New Medicaid Provider Enrollment And Revalidation Requirements

One of the changes brought about by the Affordable Care Act (ACA) is the enhanced enrollment and revalidation screenings for providers and suppliers not only under Medicare but also Medicaid and CHIP healthcare programs.

Continue reading »

New Transportation Guidelines for New York Medicaid Providers

The New York State Medicaid transportation program has undergone some changes recently. In January, the New York State Department of Health announced that a contract was awarded to LogistiCare Solutions to manage the transportation needs of Medicaid enrollees. Each New York City borough will be brought under the management of the contractor in phases.

Continue reading »

Pharmacies and DMEs Under Scrutiny By OMIG

The New York State’s Office of the Medicaid Inspector General (OMIG) recently released the agency’s 2012-2013 workplan. The agency’s focus remains firmly on fighting fraud, waste and abuse, compliance and self-disclosure, and provider education. We look closer at how the OMIG plan impacts pharmacy and durable medical equipment (DME) businesses.

Continue reading »

Documentation Requirements for New York Medicaid Transportation Providers

The New York Medicaid Program pays costs of all emergency ambulance and medically necessary non-emergency transportation, as well as the necessary transportation expenses for Medicaid enrollees who must travel an extraordinary distance to receive medical care. The New York Medicaid Program will only reimburse transportation providers if specific records verifying an occurrence of a trip are maintained for each leg of the trip.

Continue reading »

New York Medicaid Stops Paying For Chronic Back Pain Procedures

The New York State Medicaid Program announced in its official publication that the NY Medicaid program will no longer cover certain treatments for chronic low back pain.

Continue reading »

New Rules Require Medicaid Provider Revalidation

On March 25, 2011 significant new Federal regulations were implemented that have a direct impact on Medicaid enrolled providers. New information from the New York State Medicaid Program’s Medicaid Update confirms that the rules will be implemented shortly for New York providers.

Continue reading »

New York Medicaid Program Prohibits Billing Beneficiaries

When a provider participates in the New York State Medicaid Program, a provider agrees to accept payment as payment in full for the provided services. The same applies to providers who accept Medicaid Managed Care or Family Health Plus (FHPlus) plans.

Continue reading »

New York to Reduce All Medicaid Payments to Docs by 2%

The final 2011-12 New York State budget (Chapter 59 of the Laws of 2011) requires a 2% across the board reduction to most Medicaid payments for dates of service on or after April 1, 2011. The reduction will remain in effect for dates of service through March 31, 2013. These provisions were enacted to meet

Continue reading »

New York’s Medicaid Provider Compliance Program

The New York State Social Service Law and its implementing regulations require that Medicaid providers develop, adopt and implement effective compliance programs aimed at detecting fraud, waste, and abuse in the Medicaid program. These programs are mandatory for those providers operating under Article 28 or 36 of the Public Health Law and Articles 16 or

Continue reading »

Governor Cuomo Vetoes OMIG Reform Bill

Many providers were disappointed to learn that on September 23, 2011, New York Governor Andrew Cuomo vetoed a bill that was previously passed without opposition by both houses of the New York State legislature (A.5686-A Gottfried and S.2184-A Little). According to the press release of one of the bill’s sponsors, “[t]he bill would set forth

Continue reading »

OMIG’s Powers To Be Limited By Pending New York Law

A bill introduced in the New York Senate on February 10, 2011, and which passed both of the New York’s State legislative houses in June (A.5686-A Gottfried and S.2184-A Little), is awaiting Gov. Cuomo’s approval. The bill will impact the power of the Office of the Medicaid Inspector General (OMIG) and will address some of

Continue reading »

CMS and OMIG Team Up To Measure Improper Payments

The Centers for Medicare & Medicaid Services (CMS) and the New York State Office of the Mediciad Inspector General (OMIG) have teamed up to analyze and measure whether improper payments in the Medicaid and State Child Health Insurance programs have been made to healthcare providers. Under the Payment Error Rate Measurement (PERM) program, which was

Continue reading »

OMIG Identifies Core Requirements For All Providers

Many New York State healthcare providers have recently felt the heavy hand of the state enforcement agency as the Office of Medicaid Inspector General (OMIG) seeks to recoup payments paid out to providers in an effort to eliminate fraud, waste and abuse in the healthcare industry. At a recent presentation given by OMIG, the agency

Continue reading »

New York State Medicaid Investigators Focusing On Dentists

There is an increased focus on the dental community from the New York State Office of Medicaid Inspector General (OMIG). At an increasing rate, OMIG is conducting audits of dentists and dental specialists, putting additional burden on providers already taxed with other statutory, regulatory and malpractice concerns.

Continue reading »

NYS OMIG Steps Us Its Recovery Efforts: Provider Alert

In order to meet the enhanced program integrity provision of the Affordable Care Act, signed by President Barack Obama in March 2010, as well as the New York False Claims Act signed by Governor David Paterson in August 2010, the Office of The Medicaid Inspector General (OMIG) is ramping up the number of investigations and

Continue reading »