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092855 1 (1970-10-09)

handle is hein.gao/gaobacwss0001 and id is 1 raw text is: 

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                      UNITED STATES GENERAL  ACCOUNTING OFFICE
                                  REGIONAL  OFFICE
    ou                  ROOM 403, U.S. CUSTOMHOUSE, 610 SOUTH CANAL STREET
                                 CHICAGO, ILLINOIs 60607






           Mr. Donald F. Simpson, Regional Commissioner
           Social and Rehabilitation Service
           'Department of Health, Education, and Welfare          L1oness
           Room 808 - 433 W. Van Buren Street
           Chicago, Illinois 60607

           Dear Mr. Simpson:

                As part of our continuing examination into the manner in
           which the Department of Health, Education, and Welfare (HEW)
           is discharging its responsibilities relative to the federally
           assisted medical assistance program - Medicaid - the
           General Accounting Office has examined into the controls over
           payments made on behalf of certain Medicaid recipients who
           have an obligation to pay for a portion of their medical care.
           In your region, we examined into the adequacy of such adminis-
           trative controls at all levels (Federal, State, and local) as
           applied to the Medicaid program conducted in Illinois, and
           particularly in Cook County.  Our review covered a total of
           259 cases.

                Similar reviews have been conducted in California and
           Massachusetts and a consolidated report to the Congress is
           planned.  The purpose of this letter is to bring to your atten-
           tion certain matters which may not be included in the consoli-
           dated report.

           NEED TO EXCLUDE FEDERAL PARTICIPATION
           IN COSTS OF PROVIDING MEDICAID SERVICES
           TO PERSONS WHO WERE ELIGIBLE FOR BUY-IN
           MEDICARE COVERAGE

                Until January 1, 1970, States could buy in--that is,
           they could enter into agreements to pay the premium charges
           under Part B of Medicare and provide coverage for all Medicaid
           recipients 65 and over.  After January  1, 1970, Federal match-
           ing would not be available for any expenditures for Medicaid
           services that would have been provided to an individual by
           Medicare if the individual involved had been enrolled in the
           insurance program.



                                                           14W9~/4______

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