GAO report suggests HHS Medicaid waiver program lacks transparency

May 12, 2015

The HHS lacks transparency in how it makes approval decisions about billions of dollars in experimental projects in the Medicaid program, according to a report from the Government Accountability Office. The GAO report concerns so-called 1115 waivers that the federal government grants to allow states to run test programs that would not otherwise be allowed under Medicaid. For example, states could alter the eligibility or benefits under Medicaid.