MassHealth and Health Safety Net 2026 Annual Report
During the past year, the OIG has been working on three reviews pursuant to Section 127 of Chapter 9 of the Acts of 2025. The three reviews cover different areas in health safety net spending: supplemental funding; fee-for-service program administered by a third-party; and utilization review based on a specific diagnosis code for MassHealth members.
Read the ReportAn Analysis of Health Safety Net Patients, Providers, and Services
The OIG is required to perform annual reviews of MassHealth and the Health Safety Net to identify vulnerabilities within these public healthcare systems and develop recommendations for improving internal controls and practices to prevent fraud, waste and abuse of public funds.
Read the ReportOIG Releases Annual Report on Public Healthcare
MassHealth and Health Safety Net 2025 Annual Report
Read the Press ReleaseInspector General Estimates MassHealth Overpaid Up to $17.3 Million to Service Providers for Children With Autism
Boston, MA — The Office of the Inspector General’s Healthcare Division estimates that MassHealth overpaid up to $17.3 million in claims to service providers for children diagnosed with autism spectrum disorder (ASD), due, in part, to a lack of robust internal reviews. The assertions are…
Read the Press ReleaseMassHealth and Health Safety Net: 2024 Annual Report
The OIG’s Healthcare Division reviewed MassHealth’s Applied Behavioral Analysis (ABA) Program in fulfillment of its legislative mandate to examine the MassHealth and Health Safety Net programs.
Read the ReportOIG Bulletin, March 2024
This issue of the OIG Bulletin includes a MassHealth report on overpayments and shortcomings in autism services, an OIG advisory on off-boarding and banking controls, and information on Chapter 30B and services related to advertising.
Read the BulletinOIG Releases 2023 Annual Report on MassHealth
The Inspector General’s healthcare team initiated several reviews over the past year in fulfillment of its legislative mandate to examine the Massachusetts Medicaid (MassHealth) and Health Safety Net programs. The healthcare team’s 2023 Annual Report summarizes its analysis and recommendations for stronger collaboration between MassHealth…
Read the Press ReleaseMassHealth and Health Safety Net 2023 Annual Report
The OIG's Healthcare Division's 2023 Annual Report summarizes its analysis and recommendations for stronger collaboration between MassHealth and the Massachusetts Department of Developmental Services.
Read the ReportOffice of the Inspector General Issues Letter to Secretary Marylou Sudders
Inspector General Jeffrey Shapiro expressed concerns about leadership at EHS and the Chelsea Soldiers’ Home, based on investigative reports provided to the OIG.
Read the Press ReleaseOIG Bulletin, August 2022
This issue of the OIG Bulletin includes information about recent OIG investigations and civil recoveries, the OIG’s report on the Holyoke Soldiers’ Home, the OIG's growth and accomplishments over the past 10 years, and more.
Read the BulletinMassHealth and Health Safety Net 2022 Annual Report
In 2021, the OIG reviewed crossover claims involving substitute physicians as well as data integrity in several Medicaid programs. The Office identified measures MassHealth should take to improve its data integrity in each area reviewed.
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