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Review of Medicaid Payments for Outpatient Services and Prescription Drugs Provided to Incarcerated Recipients in the State of Massachusetts

Issued on  | Posted on  | Report number: A-01-02-00008

Report Materials

EXECUTIVE SUMMARY:

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.

Report Type
Audit
HHS Agencies
Centers for Medicare and Medicaid Services
Issue Areas
-
Target Groups
-
Financial Groups
-

Notice

This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.