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B-118638 1 (1972-02-01)

handle is hein.gao/gaobaagpk0001 and id is 1 raw text is: 



                    UNITED STATES GENERAL ACCOU     OFF E

   Ou                        WASHINGTON, D.C. 20548

C IV IL D IV ISIO N                                  F   1   9
                                                   FFEB 1 1972

      B-118638
      Dea   Mr  WahigonIIIlIIIlIIIII IlIIi IIII IIII IIIII IIII III   / ',
      Dear Mr. Washington:       - ,LM096680                                 /


           The General Accounting Office has reviewed the administration of   c;,
      the Supplemental Food Program by the District of Columbia's Commu-  -  /
      nity Health;Services Administration. Our review was directed primar-  /
      ily toward determining whether the program was being administered in >   / 2
      a manner consistent with the Administration's Plan of Operation as ap-
      proved by the Department of Agriculture. Our review was directed
      further toward the implementation of the program in the District's
      neighborhood health clinics but did not include a review of the imple-
      mentation of the program by participating private physicians.

           The Department of Agriculture criteria for determining program
      eligibility consist of a financial component and a medical component.

           We found that the Plan of Operation did not provide an appropriate
      basis for making income determinations to establish program eligibility
      and that, contrary to the Department of Agriculture criteria, persons
      who could not be classified as low-income persons were participating in
      the program. We found also that, contrary to the Plan of Operation, the
      Administration did not attempt to determine whether an applicant met
      the medical-need criterion for the program and that therefore there was
      no assurance that the program was being made available only to medi-
      cally needy persons.

           The problems noted during our review and discussed in the follow-
      ing sections have been brought to the attention of the Director, Commu-
      nity Health Services Administration. The Director indicated that he
      would consider taking corrective action relative to our finding on the
      income-eligibility criterion and stated that corrective action had been
      taken relative to our finding on the medical-need criterion.

      INCOME ELIGIBILITY

           The program summary section of the Plan of Operation indicates
      that the Supplemental Food Program is directed at persons in low-income




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