Massachusetts General Laws
Chapter 118e - Division of Medical Assistance
Section 32 - Provision of Death Certificate and Probate Petition to Division; Liability of Estate Beneficiaries; Claims Against Estate; Sale or Transfer of Property Subject to Lien or Claim

Section 32. (a) Notwithstanding any provision of law to the contrary, a petition for admission to probate of a decedent's will or for administration of a decedent's estate shall include a sworn statement that copies of said petition and death certificate have been sent to the division by certified mail in accordance with sections 3–306(f) and 3–403(f) of chapter 190B. Within 30 days of a request by the division, a personal representative shall complete and send to the division by certified mail a form prescribed by the division and provide such further information as the division may require.
In the event a petitioner fails to send copies of the petition and death certificate to the division and the decedent received medical assistance for which the division is authorized to recover under section thirty-one, any person receiving a distribution of assets from the decedent's estate shall be liable to the division to the extent of such distribution.
(b) The division may present claims against a decedent's estate as follows: (1) within four months after approval of the official bond of the personal representative, file a written statement of the amount claimed with the registry of probate where the petition was filed and deliver or mail a copy thereof to the personal representative. The claim shall be deemed presented upon the filing of the claim in the registry of probate; or (2) within one year after date of death of the decedent, commence an action under the provisions of section 9 of chapter 197.
(c) When presenting its claim by written statement under subsection (b), the division shall also notify the personal representative of (1) the circumstances and conditions which must exist for the division to be required to defer recovery under section 31 and (2) the circumstances and conditions which must exist for the division to waive recovery under its regulations for undue hardship.
(d) The personal representative shall have 60 days from the date of presentment to mail notice to the division by certified mail of one or more of the following findings: (1) the claim is disallowed in whole or in part, or (2) circumstances and conditions where the division is required to defer recovery under section 31 exist, or (3) circumstances and conditions where the division will waive recovery for undue hardship under its regulations exist. A notice under clause (2) or (3) shall state the specific circumstances and conditions which exist and provide supporting documentation satisfactory to the division. Failure to mail notice under clause (1) shall be deemed an allowance of the claim. Failure to mail notice under clause (2) shall be deemed an admission that the circumstances or conditions where the division is required to defer recovery under section 31 do not exist. Failure to mail notice under clause (3) shall be deemed an admission that the circumstances and conditions for the division to waive recovery for undue hardship under its regulations do not exist.
(e) If the division at any time within the period for presenting claims under subsection (b) amends the amount due, the personal representative shall have an additional 60 days to mail notice to the division under clause 1 of subsection (d).
(f) If the division receives a disallowance under clause (1) of subsection (d), the division may commence an action to enforce its claim in a court of competent jurisdiction within 60 days after receipt of said notice of disallowance. If the division receives a notice under clause (2) or (3) of said subsection (d), with which it disagrees, the division may commence an action in a court of competent jurisdiction within 60 days after receipt of said notice. If the division fails to commence an action after receiving a notice under clause (2) of said subsection (d), the division shall defer recovery while the circumstances or conditions specified in said notice continue to exist. If the division fails to commence an action after receiving a notice under clause (3) of said subsection (d), the division shall waive recovery for undue hardship.
(g) Unless otherwise provided in any judgment entered, claims allowed pursuant to this section shall bear interest at 3.25 per cent per annum commencing four months plus 60 days after approval of the official bond of the personal representative.
Notwithstanding the foregoing, if the division fails to commence an action after receipt of a notice under clause (2) of subsection (d), interest at 3.25 per cent per annum shall not commence until the circumstances or conditions specified in the notice received by the division under said clause (2) cease to exist. The personal representative shall notify the division within 30 calendar days of any change in the circumstances or conditions asserted in said clause (2) notice, and upon request by the division, shall provide updated documentation verifying that the circumstances or conditions continue to exist.
If the division's claim has been allowed as provided herein and no circumstances and conditions requiring that the division defer recovery under section 31 exist, it may petition the probate court for an order directing the personal representative to pay the claim to the extent that funds are available or for such further relief as may be required.
(h) Notice of a petition by a personal representative for a license to sell real estate shall be given to the division in any estate where:
(1) the division has filed a written statement of claim with the registry of probate as provided in subsection (b); or
(2) the division has filed with the registry of probate a notice, as prescribed under subsection (a) of section 9 of chapter 197, that an action has been commenced.
(i) In all cases where:—
(1) the division determines it may have a claim against a decedent's estate;
(2) a petition for administration of the decedent's estate or for admission to probate of the decedent's will has not been filed; and
(3) more than one year has passed from the decedent's date of death, the division is hereby authorized to designate a public administrator to be appointed and to serve pursuant to chapter 194. Said designation by the division shall include a statement of the amount claimed. This provision shall apply to all estates in which no petition for administration of the decedent's estate or for admission to probate of the decedent's will has been filed as of the effective date of this section, regardless of the decedent's date of death.
(j) If the personal representative wishes to sell or transfer any real property against which the division has filed a lien or claim not yet enforceable because circumstances or conditions specified in section 31 continue to exist, the division shall release the lien or claim if the personal representative agrees to (1) either set aside sufficient assets to satisfy the lien or claim, or to give bond to the division with sufficient surety or sureties and (2) repay the division as soon as the circumstances or conditions which resulted in the lien or claim not yet being enforceable no longer exist. Notwithstanding the foregoing provision or any general or special law to the contrary, the division and the parties to the sale may by agreement enter into an alternative resolution of the division's lien or claim.

Structure Massachusetts General Laws

Massachusetts General Laws

Part I - Administration of the Government

Title XVII - Public Welfare

Chapter 118e - Division of Medical Assistance

Section 1 - Duties of Office

Section 2 - Established Authority

Section 2a - Director of Dental Services

Section 6 - Medical Care Advisory Committee; Member; Staff; Report From Office of Medicaid

Section 7 - Powers

Section 8 - Definitions

Section 8a - Definitions for Secs. 13c to 13k and Secs. 64 to 70

Section 9 - Eligibility

Section 9a - Masshealth; Beneficiaries; Eligibility; Payment; Information Applications

Section 9c - Medical Insurance Reimbursement Programs; Definitions; Eligibility; Expenditures; Submission of Plans

Section 9d - Senior Care Options Initiative; Senior Care Organizations; Enrollment Choices; Advisory Committee; Report

Section 9e - Application for Authority; Implementation of Measures; Waiver of Measures Due to Hardship

Section 9f - Duals Demonstration; Review of Request for Financial Solvency

Section 10 - Medical Care Assistance Program for Pregnant Women and Infants

Section 10a - Required Coverage for Prenatal Care, Childbirth and Postpartum Care

Section 10b - Required Coverage for Newborn Hearing Screening Tests

Section 10c - Required Coverage for Items Medically Necessary for the Diagnosis or Treatment of Diabetes

Section 10d - Required Coverage for Treatment of Breast and Cervical Cancer

Section 10e - Healthy Start Program; Medical Assistance for Pregnant Women and Infants; Eligibility; Types of Assistance; Protection From Billing and Collection Practices

Section 10f - Health Care Services for Dependent and Adopted Youths; Funding; Types of Services; Eligibility; Program Reports; No Entitlement

Section 10g - Coverage for Children Under Age 18 for Cleft Lip and Cleft Palate

Section 10h - Coverage for Medically Necessary Treatments for Persons Younger Than 21 Years Old Diagnosed With an Autism Spectrum Disorder by a Licensed Physician or a Licensed Psychologist

Section 10i - Coverage for Administration of All Federal Food and Drug Administration Approved Drugs for Opioid or Alcohol Dependence Treatment

Section 10j - Coverage for Medical or Drug Treatments to Correct or Repair Disturbances of Body Composition Caused by HIV Associated Lipodystrophy Syndrome

Section 10k - Coverage for Certain Services and Contraceptive Methods

Section 10l - Filling of Remaining Portion of Prescription for Covered Drug That Is a Narcotic Substance Earlier Filled in Lesser Quantity

Section 10m - Coverage for Tobacco Use Cessation Counseling and Products

Section 10n - Urgent Care Facilities; Referrals; Primary Care Providers

Section 11 - Cooperation With Federal Authorities

Section 12 - Policies; Procedures; Rules and Regulations; Contracts

Section 12a - Pharmaceutical Drugs; Negotiation of Supplemental Rebate Agreements

Section 13 - Rate Changes; Review

Section 13a - Non-Acute Hospitals; Rates and Terms of Payment

Section 13b - Hospital Rate Increases; Quality Standards and Benchmarks

Section 13c - Establishment of Rates of Payment for Health Care Services

Section 13d - Duties of Ratemaking Authority; Criteria for Establishing Rates

Section 13e - Appeals of Interim or Final Rates

Section 13e1/2 - Contractual Arrangements With Acute and Non-Acute Hospitals

Section 13f - Contracts Between Acute and Non-Acute Hospital Service Providers and Office of Medicaid

Section 13g - Hospital Assets Not to Be Considered as Resources for Purpose of Establishing Rates

Section 13h - Recipients of Benefits Under Chapter 117a

Section 13i - Patients With Foreign Residency

Section 13j - Health Maintenance Organizations; Contracting Rights

Section 13k - Adjustment of Facility's Rate

Section 13l - Restriction of Hospital Access to Discounted Purchase of Prescription Drugs

Section 14 - Nursing Home Negotiated Rate Contracts

Section 14a - Reimbursement to Nursing Homes for Admissions to Acute Care and Chronic Disease or Rehabilitation Hospitals

Section 15 - Medicaid Benefits; Rules and Regulations; Managed Care; Personal Expenses

Section 16 - Primary and Supplemental Medical Care and Assistance Program for Disabled Residents; Assistance Program for Chronically Ill or Disabled Persons Forced to Leave Employment or Substantially Reduce Work Hours

Section 16a - Medical Care and Assistance Program for Disabled Children

Section 16a1/2 - Costs Incurred for Medical Programs Projected to Exceed Available Appropriations; Notice

Section 16c - Child Health Insurance Program; Medical Benefits; Costs; Eligibility

Section 16d - Aliens or Persons Residing in United States Under Color of Law; Benefits

Section 17 - Reimbursements for Non-Generic Drugs

Section 17a - Emergency Services Provided to Beneficiaries for Emergency Medical Conditions

Section 18 - Medical Insurance Purchases for Persons Eligible for Assistance

Section 19 - Prior Approval of Medical Services; Methods; Rules and Regulations; Posttreatment Examinations

Section 20 - Application; Forms; Application by Institution

Section 21 - Inquiry by Department; Notification of Applicant; Agreement

Section 21a - Medical Assistance Eligibility of an Institutionalized Spouse

Section 22 - Third Party Payments; Repayment; Assignment; Subrogation

Section 23 - Subrogation Rights; Health Insurance Benefits; Garnishment of Wages

Section 23a - Financial Institutions; Request for Deposit and Withdrawal Records; Penalty

Section 25 - Exempt Income and Resources

Section 25a - Determination of Eligibility for Qualified Medicare Beneficiary, Specified Low-Income Medicare Beneficiary and Qualified Individual Programs; Consideration of Certain Income or Assets

Section 26 - Identification Card

Section 27 - Redetermination of Eligibility

Section 28 - Disposal of Resources at Less Than Fair Market Value; Period of Ineligibility

Section 29 - Transfer of Interest in Real Property; Notice

Section 30 - Time of Payment

Section 31 - Adjustment or Recovery of Payments

Section 32 - Provision of Death Certificate and Probate Petition to Division; Liability of Estate Beneficiaries; Claims Against Estate; Sale or Transfer of Property Subject to Lien or Claim

Section 33 - Long Term Care Insurance Purchasers; Liability for Medical Assistance Paid

Section 34 - Liens and Encumbrances

Section 35 - Reimbursement for Covered Claims; Submission of Information

Section 36 - Eligible Providers; Responsibility for Overpayments

Section 37 - Distribution of Rules, Regulations to Providers; Administrative Sanctions

Section 38 - Submission of Bills by Providers; Appeals for Erroneous Denials; Overpayments; Civil Collection Actions

Section 38a - Retroactive Claims Denials for Behavioral Health Services

Section 39 - False Representations, Failure to Disclose; Penalty

Section 40 - False Statements or Representations by Providers; Penalty

Section 41 - Bribery or Rebates; Penalty

Section 42 - Excess Charges; Penalty

Section 43 - Health Care Facilities; Additional Charges as Precondition for Admission or Continuance; Penalty

Section 44 - Civil Remedies; Limitations

Section 45 - Venue; Actions Relating to False Claims

Section 46 - Availability of Other Remedies

Section 46a - Providers; Submission of Claims for Payment Not in Compliance With Policies and Procedures of Medical Assistance Program; Proof of Clerical or Administrative Error

Section 47 - Persons Aggrieved; Right to Hearing; Investigation; Decision; Rehearing; Notice

Section 47a - Benefits Available Only to Otherwise Eligible Individuals Showing Lawful Presence in the United States or Meeting Applicable Federal Requirements Necessary to Qualify for Benefits for Which the Commonwealth Receives Federal Reimbursemen...

Section 48 - Board of Hearings

Section 49 - Use and Disclosure of Information

Section 50 - Contract for Administrative Functions; Underwriting of Program

Section 51 - Utilization Review of Care and Services; Data Processing and Collection Procedures; Liability in Civil Actions

Section 52 - Maintenance of Standards for Providers; Development of New Programs

Section 53 - Covered Services

Section 54 - Wellness Program for Masshealth Enrollees

Section 56 - Controlled Substance Management Program for Masshealth Enrollees

Section 61 - Availability of Benefits to Persons Recognized as a Spouse Under Laws of the Commonwealth

Section 62 - Acceptance and Recognition of Information Submitted Pursuant to Coding Standards and Guidelines Required; Use of Standardized Claim Formats

Section 63 - Assessment per Non-Medicare Reimbursed Patient Day

Section 64 - Definitions for Secs. 64 Through 69

Section 65 - Health Safety Net Office

Section 66 - Health Safety Net Trust Fund

Section 67 - Liability of Acute Hospital to Fund

Section 67a - Nonpublic Ambulance Services; Liability; Uniform Assessment; Enforcement

Section 68 - Surcharge Assessed by Acute Hospitals and Ambulatory Surgical Centers

Section 69 - Reimbursements to Hospitals and Community Health Centers for Health Services Provided to Uninsured and Underinsured Individuals

Section 70 - Definitions for Secs. 70 Through 75

Section 71 - Pca Quality Home Care Workforce Council

Section 72 - Duties of Workforce Council; Pca Recruitment, Training and Referral Resources; Lists of Pcas

Section 73 - Rights of Consumers Regarding Pcas; Public Employee Status for Limited Purposes; Collective Bargaining

Section 74 - Pca Quality Home Care Workforce Council; Scope of Power and Authority

Section 75 - Performance Reviews

Section 76 - Designation of Another Governmental Unit to Perform Functions Set Forth in Secs. 13c Through 13k and 64 Through 75

Section 77 - Office of Medicaid to Attribute Members to Primary Care Providers

Section 78 - Employer Healthcare Coverage Form

Section 79 - Coverage for Health Care Services Delivered via Telehealth by a Contracted Health Care Provider; Right in In-Person Services; Copayment or Coinsurance; Rate of Payment; Standards of Care