| | Improper Payments Statutory or Regulatory Barriers
Instructions:
VIII. Describe any statutory or regulatory barriers which may limit the agencies’ corrective actions in reducing improper payments and actions taken by the agency to mitigate the barriers’ effects.
A. Medicare Fee-For-ServiceNo statutory or regulatory barriers for limiting corrective actions have been identified. B. Medicare AdvantageStatutory or regulatory barriers for limiting corrective actions will not be known until full implementation is complete and results are available. C. Medicare Prescription Drug BenefitStatutory or regulatory barriers for limiting corrective actions will not be known until full implementation is complete and results are available. D. MedicaidStatutory or regulatory barriers for limiting corrective actions will not be known until full implementation is complete and results are available. E. State Children’s Health Insurance ProgramStatutory or regulatory barriers for limiting corrective actions will not be known until full implementation is complete and results are available. F. Temporary Assistance for Needy FamiliesCorrective actions that could help reduce improper payments would have to be implemented at the state level. The TANF statute prohibits HHS from requiring state TANF agencies to implement and report on corrective actions. G. Foster CareProgram regulations define the sample size, the disallowance assessment following the primary review, including an additional disallowance extrapolation following the secondary review, and the current corrective action process. Any proposed changes in the compliance framework or current methodology for estimating improper payments would need to go through the rulemaking process. H. Head StartNo statutory or regulatory barriers for limiting corrective actions have been identified. I. Child Care and Development FundStatutory or regulatory barriers for limiting corrective actions will not be known until full implementation is complete and results are available.
Report Date: November 15, 2007
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