ALBANY – An audit by the State Comptroller’s Office found that the Minisink Valley Central School District did not maximize Medicaid reimbursements by claiming for all eligible Medicaid services provided.
Claims were not submitted for reimbursement for at least 3,083 eligible services totaling $187,932. Had these services been claimed, the district would have realized revenues totaling $93,966 (50 percent of the Medicaid reimbursements).
Between July 1, 2020 and December 31, 2021, the district paid a third-party vendor $54,996 to process the district’s Medicaid claims. However, officials did not provide the vendor with all of the documentation needed for the vendor to properly file all Medicaid claims and did not adequately oversee the vendor to ensure Medicaid reimbursements were maximized.
The audit recommended that the district establish procedures to ensure all documentation requirements are met to submit Medicaid claims for reimbursement for all eligible services provided.
It also said the district should review all unclaimed services and submit any eligible claims for reimbursement.
