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NY A07889
Bill
Status
12/9/2022
Primary Sponsor
Richard Gottfried
Click for details
AI Summary
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Establishes a 60-day waiting period after final audit reports before the inspector general can commence recovery of overpayments and requires 10 days advance written notice to providers.
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Prohibits re-auditing medical assistance claims within three years unless based on new information, evidence of previous audit error, or significantly different audit scope.
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Requires the inspector general to apply laws, regulations, and policies in effect when claims arose rather than current rules, with changes applied prospectively upon reasonable notice.
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Prohibits recovery from providers for administrative or technical documentation defects made without intent to defraud, but allows 30 days to correct defects and resubmit claims.
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Requires the inspector general to provide recipients written notice at least five business days before interviews, explaining investigation basis, rights to representation, and right to fair hearing, with at least 30 days notice before recovery actions commence.
Legislative Description
Amends provisions relating to audit and review of medical assistance program funds by the Medicaid inspector general; prohibits additional review without error or new information; requires application of rules in place at the time funds were paid to providers; requires notice to recipients of medical assistance funds of certain investigations.
Last Action
tabled
12/9/2022