Office of the New York State Comptroller Division of State Government Accountability

Medicaid Program – Improper Payments for Laboratory and Related Services

DOH did not provide adequate guidance to providers and MCOs, nor did it effectively monitor fee-for-service and managed care claims to ensure Medicaid paid only for necessary laboratory services. Weaknesses in DOH’s eMedNY system edits allowed improper fee-for-service laborato…

Findings

1

Recommendations

8