New York State Department of Health

government

Last mentioned: Mar 5, 2026

Timeline

  1. Preliminary Findings

    Expected release of initial audit data and potential improper payment estimates.

  2. New York Probe Launched

    Federal investigators formally initiate the audit of New York's Medicaid system.

  3. National Initiative Announced

    Trump administration signals intent to prioritize Medicaid fraud detection.

  4. Probe Widening

    Official announcement of a multi-agency criminal and civil investigation into systemic Medicaid fraud.

  5. Audit Expansion

    OMIG launches a pilot program using AI to flag high-risk CDPAP billing patterns.

  6. Legislative Reform

    NY Legislature passes measures to consolidate fiscal intermediaries to reduce administrative fraud.

Stories mentioning New York State Department of Health 2

Health Policy Bearish

New York Escalates Medicaid Fraud Probe as State Budget Pressures Mount

New York authorities have significantly expanded a multi-agency investigation into Medicaid fraud, targeting systemic billing irregularities within home care services. The probe marks a critical escalation in the state's effort to rein in the nation's most expensive Medicaid program amid projected multi-billion dollar deficits.

2 sources