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 2008-05-23 monographic deposited born digital 54 p. GA 1.13:GAO-08-529 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-529 P0b002ee180398b96 f:d08529 DGPO 2010-08-12 2011-03-28 GAOREPORTS-GAO-08-529 machine generated eng fdlp REPORT GAOREPORTS-GAO-08-529 GAO-08-529 Accountability Community health services Data collection Data integrity Developmental disabilities Health and behavioral care standards Health care services Home health care services Investigations by federal agencies Medicaid Mortality Persons with disabilities Quality of care Reporting requirements Risk assessment Risk management State-administered programs Strategic planning Waivers Wrongful death Government agency oversight Quality of health care Standards (health care) Transparency Other Written Product A82185 Deaths of individuals with developmental disabilities due to poor quality of care have been highlighted in the media. Prior GAO work has raised concerns about inadequate safeguards for such individuals receiving care through state Medicaid home and community-based services (HCBS) waivers. CMS approves and oversees these waivers. Safeguards include the review of, and follow-up action to, critical incidents--events that harm or have the potential to harm waiver beneficiaries. GAO was asked to examine the extent to which states (1) include, as a critical incident, deaths among individuals with developmental disabilities in waiver programs; (2) have basic components in place to review such deaths; and (3) have adopted additional components to review deaths. GAO interviewed state developmental disabilities agency officials and external stakeholders in 14 states, e-mailed a survey to 35 states and D.C., interviewed experts, and reviewed documents. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-529/html/GAOREPORTS-GAO-08-529.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-529/pdf/GAOREPORTS-GAO-08-529.pdf GAO-08-529 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-529 Other Written Product GAO-08-529; Medicaid Home and Community-Based Waivers: CMS Should Encourage States to Conduct Mortality Reviews for Individuals with Developmental Disabilities; Accountability Community health services Data collection Data integrity Developmental disabilities Health and behavioral care standards Health care services Home health care services Investigations by federal agencies Medicaid Mortality Persons with disabilities Quality of care Reporting requirements Risk assessment Risk management State-administered programs Strategic planning Waivers Wrongful death Government agency oversight Quality of health care Standards (health care) Transparency Volume 89 Page 486 89 Stat. 486 Volume 120 Page 4 120 Stat. 4 Public Law 94-103 Public Law 109-171