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Office of Medicaid (MassHealth)

71 audits on record · $238,848,669 identified across them

MassHealth is the Massachusetts Medicaid and Children's Health Insurance Program, providing health coverage to eligible lower-income residents. Official site ↗ · source

Audit of the Office of Medicaid (MassHealth) - Review of Payment for Telehealth Adult Foster Care and Group Adult Foster Care (September 4, 2024) September 4, 2024 $22,979,654
Audit of the Office of Medicaid (MassHealth) - Review of Claims Submitted by Dr. Frederick Wagner Jr. September 24, 2019 $310,112
Audit of the Office of Medicaid (MassHealth) - Review of Claims Paid for Services by City Home Care, LLC September 21, 2020
Audit of the Office of Medicaid (MassHealth) - Review of Claims Paid for Services by Beyond Healthcare Agency, LLC September 21, 2020
Office of Medicaid (MassHealth) - Review of Hospice Care Billing: HopeHealth Massachusetts, Inc. September 21, 2017
Audit of the Office of Medicaid (MassHealth) - Review of Claims Paid for Day Habilitation Services Provided by United Cerebral Palsy (UCP) September 19, 2019
Office of Medicaid (MassHealth) Review of Controls over Mobility-Assistive Equipment September 16, 2015 $540,801
Audit of the Office of Medicaid (MassHealth) - A Review of MassHealth Member Eligibility at the Tewksbury Enrollment Center October 9, 2020
Audit of the Office of Medicaid (MassHealth) - A Review of MassHealth Member Eligibility at the Taunton Enrollment Center October 9, 2020
Audit of the Office of Medicaid (MassHealth) - A Review of MassHealth Member Eligibility at the Springfield Enrollment Center October 9, 2020
Audit of the Office of Medicaid (MassHealth) - A Review of MassHealth Member Eligibility at the Chelsea Enrollment Center October 9, 2020
Office of Medicaid (MassHealth) Claims for Wheelchair-Van Services Submitted October 5, 2015 $16,450,668
Audit of the Office of Medicaid (MassHealth) - Review of Durable Medical Equipment Providers (October 30, 2025) October 30, 2025 $55,715
Office of Medicaid (MassHealth) - Review of Hospice Care Billing: Good Shepherd Community Care October 25, 2017
Audit of the Office of Medicaid (MassHealth) - Review of Accounts Receivable October 18, 2019
MassHealth's Eligibility Determination Process for Healthcare Services October 17, 2012
Audit of the Office of Medicaid (MassHealth) - Review of Payment for Telehealth Adult Day Health (October 1, 2024) October 1, 2024 $337,829
Audit of the Office of Medicaid (MassHealth) - Review of Telehealth November 23, 2022
Audit of the Office of Medicaid (MassHealth) - Review of Claims Paid for Services by ActiveLife Adult Day Care, Inc. November 14, 2019
Audit of the Office of Medicaid (MassHealth) - Review of Claims Submitted by Dr. Ileana Berman November 14, 2018 $251,998
Audit of the Office of Medicaid (MassHealth) - Review of Transportation Services (May 8, 2025) May 8, 2025
Audit of the Office of Medicaid (MassHealth) - Review of Claims Submitted by Dr. Nicholas Franco May 26, 2022
Audit of the Office of Medicaid (MassHealth) - Review of Claims Submitted by Dr. Melissa Hamilton May 26, 2022
Office of Medicaid (MassHealth) Review of Dental Periapical Radiograph Claims Submitted by Hampshire Family Dental and Orchard Family Dental May 17, 2016
Review of Claims Submitted to MassHealth by the Office of Dr. Doreen Chong, DDS May 10, 2011 $164,632
Review of Claims Submitted for MassHealth by the Office of Dr. Melvin M. Frankel, DMD May 10, 2011 $202,703
Audit of the Office of Medicaid (MassHealth) - Review of Counseling Provided to MassHealth Members Receiving Medication-Assisted Treatment for Opioid Use Disorders March 21, 2019
Audit of the Office of Medicaid (MassHealth) - Review of Claims Paid for Services Provided by Liberty Adult Day Health March 15, 2019
Audit of the Office of Medicaid (MassHealth) - Review of Claims Paid for Services Provided by Cozy Corner Adult Day Health March 15, 2019
Office of Medicaid (MassHealth) Review of Controls over Dentist Billings for Detailed Oral Screenings and Other Dental Procedures March 11, 2013 $37,687
Audit of the Office of Medicaid (MassHealth) - Review of Claims by Reen & Reen, DMD, P.C. June 8, 2018
Audit of the Office of Medicaid (MassHealth) - Review of Claims Paid for Services Provided by Norwood Adult Day Health Center June 6, 2019
Office of Medicaid (MassHealth) Review of Non-Emergency Ambulance Transportation June 5, 2015
Audit of the Office of Medicaid (MassHealth) - Massachusetts Delivery System Reform Incentive Payment Program June 29, 2022
Audit of the Office of Medicaid (MassHealth) - Review of Claims Paid for Services by Somerville-Cambridge Elder Services (SCES) June 29, 2020
Audit of the Office of Medicaid (MassHealth) - Review of Claims Paid for Services by Old Colony Elder Services (OCES) June 29, 2020
Audit of the Office of Medicaid (MassHealth) - Review of Capitation Payments (June 28, 2023) June 28, 2023
Audit of the Office of Medicaid (MassHealth) - Review of Estate Recovery June 28, 2021
Office of Medicaid Managed Care Organization June 16, 2015 $43,239,295
Audit of Office of Medicaid (MassHealth) - Review of Drug Testing Frequency July 27, 2018 $741,621
Office of Medicaid (MassHealth) - Review of Radiology Claims Submitted by Baystate Mary Lane Hospital July 27, 2015
Office of Medicaid (MassHealth) Review of Controls over Pharmacy Claims July 25, 2013
Audit of the Office of Medicaid (MassHealth) - Review of Claims Paid for Services by WestMass ElderCare, Inc. July 21, 2020
Audit of the Office of Medicaid (MassHealth) - Payments for Hospice-Related Services for Dual-Eligible Members July 20, 2021 $45,834,337
Audit of the Office of Medicaid (MassHealth) - Review of Claims Paid for Services by Boston Senior Home Care (BSHC) July 20, 2020
Audit of the Office of Medicaid (MassHealth) - Review of Vision Care Claims Paid to Dr. Khuong Nguyen July 16, 2018
Audit of the Office of Medicaid (MassHealth) - Review of Continuity of Operations Plan July 15, 2022
Office of Medicaid (MassHealth) - Review of Paid Claims within MassHealth's Adult Foster Care and Group Adult Foster Care Programs July 14, 2016
Audit of the Office of Medicaid (MassHealth) - Review of Claims Submitted by Dr. Joseph O’Connor January 13, 2020 $359,266
Office of Medicaid (MassHealth) Review of Evaluation and Management Claims Submitted by Asaker Medical Associates February 25, 2016
Office of Medicaid (MassHealth)-Review of MassHealth's Progress to Implement Alternative Payment Methodologies February 18, 2016
Office of Medicaid (MassHealth)-Review of Wheelchair Van Services Claims Submitted by Cataldo Ambulance Service February 12, 2016
Office of Medicaid (MassHealth) - Review of Dental Periapical Radiograph Claims Submitted by Sawan & Sawan, DMD February 10, 2017
Office of Medicaid (MassHealth) - Review of Dental Periapical Radiograph Claims Submitted by Our Dentist February 10, 2017
Office of Medicaid (MassHealth) - Review of Dental Periapical Radiograph Claims Submitted by Dr. Najmeh Rashidfarokhi February 10, 2017
Office of Medicaid (MassHealth) - Review of Dental Periapical Radiograph Claims Submitted by Webster Square Dental Care February 10, 2017
Audit of the Office of Medicaid (MassHealth) - Review of Capitation Payments with Multiple Identification Numbers (December 31, 2024) December 31, 2024
Office of Medicaid (MassHealth) - Review of Vision Care Claims Paid to Dr. Wensheng Yao December 22, 2017 $396,962
Audit of the Office of Medicaid (MassHealth) - Review of Claims Paid for Pharmacy Drugs August 29, 2019 $827,092
Office of Medicaid (MassHealth) - Review of Evaluation and Management Claims Submitted by Dr. Hooshang D. Poor August 21, 2017 $224,879
Office of Medicaid (MassHealth) - Review of Evaluation and Management Claims Paid to Lawrence Family Doctors August 16, 2017 $110,548
Office of Medicaid (MassHealth) - Review of Fee-for-Service Payments for Services Covered by the Massachusetts Behavioral Health Partnership April 3, 2017 $92,021,777
Office of Medicaid (MassHealth) - Review of Payments for Nursing-Facility Claims April 28, 2017 $639,445
Office of Medicaid (MassHealth)-Review of Selected Outpatient Evaluation and Management Services Claims Submitted by Dr. Kunwar S. Singh April 27, 2016 $55,390
Office of Medicaid (MassHealth) - Review of Evaluation and Management Claims Paid to Resil Medical Associates, P.C. April 24, 2017 $19,813
Office of Medicaid (MassHealth) Review of Providers Excluded from Participating in the Medicaid Program April 20, 2016 $902,892
Audit of the Office of Medicaid (MassHealth) - Review of Claims Submitted by Dental Arts Lawrence: Dr. Snehal Pingle, Dr. Yuan Fu Shek, and Dr. Ke Wang (April 2, 2025) April 2, 2025 $215
Audit of the Office of Medicaid (MassHealth) - Review of Claims for Drug Test and Screen Services April 19, 2018 $2,294,369
Office of Medicaid (MassHealth)-Review of Claims Submitted by Hudson Home Health Care, Inc. April 19, 2016 $557,006
Office of Medicaid (MassHealth) Medicaid Claims for Drug Screenings April 17, 2013 $9,234,896
Office of Medicaid (MassHealth) - Review of Claims for Durable Medical Equipment April 13, 2017 $57,067