Department of Health and Human Services

"Review of Medicaid Payments for Outpatient Services and Prescription Drugs Provided to Incarcerated Recipients in the State of Massachusetts," (A-01-02-00008)

August 30, 2002

Complete Text of Report is available in PDF format (399 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


The objective of this review was to determine whether the Massachusetts Division of Medical Assistance (DMA) used Medicaid funds to pay for prescription drugs and other (non-inpatient/long term care) health care services provided to inmates.  We reviewed a random sample of Medicaid Claims from a database of claims paid on behalf of individuals who had been identified as incarcerated at some time during our audit period.  We found that with few exceptions, the services were not provided during the periods of incarceration.  Accordingly, we concluded that DMA procedures reasonably preclude Medicaid payments for services for individuals who are incarcerated.