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IPE-82-3 1 (1982-05-04)

handle is hein.gao/gaobabdfi0001 and id is 1 raw text is: ...... UNITED STATES GENERAL ACCOUNTING OFFICE WASHINGTON, D.C. 20548 INSTITUTE FOR PROGRAM May 4, 1982 EVALUATION g 118311 The Honorable Henry A. Waxman Chairman, Subcommittee on Health and the Environment Committee on Energy and Commerce House of Representatives Dear Mr. Chairman: Subject: The Status of the Department of Health and Human Services' Compliance with Requirements to Estab- lish a Data Collection Plan for the Medicaid Home and Community Care Waiver (GAO/IPE-82-3) On Apri/2, 1982, your office asked the General Accounting Office to determine the status and nature of the data collection plan being developed by the Department of Health and Human Serv- ices as required under the Home and Community-Based Service pro- visions of the Omnibus Budget Reconciliation Act of 1981 (Public Law 97-35, sec. 2176). The legislation authorizes the Secretary of the Department of Health and Human Services (HHS) to waive cur- rent Federal Medicaid requirements so that States can submit a plan to provide coverage to Medicaid patients for a broad range of home and community-based services. These services are offered according to a written individualized care agenda to patients who would otherwise require care in a skilled nursing home facility or intermediate care facility. The individual' can then make an informed decision and choose between the community care services offered under the waiver or the institutional facility services covered under other Medicaid provisions. The legislation re- quires that each State will provide to the Secretary annually, consistent with a data collection plan designed by the Secretary, information on the impact of the waiver granted under this subsection on the type and amount of medical assis- tance provided under the State plan and on the health and welfare of recipients. On April 17, 1982, we contacted Mr. Andreas Schneider and provided him with an overview of our findings regarding the status of the data collection plan. This letter includes more (973569) K ~ ( V

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