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092923 1 (1970-06-12)

handle is hein.gao/gaobacwuj0001 and id is 1 raw text is: 



            UNITED  STATES GENERAL ACCOUNTING  OFFICE
                         REGIONAL OFFICE
                 ROOM IG03 JOHN F. KENNEDY FCDRAL BUILDING
                         GOVERNMENT CENTER
                    BOSTON, MiASSACHUSETTS 02203

                          June 12, 1970                     e2





                                                              LM092923

Mr. Neil P. Fallon, Regional Commissioner
Social and Rehabilitation Service
John F. Kennedy Federal Building
Government Center
Boston, Massachusetts, 02203

Dear Mr. Fallon:

     The Boston Regional Office of the General Accounting Office
has made a review of selected aspects of the Medicaid Progrnm in
Massachus~etts, The? results of this revioe are b.n' consclidated
with the results of similar reviews conducted in Illinois and
California, and a report to the Congress is planned.

     Our review was conducted at the Boston Regional Office o  the
Massachusetts Department of Public Welfare.  The purpose of this
letter is to bring to your attention certain matters which may not
be included in the consolidated report, but which require corrective
action by the State of Massachusetts.

MATHEMATICAL ERRORS AND NOT USING ACTUAL NUMBJ6ER OF E!EMPTIONS

     At each of the five welfare service offices in the Poston
Region we found that mathematical errors were mad& in computing
the excess incomps of Medicaid recipients.  We also found that all
five welfere service offices had not coruted  excLess inco-:-s based
on the actual number of exemptions of the Medicaid recipic Lts, but
instead used the number claimed by the recipients for Federal and
State withholding tax purposos.

     Of the 127 Medicaid cases reviewed by us there wore 70 cases
where mathematical errors of over $1 wore maci by wclfare service
office personnel in co:mputing the individual.' excecs inCo'es,. The
net understatement of excess incomes amounted to  477 or an averae
of about $7 each.  In addition, for 69 of the 127 cass,  as. found
that the actual number of the applicants' examptions were not used

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