Organization: | Office of the State Auditor |
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Date published: | July 15, 2022 |
Executive Summary
The Office of the State Auditor (OSA) receives an annual appropriation for the operation of a Medicaid Audit Unit to help prevent and identify fraud, waste, and abuse in the Commonwealth’s Medicaid program. This program, known as MassHealth, is administered under Chapter 118E of the Massachusetts General Laws by the Executive Office of Health and Human Services (EOHHS), through the Division of Medical Assistance. Medicaid is a joint federal-state program created by Congress in 1965 as Title XIX of the Social Security Act. At the federal level, the Centers for Medicare & Medicaid Services, within the United States Department of Health and Human Services, administer the Medicare program and work with state governments to administer state Medicaid programs.
OSA has conducted a performance audit of MassHealth’s continuity of operations plan (COOP) and disaster recovery plan (DRP) for its Medicaid Management Information System (MMIS) for the period January 1, 2020 through June 30, 2021. The purpose of this audit was to determine whether MassHealth complied with Executive Order 490 and Sections 6.1 and 6.2 of the Executive Office of Technology Services and Security’s Business Continuity and Disaster Recovery Standard IS.005.
The audit was conducted as part of OSA’s ongoing independent statutory oversight of the state’s Medicaid program. As with any government program, public confidence is essential to this program’s success and continued support.
Below is a summary of our findings and recommendations, with links to each page listed.
Finding 1 |
MassHealth did not annually update its COOP or conduct staff training or exercises related to the plan. |
Recommendations |
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Finding 2 |
MassHealth did not annually update or test its DRP. |
Recommendations |
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