Semi-annual Third Party Liability Repayment Letters

The New York Office of the Medicaid Inspector General (OMIG) sent out another Third Party Liability (TPL) letter, dated Sept. 8, 2015. This letter was sent to all providers who have been selected for the first half of the Federal Fiscal Year 2015 only. This process follows NYCRR Title 18, Section 540.6(e)(1), which is to ensure providers seek reimbursement for Medicare and all other third parties before submitting a claim to Medicaid. The claims selected for this initiative fall between Oct.1, 2014 thru Mar. 30, 2015, or the end of the episodic period billed to Medicaid. If your agency is selected for future initiatives you will receive a separate notification letter and a Case Selection Report at that time.

For specific questions about the letters, contact Laurie Burns at the University of Massachusetts Medical School at 866-626-7594.

If you want to know if you will be receiving a letter from OMIG, please contact me. LeadingAge Neew York and LeadingAge national continue to advocate on this issue with the Centers for Medicare and Medicaid Services for a long term solution.

Contact: Cheryl Udell, cudell@leadingageny.org, 518-867-8871