NYSHFA to Address MDS Audit Issues with OMIG

Carl J. Pucci in Finance & Reimbursement

NYSHFA has scheduled a meeting with top officials at OMIG next week to address a number of issues related to the MDS audits and resulting CMI caps.  In addition, NYSHFA staff is meeting with DOH tomorrow on detailed specifics related to MDS audit protocols, in an effort to provide further member guidance related to OMIG audit findings.  We will report on this meeting early next week.

We are pleased that DOH has reversed rate adjustments associated with “Draft” vs “Final” OMIG audits (members were sent an earlier e-mail blast that NYSHFA received from Steve Simmons, BLTC Director).

We ask members to keep NYSHFA informed of specific OMIG audit issues as they occur.


Carl J. Pucci
Director, Finance & Reimbursement
518-462-4800 x36