FWA (NY)- Show me the money. Years later, NYS Medicaid overpayments still not recovered

MM Curator summary

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[MM Curator Summary]: They “fixed” it all except for that last little bit about actually recovering the money.



Clipped from: https://cbs6albany.com/news/you-paid-for-it/show-me-the-money-years-later-nys-medicaid-overpayments-still-not-recovered-you-paid-for-it-comptroller-dinapoli-department-of-health



ALBANY, N.Y. (WRGB) — Medicaid overpayments that were discovered by the New York State Comptroller’s Office more than two years ago have still not been recovered — and you paid for it.

The overpayments involved those who were dual eligible for both Medicaid and Medicare

According to the comptroller, “A prior audit report, issued in December 2020, identified about $50 million in actual and potential Medicaid overpayments, cost-savings opportunities, and questionable payments for services provided to recipients enrolled in Medicare-covered hospice care. The follow-up found that the Department of Health made some progress in addressing the problems identified, but more actions were needed. Namely, the Office of the Medicaid Inspector General had yet to materially recover the overpayments.”

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Among the things the health department has done in the wake of the audit was implement a tracking system to identify those so called dual eligibles in hospice care.

Of the initial report’s nine audit recommendations, three had been implemented, five had been partially implemented, and one had not yet been implemented.

The full audit report can be found here: Department of Health: Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up) (state.ny.us)