New York Claimed $196 Million, Over 72 Percent of the Audited Amount, in Federal Reimbursement for NEMT Payments to New York City Transportation Providers That Did Not Meet or May Not Have Met Medicaid Requirements

Date Issued

Monday, September 12, 2022

Submitting OIG

Department of Health & Human Services OIG

Agencies Reviewed/Investigated

Department of Health & Human Services

Report Number

A-02-21-01001

Report Type

Audit

Agency Wide

Yes

Number of Recommendations

Questioned Costs

Funds for Better Use

Hide this report from display

Yes

Open Recommendations

This report has 2 open recommendations.

Recommendation Number	Significant Recommendation	Recommended Questioned Costs	Recommended Funds for Better Use
22-A-02-09201	No	$84,329,893	$0
We recommend that the New York State Department of Health refund the estimated $84,329,893 to the Federal Government for payments that did not comply with Federal and State requirements.
22-A-02-09202	No	$0	$0
We recommend that the New York State Department of Health work with the transportation manager to review the payments to transportation providers that may not have complied with Federal and State requirements, resulting in an estimated $112,028,279 in Federal Medicaid reimbursement, and refund to the Federal Government any unallowable amounts.