Department of Health

Preferred Primary Care Provider Program (Follow-Up Review)

To improve the health care provided to underserved populations in New York's Medicaid program, in 1990 the State Legislature created the Preferred Primary Care Provider Program. In this program, which is administered by the Department of Health, primary care providers offer services in underserved areas, and in return may be paid according to more flexible reimbursement methodologies and are exempt from certain restrictions on their services. In our prior audit report 95-S-118, we found that Department officials had not evaluated program performance against established program goals and had not monitored program providers to ensure that they complied with program regulations. In addition, because program costs were not summarized, Department officials could not evaluate whether the program was cost-effective. We recommended that program performance, provider compliance and program cost be better monitored by the Department. In our follow-up review, we found that our recommendations have been implemented.

For a complete copy of Report 99-F-1 click here.