Bill
Bill > A03898
NY A03898
NY A03898Relates to audits conducted by the office of Medicaid inspector general detecting ministerial or clerical errors that generate an overpayment to a vendor providing non-emergency medical transportation services.
summary
Introduced
01/30/2025
01/30/2025
In Committee
01/30/2025
01/30/2025
Crossed Over
Passed
Dead
Introduced Session
2025-2026 General Assembly
Bill Summary
AN ACT to amend the public health law, in relation to audits conducted by the office of Medicaid inspector general detecting ministerial or clerical errors that generate an overpayment to certain services
AI Summary
This bill addresses audits conducted by the Medicaid Inspector General (MIG) related to non-emergency medical transportation (NEMT) services, providing new protections for service vendors who commit minor administrative errors. Specifically, the bill establishes that if an audit identifies an overpayment due to a ministerial or clerical error, the vendor will have at least 60 days before recovery of funds begins and will be given a reasonable opportunity to provide independent proof that the transportation service was actually rendered to a Medicaid recipient. If the vendor can demonstrate through independent documentation that the service was legitimately provided, the MIG must amend the final audit report to reduce or eliminate the overpayment amount, including any extrapolated calculations derived from the initial audit finding. This legislation aims to provide vendors with a more fair process when minor record-keeping mistakes are discovered during Medicaid transportation service audits, ensuring that legitimate services are not unfairly penalized due to administrative technicalities. The bill would take effect immediately upon passage.
Committee Categories
Health and Social Services
Sponsors (3)
Last Action
referred to health (on 01/30/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
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State Bill Page | https://www.nysenate.gov/legislation/bills/2025/A3898 |
BillText | https://assembly.state.ny.us/leg/?default_fld=&bn=A03898&term=2025&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y#A03898 |
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