Legislation
SECTION 35
Reports required of the inspector
Public Health (PBH) CHAPTER 45, ARTICLE 1, TITLE 3
§ 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.
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.