| Organization: | Office of the State Auditor |
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| Date published: | May 8, 2019 |
Executive Summary
On August 8, 2008, the Legislature enacted Chapter 257 of the Acts of 2008, establishing that pricing for social-service programs other than special-education programs would be set by the Secretary of the Executive Office of Health and Human Services (EOHHS). Before this, state agencies typically negotiated multiyear contracts with human-service providers and established individual reimbursement rates for program services. However, a study conducted by EOHHS issued in 2008 concluded that the funding provided under such contracts might be affecting the stability of some human-service provider organizations.
In this performance audit, we reviewed certain aspects of the implementation of Chapter 257, including rate development, provider financial stability, wages paid to direct-care workers, and monitoring of provider quality, for the period July 1, 2015 through June 30, 2017.
Below is a summary of our finding and recommendation, with links to each page listed.
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EOHHS has not established policies and procedures regarding the rate-setting process for programs subject to Chapter 257 of the Acts of 2008. |
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EOHHS should establish written policies and procedures for the rate-setting process. |
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