Medicaid: Statewide Section 1115 Demonstrations' Impact on Eligibility,
Service Delivery, and Program Cost (Testimony, 06/21/95,
GAO/T-HEHS-95-182).

The growth of Medicaid, which accounted for $142 billion in federal and
state outlays in 1994, is outpacing even the growth of Medicare. This is
happening at a time when states are feeling pressured financially and
are seeking ways to care for their uninsured populations.  In response,
states are, one by one, reinventing their Medicaid programs, using the
authority of section 1115 waivers.  Named for section 1115(a) of the
Social Security Act, these waivers free states from some Medicaid
restrictions on the use of managed care delivery systems.  They also
allow states to expand Medicaid-financed coverage to persons not
normally eligible for Medicaid.  This testimony presents a detailed look
at Medicaid's growing expenditures, describes states' efforts to obtain
section 1115 waivers, and summarizes the expenditures forecast of
programs operating with waivers.

--------------------------- Indexing Terms -----------------------------

 REPORTNUM:  T-HEHS-95-182
     TITLE:  Medicaid: Statewide Section 1115 Demonstrations' Impact on 
             Eligibility, Service Delivery, and Program Cost
      DATE:  06/21/95
   SUBJECT:  Medicaid programs
             Health care cost control
             State-administered programs
             Federal/state relations
             Waivers
             Health care services
             Beneficiaries
             Eligibility criteria
             Quality assurance
IDENTIFIER:  AFDC
             Aid to Families with Dependent Children Program
             Food Stamp Program
             
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