Governor Deval Patrick's Budget Recommendation - House 1 Fiscal Year 2014

Outside Section 19

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Inspector General's Audits of Health Safety Net and MassHealth Program

SECTION 19.   Notwithstanding any general or special law to the contrary, in hospital fiscal year 2014, the office of the inspector general may continue to expend funds from the Health Safety Net Trust Fund, established by section 36 of chapter 118G of the General Laws:
(a) to conduct a study and review of the MassHealth program. The study shall include, but not be limited to, a review of the program's eligibility requirements, utilization, claims administration and compliance with federal mandates. The inspector general shall report any preliminary findings to the secretary of health and human services and the house and senate committees on ways and means on or before October 30, 2013, and issue a final report on or before March 1, 2014; and
(b) for costs associated with maintaining a pool audit unit within the office. The unit shall continue to oversee and examine the practices in all hospitals including, but not limited to, the care of the uninsured and the resulting free charges. The inspector general shall submit a report to the house and senate committees on ways and means on the results of the audits and any other completed analyses not later than March 1, 2014. For the purposes of these audits, allowable free care services shall be defined pursuant to said chapter 118G and any regulations adopted under that chapter.

This section allows the Inspector General's Office to continue to audit the Health Safety Net Trust Fund and the MassHealth program.

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