Why HRA wants the money back
Medicaid isn't free. The government pays for every recipient's coverage. When there's an overpayment, HRA wants that money back. If its claim is legitimate, it will try to recover it either through voluntary repayment or through criminal or civil court.
What a settlement does
If your case settles, you'll receive a settlement agreement from HRA confirming that you won't be prosecuted or sued. If the case doesn't settle, it will be resolved in court.
Settlement isn't automatic
Don't assume your case will settle on its own. That depends on many factors, including the facts of the case, the investigator assigned to it, and who your lawyer is. How the claim amount is calculated, and whether there were periods when you actually qualified, can make a real difference to what you owe.
For the best possible outcome in your New York Medicaid fraud case, call us at (212) 577-6677.
Common questions
Can a Medicaid fraud case in New York be settled without going to court?
Often, yes. HRA can resolve a case with a settlement agreement in which you repay an agreed amount and the agency agrees not to prosecute or sue. Whether a case settles depends on its facts, the investigator and your lawyer.