Legal · NY
CMS Uses New Authority to Expel NY Adult Day Care Providers
CMS announced it is using newly granted authority, obtained just one week earlier, to remove providers from federal health care programs for the first time, targeting adult day care centers in New York City. At a press conference, CMS officials said New York's Social Adult Day Care program, which provides socialization, personal care, and meals to adults with physical and cognitive impairments, is "rife with fraud." Administrator Mehmet Oz called the program "a plague to the state" and cited fraud, waste, and abuse harming vulnerable seniors. The action is part of a broader federal crackdown on alleged health care fraud affecting Medicaid-funded services in New York.
Why it mattersNew York Medicaid providers in the adult day care space face immediate exclusion risk and heightened program integrity scrutiny as CMS signals it will aggressively exercise its new removal authority.