New York officials would track credible Medicaid fraud hotline tips

The inspector would share all information in a credible hotline tip with the state Medicaid fraud control unit and a prosecutor with authority over the case. This applies to tips received through the New York Medicaid fraud hotline that the inspector determines are credible allegations. The inspector must use office procedures to decide whether a tip is a credible allegation. The text gives no deadline for sharing the information.

The inspector would report hotline tip counts, investigations, investigators, and outcomes to named state leaders. The report covers all tips received through the office's Medicaid fraud hotline. The inspector would compile the report at the end of each calendar year and provide it to the listed officials.

Officials would decide whether to investigate a credible tip and which jurisdiction would lead; the inspector would receive the decision and the investigation's outcome. This applies to credible hotline allegations shared with the state unit and a prosecutor with authority over the case. The deadline begins when the information is shared with the state fraud control unit and a prosecutor with authority over the case. The decision is due within 30 days after the information is shared. The inspector would be notified when the investigation is complete.