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 2007-03-30 monographic deposited born digital 54 p. GA 1.13:GAO-07-214 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-07-214 P0b002ee180397a6e f:d07214 DGPO 2010-08-12 2011-03-23 GAOREPORTS-GAO-07-214 machine generated eng fdlp REPORT GAOREPORTS-GAO-07-214 GAO-07-214 Cost sharing (finance) Federal regulations Federal social security programs Federal/state relations Financial management Health care costs Health care programs Medicaid Payments Program evaluation Questionable payments Executive agency oversight Transparency Other Written Product A67564 The costs of Medicaid--the federal-state program financing health care for about 60 million low-income people--totaled about $317 billion in fiscal year 2005. Increasing budgetary pressures have created tension between the states and the federal government, in part because some states have used inappropriate financing arrangements to collect federal matching funds when payments were not retained by the providers. In August 2003, the federal Centers for Medicare & Medicaid Services (CMS) began an initiative to end inappropriate arrangements. GAO was asked to examine the (1) number, and fiscal effects, of states ending particular financing arrangements; (2) extent to which CMS's initiative represents a change in agency approach or policy; and (3) transparency and consistency of the initiative. For states ending arrangements, GAO surveyed state officials, reviewed CMS documents, and interviewed CMS and state officials. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-07-214/html/GAOREPORTS-GAO-07-214.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-07-214/pdf/GAOREPORTS-GAO-07-214.pdf GAO-07-214 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-07-214 Other Written Product GAO-07-214; Medicaid Financing: Federal Oversight Initiative Is Consistent with Medicaid Payment Principles but Needs Greater Transparency; Cost sharing (finance) Federal regulations Federal social security programs Federal/state relations Financial management Health care costs Health care programs Medicaid Payments Program evaluation Questionable payments Executive agency oversight Transparency Volume 114 Page 2763 114 Stat. 2763 Volume 117 Page 2066 117 Stat. 2066 Public Law 106-554