Relates to limiting audit and review of certain medical assistance program funds
REPORTED REFERRED TO WAYS AND MEANS
Summary
The bill adds a new section to New York’s public health law that restricts how Medicaid auditors can recoup overpayments. If a provider’s paperwork was non‑compliant at the time of filing but later becomes compliant due to rule changes, auditors can only recover the amount of the specific claims they examined, without extrapolating to other claims. New reviews on the same issue are barred unless fraud or false billing is proven.
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