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HRD-81-8 1 (1980-10-29)

handle is hein.gao/gaobabbea0001 and id is 1 raw text is: Li


BY THE COMPTROLLER GENERAL



Report To The Congress


OF THE UNITED STATES


Federal And State Actions Needed To

Overcome Problems In Administering

The Title XX Program


Most contracts awarded to purchase services
under title XX of the Social Security Act in
fotur of the five States GAO visited were stated
in such general terms that the States did not
know what contractors were committed to
deliver or whether the contractors met their
commitments. States reimbursed contractors
for the costs billed, up to the contract price,
regardless of the units of service delivered.

GAO recommends that the Secretary of Health
and Human Services

     --improve State contracting by encour-
     aging the use of contracts based on
     unit prices or specific levels of service
     and

     --encourage States that authorize elderly
     persons to hire their own homemaker
     and chore service providers to monitor
     the quality of services and assure that
     the required hours are delivered.


I    349 I


    ! 13649


(2/J2~6iY


     HRD-81-8
OCTOBER 29, 1980

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