Page:United States Statutes at Large Volume 91.djvu/1231

 91 STAT. 1197

PUBLIC LAW 95-142—OCT. 25, 1977

"(B) to cooperate with the State (i) in establishing the paternity of such person (referred to in subparagraph (A)) if the person is a child born out of Avedlock, and (ii) in obtaining support and payments (described in subparagraph (A)) for himself and for such person, unless (in either case) the individual is found to have good cause for refusing to cooperate as determined by the State agency in accordance with standards prescribed by the Secretary, which standards shall take into consideration the best interests of the individuals involved; and "(2) provide for entering into cooperative arrangements Cooperative (including financial arrangements), with any appropriate agency arrangements of any State (including, with respect to the enforcement and with State collection of rights of payment for medical care by or through a agencies. parent, with a State's agency established or designated under section 454(3)) and with appropriate courts and law enforcement 42 USC 654. officials, to assist the agency or agencies administering the State ->;; to support or payment assigned under this section and (B) any other maltters of common concern. "(b) Such part of any amount collected by the State under an Retainages. assignment made under the provisions of this section shall be retained by the State as is necessary to reimburse it for medical assistance payments made on behalf of an individual with respect to whom such assignment was executed (with appropriate reimbursement of the " Federal Government to the extent of its participation in the financing of such medical assistance), and the remainder of such amount collected shall be paid to such individual.". (c) The amendment made by subsection (a) shall apply with respect Effective date. to medical assistance provided, under a State plan approved under 42 USC 1396b note. title X IX of the Social Security Act, on and after January 1, 1978. 42 USC 1396.
 * J plan with respect to (A) the enforcement and collection of rights

STUDY AND REVIEW OF MEDICARE CLAIMS PROCESSING

SEC. 12. The Comptroller General of the United States shall conduct a comprehensive study and review of the administrative structure established for the processing of claims under title X VIII of the Social Security Act, for the purpose of determining whether and to what extent more efficient claims administration under such title could be achieved— (1) by reducing the number of participating intermediaries and carriers; (2) by making a single organization responsible for the processing of claims, under both part A and part B of such title, in a particular geographic area; (3) by providing for the performance of claims processing functions on the basis of a prospective fixed price; f (4) by providing incentive payments for the most efficitmt organizations; or (5) by other modifications in such structure and related procedures. The Comptroller General shall submit to the Congress no later than July 1, 1979, a complete report setting forth the results of such study and review, together with his findings and his recommendations with respect thereto. ABOLITION OF PROGRAM REVIEW TEAMS UNDER

42 USC 1395W °°t^42 USC 1395.

Report to Congress,

MEDICARE

SEC. 13. (a) Section 1862(d) of the Social Security Act is amended 42 USC 1395y. by striking out paragraph (4).

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