School Medicaid scam
By SHIRIN PARSAVAND
Gazette Reporter
7/3/02
ALBANY - An investigation of school districts' Medicaid
reimbursement claims has been put on hold, but the
districts still could have to pay back much of the
federal money they have received, U.S. Sen. Charles
Schumer said Tuesday.
The U.S. Justice Department had been investigating
whether New York school districts made errors when
filing claims for a program that helps them cover
services for special education students who are eligible
for Medicaid.
The Justice Department has suspended its
investigation while the federal agency that administers
the program completes its own review, said Schumer, D-N.Y.
Schumer said that if districts made errors, it was
because the federal government issued unclear
guidelines. "It is absurd to blame individual
school districts for problems that were created by
Washington, and we're going to keep the heat on until
DOJ stops bullying New York's schools once and for all
and drops this investigation," he said.
School districts have been receiving Medicaid
reimbursement since 1994 for services that include
speech therapy, physical therapy, nursing care and
transportation. The cost of the program is split between
the federal and state governments.
The Justice Department began investigating the
Elmira, Ithaca and Ogdensburg school districts after an
audit showed the state's interpretation of program rules
conflicted with the federal interpretation. The audit
was performed by the U.S. Department of Health and Human
Services' Inspector General.
Schumer said if the federal government concludes
Medicaid overpaid school districts, the districts should
not be required to pay back funds.
Instead, he said, the Centers for Medicare and
Medicaid Services, the division of HHS that administers
the program, should determine what regulations need to
be changed, and work with the schools and state to make
sure schools comply with the new rules.
Schumer said if the federal government requires
school districts to pay back Medicaid funds, the Albany
city school district could have to pay back as much as
$14.8 million in claims from the past eight years.
Other districts that would face sizeable repayments
include Schenectady, about $5 million; Amsterdam, $5.1
million; Troy, $3.8 million; and Saratoga Springs, $3.4
million.
Source: Gazette
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