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State Paid More Than $100M In Duplicate Medicaid Premiums Over 4+ Years

Local News

According to a recent audit by the state comptroller, New York paid more than $100 million in duplicate medicaid payments over a more than four-year period.

Comptroller Thomas DiNapoli said the overpayments were in the form of premiums made to managed care organizations (MCO) across the state.

“System flaws and incorrect or incomplete information have caused duplicate Medicaid premium payments for a long time,” DiNapoli said. “The Department of Health needs to do a better job coordinating with all stakeholders in the Medicaid system to eliminate this waste, improve efficiency and streamline communication.”

The Medicaid program is a federal, state and local government-funded program that provides a wide range of medical services to people who are economically disadvantaged or have special health care needs.

Many recipients in New York receive their services through MCOs, which receive monthly premiums from the Department of Health for each enrolled patient and pay providers for their services.

Comptroller DiNapoli recommended several corrective actions that the health department generally agreed with,

More information about the report’s findings and recommendations can be found here.

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