Far and away, the largest portion of the state budget is consumed by health and human services, which accounts for nearly half of the state budget. In 2011, spending for just MassHealth, the state’s Medicaid program, amounted to $9.8 billion to provide health care to 1.3 million eligible residents, including people of low income, children, seniors, and the disabled. Because of the number of people served and the size of the appropriation, the OSA maintains a dedicated Medicaid Audit Unit.
In 2011, the OSA issued 13 health and human services audits pertaining to agencies, providers, and programs. Utilizing both agency and contract workers, these entities provide a broad array of services, including medical assistance; public health initiatives; mental health programs; family services; programs that serve the developmentally disabled; rehabilitation services, and child protection.