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HRD-85-28 1 (1985-02-07)

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BY THE US, GENERAL ACCOUNTNG OF CE



Report To The Chairman

Committee On Veterans' Affairs

United States Senate




Administration Of And

Veterans' Participation In

The VA Beneficiary Travel Program

The Veterans Administration (VA) pays transportation expenses of eligible
veterans who travel between their residences and medical facilities for treat-
ment and assistance. In fiscal year 1984, these expenses totaled over $91
million.

GAO judgmentally selected 13 medical centers out of 168 VA medical facilities
throughout the nation and evaluated internal controls over these travel expend-
itures. The centers visited were, in GAO's opinion, generally implementing
appropriate internal control techniques to prevent fraud and program abuse
and minimize error and waste in the beneficiary travel program.

GAO also identified and evaluated 13 situations related to beneficiary travel
that it considered particularly vulnerable to abuse or mismanagement. All but
four of these areas of vulnerability generally appeared to be adequately con-
trolled. GAO recognizes that program abuses related to (1) car pooling, (2)
address validation, (3) income certification, and (4) requests for unneeded
medical care will be extremely difficult to control. Moreover, when compared
to the relatively low median travel cost per trip for the veterans GAO inter-
viewed, the costs to implement additional controls would, in GAO's opinion,
appear to exceed the expected benefits. Notwithstanding these areas of
vulnerability, the centers visited were generally implementing the beneficiary
travel program in a prudent manner.

This report also contains (1) information on VA's process of budgeting and
allocating funds forthe beneficiary travel program and (2) profile data for 1,512
veterans interviewed at the 1 3 centers visited.




                                                                  126402



                                                                  GAO HRD-85-28
    1CCOU\   '                                                 FEBRUARY 7,1985

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