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New “Network Adequacy” Rules May Present Opportunities to Behavioral Health Agencies

New York State recently adopted “network adequacy” regulations that will require health care plans in the state to improve access to behavioral health services, including mental health and substance use treatment services....more

Office of Medicaid Inspector General Releases Annual Workplan

On Jan. 29, 2025, the New York State of Office of Medicaid Inspector General released its Annual Workplan, to provide a guide for stakeholders for its 2025 activities. As in past years, the Workplan provides a roadmap for...more

Proposed Rulemaking on Medicaid Program Fraud, Waste and Abuse Prevention

On July 13, 2022, the Office of the Medicaid Inspector General (OMIG) issued a proposed Rulemaking to implement statutory changes to Social Services Law §363-d adopted in the State Fiscal Year 2020-21 Enacted Budget (Chapter...more

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