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

092882 1 (1970-08-17)

handle is hein.gao/gaobacwti0001 and id is 1 raw text is: 62 S?'4D 0A 41, August 17, 1970 LM092882 Mr. Neil P. Fallon, Regional Commissioner Social and Rehabilitation Service John F. Kennedy Federal Building Government Center Boston, Massachusetts 02203 Dear Mr. Fallon: As you know the Boston Regional Office of the General Accounting Office has made a review of selected aspects of the Medicaid program in Massachusetts. The results of this review are being consolidated with the results of similar reviews conducted in Illinois and California, and a report to Congress is planned. On June 12, 1970 we sent you a letter report bringing to your attention certain matters which may not be included in our con- solidated report but which require corrective action by the State of Massachusetts. Since that time we have determined that there are two other matters which will not be included in our consolidated report, because these conditions were found not to exist in the other two States where the review was performed. REDETERMINATIONS NOT BEING PERFORMED HEW regulations require that when-an individual has been deter- mined eligible for Medicaid the eligibility will be reconsidered or redetermined periodically but at least once every 12 months. This requirement is also provided for in the Massachusetts State Plan for Medical Assistance. Effective November 22, 1969, the Massachusetts Legislature enacted legislation providing that eligibility will be reconsidered or redetermined at least once every 6 months. For purposes of our review, the 12 month criteria was used. During our review of 127 Medicaid case files, we found that for 59 cases (about 46 percent), redeterminations had not been made within the required -12 month period. Of the remaining 68 cases, 51 had been open less than 12 months, and therefore were not required to be redetermined,*and 17 had been redetermined in accordance with the 12 month requirement. ~ ________ UNITED STATES GENERAL ACCOUNTING OFFICE REGIONAL OFFICE 7 ROOM 1903 JOHN F. KENNEDY FEDERAL BUILDING GOVERNMENT CENTER BOSTON, MASSACHUSETTs 02203 C1 001? 1

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