N.Y. Comp. Codes R. & Regs. Tit. 18 §§ 521-3.1

Current through Register Vol. 46, No. 51, December 18, 2024

Section 521-3.1 - Scope and applicability

(a) Scope.

(1) Subdivision 6 of the section 363-d of the Social Services Law requires persons who have received an overpayment under the MA program to report, return and explain the overpayment to the department and the Office of Medicaid Inspector General ("OMIG").

(2) A person satisfies their obligation to report, return and explain by making a disclosure through OMIG's Self-Disclosure Program, complying with the requirements as specified in section 521-3.4 of this SubPart, and returning the overpayment and interest to the department in accordance with the provisions of section 521-3.5 of this SubPart.

(b) Applicability. This SubPart applies to persons who have received an overpayment under the MA program.

(c) Related requirements. 42 U.S.C. § 1320a-7k(d) requires persons who have received an overpayment from the MA program to report, return and explain the overpayment to the Federal Department of Health and Human Services, the State, or appropriate fiscal intermediary.

N.Y. Comp. Codes R. & Regs. Tit. 18 §§ 521-3.1

Adopted New York State Register December 28, 2022/Volume XLIV, Issue 52, eff. 12/28/2022