NHeLP Analysis and Fact Sheets
- Medicaid Cost Containment (July '11)
Other Materials:
- Medicaid Maximization Primer, by Gordon Bonnyman (Feb.
2011) - Office of Inspector General Report on SDW (Social Security Administration – Jan 2006)
Special Disability Workload Issue:
For years, states have been providing Medicaid coverage to thousands of people who should have been covered by Medicare. These individuals are referred to as the Special Disability Workload (SDW). States are owed billions of federal dollars in reimbursement for this Medicaid coverage. For example, it is estimated that the federal government owes California more than $ 800 million.
The University of Massachusetts Medical School’s Centers for Health Care Financing and Centers for Health Care Financing, along with Covington and Burling, collaborated on a project seeking relief for state Medicaid programs that have spent billions of dollars for recipients who could have been eligible for Medicare. The estimated amount that the federal government owes the states is summarized here.
