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HHS OIG Issues Report on New York's Handling of CHIP Overpayments to MCOs

Apr 4, 2024

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued a report on how New York handled duplicate Children's Health Insurance Plan (CHIP) payments made to managed care organizations.

New York Generally Identified and Corrected Duplicate Children’s Health Insurance Plan Payments Made to Managed Care Organizations (A-02-23-01017)

New York generally did not claim Federal reimbursement for duplicate Children Health Insurance Program (CHIP) payments made to managed care organizations (MCOs).  New York identified and corrected duplicate CHIP payments associated with 100 of the 104 enrollee-matches we reviewed.  However, New York did not identify and correct duplicate CHIP payments to MCOs for the remaining four enrollee-matches totaling $24,679 ($7,026 Federal share).  Read the Full Report.