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120178 1 (1979-05-04)

handle is hein.gao/gaobacxvf0001 and id is 1 raw text is: ~er' 1 V ~ ~ * ezu UNITED STATES GENERAL ACCCUNTING OFFICE WASHINGTON, D.C. 20548 j0711 May 4, 1979 120178 Mr. Leonard D. Schaeffer, Administrator Health Care Financing Administration Department of Health, Education, and Welfare Washington, D.C. 20201 Dear Mr. Schaeffer: On October 27, 1978, we reported to your office that during our survey of the recovery of Medicaid overpayments, we learned that New York had not returned the Federal share on about $4.1 million in Medicaid overpayments recovered by the Special Prosecutor's office. In this instance, prompt corrective action was taken by HCFA and the State as indi- cated by your December 20, 1978, response to our letter. Following our initial survey work in New York and Georgia, we decided in December 1978 to broaden our efforts into a detailed review and expand the scope of our work to include three additional States (California, Florida, and South Carolina). Although we have not completed our review in four of the five States, we haveidentified five more cash accounts in which recovered Medicaid funds are deposited and often held for several months or even years before the Federal Government receives credit for its share of the money even though HCFA reporting instructions indicate that all collections should be reported during the quarter received by the State. As shown below, the five additional accounts identified by us contained about $11.2 million, most of which are Medicaid funds. States or jurisdiction Date Balance New York City - Account No. 1 New York City - Account No. 2 Georgia South Carolina Florida Total 12/31/78 12/31/78 3/31/79 2/28/79. 3/31/79 a/ Includes Medicaid, AFDC, assistance to deaf and miscellaneous program funds. b/ The Federal Government received credit of some of these funds on the December Expenditure Report--see page 11. $ 3,123,103 a/ 2,215,503 822,537 1,463,658 b/ 3,531,102 $11,155,903 blind and for its share 1978 Quarterly AZ '~ HUMAN-RESOURCES DIVISION

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