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HRD-78-8 1 (1977-10-17)

handle is hein.gao/gaobaawca0001 and id is 1 raw text is: 

                         DCgCMHENT ISUM0 1       ,

03757 - CB29141591 (]4

(Delays in ReimburseLent for Home Realth Services in New York
City]. ERD-78-8; B-164031(3 ,. October 17, 1977. 6 pp.

Report to Rep. Benjamin S. Rosenthal; by Gregory J. Ahart,
Director, Human Resources Div.

Contact: Human Resources Div.
Budget Function: Health: Health Care Services (551).
Organizaticn Concerned: New fork, WY; Department of Health,
    Education, and Welfare; Health Care Financing
    Administration.
Congressional Relevance: Rep. Benjamin S. Rosenthal.
Authority: Social Security Act, as amended, title XIX (42 U.S.C.
    1396).

         An audit was conducted of New York City's home health
care program by examining the reimbursement system noA by the
Borough of Queens, with particular emphasis on identifying
reasons for delays in paying for hcme attendant services.
Findings/Conclusions: Twelve home attendant cases having
problems makin- payments to hose attendants on the regular
2-week basis were identified. Delays generally ranged between 1
and 3 months, although one 1O-montb delay was attributed to a
lost check. Some of delays were caused by the city and some by
the clienes' failure to report changes ia their status or the
status of the home attendants. The most frequent cause of delay
by the city involved slow reauthorization of beneficiary
eligibilit.y. New York City officials said they were aware of the
delays and had proposed some procedural changes tn correct the
problems. New program procedures are to b.) implemented
throughout the city and administrative changes such as
centralizing the payment function and printirg computer runs in
a sort useful format will be implemented. (SV)

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