Health Payer Intelligence December 29, 2020
Hannah Nelson

As state reliance on provider taxes and local government funds for Medicaid payments grows, GAO calls for CMS data on state Medicaid financing.

States are increasingly relying on provider taxes and local government funds for their share of federal Medicaid payments according to a new Government Accountability Office (GAO) report. Officials are also calling for CMS to improve oversight by collecting data on state Medicaid payment arrangements.

The report is based on CMS data and interviews with CMS officials and Medicaid officials in 11 states, as well as a questionnaire distributed to all state Medicaid agencies. The states were selected partially based on Medicaid spending and geographic diversity.

According to the report, 28 percent of states’ shares of Medicaid payments...

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