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Government Accountability Office

Medicaid Assisted Living Services: Improved Federal Oversight of Beneficiary Health and Welfare is Needed, January 05, 2018

What GAO Found State Medicaid agencies in 48 states that covered assisted living services reported spending more than $10 billion (federal and state) on assisted living services in 2014. These 48 states reported covering these services for more than 330,000 beneficiaries through more than 130 different programs. Most programs were operated under Medicaid waivers that allow states to target certain populations, limit enrollment, or restrict services to certain geographic areas. With respect to oversight of their largest assisted living programs, state Medicaid agencies reported varied approaches to overseeing beneficiary health and welfare, particularly in how they monitored critical incidents involving beneficiaries receiving assisted living services. State Medicaid agencies are required to protect beneficiary health and welfare and operate systems to monitor for critical incidents--cases of potential or actual harm to beneficiaries such as abuse, neglect, or exploitation. Twen

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From GAO (Health Care)

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