New York Post

Medicaid bungle cost NY $102M: audit

- Bernadette Hogan

An audit by state Comptrolle­r Tom DiNapoli found New York’s Medicaid program duplicated payments to the tune of $102.1 million over four years.

Auditors found that between 2014 and 2018, the state Department of Health made payments for managed-care premiums to 65,961 individual­s with multiple client identifica­tion numbers.

The mix-up stemmed from missing or incorrect Social Security numbers and wrong addresses.

“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.”

DiNapoli also noted further complicati­on thanks to the lack of a centralize­d system between New York City and upstate Welfare Management Systems and the New York State of Health system, establishe­d under ObamaCare.

DOH said it’s working to fix the mistakes. “The department recently allocated additional resources to duplicate research and resolution and created a unit for this purpose,” the agency said of the findings.

Bill Hammond, director of health policy for the Empire Center, was critical of the bungling.

“Alittle series of mistakes in a program this big can add up to a lot of money in a hurry,” Hammond told The Post. “A quarter of a million dollars is a lot of money. It’s important that the auditors are looking at this and are pointing to things that could be fixed.”

In fiscal year 2017-2018, the state’s Medicaid program had 7.3 million total recipients and $62.9 billion in total claim costs.

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