Medicaid
Federal Oversight of Kansas Facility for the Retarded Inadequate Gao ID: HRD-89-85 September 29, 1989Pursuant to a congressional request, GAO reviewed the Health Care Financing Administration's (HCFA) termination and subsequent reinstatement of the Winfield State Hospital and Training Center, Kansas, in the Medicaid program, focusing on whether it: (1) improperly reinstated the facility; (2) obtained state certification for the facility prior to reinstatement; (3) satisfied Medicaid requirements for reinstatement; (4) improperly allowed federal funding to continue following the facility's termination; and (5) made a political deal with Kansas to ensure the facility's reinstatement.
GAO found that HCFA: (1) improperly reinstated the facility when deficiencies still existed; (2) did not obtain state certification or a new provider agreement prior to reinstatement; (3) failed to obtain adequate assurance that the deficiencies would not recur and exceeded its discretionary authority in authorizing reinstatement without such assurance; (4) improperly allowed federal funding to continue following termination; and (5) did not arrange a political deal with Kansas to reinstate the facility.
RecommendationsOur recommendations from this work are listed below with a Contact for more information. Status will change from "In process" to "Open," "Closed - implemented," or "Closed - not implemented" based on our follow up work.
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