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Federal, State, and Local Governments
Government Finance and Employment Classification Manual

FUNCTION CODE:   74 NAME:    Vendor Payments for Medical Care
SECTOR:    General APPLIES TO:    Finance |X|    Employment | |
PUBLICATION CATEGORIES:    Social Services and Income Maintenance; Public Welfare; Vendor Payments
DEFINITION:    Payments under public welfare programs made directly to private vendors (i.e., individuals or nongovernmental organizations furnishing goods and services) for medical assistance and hospital or health care, including Medicaid (Title XIX), on behalf of low-income or other medically-needy persons unable to purchase such care.
EXAMPLES:   Payments to private vendors for: physician and other professional medical services, private hospital care, drugs and medicines, dental services, long-term health care (including hospices), home health care, dialysis treatment, medical appliances (e.g., prostheses), ambulatory care, laboratory services, eyeglasses and hearing aids, and so forth; premiums paid to insurers for future medical costs of needy persons. Includes all direct payments to private hospitals or health care providers under Medicaid, general relief, public assistance, and any other Federal or state welfare program.
EXCLUSIONS:   Direct payments to benefited persons themselves (report at Other Cash Assistance Payments, code E68); administrative activities, setting of provider fees and rates, establishing standards, etc. (report at Other Public Welfare, code 79); intergovernmental payments to other public hospitals for medical assistance under public welfare programs (report payments from Medicaid funds at Federal Categorical Assistance Programs, code 67, and payments from all other funds at code 79); medical commodities, services, or other assistance provided through government's own hospitals or health agencies (report at Health, codes 28 / 32, or Own Hospitals, codes 36 / 37); state payments to finance locally-administered medical assistance (Medicaid) programs (report at code 67 [sic]); premiums for health insurance coverage for government's employees (report at function of paying agency or, if a government-wide payment, at Other and Unallocable, code 89).
REFERENCES: - To be added later -
OTHER NOTES:   Report any employment data related to these payments at Other Public Welfare, code 79.
  General Purpose Governments
EXPENDITURES, DIRECT: Federal StateD.C. Large City-County Other LocalSpecial District
E74 Current Operations N YY Y YN
* Shows whether data are collected (Y) or not (N) for that type.