State Audits by Agency or Authority
You can bulk download agency audits issued between 2009 to present.
Health, Department of (Medicaid Program)
Overpayments for Therapy Services and Prescription Drugs Covered by Medicare (Follow-Up)
Issued: 11/29/21
Medicaid Program – Claims Processing Activity April 1, 2020 Through September 30, 2020
Issued: 09/21/21
Improper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)
Issued: 08/31/21
Improper Managed Care Premium Payments for Recipients With Duplicate Client Identification Numbers (Follow-Up)
Issued: 08/17/21
Medicaid Program – Improper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements
Issued: 08/17/21
Medicaid Program – Improper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare
Issued: 12/28/20
Improper Medicaid Payments for Childhood Vaccines (Follow-Up)
Issued: 12/23/20
Medicaid Program – Claims Processing Activity October 1, 2019 Through March 31, 2020
Issued: 10/20/20
Medicaid Program – Accuracy of Medicaid Eligibility Determined by NY State of Health
Issued: 09/17/20
Medicaid Program – Cost of Pharmacy Services Under Managed Care
Issued: 09/17/20
Medicaid Program – Improper Medicaid Payments for Terminated Drugs
Issued: 09/17/20
Medicaid Program – Improper Medicaid Payments Involving Fee-for-Service Claims for Recipients With Multiple Client Identification Numbers
Issued: 09/17/20
Medicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services (Follow-Up)
Issued: 09/15/20
Improper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition (Follow-Up)
Issued: 09/02/20
Medicaid Program – Claims Processing Activity April 1, 2019 Through September 30, 2019
Issued: 09/02/20
Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Follow-Up)
Issued: 07/01/20
Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program (Follow-Up)
Issued: 05/07/20
Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
Issued: 02/25/20
Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance (Follow-Up)
Issued: 01/17/20
Maximizing Drug Rebates for Health and Recovery Plans (Follow-Up)
Issued: 01/17/20
Medicaid Program – Improper Fee-for-Service Payments for Services Covered by Long-Term Care Plans
Issued: 01/17/20
Medicaid Program – Medicare Part D Clawback Payments
Issued: 01/17/20
Medicaid Program – Overpayments for Therapy Services and Prescription Drugs Covered by Medicare
Issued: 10/30/19
Improper Medicaid Payments to a Transportation Provider (Follow-Up)
Issued: 10/15/19
Medicaid Payments to Medicare Advantage Plan Providers (Follow-Up)
Issued: 10/15/19
Medicaid Program – Claims Processing Activity October 1, 2018 Through March 31, 2019
Issued: 09/27/19
Inappropriate Payments Related to Procedure Modifiers (Follow-Up)
Issued: 07/31/19
Medicaid Program – Improper Managed Care Payments for Recipients With Duplicate Client Identification Numbers
Issued: 07/29/19
Medicaid Program – Medicaid Claims Processing Activity April 1, 2018 Through September 30, 2018
Issued: 07/10/19
Medicaid Program – Improper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition
Issued: 04/08/19
Medicaid Program – Medicaid Claims Processing Activity October 1, 2017 Through March 31, 2018
Issued: 02/05/19
Medicaid Program – Improper Fee-for-Service Payments for Services Covered by Managed Care
Issued: 01/10/19
Improper Medicaid Payments to Eye Care Providers (Follow-Up)
Issued: 12/27/18
Mainstream Managed Care Organizations – Administrative Costs Used in Premium Rate Setting (Follow-Up)
Issued: 12/27/18
Medicaid Payments for Pharmacy Claims – Joia Pharmacy and a Related Prescriber (Follow-Up)
Issued: 12/27/18
Medicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY
Issued: 12/11/18
Medicaid Program – Improper Medicaid Payments for Childhood Vaccines
Issued: 12/06/18