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 2007-11-01 monographic deposited born digital 17 p. GA 1.13:GAO-08-255T https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-255T P0b002ee18037a136 f:d08255t DGPO 2010-08-12 2011-03-24 GAOREPORTS-GAO-08-255T machine generated eng fdlp REPORT GAOREPORTS-GAO-08-255T GAO-08-255T Budget obligations Federal aid to states Federal funds Federal regulations Federal social security programs Federal/state relations Health care programs Medicaid Standards Testimony A77894 Medicaid, a joint federal-state program, financed the health care for about 60 million low-income people in fiscal year 2005. States have considerable flexibility in deciding what medical services and individuals to cover and the amount to pay providers, and the federal government reimburses a proportion of states' expenditures according to a formula established by law. The Centers for Medicare & Medicaid Services (CMS) is the federal agency responsible for overseeing Medicaid. Growing pressures on federal and state budgets have increased tensions between the federal government and states regarding this program, including concerns about whether states were appropriately financing their share of the program. GAO's testimony describes findings from prior work conducted from 1994 through March 2007 on (1) certain inappropriate state Medicaid financing arrangements and their implications for Medicaid's fiscal integrity, and (2) outcomes and transparency of a CMS oversight initiative begun in 2003 to end such inappropriate arrangements. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-255T/html/GAOREPORTS-GAO-08-255T.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-255T/pdf/GAOREPORTS-GAO-08-255T.pdf GAO-08-255T https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-255T Testimony GAO-08-255T; Medicaid Financing: Long-Standing Concerns about Inappropriate State Arrangements Support Need for Improved Federal Oversight; Budget obligations Federal aid to states Federal funds Federal regulations Federal social security programs Federal/state relations Health care programs Medicaid Standards Volume 121 Page 112 121 Stat. 112 Public Law 110-28