About | HeinOnline Law Journal Library | HeinOnline Law Journal Library | HeinOnline
LOG IN
LOG IN

HRD-81-105 1 (1981-06-30)

handle is hein.gao/gaobabmtw0001 and id is 1 raw text is: UNITED STATES GENERAL ACCOUNTING OFFICE WASHINGTON, D.C. 20548 HUMAN RNESOUR DIVISION tside tln rovaUNlE 301981 B-203592gs6 ' JN3018 The Honorable William L. Clay House of Representatives Dear Mr. Clay:,107 Subject: LAppropriateness of Missouri's Mingling of Medicaid Reimbursement Funds with State General Revenue Fund 7(HRD-81-105) In your March 13, 1981, letter, you requested information on several questions related to the recent 10-percent State budget reduction in Missouri and the resultant dismissal of more than 1,000 employees of the State Department of Mental Health. Your questions involved whether it was legal for Missouri to count Medicaid payments for services provided by the Department of Mental Health as revenue to the State general fund and whether this practice exacerbated cuts in patient care. We reviewed the Medicaid law and regulations and discussed the questions with officials of the Department of Health and Human Services in Washington, D.C., and its regional office in Kansas City, Missouri. We also spoke with State officials from the De- partment of Mental Health and the Office of the State Auditor in Jefferson City, Missouri. In addition, we reviewed applicable State documents and practices. We concluded that the State's handling of Medicaid payments to its Department of Mental Health was permissible under Federal law and regulations. Also, while the budget cuts had a dramatic impact on the Department, the impact-was expected to be relatively short lived, with most of the reduction in employees being restored. The Missouri Department of Mental Health receives State- appropriated general revenue funds to finance most of its opera- tions, Any income for mental health services covered by Medicaid (or Medicare) is considered a reimbursement to the State for those services and is credited to the general revenue account. Thus, Medicaid payments received by the Department, go dollar for dollar for patient services. Missouri, or any State, can legally combine (106204) C-/7 4/6s

What Is HeinOnline?

HeinOnline is a subscription-based resource containing thousands of academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Contact us for annual subscription options:

Contact Us

Already a HeinOnline Subscriber?

Log In

profiles profiles most