2023 New York Laws › PBH - Public Health › Article 1 - Short Title and Definitions: General Provisions › Title 3 - Office of the Medicaid Inspector General › 35 - Reports Required of the Inspector.

§  35.  Reports  required of the inspector. 1. The inspector shall, no
later than October first of each  year,  submit  to  the  governor,  the
temporary  president  of  the  senate,  the speaker of the assembly, the
state comptroller and the attorney general,  a  report  summarizing  the
activities of the office during the preceding calendar year. Such report
shall include:
(a)   the  number,  subject  and  other  relevant  characteristics  of
investigations initiated, and those completed, including but not limited
to outcome,  region,  source  of  complaint  and  whether  or  not  such
investigation was conducted jointly with the attorney general;
(b)  the  number, subject and other relevant characteristics of audits
initiated, and those completed, including but not  limited  to  outcome,
region,  reason  for  audit  and  the  total dollar value identified for
recovery and the actual recovery from such audits;
(c)  the  number,  subject  and  other  relevant  characteristics   of
administrative actions initiated, and those completed, including but not
limited to outcome, region and type;
(d)   the  number,  subject  and  other  relevant  characteristics  of
referrals for prosecution to the deputy attorney  general  for  Medicaid
fraud  control  and  other federal or state law enforcement agencies, or
for licensure action; such information shall include but not be  limited
to status and region;
(e)  the  number,  subject and other relevant characteristics of civil
actions initiated by  the  office  related  to  improper  payments,  the
resulting  civil settlements entered and overpayments identified and the
total dollar value both identified and collected;
(f) a narrative that evaluates the office's performance, describes any
specific problems and connection  with  the  procedures  and  agreements
required  under  this section, discusses any other matters that may have
impaired its effectiveness and  summarizes  the  total  savings  to  the
state's medical assistance program; and
(g)  a  narrative,  provided  by  the  department in its annual report
pursuant to paragraph (t) of subdivision one of section two hundred  six
of  this chapter that summarizes the department's activities to mitigate
fraud, waste and abuse during the preceding calendar year.
2. Pursuant to the reporting requirements contained within subdivision
one of this section, the inspector shall not disclose  information  that
jeopardizes  an  ongoing  investigation or proceeding, provided that the
inspector shall disclose required information that does  not  jeopardize
an ongoing investigation or proceeding and fully apprises the designated
recipients of the scope and quality of the office's activities.
3.  The inspector shall, on or before April first, July first, October
first and January first of each year  following  the  calendar  year  in
which  this  title  shall take effect, submit to the governor, temporary
president of the senate and speaker of the  assembly  an  accountability
statement  providing  a statistical profile of the referrals made to the
state  Medicaid  fraud  control   unit,   audits,   investigations   and
recoveries.