Audit: N.Y. Lags in Recovering Medicaid Overpayments

Nov. 22, 2017, 3:35 PM UTC

New York improved its safeguards against overpaying Medicaid managed long-term care plans for disenrolled beneficiaries, but still hasn’t collected the bulk of $12 million in overpayments identified in a 2016 audit, a state official said.

State Comptroller Thomas P. DiNapoli (D) issued a report Nov. 21 that evaluated the Department of Health’s progress in meeting the recommendations of the 2016 audit, which found that the state had overpaid $21.4 million in capitation fees over six months in 2015 for beneficiaries no longer enrolled in a managed care plan.

The state Office of the Medicaid Inspector General ...

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