Federal Reports

In New York, adult day care facilities provide functionally impaired adults with socialization, supervision and monitoring, and nutrition services in a protective setting. Beneficiaries enrolled in New York's Medicaid managed long-term-care program receive adult day care services from providers contracted with Medicaid managed care organizations (MCOs). New York's health and safety requirements for adult day care facilities are detailed in its MCO contract approved by the Centers for Medicare & Medicaid Services (CMS). Our audits of adult day care facilities in six States identified multiple health and safety issues that put vulnerable adults at risk; therefore, we decided to review similar facilities in New York.

In accordance with our Annual Performance Plan Fiscal Year (FY) 2019, OIG conducted this follow-up audit to determine whether the Department (1) took appropriate corrective actions in implementing the 10 recommendations in Report No. OIG-2013-04 and (2) implemented actions correcting the deficiencies identified in the report. Our scope included existing controls and guidance addressing recommendations outlined in our previous report as of September 30, 2019.