OMIG Issues Clarification on its Abbreviated Medicaid Self-Disclosure Process

Harris Beach PLLC
Contact

The New York State Office of the Medicaid Inspector General (“OMIG”) recently issued a listserv to clarify the August 22, 2023, publication of its Abbreviated Self-Disclosure Process. No changes were announced to the Self-Disclosure Program Requirements Instructions & Guidelines August 2023. The Instructions and Guidelines include internal links to forms to be used in making the self-disclosures under either method.

OMIG’s listserv seeks to clarify that the August 22nd publication of the Abbreviated Self-Disclosure Process (“Abbreviated Process”) applies on a prospective basis. OMIG expects that the Abbreviated Process applies only to voids and adjustments made on or after August 22, 2023. It appears that for voids and adjustments made prior to August 22, 2023, the Abbreviated Process is not applicable.

OMIG expected the first full month of reporting under the Abbreviated Process would reflect reports (voids and adjustments) being performed during the month of September 2023.

The Abbreviated Process requires submission of the Abbreviated Self-Disclosure Form (together with the spreadsheet) by the 5th day of the month following when the void or adjustments were made. September repayments would need to be reported and explained by October 5, 2023, under the Abbreviated Process.

OMIG’s language is not the clearest, but it appears any voids/adjustments done prior to August 22, 2023, would not be eligible for the Abbreviated Process. It does appear that if routine or transactional overpayments were identified prior to August 22, 2023, but were not voided or adjusted until August 22, 2023, or later, those post Aug 22 voids or adjustments could be included in the Abbreviated Process.

The Abbreviated Process does not change the requirement that Overpayments must be reported, repaid and explained within 60 days of the Overpayment being identified.

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

© Harris Beach PLLC | Attorney Advertising

Written by:

Harris Beach PLLC
Contact
more
less

Harris Beach PLLC on:

Reporters on Deadline

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:
*By using the service, you signify your acceptance of JD Supra's Privacy Policy.
Custom Email Digest
- hide
- hide