Over $116M in improperly paid Medicaid funds recovered, comptroller’s office reports

TRENTON – The state Comptroller reported today that it recovered more than $116 million in improperly paid Medicaid funds during the past fiscal year.

The funds, which were disclosed via audits and other reviews of Medicaid providers, included pharmacies, day-care facilities, and medical equipment companies, according to the Comptroller’s office.

The Comptroller’s office reported that its Medicaid Fraud Division recovered a total of $116,330,341 in improperly paid funds as of the close of the fiscal year on June 30, a 31 percent increase from the previous fiscal year.

In addition, an estimated $210 million in other potential Medicaid costs were avoided through the office’s anti-fraud efforts, it reported.

The office reported that its fraud division recovered funds stemming from health services that were never provided or that were billed by providers banned from the Medicaid program. In addition, funds were recovered that should have been paid by third-party insurance companies, the comptroller’s office stated.

Over $116M in improperly paid Medicaid funds recovered, comptroller’s office reports