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

HRD-77-131 1 (1977-08-23)

handle is hein.gao/gaobaacpo0001 and id is 1 raw text is: DOCUMENT RESUME 03365 - CA2373517i Supplemental Security Income Overpayments to Medicaid Nursizg Home Residents Can Be Reduced. RPD-77-131; B-164031 (4). August 23, 1977. 12 pp. + 2 appendices (3 pp.). Report to the Congress; by Elmer B. Staatj, Comptroller General. Issue Aree: Income Security Programs: Program Monitoring and Administration (1300). Contact: Human Resolurces Div. Budget Function: Income Security: ?ublic Assistance and Other Income Suppletients (604); Health: Nursing Homes (557). Organization Concerned; Department of Health, Education, and Welfare; Health Care Financi.ag Administration; Soci'l Security Administration. congressional Relevance: Fouse Committee on Ways and Means; Senate Committee on Finance; Congress. Authority: Social Security Act, as amended (42 U.S.C. 1382-1382f (Supp. V)). Social Security Amendments of 1972 (42 ,T.S.C. 1381 (Surp. -,Y)). 20 C.F.P. 416.705. When recipients of Supplemental Security Income enter nursing homes, their payments should bi reduced because Ladicaid pays the cost of nursing home care. Findings/Conclusions: In 1975, overpayments of about $7.6 million were made to SST recipients in California and Florida because the Social Secrity Administration (SSA) did not know that the recipients hai been admitted to nursing homes. The majority of these overpayments could have been prevented through timely reporting of nursing home admissions. Social Security regulations require the recipient, or person authorized to accept his payments, to ieport admissions, but only 3% of admissions reviewed by GAD were reported. The regulations do not establish other methods for obtaining the information, Some SSA district offices, on their own initiative, made informal arrangements with nursing homes to report admissions, and with proper encouragement, this was found to be an effective means of obtaining timely reports. Recommendations: The Commissioner of SSA should: reqirire the district offices to provide forms to nursing homes for reporting admissions: and actively work with tIhe nursing homes to obtain timely reports. The Administrator of the Health Care Financing Administration should have the States establish procedures requiring nursing homes participating in the Medicaid program to report admissions of recipients to district offices promptly. (Author.'/TW)

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