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MassHealth Reports to the Legislature

Here you'll find MassHealth, Medical Care Advisory Committee (MCAC), and Health Safety Net (HSN) reports to the legislature.
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Fiscal Year 2026

MassHealth 2025 Mental Health Parity Report, Open PDF file, 401.29 KB (English, PDF 401.29 KB)
Report to Joint Committee—340B/High-Cost Drugs Impact Report, Open PDF file, 317.37 KB (English, PDF 317.37 KB)
Report to Joint Committee—340B/High-Cost Drugs Impact Report, Open DOCX file, 53.28 KB (English, DOCX 53.28 KB)

Fiscal Year 2025

Chapter 224 Mental Health Parity Report (June 2025) - Cover Letter, Open PDF file, 186.64 KB (English, PDF 186.64 KB)
Chapter 224 Mental Health Parity Report (June 2025) - Cover Letter, Open DOCX file, 130.78 KB (English, DOCX 130.78 KB)
Chapter 224 Mental Health Parity Report (June 2025), Open PDF file, 495.83 KB (English, PDF 495.83 KB)
Chapter 224 Mental Health Parity Report (June 2025), Open DOCX file, 4.6 MB (English, DOCX 4.6 MB)

Fiscal Year 2023

2023 Sickle Cell Disease Report for Legislators, Open PDF file, 642.22 KB (English, PDF 642.22 KB)
2023 Sickle Cell Disease Report for Legislators, Open DOCX file, 180.9 KB (English, DOCX 180.9 KB)
Report to Joint Committee—340B/High-Cost Drugs Impact Report, Open PDF file, 198.39 KB (English, PDF 198.39 KB)
Report to Joint Committee—340B/High-Cost Drugs Impact Report, Open DOCX file, 135.16 KB (English, DOCX 135.16 KB)

Fiscal Year 2018

Analysis of the Impact of Wages for Direct Care Workers at Nursing Homes Interim Report (July 2018), Open PDF file, 877.22 KB (English, PDF 877.22 KB)
Analysis of the Impact of Wages for Direct Care Workers at Nursing Homes Interim Report (July 2018), Open DOCX file, 816.34 KB (English, DOCX 816.34 KB)
Analysis of the Impact of Wages for Direct Care Workers at Nursing Homes Final Report Administrative Bulletin (October 2017), Open PDF file, 161.84 KB (English, PDF 161.84 KB)
Analysis of the Impact of Wages for Direct Care Workers at Nursing Homes Final Report Administrative Bulletin (October 2017), Open DOCX file, 130.07 KB (English, DOCX 130.07 KB)
Analysis of the Impact of Wages for Direct Care Workers at Nursing Homes Final Report (January 2019), Open PDF file, 227.54 KB (English, PDF 227.54 KB)
Analysis of the Impact of Wages for Direct Care Workers at Nursing Homes Final Report (January 2019), Open DOCX file, 818.65 KB (English, DOCX 818.65 KB)
Analysis of the Impact of Wages for Direct Care Workers at Nursing Homes Final Report Narrative (December 2018), Open PDF file, 740.66 KB (English, PDF 740.66 KB)
Analysis of the Impact of Wages for Direct Care Workers at Nursing Homes Final Report Narrative (December 2018), Open DOCX file, 112.88 KB (English, DOCX 112.88 KB)
Analysis of the Impact of Wages for Direct Care Workers at Nursing Homes Final Report Appendix FAQs (June 2018), Open PDF file, 839.69 KB (English, PDF 839.69 KB)
Analysis of the Impact of Wages for Direct Care Workers at Nursing Homes Final Report Appendix FAQs (June 2018), Open DOCX file, 238.52 KB (English, DOCX 238.52 KB)
Report to the legislature Code of Dental Procedures and Nomenclature (CDT) Service Codes 2010 to 2018 Dental Service Codes License Agreement, Open PDF file, 196.87 KB (English, PDF 196.87 KB)
Report to the legislature Code of Dental Procedures and Nomenclature (CDT) Service Codes 2010 to 2018 Dental Service Codes License Agreement, Open DOCX file, 34.77 KB (English, DOCX 34.77 KB)
Dual Eligibles Initiative (April 2018), Open PDF file, 925.35 KB (English, PDF 925.35 KB)
Dual Eligibles Initiative (April 2018), Open DOCX file, 814.24 KB (English, DOCX 814.24 KB)
Projecting Caseload and Utilization Methodology Report (April 2018), Open PDF file, 679.74 KB (English, PDF 679.74 KB)
Projecting Caseload and Utilization Methodology Report (April 2018), Open DOCX file, 832.66 KB (English, DOCX 832.66 KB)
Status of Applications for Enhanced Federal Funding Report (May 2018), Open PDF file, 532.94 KB (English, PDF 532.94 KB)
Status of Applications for Enhanced Federal Funding Report (May 2018), Open DOCX file, 1.22 MB (English, DOCX 1.22 MB)
Chapter 224 Mental Health Parity Report (July 2018), Open PDF file, 344.66 KB (English, PDF 344.66 KB)
Chapter 224 Mental Health Parity Report (July 2018), Open DOCX file, 55.55 KB (English, DOCX 55.55 KB)

Fiscal Year 2017

MassHealth Chapter 224 Mental Health Parity Report (July 2017), Open PDF file, 497.33 KB (English, PDF 497.33 KB)
MassHealth Chapter 224 Mental Health Parity Report (July 2017), Open DOCX file, 479.54 KB (English, DOCX 479.54 KB)
Dental Procedures and Nomenclature (CDT) Service Codes (2010 to 2017), Open PDF file, 66.82 KB (English, PDF 66.82 KB)
Dental Procedures and Nomenclature (CDT) Service Codes (2010 to 2017), Open XLSX file, 17.91 KB (English, XLSX 17.91 KB)
Projecting Caseload and Utilization Methodology Report (March 2017), Open PDF file, 191.85 KB (English, PDF 191.85 KB)
Projecting Caseload and Utilization Methodology Report (March 2017), Open DOC file, 41.36 KB (English, DOC 41.36 KB)
Mathematica Final Report (April 2014), Open PDF file, 688.92 KB (English, PDF 688.92 KB)
Mathematica Final Report (April 2014), Open DOC file, 715.5 KB (English, DOC 715.5 KB)
Method Report, Clayton-Matthews (March 2013), Open PDF file, 187.71 KB (English, PDF 187.71 KB)
Method Report, Clayton-Matthews (March 2013), Open DOC file, 81.5 KB (English, DOC 81.5 KB)
Methodology Narrative, Open DOC file, 624.5 KB (English, DOC 624.5 KB)
Methodology Narrative, Open PDF file, 364.42 KB (English, PDF 364.42 KB)
ACA Health Insurer Provider Fee Report (March 2017), Open PDF file, 579.29 KB (English, PDF 579.29 KB)
ACA Health Insurer Provider Fee Report (March 2017), Open DOC file, 155.67 KB (English, DOC 155.67 KB)
Analysis of the Impact of Wages for Direct Care Workers at Nursing Homes (January 2017), Open PDF file, 854.46 KB (English, PDF 854.46 KB)
Analysis of the Impact of Wages for Direct Care Workers at Nursing Homes (January 2017), Open DOC file, 193.2 KB (English, DOC 193.2 KB)
Dual Eligibles Initiative (January 2017), Open PDF file, 1.05 MB (English, PDF 1.05 MB)
Dual Eligibles Initiative (January 2017), Open DOC file, 160.51 KB (English, DOC 160.51 KB)
Status of Applications for Enhanced Federal Funding Cover Letter (December 2016), Open DOC file, 374 KB (English, DOC 374 KB)
Status of Applications for Enhanced Federal Funding Cover Letter (December 2016), Open PDF file, 206.79 KB (English, PDF 206.79 KB)

Fiscal Year 2016

MassHealth Chapter 171 Annual Family Support Plan Report, Open PDF file, 190.61 KB (English, PDF 190.61 KB)
MassHealth Chapter 171 Annual Family Support Plan Report, Open DOC file, 71 KB (English, DOC 71 KB)
MassHealth Chapter 171 Annual Family Support Plan Cover Letter (September 2016), Open PDF file, 50.59 KB (English, PDF 50.59 KB)
MassHealth Chapter 171 Annual Family Support Plan Cover Letter (September 2016), Open DOC file, 374 KB (English, DOC 374 KB)
MassHealth Chapter 224 Mental Health Parity Report Cover Letter (July 2016), Open PDF file, 73.66 KB (English, PDF 73.66 KB)
MassHealth Chapter 224 Mental Health Parity Report Cover Letter (July 2016), Open DOC file, 200.5 KB (English, DOC 200.5 KB)
Children’s Medical Security Plan (CMSP) 3rd Quarter Cover Letter (June 2016), Open PDF file, 91.85 KB (English, PDF 91.85 KB)
Children’s Medical Security Plan (CMSP) 3rd Quarter Cover Letter (June 2016), Open DOC file, 202 KB (English, DOC 202 KB)
Children’s Medical Security Plan (CMSP) 3rd Quarter Legislative Report, Open PDF file, 31.31 KB (English, PDF 31.31 KB)
Children’s Medical Security Plan (CMSP) 3rd Quarter Legislative Report, Open DOC file, 36.5 KB (English, DOC 36.5 KB)
Children’s Medical Security Plan (CMSP) Legislative Report Cover Letter (April 2016), Open PDF file, 93.65 KB (English, PDF 93.65 KB)
Children’s Medical Security Plan (CMSP) Legislative Report Cover Letter (April 2016), Open DOC file, 202 KB (English, DOC 202 KB)
Children’s Medical Security Plan (CMSP) 1st Quarter Legislative Report (FY16), Open PDF file, 13.81 KB (English, PDF 13.81 KB)
Children’s Medical Security Plan (CMSP) 1st Quarter Legislative Report (FY16), Open DOC file, 36.5 KB (English, DOC 36.5 KB)
Children’s Medical Security Plan (CMSP) 2nd Quarter Legislative Report (FY16), Open PDF file, 31.17 KB (English, PDF 31.17 KB)
Children’s Medical Security Plan (CMSP) 2nd Quarter Legislative Report (FY16), Open DOC file, 36.5 KB (English, DOC 36.5 KB)
Children's Behavioral Health Initiative (CBHI) Quarterly Status Update on Expenditures (April 2016), Open PDF file, 61.53 KB (English, PDF 61.53 KB)
Children's Behavioral Health Initiative (CBHI) Quarterly Status Update on Expenditures (April 2016), Open DOC file, 200 KB (English, DOC 200 KB)
Reimbursement of Affordable Care Act (ACA) Health Insurer Provider Fee for MassHealth Managed Care Entities (April 2016), Open PDF file, 126.22 KB (English, PDF 126.22 KB)
Reimbursement of Affordable Care Act (ACA) Health Insurer Provider Fee for MassHealth Managed Care Entities (April 2016), Open DOCX file, 173.29 KB (English, DOCX 173.29 KB)
Dental Coverage Change Cover Letter (January 2016), Open PDF file, 64.88 KB (English, PDF 64.88 KB)
Dental Coverage Change Cover Letter (January 2016), Open DOC file, 202.5 KB (English, DOC 202.5 KB)
Dental Procedures and Nomenclature (CDT) Service Codes 2010 to 2016, Open PDF file, 130.42 KB (English, PDF 130.42 KB)
Dental Procedures and Nomenclature (CDT) Service Codes 2010 to 2016, Open DOC file, 1.55 MB (English, DOC 1.55 MB)
MassHealth Caseload and Utilization Methodology Report (FY15 & FY16), Open PDF file, 72.23 KB (English, PDF 72.23 KB)
MassHealth Caseload and Utilization Methodology Report (FY15 & FY16), Open DOC file, 209 KB (English, DOC 209 KB)
Adequacy of Funding in Line Item 4000-0950 1st Quarter Report (January 2016), Open PDF file, 61.83 KB (English, PDF 61.83 KB)
Adequacy of Funding in Line Item 4000-0950 1st Quarter Report (January 2016), Open DOC file, 200 KB (English, DOC 200 KB)
Feasibility of Federal Funding for Transitional Support Services Report (December 2015), Open PDF file, 64.65 KB (English, PDF 64.65 KB)
Feasibility of Federal Funding for Transitional Support Services Report (December 2015), Open DOC file, 202 KB (English, DOC 202 KB)
Integrated Eligibility Implementation Plan (October 2015), Open PDF file, 76.54 KB (English, PDF 76.54 KB)
Integrated Eligibility Implementation Plan (October 2015), Open DOC file, 211.5 KB (English, DOC 211.5 KB)
Savings Initiatives and Payment Alignment Cover Letter (October 2015), Open PDF file, 51.33 KB (English, PDF 51.33 KB)
Savings Initiatives and Payment Alignment Cover Letter (October 2015), Open DOC file, 374.5 KB (English, DOC 374.5 KB)
Savings Initiatives and Payment Alignment Report (September 2015), Open PDF file, 97.27 KB (English, PDF 97.27 KB)
Savings Initiatives and Payment Alignment Report (September 2015), Open DOC file, 54.5 KB (English, DOC 54.5 KB)
Nursing Facility Bed Census as of July 2015, Open PDF file, 131.52 KB (English, PDF 131.52 KB)
Nursing Facility Bed Census as of July 2015, Open XLSX file, 24.63 KB (English, XLSX 24.63 KB)
EOHHS Nursing Facility Rates (Effective October 2015 - June 2016), Open PDF file, 107.62 KB (English, PDF 107.62 KB)
EOHHS Nursing Facility Rates (Effective October 2015 - June 2016), Open XLSX file, 41.96 KB (English, XLSX 41.96 KB)

Fiscal Year 2015

Nursing Home Payment Factors Report (December 2015), Open PDF file, 66.28 KB (English, PDF 66.28 KB)
Nursing Home Payment Factors Report (December 2015), Open DOC file, 203.5 KB (English, DOC 203.5 KB)
Children’s Medical Security Plan (CMSP) 2nd Quarter Legislature Report (October 2014 - December 2014), Open PDF file, 13.81 KB (English, PDF 13.81 KB)
Children’s Medical Security Plan (CMSP) 2nd Quarter Legislature Report (October 2014 - December 2014), Open DOC file, 35.5 KB (English, DOC 35.5 KB)
Chapter 171 Report Cover Letter (October 2015), Open PDF file, 50.51 KB (English, PDF 50.51 KB)
Chapter 171 Report Cover Letter (October 2015), Open DOC file, 374 KB (English, DOC 374 KB)
Chapter 171 Annual Family Support Plan FY15 Cover Page (October 2015), Open PDF file, 292.34 KB (English, PDF 292.34 KB)
Chapter 171 Annual Family Support Plan FY15 Cover Page (October 2015), Open DOC file, 665.5 KB (English, DOC 665.5 KB)
Children’s Medical Security Plan (CMSP) 1st Quarter Legislature Report (July 2014 - September 2014), Open PDF file, 13.64 KB (English, PDF 13.64 KB)
Children’s Medical Security Plan (CMSP) 1st Quarter Legislature Report (July 2014 - September 2014), Open DOC file, 35.5 KB (English, DOC 35.5 KB)
MassHealth Chapter 224 Mental Health Parity Report (July 2015), Open PDF file, 312.7 KB (English, PDF 312.7 KB)
MassHealth Chapter 224 Mental Health Parity Report (July 2015), Open DOC file, 682.5 KB (English, DOC 682.5 KB)
Nursing Facility Residents by MassHealth Payment Category as of July 2015, Open PDF file, 202.25 KB (English, PDF 202.25 KB)
Nursing Facility Residents by MassHealth Payment Category as of July 2015, Open XLS file, 236 KB (English, XLS 236 KB)
Reimbursement of ACA Health Insurer Provider Fee for MassHealth Managed Care Entities (April 2015), Open PDF file, 148.3 KB (English, PDF 148.3 KB)
Reimbursement of ACA Health Insurer Provider Fee for MassHealth Managed Care Entities (April 2015), Open DOC file, 213 KB (English, DOC 213 KB)
Dental Procedures and Nomenclature (CDT) Service Codes 2010 to 2015 (April 2015), Open PDF file, 102.59 KB (English, PDF 102.59 KB)
Dental Procedures and Nomenclature (CDT) Service Codes 2010 to 2015 (April 2015), Open XLS file, 68 KB (English, XLS 68 KB)
Adult Restorative Dental Coverage Change Cover Letter (April 2015), Open PDF file, 79.08 KB (English, PDF 79.08 KB)
Adult Restorative Dental Coverage Change Cover Letter (April 2015), Open DOC file, 202 KB (English, DOC 202 KB)
Status Report on Efforts to Enroll and Cover Persons in Correctional Facilities (April 2016), Open PDF file, 155.06 KB (English, PDF 155.06 KB)
Status Report on Efforts to Enroll and Cover Persons in Correctional Facilities (April 2016), Open DOC file, 214 KB (English, DOC 214 KB)
Delivery System Transformation Initiatives (DSTI) Status Report (March 2016), Open DOC file, 297 KB (English, DOC 297 KB)
Delivery System Transformation Initiatives (DSTI) Status Report (March 2016), Open PDF file, 142.43 KB (English, PDF 142.43 KB)
Dual Eligibles (known as One Care) Initiative (February 2015), Open PDF file, 111.42 KB (English, PDF 111.42 KB)
Dual Eligibles (known as One Care) Initiative (February 2015), Open DOC file, 207 KB (English, DOC 207 KB)
Suspension Status for Incarcerated Members (February 2015), Open PDF file, 152.1 KB (English, PDF 152.1 KB)
Suspension Status for Incarcerated Members (February 2015), Open DOC file, 90 KB (English, DOC 90 KB)
MassHealth Fraud Recoveries Report Cover Letter (February 2016), Open PDF file, 62.95 KB (English, PDF 62.95 KB)
MassHealth Fraud Recoveries Report Cover Letter (February 2016), Open DOC file, 200.5 KB (English, DOC 200.5 KB)
MassHealth Fraud Recoveries Report Revised (January 2016), Open PDF file, 114.81 KB (English, PDF 114.81 KB)
MassHealth Fraud Recoveries Report Revised (January 2016), Open DOC file, 59 KB (English, DOC 59 KB)
Nursing Home Payment Factors Report (December 2015), Open PDF file, 66.28 KB (English, PDF 66.28 KB)
Nursing Home Payment Factors Report (December 2015), Open DOC file, 203.5 KB (English, DOC 203.5 KB)
Children’s Medical Security Plan (CMSP) 3rd Quarter Legislative Report (FY15), Open PDF file, 13.44 KB (English, PDF 13.44 KB)
Children’s Medical Security Plan (CMSP) 3rd Quarter Legislative Report (FY15), Open DOC file, 35.5 KB (English, DOC 35.5 KB)
Children’s Medical Security Plan (CMSP) 4th Quarter Legislative Report (FY15), Open PDF file, 13.56 KB (English, PDF 13.56 KB)
Children’s Medical Security Plan (CMSP) 4th Quarter Legislative Report (FY15), Open DOC file, 35.5 KB (English, DOC 35.5 KB)
Nursing Home Bed Availability and Payment Rates Report, Open PDF file, 63.9 KB (English, PDF 63.9 KB)
Nursing Home Bed Availability and Payment Rates Report, Open DOC file, 202.5 KB (English, DOC 202.5 KB)
OLTSS Nursing Home Bed and Availability Cost (SFY15), Open PDF file, 392.42 KB (English, PDF 392.42 KB)
OLTSS Nursing Home Bed and Availability Cost (SFY15), Open XLSX file, 62.51 KB (English, XLSX 62.51 KB)
OLTSS MassHealth Nursing Facility Payments for Leave of Absence Days (SFY15), Open PDF file, 140.92 KB (English, PDF 140.92 KB)
OLTSS MassHealth Nursing Facility Payments for Leave of Absence Days (SFY15), Open XLS file, 73 KB (English, XLS 73 KB)
Health Safety Net (HSN) Eligibility Processes (FY 2015), Open DOC file, 120 KB (English, DOC 120 KB)
Health Safety Net (HSN) Eligibility Processes (FY 2015), Open PDF file, 118.78 KB (English, PDF 118.78 KB)
Health Safety Net (HSN) Annual Report (FY2015)

Fiscal Year 2014

Chapter 171 Annual Family Support Plan (October 2015), Open PDF file, 168.76 KB (English, PDF 168.76 KB)
Chapter 171 Annual Family Support Plan (October 2015), Open DOC file, 59 KB (English, DOC 59 KB)
Attachment A Test of Three Methodologies for Forecasting MassHealth Caseloads, Open PDF file, 162.3 KB (English, PDF 162.3 KB)
Attachment A Test of Three Methodologies for Forecasting MassHealth Caseloads, Open DOC file, 71.5 KB (English, DOC 71.5 KB)
Attachment B Medicaid Caseload Forecasting Mathematica Policy Research Final Report (April 2014), Open PDF file, 388.49 KB (English, PDF 388.49 KB)
Attachment B Medicaid Caseload Forecasting Mathematica Policy Research Final Report (April 2014), Open DOC file, 569 KB (English, DOC 569 KB)

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