Department of Social Services
Department of Health
Care Program In New York State's long-term home
health care program,
physically and mentally impaired Medicaid recipients receive
health and related social support
services in their own homes. According to State law and
regulations, the cost of the care
provided to program participants must be less than the cost of
comparable nursing home care.
At the time of our audit, the Department of Social Services was
responsible for monitoring
We found that the Department of Social Services had no mechanism
for monitoring the
cost of care for each program participant. When we analyzed
these costs, we found that they
often exceeded the regulatory limit. In fact, for the two years
covered by our audit, we
determined that the regulatory limit was exceeded by a total of
between $14.6 million and
$72.4 million. Moreover, according to Department records, the
rates charged by the health
care providers in the program were 47 percent higher than the
rates charged by providers in
other home care programs operating in New York, and some of the
services covered by the
program were not covered by the other home care programs. We
recommend that the
cost-effectiveness of New York State's long-term home health care
program be evaluated.
For a complete copy of 95-S-136 click here.
For a copy of the associated follow-up report click here.
For a copy of the 90-day response click here.