Medicaid: CMS Needs More Information on the Billions of Dollars Spent on Supplemental Payments
DIANE Publishing, 2009 - 76 pages
The financing of the $299 billion Medicaid program is shared between the fed. gov┐t. and states. States pay qualified providers for covered Medicaid services and receive fed. matching funds 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 fed. funds. This report provides info. about Medicaid supplemental payments and examines: (1) what info. 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. Includes recommendations. Illustrations.
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Appendix California CMS 64.9I form CMS expenditure reports CMS officials CMS’s disproportionate number Distribution of Supplemental Dollars in millions DSH allotments DSH and non-DSH DSH programs expenditure data facility-specific federal share final rule fiscal year 2006 Five Surveyed GAO analysis government providers indigent January 2008 Dollars managed care organizations Massachusetts MassHealth Medicaid beneficiaries Medicaid demonstrations Medicaid expenditures Medicaid Financing Medicaid plans Medicaid program Medicaid supplemental payments Medicare multiple programs non-DSH payments non-DSH programs non-DSH supplemental payments Number of providers nursing facilities outpatient Payment amount payment information payments from multiple payments in fiscal percent of providers Percentage of total physician groups Programs in Five Provider Ownership Category Provider Type providers receiving payments providers that received psychiatric hospitals Public Hospitals receiving the largest reported to CMS Reported to GAO reporting requirements standard Medicaid payments state’s supplemental payment programs Table Texas total DSH payments total payments UPL payments Urban Institute Washington D.C.