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Overview of the Office of Medicaid (MassHealth)—Review of Accounts Receivable

This section describes the makeup and responsibilities of the Office of Medicaid (MassHealth)—Review of Accounts Receivable.
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Overview

Under Chapter 118E of the Massachusetts General Laws, the Executive Office of Health and Human Services, through the Division of Medical Assistance, administers the state’s Medicaid program, known as MassHealth. MassHealth provides access to healthcare services for approximately 1.9 million eligible low- and moderate-income children, families, seniors, and people with disabilities annually. In fiscal year 2017, MassHealth paid healthcare providers more than $15 billion, of which approximately 50% was funded by the Commonwealth. Medicaid expenditures represent approximately 39% of the Commonwealth’s total annual budget.

During our audit period, MassHealth’s new accounts receivable totaled approximately $625 million; it collected more than $616 million of this amount and did not remove and write off accounts receivable as uncollectible. As of December 31, 2017, MassHealth had 30,948 accounts receivable, totaling approximately $12.76 million, that were more than two years old.

Date published: October 18, 2019

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