Connect with us

Government

Harckham, Paulin and Treatment Providers Blast Unfair, Punitive Medicaid Auditing Practices

Published

1 year ago

on

Albany, NY – New York State Senator Pete Harckham and Assemblymember Amy Paulin, along with other legislators and behavioral health care, spoke in unison at a special press conference in the State Capitol today, calling for the FY2024-2025 State Budget to include a meaningful reform of current practices utilized by the NYS Office of the Medicaid Inspector General (OMIG) when it audits healthcare agencies that provide essential services to New Yorkers with Medicaid insurance.

A new OMIG reform bill (S.5329D / A.6813), introduced by Harckham and Paulin, seeks to rectify tactics used during Medicaid audits conducted by the OMIG that are needlessly punitive and, ultimately, ineffective in preventing fraud and abuse in the healthcare system. These audits take time and resources away from healthcare and mental hygiene agencies providing essential services to New Yorkers with Medicaid insurance.

“New York patients cannot afford to lose any more behavioral health providers, especially over unintentional administrative errors,” said Harckham. “The senseless undermining of Substance Use Disorder programs in the middle of an opioid epidemic needs to stop. Let’s not lose sight that these programs save lives, so regulatory efforts should be in line with supporting and improving services, not harming them.”

“The role of the NYS Office of the Medicaid Inspector General is to root out fraud and abuse,” said Paulin. “However, this should not mean that OMIG should have the ability to wipe out entire programs and services based on technical errors, state system issues, or minor discrepancies, especially when the service was delivered appropriately. This practice is crippling and risks the continued viability of New York’s safety net system. I urge the Legislature to include the provisions of our bill in the budget to protect our health care providers and safeguard OMIG’s role in ensuring Medicaid’s integrity.”

Current OMIG audit practices include application of extrapolation to clerical errors, which has resulted in disproportionate findings and enormous fines that can shut down an entire program or impact a Medicaid provider. This practice has been devastating to providers and risks the continued viability of New York’s safety net system. 

               Clerical errors result in care providers being punished and financially crippled.  

Related Topics:
Continue Reading
Advertisement

Government

Rockland County Department of Consumer Protection is Warning Residents About a Resurfacing Scam

Published

1 day ago

on

March 31, 2025

By

Recent reports from local businesses and residents indicate that scammers are posing as legitimate contracting companies, falsely claiming urgent structural issues to convince homeowners to sign expensive contracts for unnecessary repairs.

In one instance, scammers impersonated a reputable roofing company, Gikas Roofing, and tricked a homeowner into signing a $78,000 contract for fraudulent roof repairs. A similar case involved an elderly woman who paid $60,000 for a roof replacement she didn’t need—only for the scammers to disappear after causing damage to her home.

“These types of scams follow a familiar pattern, with unlicensed contractors using scare tactics to rush homeowners into making costly decisions,” said Rockland County Consumer Protection Director Kimberly Von Ronn. “Our department successfully impounded a vehicle and is working closely with the company being impersonated, along with Orangetown Building and Police Departments, but we urge families to be vigilant.”

Always remember to:

  • Ask for proof of a Rockland County license and insurance. A New Jersey license does not qualify in Rockland County.
  • Do not make immediate decisions under pressure. Take time to research and compare contractors.
  • Never pay in full upfront. Legitimate contractors will provide a written contract and schedule reasonable payments.
  • If approached by an unsolicited contractor, contact Rockland County Consumer Protection immediately.

If you suspect a scam, contact the Rockland County Department of Consumer Protection at [email protected] or 845-364-3901.

Continue Reading

Government

Rockland County Honors Marine Corps Veteran Elizabeth Rubio with 2025 Freedom Award

Published

7 days ago

on

March 26, 2025

By

County Executive Ed Day and Director Susan Branam of the Rockland County Veterans Service Agency recognized a female veteran with the Freedom Award Monday, an annual County honor made to female veterans for outstanding service to our nation.

“Acknowledging those who have worked and sacrificed to protect the freedoms we enjoy is crucial, particularly women whose contributions to building and protecting our country have long been overlooked.” said County Executive Ed Day.

The 2025 Freedom Award was presented to Marine Corps Staff Sergeant Veteran Elizabeth “Lisa” Rubio. Rubio, a U.S. Marine Corps veteran, served honorably from 2011 to 2019, achieving the rank of Staff Sergeant. Throughout her career, she held key roles across multiple commands, including Marine Corps Recruiting Command and U.S. Marine Corps Forces Special Operations Command. A dedicated leader, she supported multinational training exercises, mentored recruits, and earned multiple commendations, including two Navy and Marine Corps Commendation Medals.

After her military service, Lisa continued her commitment to others as a Veterans Service Officer in the County of Rockland, securing $12 million in benefits for local veterans and surviving spouses. Now pursuing a law degree, she remains devoted to advocacy and service.

“I am so proud to present this award to Lisa who not only has been a trailblazer as a female Marine, but a dedicated Veteran Service Officer, and now is completing her first year in law school. I have no doubt that she will continue to do well and serve as an inspiration to future generations,” said Veterans Service Agency Director, Susan Branam.

“We thank Lisa for her bravery and continued commitment to our residents. We are proud to list your name among the women recipients of the Rockland County Freedom Award in years past,” concluded County Executive Ed Day.

Continue Reading

Trending