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HRD-78-62 1 (1978-03-06)

handle is hein.gao/gaobaawso0001 and id is 1 raw text is: DOCUMENT RESUME Use of Grant Funds by the Sacramento FoundatioL. HRD-78-62; B-164031(3). March 6, 1976. 7 pp. Report to Sen. Henry M. Jackson, Chairman, Senate Committ.e on Governmental Affairs: Permanent Subcommittee on Investigations; by Elmer B. Staats, Comptroller General. Issue Area: Health Programs: Compliance With Financing Laws and Requlations (1207) ; Health Programs: Reihabursement Policies and Utilization Controls (1208). Contact: Human Resources Div. Budqet Function: Health: General Health Financing Assistance (555). Orqanization Concerned. Department of Health, Education, and Welfare. Conqressional Relevance: Senate Committee on Governmental Affairs: Permanent Subcommittee cn Investigations. Sen. Henry M. Jackson. Authority: Social Security Amendments of 1972 (P.L. 94-182). P.1. 94-549. The Foundation Co-mmunity Health Plan of the dedical Care Foundation of Sacramento was reviewed to determine: (i) if the 1Federal Government had -ecovered Medicaid funds paid to the Fuundation as re.- amended in previous reports; and (2) if the State of Caliio.., a should refund Federal Government grant funds paid to the Foundation au part of a rate-settirg demonstration study. As of December 1977, HEW had not attempted to recoup funds from Califo.nia based on 1975 recow-endations on fiscal years 1973 and 1974 Foundation activities. HEW had not recovered the Federal shar,, of the . 1.6 million in per capita rates, and the issue remainea unresclcd. The State failed to justify payinq rates to the Foundation exceeding those that would normally have been paid to a prepaid health plan. The law is not specific on aow extensively the Foundation had to participate in the rate-settinq study; HEW's grant to the State only required the Foundation to provide data to the State. Because the Foundation provided the data, there are no grounds on which to demand repayment from California for its payment of deonstration grant fun's to the Foundation. (FES)

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