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089011 1 (1977-05-23)

handle is hein.gao/gaobacuzx0001 and id is 1 raw text is: UNITED STATES GENERAL ACCOUNTING OFFICE REGIONAL OFFICE uTH FLOOR PATRICK V MCNAMARA FEDERAL BUILDING 477 MICHIGAN AVENUE DETROIT, MICHIGAN 48226 MAY 2 3 1977 Mr. Clyde Downing Regional Commissioner, SRS HEW Region V 300 S. Wacker Drive Chicago, Illinois 60606 Dear Mr. Downing* As you know, we reviewed four Ohio nursing homes to see if they were forcing relatives of Medicaid patients to contribute to the cost of providing medical care. A report on the results of that and similar work in several other States is being prepared for the Senate Special Committee on Aging, which requested the reviews. As described below, we found several problems in Ohio, other than forced contributions, which we believe warrant your attention. OTTERBEIN HOME LEBANON, OHIO During 1975 Otterbein Home received $400,200 in voluntary contributions in the form of gifts, bequests, annuities, and offerings from individuals and various organizations. Since Medicaid regulations do not specify how such contributions should be treated, the State of Ohio follows the policy outlined in HEW's Medicare Pro- vider Reimbursement Manual. The manual permits two types of contributions--restricted and unrestricted. Restricted contributions are those designated by the donor for paying certain provider operating costs, or groups of costs, or costs of specific groups of patients. Unrestricted con- tributions are those given without restriction by the donor as to use. The manual requires nursing homes to deduct restricted contributions from the costs of care billed to the State for reimbursement, thus reducing the State's share of the costs Unrestricted contributions do not have to be deducted.

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