Gainwell Technologies (formerly known as Health Management Systems, Incorporated (HMS)) provides Third Party Liability (TPL) Match and Recovery Services for the New York State Office of the Medicaid Inspector General (OMIG).
Under State Contract C201501 effective 4/7/16-4/6/21, Gainwell Technologies identifies, verifies and recovers Medicaid overpayments from liable Third Parties for cost savings and recovery purposes. This ensures that Medicaid costs are paid by appropriate liable third parties as well as recovers paid Medicaid claims for which TPL was not known or available at the time of Medicaid payment. This is accomplished primarily through:
- Estate and Casualty Recoveries;
- Prepayment Insurance Verification; and
- Third party Retroactive Recovery Projects.