States vary in how they document financial eligibility for Medicaid long-term-care coverage and no state had adopted an electronic asset verification system as of late 2011, the Government Accountability Office said.
In a letter to Sens. Orrin Hatch (R-Utah) and Tom Coburn (R-Okla.) (PDF), the federal watchdog agency said its 2011 survey of state Medicaid programs sought information on documentation and third-party verification for 13 types of assets widely used to determine eligibility for Medicaid long-term-care coverage, which financed nearly half of U.S. long-term-care costs in 2010.
The GAO conducted a Web survey of Medicaid officials in October and November 2011 and found most sought proof from applicants for most of the asset types, which included earned income, unearned income, financial and investment resources, among others. The survey also found states typically sought external data from six of 10 identified sources, such as the Social Security Administration and unemployment records.