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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
The New York State Department of Health used the correct Federal medical assistance percentages when processing Medicaid claim adjustments for both public and private providers during the period October 2008 through June 2011. Accordingly, this report contains no recommendations.
CIGNA Government Services, LLC, a subsidiary of CIGNA Corporation, claimed unallowable postretirement benefit costs of $281,000 for Medicare reimbursement for fiscal years 2004 through 2012.
More than half of the Medicaid payments that the State agency made to providers for full vials of Herceptin were incorrect. Of the 381 line items reviewed, 203 (53 percent) were incorrect and included overpayments of about $1 million ($710,000 Federal share), or almost a third of total dollars reviewed. The 178 remaining line items were correct.
