United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2004-06-30 monographic deposited born digital 81 p. GA 1.13:GAO-04-480 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-04-480 P0b002ee180386ef8 f:d04480 DGPO 2010-08-12 2011-03-23 GAOREPORTS-GAO-04-480 machine generated eng fdlp REPORT GAOREPORTS-GAO-04-480 GAO-04-480 Budget controllability Budget outlays Disadvantaged persons Drugs Elderly persons Federal/state relations Health care programs Health insurance cost control Program evaluation State-administered programs Waivers Demonstration projects HHS Pharmacy Plus Initiative Medicaid Program Other Written Product A10716 Under section 1115 of the Social Security Act, the Secretary of Health and Human Services may waive certain Medicaid requirements for states seeking to deliver services through demonstration projects. By policy, these demonstrations must not increase federal spending. GAO has previously reported concerns with HHS's approval process. GAO was asked to provide information on a new Medicaid section 1115 demonstration initiative called Pharmacy Plus, intended to allow states to cover prescription drugs for seniors not otherwise eligible for Medicaid. GAO reviewed the (1) approval status of state proposals, (2) extent to which HHS ensured that demonstrations are budget neutral, (3) basis for savings assumptions, and (4) federal and state steps to evaluate and monitor the demonstrations. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-04-480/html/GAOREPORTS-GAO-04-480.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-04-480/pdf/GAOREPORTS-GAO-04-480.pdf GAO-04-480 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-04-480 Other Written Product GAO-04-480; Medicaid Waivers: HHS Approvals of Pharmacy Plus Demonstrations Continue to Raise Cost and Oversight Concerns; Budget controllability Budget outlays Disadvantaged persons Drugs Elderly persons Federal/state relations Health care programs Health insurance cost control Program evaluation State-administered programs Waivers Demonstration projects HHS Pharmacy Plus Initiative Medicaid Program Volume 114 Page 2763 114 Stat. 2763 Volume 117 Page 752 Volume 117 Page 2066 Volume 117 Page 2071 Volume 117 Page 2077-9 Volume 117 Page 2107-9 Volume 117 Page 2132-3 Volume 117 Page 2158 Volume 117 Page 2168-9 117 Stat. 752 117 Stat. 2066 117 Stat. 2071 117 Stat. 2077-9 117 Stat. 2107-9 117 Stat. 2132-3 117 Stat. 2158 117 Stat. 2168-9 Public Law 106-554 Public Law 108-27 Public Law 108-173