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GAO-02-147 October 2001GAO ReportReport to Congressional Requesters United States General Accounting Office Medicaid: HCFA Reversed Its Position and Approved Additional State Financing Schemes Results in Brief HCFA reversed its stated position that it would deny approval of any pending state plan amendments that would not comply with the new upper payment limit regulation. The position reversal resulted in its approval of new financing schemes for several states including Virginia and Wisconsin that had pending proposals mimicking the schemes identified last year. These schemes include funneling excessive Medicaid payments through local governments on behalf of nursing homes to secure . . .

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