Medicaid Program: Federal Oversight of Payments and Program Integrity Needs Improvement (GAO-12-674T)

April 25, 2012
The Government Accountability Office (GAO) presented the testimony in April 2012 to two subcommittees of the congressional House Committee on Oversight and Government Reform. The testimony was based on GAO’s prior reviews of the Medicaid program conducted from June 1993 through December 2011. These reviews focused on federal oversight related to state rate setting for managed care arrangements, supplemental payments, and program integrity. A key finding was that data gaps prevent the federal Centers for Medicare and Medicaid Services from ensuring that states set appropriate, actuarially sound Medicaid managed care rates.
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