Review of Medicaid Hospice Payments at Evercare Hospice and Palliative Care for State Fiscal Years 2007 through 2009.

摘要

The Massachusetts Executive Office of Health and Human Services, Office of Medicaid (State agency), is responsible for administering MassHealth, the Massachusetts Medicaid program, in compliance with Federal and State statutes and administrative policies. State agencies have the option of offering hospice care as a benefit to eligible Medicaid beneficiaries. The State agency made hospice payments to Evercare Hospice & Palliative Care (Evercare) totaling $6,974,327 for 1,482 beneficiary months during State fiscal years 2007 through 2009 (July 2006 through June 2009). We limited our review to 100 randomly selected beneficiary months totaling $482,173. Our objective was to determine whether the State agency made Medicaid payments to Evercare for hospice services in accordance with Federal and State requirements.