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<classification authority="sudocs">GA 1.13:GAO-08-614</classification>
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 <subject>Budget obligations</subject>
 <subject>Cost sharing (finance)</subject>
 <subject>Data collection</subject>
 <subject>Data integrity</subject>
 <subject>Federal aid to states</subject>
 <subject>Federal funds</subject>
 <subject>Federal regulations</subject>
 <subject>Federal/state relations</subject>
 <subject>Health care programs</subject>
 <subject>Hospital care services</subject>
 <subject>Hospitals</subject>
 <subject>Local governments</subject>
 <subject>Managed health care</subject>
 <subject>Medicaid</subject>
 <subject>Payments</subject>
 <subject>Reporting requirements</subject>
 <subject>State programs</subject>
 <subject>Program implementation</subject>
 <subject>GAO High Risk Series</subject>
 <subject>Medicaid Disproportionate Share Hospital</subject>
 <subject>Program</subject>
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<titleInfo>
 <title>Medicaid: CMS Needs More Information on the Billions of Dollars Spent on Supplemental Payments</title>
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<abstract>The financing of the $299 billion Medicaid program is shared
between the federal government and states. States pay qualified  
providers for covered Medicaid services and receive federal	 
matching funds from the Department of Health &amp; Human Services&apos;	 
(HHS) Centers for Medicare &amp; Medicaid Services (CMS) for	 
expenditures authorized in their state Medicaid plans. In	 
addition to these standard Medicaid payments, most states make	 
supplemental payments to certain providers, which are also	 
matched by federal funds. GAO was asked for information about	 
Medicaid supplemental payments. GAO examined (1) what information
states report about supplemental payments on Medicaid expenditure
reports and (2) in selected states, how much was distributed as  
supplemental payments, to what types of providers, and for what  
purposes. GAO analyzed CMS&apos;s Medicaid expenditure reports and	 
surveyed five states that make large supplemental payments.</abstract>
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 <searchTitle>GAO-08-614; Medicaid: CMS Needs More Information on the Billions of Dollars Spent on Supplemental Payments;
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 <topic>Budget obligations</topic>
 <topic>Cost sharing (finance)</topic>
 <topic>Data collection</topic>
 <topic>Data integrity</topic>
 <topic>Federal aid to states</topic>
 <topic>Federal funds</topic>
 <topic>Federal regulations</topic>
 <topic>Federal/state relations</topic>
 <topic>Health care programs</topic>
 <topic>Hospital care services</topic>
 <topic>Hospitals</topic>
 <topic>Local governments</topic>
 <topic>Managed health care</topic>
 <topic>Medicaid</topic>
 <topic>Payments</topic>
 <topic>Reporting requirements</topic>
 <topic>State programs</topic>
 <topic>Program implementation</topic>
 <topic>GAO High Risk Series</topic>
 <topic>Medicaid Disproportionate Share Hospital</topic>
 <topic>Program</topic>
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 <titleInfo>
  <title>United States Statutes at Large</title>
  <partNumber>Volume 11 Page 251</partNumber>
</titleInfo>
 <identifier type="Statute citation">11 Stat. 251</identifier>
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 <titleInfo>
  <title>United States Statutes at Large</title>
  <partNumber>Volume 105 Page 1793</partNumber>
</titleInfo>
 <identifier type="Statute citation">105 Stat. 1793</identifier>
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 <titleInfo>
  <title>United States Statutes at Large</title>
  <partNumber>Volume 117 Page 2066</partNumber>
</titleInfo>
 <identifier type="Statute citation">117 Stat. 2066</identifier>
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  <title>United States Statutes at Large</title>
  <partNumber>Volume 120 Page 2922</partNumber>
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 <identifier type="Statute citation">120 Stat. 2922</identifier>
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  <title>United States Statutes at Large</title>
  <partNumber>Volume 121 Page 112</partNumber>
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 <identifier type="Statute citation">121 Stat. 112</identifier>
 <identifier type="Statute citation">121 Stat. 2492</identifier>
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 <titleInfo>
  <title>United States Public Law 234 (102nd Congress)</title>
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 <identifier type="public law citation">Public Law 102-234</identifier>
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 <titleInfo>
  <title>United States Public Law 33 (105th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 105-33</identifier>
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 <titleInfo>
  <title>United States Public Law 173 (108th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 108-173</identifier>
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<relatedItem type="isReferencedBy">
 <titleInfo>
  <title>United States Public Law 432 (109th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 109-432</identifier>
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 <titleInfo>
  <title>United States Public Law 28 (110th Congress)</title>
</titleInfo>
 <identifier type="public law citation">Public Law 110-28</identifier>
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 <titleInfo>
  <title>United States Public Law 173 (110th Congress)</title>
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 <identifier type="public law citation">Public Law 110-173</identifier>
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