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Medicaid: State Views on Program Administration Challenges

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Report Type Reports and Testimonies
Report Date April 30, 2020
Release Date June 1, 2020
Report No. GAO-20-407
Summary:

Medicaid is administered at the state level and overseen at the federal level. State Medicaid officials identified some federal policies that pose challenges for effective program administration.

For example:

Residents of certain mental health institutions are generally excluded from Medicaid coverage. This can make it harder to offer a full range of services to people with complex or changing mental health needs.

Medicaid prescription drug coverage includes newer outpatient prescription drugs that cost more and don’t have proven benefits.

Medicaid is working to address some of the challenges identified by state officials.

A stethoscope on a medical bill with a calculator

A stethoscope on a medical bill with a calculator

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