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Medicaid Behavioral Health: CMS Guidance Needed to Better Align Demonstration Payment Rates with Costs and Prevent Duplication
GAO-21-104466
Sep 27, 2021
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2 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare and Medicaid Services The Administrator of CMS should issue clear and consistent written guidance that highlights the importance of rebasing CCBHC payment rates based on actual costs and provides more detailed information on when and how states should rebase their rates, such as suggested time frames. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare and Medicaid Services The Administrator of CMS should provide clear and consistent written guidance to states on how to avoid potential duplication between Medicaid CCBHC payments and other Medicaid payments. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Electronic Health Records: DOD Has Made Progress in Implementing a New System, but Challenges Persist
GAO-21-571
Sep 20, 2021
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3 Open Recommendations
Agency Affected Recommendation Status
Department of Defense The Secretary of Defense should direct the Program Executive Officer of Defense Health Management Systems to develop an approach for retesting the incidents identified by testers to ensure that the incidents have been resolved. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Secretary of Defense should direct the Program Executive Officer of Defense Health Management Systems to improve the effectiveness of MHS GENESIS training by ensuring it is relevant to user roles. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Secretary of Defense should direct the Defense Health Agency Chief Health Informatics Officer to ensure users are aware of system changes and to monitor users' awareness of changes. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Chronic Health Conditions: Federal Strategy Needed to Coordinate Diet-Related Efforts
GAO-21-593
Sep 16, 2021
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1 Open Recommendations
Agency Affected Recommendation Status
Congress Congress should consider identifying and directing a federal entity to lead the development and implementation of a federal strategy to coordinate diet-related efforts that aim to reduce Americans' risk of chronic health conditions. The strategy could incorporate elements from the 2011 National Prevention Strategy and should address outcomes and accountability, resources, and leadership. (Matter for Consideration 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Medicaid Home- and Community-Based Services: Evaluating COVID-19 Response Could Help CMS Prepare for Future Emergencies
GAO-21-104401
Sep 08, 2021
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2 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare and Medicaid Services The CMS Administrator should develop procedures to monitor temporary changes to Medicaid HCBS programs during public health emergencies. This should include procedures for collecting and analyzing data during emergencies on the effects of these changes. (Recommendation 1)
Open
As of September 2021, we are awaiting updates from the agency.
Centers for Medicare and Medicaid Services The CMS Administrator should evaluate the temporary changes to Medicaid HCBS programs after the COVID-19 emergency and develop corrective action plans to address any opportunities for improvement it identifies. (Recommendation 2)
Open
As of September 2021, we are awaiting updates from the agency.
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