N.Y. Public Health Law § 35: Reports required of the inspector

§ 35. Reports required of the inspector. 1. The inspector shall, no

later than October first of each year, submit to the governor, the

temporary president of the senate, the speaker of the assembly, the

state comptroller and the attorney general, a report summarizing the

activities of the office during the preceding calendar year. Such report

shall include:

(a) the number, subject and other relevant characteristics of

investigations initiated, and those completed, including but not limited

to outcome, region, source of complaint and whether or not such

investigation was conducted jointly with the attorney general;

(b) the number, subject and other relevant characteristics of audits

initiated, and those completed, including but not limited to outcome,

region, reason for audit and the total dollar value identified for

recovery and the actual recovery from such audits;

(c) the number, subject and other relevant characteristics of

administrative actions initiated, and those completed, including but not

limited to outcome, region and type;

(d) the number, subject and other relevant characteristics of

referrals for prosecution to the deputy attorney general for Medicaid

fraud control and other federal or state law enforcement agencies, or

for licensure action; such information shall include but not be limited

to status and region;

(e) the number, subject and other relevant characteristics of civil

actions initiated by the office related to improper payments, the

resulting civil settlements entered and overpayments identified and the

total dollar value both identified and collected;

(f) a narrative that evaluates the office's performance, describes any

specific problems and connection with the procedures and agreements

required under this section, discusses any other matters that may have

impaired its effectiveness and summarizes the total savings to the

state's medical assistance program; and

(g) a narrative, provided by the department in its annual report

pursuant to paragraph (t) of subdivision one of section two hundred six

of this chapter that summarizes the department's activities to mitigate

fraud, waste and abuse during the preceding calendar year.

2. Pursuant to the reporting requirements contained within subdivision

one of this section, the inspector shall not disclose information that

jeopardizes an ongoing investigation or proceeding, provided that the

inspector shall disclose required information that does not jeopardize

an ongoing investigation or proceeding and fully apprises the designated

recipients of the scope and quality of the office's activities.

3. The inspector shall, on or before April first, July first, October

first and January first of each year following the calendar year in

which this title shall take effect, submit to the governor, temporary

president of the senate and speaker of the assembly an accountability

statement providing a statistical profile of the referrals made to the

state Medicaid fraud control unit, audits, investigations and

recoveries.