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CMS To Review New York Medicaid Fraud

ALBANY, N.Y.--CMS has bumped up a regularly scheduled program review of the New York Department of Health's fraud prevention work in response to legislators' concerns about Medicaid fraud.

The review had been scheduled for the spring, but will be conducted in November instead, CMS said.

In July, U.S. Rep. John Sweeney (R-N.Y.) and New York State Sen. Dean Skelos said they had formally requested that HHS audit the state's use of more than $93 million in Medicaid fraud prevention funds received from the federal government. Citing numerous instances of Medicaid fraud uncovered in a New York Times series, the lawmakers said they asked for the audit to find out why such cases were not detected by New York prosecutors and investigators.

Last month, HHS Inspector General Daniel R. Levinson reported that New York's Medicaid Fraud Control Unit would be the subject of a similar review by his office.

A final report from CMS is expected by year's end, with the OIG report to be issued at the beginning of 2006.

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