Medicaid Financing: Long-standing Concerns about Inappropriate State Arrangements Support Need for Improved Federal Oversight

April 3, 2008 This study by the United States Government Accountability Office describes findings from prior work conducted from 1994 through March 2007 on certain inappropriate state Medicaid financing arrangements and their implications for Medicaid's fiscal integrity and outcomes and transparency of a Centers for Medicare and Medicaid Services oversight initiative begun in 2003 to end such inappropriate arrangements. The fiscal problems include what the report describes as a disproportionate burden on the federal government, which takes funding intended for covered Medicaid costs from providers . . .