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Accession Number PB2012-114033
Title Medicaid: States Reported Billions More in Supplemental Payments in Recent Years.
Publication Date Jul 2012
Media Count 67p
Personal Author N/A
Abstract States reported $32 billion in Medicaid supplemental payments during fiscal year 2010, but the exact amount of supplemental payments is unknown because state reporting was incomplete. On expenditure reports used to obtain federal funds filed with the Department of Health and Human Services (HHS) Centers for Medicare & Medicaid Services (CMS), states reported the following: A total of $17.6 billion in Disproportionate Share Hospital (DSH) payments. The 10 states reporting the largest total DSH payments in fiscal year 2010 accounted for more than 70 percent of the nationwide total, with 4 states New York, California, Texas, and New Jersey--accounting for almost half (47 percent). DSH payments as a percentage of total Medicaid payments varied considerably--ranging from 1 to 17 percent--among the 50 states that reported DSH payments. A total of $14.4 billion in non-DSH supplemental payments to hospitals and other providers. Because not all states reported these payments separately, complete information is not available. Like DSH payments, non-DSH supplemental payments as a percentage of total state Medicaid spending varied considerably--also ranging from 1 to 17 percent--among the 30 reporting states. These payments can also constitute a large portion of states expenditures for particular categories of services, such as inpatient or outpatient hospital, nursing facility, or physician and surgical services. For example, non-DSH supplemental payments for inpatient hospital services ranged from 1 to 48 percent of state expenditures for these services among reporting states. CMS officials told GAO that they were taking steps to improve states reporting of non-DSH supplemental payments, including working with states to train staff on reporting of payments and on identifying and resolving reporting problems.
Keywords Cost sharing
Disproportionate Share Hospital (DSH)
Federal funds
Federal regulations
Federal/state relations
Health care expenditures
Health care programs
Managed health care
Medical services
Reporting requirements

Source Agency General Accounting Office
NTIS Subject Category 44Q - Health Related Costs
91K - Social Services
43C - Human Resources
Corporate Author Government Accountability Office, Washington, DC.
Document Type Technical report
Title Note N/A
NTIS Issue Number 1226
Contract Number N/A

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