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 2007-11-15 monographic deposited born digital 74 p. GA 1.13:GAO-08-54 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-54 P0b002ee18038beca f:d0854 DGPO 2010-08-12 2011-03-28 GAOREPORTS-GAO-08-54 machine generated eng fdlp REPORT GAOREPORTS-GAO-08-54 GAO-08-54 Appropriated funds Contract administration Contract oversight Contract performance Contractor payments Contractors Cost analysis Cost reimbursement contracts Erroneous payments Internal controls Medicare Noncompliance Payments Program management Risk assessment Risk management Waste, fraud, and abuse SBA 8(a) Program Other Written Product A78213 The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) established a voluntary outpatient prescription drug benefit, which is administered by the Centers for Medicare and Medicaid Services (CMS). CMS relies extensively on contractors to help it carry out its basic mission. Congress appropriated to CMS $1 billion for start-up administrative costs to implement provisions of MMA. Because CMS had discretion on how to use the appropriation, Congress asked GAO to determine (1) how CMS used the $1 billion MMA appropriation, (2) whether CMS's contracting practices and related internal controls were adequate to avoid waste and to prevent or detect improper payments, and (3) whether payments to contractors were properly supported as a valid use of government funds. To address objectives two and three above, our review extended beyond contract amounts paid with MMA funds. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-54/html/GAOREPORTS-GAO-08-54.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-54/pdf/GAOREPORTS-GAO-08-54.pdf GAO-08-54 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-54 Other Written Product GAO-08-54; Centers for Medicare and Medicaid Services: Internal Control Deficiencies Resulted in Millions of Dollars of Questionable Contract Payments; Appropriated funds Contract administration Contract oversight Contract performance Contractor payments Contractors Cost analysis Cost reimbursement contracts Erroneous payments Internal controls Medicare Noncompliance Payments Program management Risk assessment Risk management Waste, fraud, and abuse SBA 8(a) Program Public Law 108-173