MassHealth is a critically important program that provides millions of Massachusetts residents with access to health care, and accounts for nearly 40 percent of the state budget. This is why State Auditor Diana DiZoglio has an audit unit dedicated exclusively to auditing this program and participating providers. These audits provide valuable recommendations that can result in significant savings and improve program performance.
- This page, MassHealth Audits, is offered by
- Office of the State Auditor
MassHealth Audits
Audits of the MassHealth program and provider billing.
Table of Contents
2022
2021
2020
2019
2018
2017
Open PDF file, 957.56 KB,
Office of Medicaid (MassHealth)—Review of Vision Care Claims Paid to Dr. Wensheng Yao
(English, PDF 957.56 KB)
Open PDF file, 687.33 KB,
Office of Medicaid (MassHealth) - Review of Hospice Care Billing: Good Shepherd Community Care
(English, PDF 687.33 KB)
Open PDF file, 594.3 KB,
Office of Medicaid (MassHealth) - Review of Hospice Care Billing: HopeHealth Massachusetts, Inc.
(English, PDF 594.3 KB)
Open PDF file, 876.96 KB,
Office of Medicaid (MassHealth)—Review of Evaluation and Management Claims Submitted by Dr. Hooshang D. Poor
(English, PDF 876.96 KB)
Open PDF file, 756.17 KB,
Office of Medicaid (MassHealth)—Review of Evaluation and Management Claims Paid to Lawrence Family Doctors
(English, PDF 756.17 KB)
Open PDF file, 767.03 KB,
Office of Medicaid (MassHealth)—Review of Payments for Nursing-Facility Claims
(English, PDF 767.03 KB)
Open PDF file, 795.28 KB,
Office of Medicaid (MassHealth)—Review of Evaluation and Management Claims Paid to Resil Medical Associates, P.C.
(English, PDF 795.28 KB)
Open PDF file, 752.92 KB,
Office of Medicaid (MassHealth)—Review of Claims for Durable Medical Equipment
(English, PDF 752.92 KB)
Open PDF file, 861.86 KB,
Office of Medicaid (MassHealth)—Review of Fee-for-Service Payments for Services Covered by the Massachusetts Behavioral Health Partnership
(English, PDF 861.86 KB)
Open PDF file, 621.68 KB,
Office of the State Auditor—Annual Report Medicaid Audit Unit
(English, PDF 621.68 KB)
Open PDF file, 718.74 KB,
Office of Medicaid (MassHealth)—Review of Dental Periapical Radiograph Claims Submitted by Our Dentist
(English, PDF 718.74 KB)
Open PDF file, 752.24 KB,
Office of Medicaid (MassHealth)—Review of Dental Periapical Radiograph Claims Submitted by Webster Square Dental Care
(English, PDF 752.24 KB)
2016
Open PDF file, 801.65 KB,
Office of the State Auditor--Annual Report Medicaid Audit Unit
(English, PDF 801.65 KB)
Open PDF file, 1.13 MB,
Office of Medicaid (MassHealth) - Review of Paid Claims within MassHealth's Adult Foster Care and Group Adult Foster Care Programs
(English, PDF 1.13 MB)
Open PDF file, 745.57 KB,
Office of Medicaid (MassHealth) Review of Dental Periapical Radiograph Claims Submitted by Hampshire Family Dental and Orchard Family Dental
(English, PDF 745.57 KB)
Open PDF file, 854.34 KB,
Office of Medicaid (MassHealth)-Review of Selected Outpatient Evaluation and Management Services Claims Submitted by Dr. Kunwar S. Singh
(English, PDF 854.34 KB)
Open PDF file, 704.87 KB,
Office of Medicaid (MassHealth) Review of Providers Excluded from Participating in the Medicaid Program
(English, PDF 704.87 KB)
Open PDF file, 833.38 KB,
Office of Medicaid (MassHealth)-Review of Claims Submitted by Hudson Home Health Care, Inc.
(English, PDF 833.38 KB)
Open PDF file, 903.6 KB,
Office of Medicaid (MassHealth) Review of Evaluation and Management Claims Submitted by Northgate Medical P.C.
(English, PDF 903.6 KB)
Open PDF file, 1.02 MB,
Office of Medicaid (MassHealth) Review of Evaluation and Management Claims Submitted by Asaker Medical Associates
(English, PDF 1.02 MB)
2015
Open PDF file, 224.54 KB,
Office of the State Auditor - Annual Report Medicaid Audit Unit
(English, PDF 224.54 KB)
Open PDF file, 709.62 KB,
Office of Medicaid (MassHealth) Claims for Wheelchair-Van Services Submitted
(English, PDF 709.62 KB)
Open PDF file, 538.32 KB,
Office of Medicaid (MassHealth) Review of Controls over Mobility-Assistive Equipment
(English, PDF 538.32 KB)
Open PDF file, 180.58 KB,
Office of Medicaid (MassHealth) - Review of Radiology Claims Submitted by Baystate Mary Lane Hospital
(English, PDF 180.58 KB)
Open PDF file, 291 KB,
Office of Medicaid (MassHealth) Review of Non-Emergency Ambulance Transportation
(English, PDF 291 KB)
Open PDF file, 436.99 KB,
Office of Medicaid (MassHealth) Review of Personal Care Attendant Services
(English, PDF 436.99 KB)
2014
2013
Open PDF file, 244.38 KB,
Office of the State Auditor-Annual Report Medicaid Audit Unit
(English, PDF 244.38 KB)
Open PDF file, 296.37 KB,
Office of Medicaid (MassHealth) Review of Controls over Pharmacy Claims
(English, PDF 296.37 KB)
Open PDF file, 889.24 KB,
Office of Medicaid (MassHealth) Medicaid Claims for Drug Screenings
(English, PDF 889.24 KB)
2012
2011
2010
Open PDF file, 415.86 KB,
MassHealth's Administration of Dental Claims
(English, PDF 415.86 KB)
Open PDF file, 234.31 KB,
MassHealth's Administration of the Home Health Services Program
(English, PDF 234.31 KB)
Open PDF file, 397.93 KB,
MassHealth's Management of Advanced Imaging Procedures
(English, PDF 397.93 KB)
Open PDF file, 124.77 KB,
MassHealth Dental Program - Community Dentists
(English, PDF 124.77 KB)
Open PDF file, 124.52 KB,
MassHealth Dental Program - Dr Randall L. Davis, DMD
(English, PDF 124.52 KB)
Open PDF file, 125.2 KB,
MassHealth Dental Program - Holyoke Mall Dental Health Center
(English, PDF 125.2 KB)
Open PDF file, 125.55 KB,
MassHealth Dental Program - John P. Burke, DMD
(English, PDF 125.55 KB)
Open PDF file, 125.41 KB,
MassHealth Dental Program - Kool Smiles (Cambridge)
(English, PDF 125.41 KB)
Open PDF file, 125.26 KB,
MassHealth Dental Program - Kool Smiles (Chelsea)
(English, PDF 125.26 KB)
Open PDF file, 125.28 KB,
MassHealth Dental Program - Kool Smiles (New Bedford)
(English, PDF 125.28 KB)
Open PDF file, 124.95 KB,
MassHealth Dental Program - Small Smiles Dental Clinic of Lawrence
(English, PDF 124.95 KB)
Open PDF file, 125.16 KB,
MassHealth Dental Program - Small Smiles Dental Clinic of Springfield
(English, PDF 125.16 KB)
Open PDF file, 125.12 KB,
MassHealth Dental Program - Small Smiles Dental Clinic of Worcester
(English, PDF 125.12 KB)
2009
Open PDF file, 412.79 KB,
MassHealth's Payment of Certain Claims for Personal Care Services
(English, PDF 412.79 KB)
2008
Open PDF file, 258.31 KB,
MassHealth's Administration of the Medicaid Drug Rebate Program
(English, PDF 258.31 KB)
Open PDF file, 239.72 KB,
MassHealth's Internal Control Plan
(English, PDF 239.72 KB)
Open PDF file, 160.75 KB,
MassHealth's Payment of Certain Claims for Personal Care Services
(English, PDF 160.75 KB)
2006
2005
Open PDF file, 419.07 KB,
Division of Medical Assistance (DMA) - Medicaid Administration
(English, PDF 419.07 KB)
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