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Bill > A03898


NY A03898

NY A03898
Relates 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
In Committee
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)

bill text


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