Department of Health

Medicaid Claims Processing for the Six Months Ended March 31, 2007 (Follow-Up Report)

New York State’s Medicaid program is administered by the Department of Health. Medicaid claims are processed and paid by an automated system (eMedNY) that is operated by a contractor. In audit 2006-S-88, we examined the Medicaid claims processed during the six months ended March 31, 2007 to determine whether the claims were processed in accordance with requirements. We identified overpayments of $181,187 and recommended that controls be improved to prevent such overpayments in the future. When we followed up on these matters, we found that Department of Health officials had made some progress in implementing our audit recommendations, but additional progress was still needed.

For a complete copy of Report 2008-F-11 click here.
For a copy of the 90-day response click here.