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Where To Report Waste
Fraud, Abuse, Or Retaliation
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What is Oversight.gov?

Oversight.gov is a publicly accessible, searchable website containing the latest public reports from Federal Inspectors General who are members of the Council of the Inspectors General on Integrity and Efficiency (CIGIE).

The site is operated and maintained by CIGIE. The reports and information are uploaded to this site by the IGs.

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Audit of the Office of Medicaid (MassHealth)—Review of Claims Paid for Services by City Home Care, LLC

Audit found the provider billed MassHealth for Group Adult Foster Care (GAFC) services given on the same day MassHealth members also received Home Health Program services, which is unallowable under agency guidelines. The audit examined the period January 1, 2016 through December 31, 2018.

Audit of the Office of Medicaid (MassHealth)—Review of Claims Paid for Services by Beyond Healthcare Agency, LLC

Audit found the provider billed MassHealth for Group Adult Foster Care (GAFC) services given on the same day MassHealth members also received Home Health Program services, which is unallowable under agency guidelines. The audit examined the period January 1, 2016 through December 31, 2018.

Audit of the Office of Medicaid (MassHealth) - A Review of MassHealth Member Eligibility at the Springfield Enrollment Center

The audit shows MassHealth has addressed significant deficiencies in the verification of both reported income and residency, problems that were identified in a 2012 audit by the Auditor’s office. The audit examined the period of January 1, 2017 through December 31, 2018.

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