Medicare Secondary Payer: Process for Situations Involving Non-Group Health Plans (open access)

Medicare Secondary Payer: Process for Situations Involving Non-Group Health Plans

Testimony issued by the Government Accountability Office with an abstract that begins "The Centers for Medicare & Medicaid Services (CMS) is responsible for protecting the Medicare program's fiscal integrity and ensuring that it pays only for those services that are its responsibility. Medicare Secondary Payer (MSP) provisions make Medicare a secondary payer to certain group health plans (GHP) and non-group health plans (NGHP), which include auto or other liability insurance, no-fault insurance, and workers' compensation plans. CMS has the right to recover Medicare payments made that should have been the responsibility of another payer, but CMS has not always been aware of these MSP situations. In 2007, Congress added mandatory reporting requirements for GHPs and NGHPs that should enable CMS to be aware of MSP situations. CMS reports that mandatory reporting was pushed back from 2009 to 2011 for some NGHPs and from 2009 to 2012 for others, in part due to concerns raised by the industry. GAO was asked to present background information about the MSP process as it pertains to NGHPs. To do this work, GAO reviewed relevant CMS documentation, including MSP regulations, manuals, and user guides, and conducted an interview with CMS related to mandatory reporting and …
Date: June 22, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Medicare Part D: Changes in Utilization Similar for Randomly Reassigned and Other Low-Income Subsidy Beneficiaries (open access)

Medicare Part D: Changes in Utilization Similar for Randomly Reassigned and Other Low-Income Subsidy Beneficiaries

Correspondence issued by the Government Accountability Office with an abstract that begins "To help defray out-of-pocket prescription drug costs for limited or low-income Medicare beneficiaries, the Medicare Part D outpatient prescription drug program offers a low-income subsidy (LIS) for eligible beneficiaries. In 2010, about 9.4 million beneficiaries received the LIS--about 40 percent of the approximately 23 million Medicare Part D beneficiaries in that year. Most of the LIS beneficiaries received the full LIS, thus paying no premiums or deductibles as long as they enrolled in so-called "benchmark" stand-alone prescription drug plans (PDP). Benchmark PDPs are those plans with premiums at or below a specified benchmark for a given geographic region, calculated by the Centers for Medicare & Medicaid Services (CMS), the agency within the Department of Health and Human Services (HHS) that administers the Medicare program. Full LIS beneficiaries may also enroll in other Part D plans--either nonbenchmark PDPs or Medicare Advantage prescription drug plans (MAPD)-- but must pay any difference between the premium of the plan in which they choose to enroll and the benchmark for their region. Because plan premiums can change from year to year and because CMS recalculates the premium benchmarks annually, some PDPs may be …
Date: June 22, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
DOD Financial Management: Weaknesses in Controls over the Use of Public Funds and Related Improper Payments (open access)

DOD Financial Management: Weaknesses in Controls over the Use of Public Funds and Related Improper Payments

A publication issued by the Government Accountability Office with an abstract that begins "The Department of Defense (DOD) is required to design and implement effective internal controls, including controls over its use of public funds ("funds controls") and controls over its payment processes ("payment controls"). As a steward of the public's resources, DOD is responsible and accountable for (1) using public funds efficiently and effectively and for the purposes and within the time frames and amounts prescribed by law, (2) making payments to the right parties in the correct amount within allowable time frames and recouping any improper payments, and (3) accurately recording and reporting on its transactions and use of public funds. GAO's testimony focuses on (1) challenges DOD faces in its funds control, and their effect on the reliability of DOD's financial information, especially the budgetary information in DOD's Statement of Budgetary Resources and (2) weaknesses in DOD's payment controls that put the department at risk of making improper payments. This statement is based on our prior work and reports issued by the department's Inspector General (DOD IG). The panel requested that GAO provide its perspective on the status of DOD's process for identifying and reporting on improper …
Date: September 22, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Incapacitated Adults: Improving Oversight of Federal Fiduciaries and Court-appointed Guardians (open access)

Incapacitated Adults: Improving Oversight of Federal Fiduciaries and Court-appointed Guardians

A publication issued by the Government Accountability Office with an abstract that begins "Today's hearing is on the appointment and oversight of guardians. As people age, they often reach a point when they are no longer capable of handling their own finances or have difficulty making other decisions for themselves. To ensure that federal cash payments received by incapacitated adults are used in their best interest, the Social Security Administration (SSA), Department of Veterans Affairs (VA), and other federal agencies assign a responsible third party or fiduciary to oversee these benefits. SSA and VA can designate spouses, other family members, friends, and organizations to serve as fiduciaries. Similarly, when state courts determine that adults are incapacitated, they have the authority to grant other persons or entities--guardians--the authority and responsibility to make financial and other decisions for them. Incapacitated adults are vulnerable to financial exploitation by fiduciaries and guardians, so these arrangements are not without risk. In 2010, we identified hundreds of allegations of abuse, neglect, and exploitation by guardians in 45 states and the District of Columbia between 1990 and 2010. At that time, we reviewed 20 of these cases and found that guardians had stolen or otherwise improperly obtained …
Date: September 22, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Homeland Security: DHS and TSA Acquisition and Development of New Technologies (open access)

Homeland Security: DHS and TSA Acquisition and Development of New Technologies

A publication issued by the Government Accountability Office with an abstract that begins "Within the Department of Homeland Security (DHS), the Transportation Security Administration (TSA) is responsible for developing and acquiring new technologies to address homeland security needs. TSA's acquisition programs represent billions of dollars in life-cycle costs and support a wide range of aviation security missions and investments including technologies used to screen passengers, checked baggage, and air cargo, among others. GAO's testimony addresses three key challenges identified in past work: (1) developing technology program requirements, (2) overseeing and conducting testing of new technologies, and (3) incorporating information on costs and benefits in making technology acquisition decisions. This statement also addresses recent DHS efforts to strengthen its investment and acquisition processes. This statement is based on reports and testimonies GAO issued from October 2009 through September 2011 related to TSA's efforts to manage, test, and deploy various technology programs."
Date: September 22, 2011
Creator: United States. Government Accountability Office.
System: The UNT Digital Library
Texas Attorney General Opinion: GA-0893 (open access)

Texas Attorney General Opinion: GA-0893

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Greg Abbott, regarding a legal question submitted for clarification: Whether a city that has adopted civil service rules for its police officers under chapter 143 of the Local Government Code may authorize a reserve police force (RQ-0972-GA)
Date: November 22, 2011
Creator: Texas. Attorney-General's Office.
System: The Portal to Texas History
Texas Attorney General Opinion: GA-0900 (open access)

Texas Attorney General Opinion: GA-0900

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Greg Abbott, regarding a legal question submitted for clarification; Whether Government Code section 2157.0611, concerning the procedure for making certain catalog purchases, applies to an independent school district (RQ-0980-GA)
Date: December 22, 2011
Creator: Texas. Attorney-General's Office.
System: The Portal to Texas History
Texas Attorney General Opinion: GA-0901 (open access)

Texas Attorney General Opinion: GA-0901

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Greg Abbott, regarding a legal question submitted for clarification; Sheriff's use of the county jail commissary fund to train inmates to perform certain activities (RQ-0981-GA)
Date: December 22, 2011
Creator: Texas. Attorney-General's Office.
System: The Portal to Texas History
Texas Attorney General Opinion: GA-0902 (open access)

Texas Attorney General Opinion: GA-0902

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Greg Abbott, regarding a legal question submitted for clarification; Authority of the Higher Education Coordinating Board to adopt a complaint procedure that complies with the program integrity regulations established by the Federal Department of Education (RQ-0982-GA)
Date: December 22, 2011
Creator: Texas. Attorney-General's Office.
System: The Portal to Texas History
Texas Attorney General Opinion: GA-0903 (open access)

Texas Attorney General Opinion: GA-0903

Document issued by the Office of the Attorney General of Texas in Austin, Texas, providing an interpretation of Texas law. It provides the opinion of the Texas Attorney General, Greg Abbott, regarding a legal question submitted for clarification: Authority of a county attorney to enforce a bail bond forfeiture judgement that is more than twelve years old.
Date: December 22, 2011
Creator: Texas. Attorney-General's Office.
System: The Portal to Texas History
Top transit industry association taps DART's Thomas (open access)

Top transit industry association taps DART's Thomas

News release about the election of Gary Thomas, the president of DART, as the APTA Chair.
Date: September 22, 2011
Creator: Lyons, Morgan & Ball, Mark
System: The Portal to Texas History
DART Announces July 4 Holiday Schedule (open access)

DART Announces July 4 Holiday Schedule

News release about DART's reduced service schedule in observance of the Independence Day holiday.
Date: June 22, 2011
Creator: Lyons, Morgan & Ball, Mark
System: The Portal to Texas History
DART Makes Route and Schedule Modifications (open access)

DART Makes Route and Schedule Modifications

News release about adjustments being made to DART's bus routes and schedules.
Date: August 22, 2011
Creator: Lyons, Morgan & Ball, Mark
System: The Portal to Texas History
New website design puts focus on rider tools, trip information (open access)

New website design puts focus on rider tools, trip information

News release about DART's new website design, which puts a greater emphasis on rider and trip planning tools.
Date: August 22, 2011
Creator: Lyons, Morgan & Ball, Mark
System: The Portal to Texas History