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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · 3d

The Office of the State Comptroller encourages Medicaid providers to self-disclose overpayments. Providers who do so are not charged penalties or interest and may receive extended repayment terms.

In FY 2025, 10 providers self-disclosed and returned $1.8M in total to NJ Medicaid.

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · 12d

My office recovered more than $132 million in Medicaid payments in FY 2025.

That’s an 11% increase over last year.

Read more here: https://t.co/msQEdMBTbx

Medicaid Recoveries Top $132 Million
in FY 2025, OSC Data Shows

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · 26d

Work in a nursing home or Medicaid facility?

If you’ve seen understaffing, improper billing, or other signs of fraud, waste, or abuse, you can report it confidentially.

🔍 Submit a tip: https://bit.ly/MedicaidTips

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Sep 17

Through audits and investigations, OSC uncovers fraud, waste, and abuse at all levels of NJ government. Sign up for our newsletter!
📬 Subscribe here: https://bit.ly/3LOveI8

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Sep 12

🚨 Settlement Reached with NJ Eastern Star Home (Bridgewater)
The nursing home billed Medicaid for services that should have been covered by other funding sources—or lacked the necessary documentation to justify the charges.
💰 Total: $186,686
🛡️ OSC oversees Medicaid program integrity.

Image: File folder labeled “Medicaid Settlement Agreement” with sheet of paper and text:
Provider: NJ Eastern Star Home
Location: Bridgewater
Amount $186,686
OSC Finding: Improperly billed Medicaid for services that should have been covered by other funding sources.
Why it matters: Medicaid is meant to pay only when no other funding is available. OSC ensures providers follow that rule—protecting the program for those who truly need it.
nj.gov/comptroller

New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Sep 12

🚨 Settlement Reached with Plaza Healthcare (Elizabeth)
The nursing home billed Medicaid for services that should have been covered by other funding sources—or lacked the necessary documentation to justify the charges.
💰 Total: $195,523
🛡️ OSC oversees compliance with Medicaid regulations.

Image: File folder labeled “Medicaid Settlement Agreement” with sheet of paper and text:
Provider: Plaza Healthcare
Location: Elizabeth
Amount $195,523
OSC Finding: Improperly billed Medicaid for services that should have been covered by other funding sources.
Why it matters: OSC helps protect Medicaid by ensuring the program pays only when no other funding sources are available.
nj.gov/comptroller

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Sep 12

🚨 OSC Finding: Blue River Women’s Health in Paterson improperly billed and was paid by Medicaid for allergy treatments without required documentation.
💰 Settlement: $310,404
🛡️ OSC makes sure providers deliver the care they bill Medicaid for.

Image: File folder labeled “Medicaid Settlement Agreement” with sheet of paper and text:
Provider: Blue River Women’s Health
Location: Paterson
Amount $310,404 OSC
Finding: Improperly billed and was paid for allergy treatments without submitting adequate documentation.
Why It Matters: OSC helps ensure Medicaid recipients get the care they’re entitled to—by holding providers accountable for accurate billing and proper documentation.
nj.gov/comptroller

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Sep 12

🚨 Settlement Reached with McAuley Hall (Watchung)
The facility billed Medicaid for services that should have been paid by other sources—violating program rules.
💰 Total: $142,085
🛡️ OSC ensures Medicaid is billed only when no other funding is available.

Provider: McAuley Hall
Location: Watchung
Amount: $142,085
OSC Finding: Billed Medicaid for services that should have been paid by other sources—contrary to program rules.
Why It Matters: Medicaid is designed to cover care only when no other funding is available. OSC enforces that standard to protect resources for those who rely on the program.
nj.gov/comptroller

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Sep 12

🚨 OSC Finding: Advanced Garden State Cardiology (Clifton) improperly contracted with a provider who had been suspended from New Jersey Medicaid. The clinic billed Medicaid for his services.
💰 Settlement: $227,639
🛡️ OSC oversees accountability in New Jersey’s Medicaid program.

Image: File folder labeled “Medicaid Settlement Agreement” with sheet of paper and text:
Provider: Advanced Garden State Cardiology
Location: Jersey City
Amount $227,639
OSC Finding: Billed for services by a provider who was excluded from Medicaid.
Why It Matters: Excluded providers are not permitted to provide care to Medicaid beneficiaries or bill the program for services. If they do, OSC works to recover the payments.
nj.gov/comptroller

New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Sep 9

The insurance funds provide health benefits for hundreds of municipalities and school boards across the state.
www.nj.gov/comptroller/...

Local Unit Members of the Ten Authorized Health Insurance Funds in SNJHIF:
1. Barrington Borough
2. Bellmawr Borough
3. Berlin Township
4. Bordentown
5. Brooklawn
6. Camden City
7. Camden County Board of Social
Services
8. Chesilhurst Borough
9. Collingswood
10. Delran Township
11. Franklin
12. Gibbsboro
13. Gloucester City
14. Gloucester Township Fire #2
15. Gloucester Township
16. Haddon Heights
17. Haddonfield Borough
18. Laurel Springs
19. Lawnside
20. Lindenwold
21. Lumberton Township
22. Magnolia
23. Mantua Township
24. Medford
25. Medford Lakes
26. Merchantville
27. Merchantville Pennsauken Water
Commission
28. Monroe
29. Mount Ephraim
30. Mount Laurel
31. Mt. Holly Municipal Utilities
Authority
32. North Hanover Township
33. Oaklyn
34. Palmyra
35. Paulsboro
36. Pennsauken Township
37. Pine Hill Borough
38. Pitman
39. Riverside Township
40. Runnemede
41. Somerdale
42. Springfield Township
43. Washington Township
44. Waterford
45. Wenonah
46. Westhampton
47. Westville
48. West Deptford
49. Willingboro
50. Winslow Township
51. Winslow Township Fire District #1
52. Woodbury Heights

Local Unit Members of the Ten Authorized Health Insurance Funds
nj.gov/comptroller
Schools Health Insurance Fund (SHIF):
1. Alexandria Township Board of
Education
2. Bellmawr Public School District
3. Berlin Borough Board of Education
4. Bethlehem Township School District
5. Black Horse Pike Regional Board of
Education
6. Blairstown Board of Education
7. Bloomsbury Board of Education
8. Bogota Board of Education
9. Burlington Township Board of
Education
10. Byram Township Board of Education
11. Califon Board of Education
12. Chesterfield Board of Education
13. Cinnaminson Township Board of
Education
14. City of Burlington Board of
Education
15. Clayton Board of Education
16. Clearview Regional Board of
Education
17. Clinton Board of Education
18. Collingswood Board of Education
19. Colts Neck Township Board of
Education
20. Delran Township School District
21. Delsea Regional Board of Education
22. Deptford Township Board of
Education
23. East Greenwich Board of Education
24. Eastern Camden County School
District
25. Eatontown Board of Education
26. ESC of Morris County
27. Ewing Township Board of Education
28. Florence Township Board of
Education
29. Foundation Academy Charter School
30. Frankford Township Board of
Education
31. Franklin Township School District
32. Fredon Town Board of Education
33. Frelinghuysen Township Board of
Education
34. Gateway Regional Board of
Education
35. Glassboro Board of Education
36. Glen Ridge Public Schools
37. Gloucester City Board of Education
38. Gloucester County Special Services
School District
39. Gloucester County Vocational
School District
40. Gloucester Township Board of
Education
41. Greenwich Township Board of
Education
42. Hanover Park Board of Education
43. Hardyston Township Board of
Education
44. Harrison Township Board of
Education
45. High Point Regional Board of
Education
46. Hope Township School District
47. Hunterdon Central Regional High
School Board of Education

and more click the link

Local Unit Members of the Ten Authorized Health Insurance Funds
nj.gov/comptroller
Municipal Reinsurance Health Insurance Fund (MRHIF):
MRHIF is composed of the following seven Health Insurance Funds (HIFs), resulting in an
indirect connection with all local unit members of these seven HIFs.
1. Schools Health Insurance Fund
2. Southern New Jersey Regional
Employee Benefits Fund
3. Metropolitan Health Insurance Fund
4. Southern Coastal Regional Employee
Benefits Fund
5. Central Jersey Health Insurance
Fund
6. North Jersey Municipal Employee
Benefits Fund
7. Bergen Municipal Employee Benefits
Fund

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Sep 9

The firm shaped how contracts were written, priced, and awarded, even while they competed for –and won—some of these multi-million-dollar contracts.
www.nj.gov/comptroller/...

www.nj.gov

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Sep 9

During OSC’s routine review of proposed public procurements, OSC found a for-profit, private company, Conner Strong & Buckelew and its “alter ego,” PERMA, effectively gained control of insurance funds’ public contracting processes.

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Sep 9

BREAKING: Report finds health insurance funds serving many municipalities and school boards have undisclosed conflicts of interest and public contracting violations.
https://t.co/toq7NU36zH https://t.co/Bf2H1eaNqB

Graphic: stethoscope and contract with red ink

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Sep 1

Happy Labor Day, New Jersey!

Today we recognize the contributions of workers across the state whose efforts keep our communities strong and services running.

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Aug 27

🔍 Many of OSC's investigations begin with a tip.

Last year, OSC found that the NJ Department of Corrections’ Special Investigations Division failed to adequately investigate alleged abuse of incarcerated people.

🚨Report government misconduct confidentially:
📨https://bit.ly/OSCTips

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Aug 13

While that’s an improvement, OSC called for reforms so that all companies meet safety requirements before transporting students.

www.nj.gov/comptroller/...

#NJSchools #BusSafety #NJEducation

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www.nj.gov

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Aug 13

NJ Residents: An OSC review shows that 300 NJ school bus companies did not submit required safety documentation before the start of the 2023-24 school year.

That number dropped to 109 the same time last year. 1/2

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Aug 12

📞 OSC’s tip line is back online.
You can once again call us to report fraud, waste, or abuse in New Jersey government at 1-855-OSC-TIPS (1-855-672-8477).

You can also continue to submit complaints online: bit.ly/4lgRSrr

Or by email: [email protected]

New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Aug 11

OSC's tip line is currently unavailable due to technical issues.

In the meantime, please file a complaint here: bit.ly/4lgRSrr or by emailing: [email protected]

We appreciate your patience and will provide an update when the tip line is restored.

New Jersey Office of the State Comptroller

Advancing transparency and accountability as New Jersey's watchdog

bit.ly

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Aug 11

OSC's tip line is currently unavailable due to technical issues.

In the meantime, please file a complaint here: bit.ly/4lgRSrr or by emailing: [email protected]

We appreciate your patience and will provide an update when the tip line is restored.

New Jersey Office of the State Comptroller

Advancing transparency and accountability as New Jersey's watchdog

bit.ly

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Aug 7

Stay informed with OSC’s newsletter!
📬 Learn about:
🔍 Our latest investigations
📋 Best practices for public procurement
💊 Reports on Medicaid Fraud and other actions
And much more.

Sign up here 👇
buff.ly/GOw2DpF

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Aug 1

My office's report reveals the reality of NJ's lifeguard pension program: it's unfairly burdening certain NJ shore towns.

Six towns face a combined $37M in pension liabilities. Atlantic City alone faces a $21M shortfall.

The State needs to address this 1928 law.
buff.ly/VRSaR20

Chart showing accumulated liability and reserves for six New Jersey shore towns that participate in a lifeguard pension program.

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Jul 31

My office's recent report uncovered double-dipping in NJ's lifeguard pension program.

Over half of retired lifeguards are drawing a second state pension.

Double-dipping strains NJ's pension systems and, ultimately, taxpayers.

Read the report: buff.ly/6LPI3uJ

Chart showing more than 50 percent of retired lifeguards have a second state pension

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Jul 30

In 1965, Medicaid began covering vulnerable populations.

Today, it provides healthcare to nearly 2m NJ residents.

With cuts pending, continuing to safeguard its integrity is vital.

My office will continue investigating fraud and abuse—and recovering millions each year.

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Jul 29

My office’s report on NJ's mandated lifeguard pension program reveals a striking disparity: a retired lifeguard would receive about $150,000 more in lifetime payments than a retired state employee.
The 1928 law requiring lifeguard pensions for certain NJ towns needs an overhaul.
buff.ly/6LPI3uJ

Chart showing a retired lifeguard would receive about 150000 more in lifetime payments than a retired state employee

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New Jersey Office of the State Comptroller @njcomptroller.bsky.social · Jul 28

My office released a report on NJ lifeguard pensions revealing:
🔹 6 towns face $37M liability: Atlantic City, Brigantine, Longport, Margate, Sea Isle City, and Ventnor
🔹6 more likely owe millions
It's time to do away with this unfair, arbitrary pension mandate.
buff.ly/6LPI3uJ

Map of New Jersey with Long Branch and Asbury Park in Monmouth County; Brigantine, Atlantic City, Ventnor, Margate, Longport in Atlantic County; and Ocean City, Sea Isle City, North Wildwood, Wildwood, and, Cape May in Cape May County.

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