Federal oversight of the manner in which states pay for Medicaid-covered managed long-term services and supports and of the data states use to set the rates for those services and supports is lacking, according to a new study by the U.S. Government Accountability Office.
In a review of such practices in six states, GAO found that states are not adequately linking payments and penalties to performance toward achieving MLTSS goals for providing more care in the community and are using outdated data to set rates that federal regulations require to be “appropriate and adequate.”
Learn more about what the GAO found in its review of state delivery of Medicaid MLTSS services in its new report Improved Oversight Needed of Payment Rates for Long-Term Services and Supports, which can be found here.