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Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Report Number
A-02-13-01016
Report Description

The New York State Department of Health (State agency) claimed Medicaid reimbursement for some Medicaid adult day health care (ADHC) services that did not comply with certain Federal and State requirements. Of the 100 claims in our random sample, the State agency properly claimed Medicaid reimbursement for 60 claims. However, the State agency claimed Medicaid reimbursement for services that were unallowable for the remaining 40 claims. On the basis of our sample results, we estimated that the State agency improperly claimed at least $70 million in Federal Medicaid reimbursement for ADHC services that did not comply with certain Federal and State requirements.

Report Type
Audit
Location

NY
United States

Number of Recommendations
2
Questioned Costs
$70,486,492
Funds for Better Use
$0

Department of Health & Human Services OIG

United States