ERIC Number: ED440174
Record Type: Non-Journal
Publication Date: 2000-Apr-5
Reference Count: N/A
Medicaid in Schools: Poor Oversight and Improper Payments Compromise Potential Benefit. Testimony before the Committee on Finance, U.S. Senate.
Allen, Kathryn G.; Hast, Robert H.
Medicaid helps finance certain health services that eligible children, including those with disabilities, receive in schools, such as diagnostic screening and physical therapy. Medicaid is also authorized to reimburse schools' costs for certain administrative activities, such as conducting outreach and providing referrals to qualified providers. This report is based on a survey of all 50 states and the District of Columbia and on a detailed study in 7 states that use a bundled, rather than fee-for-service approach and 17 states that submit claims for administrative activities. Findings show that, in spite of growing expenditures for school-based Medicaid services and activities, the potential benefits to schools and children are being compromised by poor guidance and oversight from the Health Care Financing Administration (HCFA) and improper payments that divert public funding from its intended purpose. The methods used by some school districts and states lack sufficient controls to ensure that these are legitimate claims. The report contains recommendations to HCFA to improve the development and consistent use of clear policies and improve payment oversight. An appendix contains a chart of states' annual school-based claims. (SLD)
Descriptors: Children, Cost Effectiveness, Elementary Secondary Education, Federal Aid, Financial Support, Health Services, Resource Allocation, State Surveys
U.S. General Accounting Office, P.O. Box 37050, Washington, DC 20013. Tel: 202-512-6000. For full text: http://www.gao.gov.
Publication Type: Legal/Legislative/Regulatory Materials; Reports - Evaluative
Education Level: N/A
Authoring Institution: General Accounting Office, Washington, DC. Health, Education, and Human Services Div.