NY A10464

Requires annual cross-checks of Medicaid enrollment data against death records, duplicate enrollments, residency indicators, and federal eligibility databases to verify ongoing eligibility

Mandates recurring annual audits of high-risk Medicaid program areas including managed care premium payments, claims processing systems, hospital billing classification, and electronic visit verification

Establishes payment safeguards placing managed care premium payments in escrow when verification identifies credible indicators that an individual may no longer be eligible, with funds released upon confirmed eligibility or retained for recoupment if improper

Creates a biometric verification pilot program for confirming service delivery, with facial recognition technology expressly prohibited and biometric data stored only as encrypted, non-reversible templates

Requires annual legislative reports summarizing audit findings, corrective actions taken, amounts recovered, payment safeguards applied, and pilot program results