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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 2023

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

Fiscal Year 2018

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

Fiscal Year 2017

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

Fiscal Year 2016

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

Fiscal Year 2015

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

Fiscal Year 2014

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

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