) "Medicaid Claims for Administrative Expenditures Have Increased Dramatically in Some States"; (3) "In Some States, Medicaid Funds to Reimburse Schools Go to State Treasuries and Private Firms"; (4) "Insufficient HCFA Guidance, Uneven Oversight Have Led to Questionable Practices for Claiming Reimbursement" (Broad HCFA guidance leaves payment determination largely to regional discretion; HCFA oversight fails to discourage suspect billing practices); and (5) "Concluding Observations." (EV)
Descriptors: Educational Finance, Elementary Secondary Education, Financial Problems, Financial Support, Government School Relationship, Hearings, Noninstructional Student Costs, School District Spending, School Health Services, State Federal Aid
U.S. General Accounting Office, P.O. Box 37050, Washington, DC 20013; Tel: 202-512-6000; Fax: 202-512-6061; e-mail: email@example.com; Web site: http://www.gao.gov (first copy free; additional copies, $2 each).
Publication Type: Legal/Legislative/Regulatory Materials
Education Level: N/A
Authoring Institution: General Accounting Office, Washington, DC. Health, Education, and Human Services Div.