State Codes and Statutes

Statutes > New-york > Pbh > Article-1 > Title-3 > 35

§  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; and    (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.    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.

State Codes and Statutes

Statutes > New-york > Pbh > Article-1 > Title-3 > 35

§  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; and    (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.    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.

State Codes and Statutes

State Codes and Statutes

Statutes > New-york > Pbh > Article-1 > Title-3 > 35

§  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; and    (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.    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.