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New York Claimed Medicaid Reimbursement for Some Adult Day Health Care Services Provided by Center for Nursing and Rehabilitation That Were Unallowable

11-25-2015 | Audit (A-02-12-01015) | Complete Report

The State agency claimed Medicaid reimbursement for some Adult Day Health Care Services (ADHC) services provided by Center for Nursing and Rehabilitation (CNR) that did not comply with certain Federal and State requirements. Of the 100 claims in our random sample, 90 complied with Federal and State requirements, but 10 did not. We estimated that the State agency improperly claimed at least $283,000 in Federal Medicaid reimbursement for ADHC services provided by CNR that did not comply with certain Federal and State requirements.

Filed under: Centers for Medicare and Medicaid Services