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![handle is hein.gao/gaobachhx0001 and id is 1 raw text is:
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Attsiolbl. kofts t the ti dRcait Ba sestt Iatotmttn
sates ire Not ein9 Belsed. W-e78151; B-16%tCt1.)
septester 26, 1978. 49 pp. * 2 appnioes (4 pp.).
IQpot to Son. WUey I, ackaon Chazas, ststt Committee an
Goverontel *ttait lersatest Su lca tte cm laUvetgmtilon
by tier B. Stasts, Comptroller Geserl.
lIsse IZeZ aH th Pugrsz CospliasCe With Fimasiug uLs eat
*@01&ti@M| (1207) .
Cotact: a BenImoutees Div.
Budget Zuactios: Wesith; General Weslth ii aaing issisteace
(53S)
Ozgal isstlc Cortarleld: bepmrtt of Welth, Idmtiom, atn
Congressiona elevance; esete Coasittee on CoerUmeatal
Aftai:rs Persnent Subcositte m n Ivetlgtions. See.
Autority: eicrae asd sdticoi Ati-ftat ead bae Atk (V.&.
95-141. 5~ialL Security Act, title M, F.L 92-603. A12
C.r.I. '450. . !1470 195th Coaq.) . #.I. 7C79 t95tjA Cong.| . K*
lipt 92-231.
Mediceid eshagemeat Xlforwation sytees are integratod
computer processing oertioas ised by the States to 1xoces and
pay bills for health care services provide to idicsld
reciptets, store ad r trive. service ad ejanat data for use
In mcnitoxing mod smalyldi proqrss sctlvit y, end goerate
mallgese!t tports. A revieu of the mdicaid eangemmnt
intonaetion Msces ia thre Statems-Oio, Nichiga an4
ambiagtoo-laticate that the States have not realisad the full
pOtatatl of their syatems. Fisdig/Comclsiomne Although
approved by the Dpartment of Wilth, lducatiom, and selfarle
(MI), ti systema do sot seat eiresesta Of the law,
iPlaemtiag roigulatioas or Hil'. aieiuietzstiv e nqaigelnts.
Sose systems are .udedevloped ani,/or underum4d, m4 as a
result, neither the federal Ooverniet act the States are
rnaiag all benfits aspectad. Btu lacks. Information ion the
cest at the mystiss a4 cannot effctively mntor or contbol
admiistrativs espesditmrea because of listaltions ia
cost-repeints requtreants. HE bus not regu re4 the States to
develop or port the cost of operating the syatems In detail.
Th. systems' 4at base is oftoa tucompatihie with the meblsaisai
paymst systems used ky uehicaze cartier* A d birders tisaly,
accurate, and bachntised4 exchange of payment data,
liimaettions; The Secretary of IRK should: develop written
approval piccedurea for uae by NEM personnel i approving State
infonation systems; update the genotl systems dkign aad the
program regulation guide to reflect system aszpionos to date;
assist the States in developinq medically acceptable d4fmittons
of medical practice which correlate medical diaqoovsia](ViewImageLocal?handle=hein.gao/gaobachhx0001&div=1&collection=&method=preview&ext=.png&size=3)