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Matthew-Babcock
D: (518) 701-2780  
mbabcock@harrisbeach.com

Matthew D. Babcock

  Senior Counsel

(518) 701-2780
  mbabcock@harrisbeach.com
“Those in healthcare want to do the right thing, but they may not always know what the right thing is. I enjoy working with clients to help them identify the parameters of our very complex healthcare system and working with them as they develop ‘the right thing.’ This often involves leveraging clients’ existing systems and expertise to reduce risk and maximize success.”
  • New York’s New Medicaid Compliance Regulations: Steps to Take in the Next 30-60 Days
  • New York Medicaid Inspector General Publishes Guidance on Managed Care Fraud, Waste and Abuse Regulations
  • New York Medicaid Office Issues New Compliance Program Information
Profile
Representative Matters
Professional and Civic
Areas of Experience
Admissions
Education
Location
Publications and Events

Matt provides legal, regulatory, business, and compliance counsel based on a unique background that includes roles as a state government regulator, as well as a senior executive for both health care providers and health insurers. Matt focuses on health care clients that are under the oversight of state and federal regulatory agencies, including those facing scrutiny from government investigations into fraud, waste, and abuse in programs such as Medicaid and Medicare. Matt also has experience in issues concerning health insurers and managed care plans.

Matt served as Deputy Director of the Bureau of Program Counsel in the Division of Legal Affairs at the New York State Department of Health, where he oversaw attorneys providing legal counsel to both fee-for-service and managed care Medicaid programs, other New York State healthcare programs, and legislative, budget, and regulatory initiatives related to the State’s health insurance programs and the Office of Health Insurance Programs.

Previously, for 10 years, he served as an Assistant Medicaid Inspector General where he organized and managed the Bureau of Compliance in the New York State Office of Medicaid Inspector General.  He provided guidance, oversight, and assessment of compliance programs as he led the nation’s first Medicaid program integrity compliance initiative. In this role, Matt interacted with the New York Attorney General and U.S. Department of Justice on criminal prosecutions related to violations of Medicaid regulations and negotiated and enforced New York State’s Corporate Integrity Agreements for the Medicaid Inspector General.  He regularly worked with the federal Centers for Medicare and Medicaid Services and other state agencies on various compliance issues and initiatives.

Matt also has substantial experience on the business side of health care. He served as Chief Operating Officer, Board Secretary and Trustee, as well as Vice President of Legal Affairs for St. Elizabeth Medical Center in Utica. He served as executive vice president and general counsel for the Excellus Health Plans Utica-Watertown Division. Prior to the Utica-Watertown Division’s merger into Excellus, Matt served as its Acting CEO for 13 months where he oversaw an underwriting and financial turnaround.

Previously Matt was an adjunct professor of law at Albany Law School where he taught courses in Managed Care Law and Healthcare Finance.  He has also spent time in private practice.

In addition to his law degree, Matt is a Fellow in the American College of Healthcare Executives and he completed the Healthcare Compliance Certification Program at the Seton Hall School of Law.

Representative Matters

  • Development of guidance and testing tools used to assess New York Medicaid providers’ conformance with the compliance program requirements.

Professional and Civic

  • New York State Bar Association
  • American College of Healthcare Executives, Fellow (retired)
  • American Health Law Association
  • Healthcare Compliance Association
  • St. Maureen Joyce Center Soup Kitchen, Albany, NY

Legal Practices

Government Compliance and Investigations

Industry Teams

Health Care

Admissions

New York

U.S. District Court, New York - Northern District

U.S. Supreme Court

Albany Law School of Union University

JD 
1982

LeMoyne College

BA 
1979

Location

Albany, NY Office
Insights
March 13, 2023

New York Medicaid Office Issues New Compliance Program Information

The NYS OMIG posted on its website a Compliance Program Review Module and a webinar that outlines the program requirements for 2023
March 10, 2023

New York Issues Technical Specifications Manual that Addresses Medicaid Payment Reporting

The NY Department of Health announced that 2022-2023 Value Based Payment Reporting Requirements Technical Specifications Manual is available
February 1, 2023

New York Medicaid Inspector General Publishes Guidance on Managed Care Fraud, Waste and Abuse Regulations

On January 31, 2023, the NYS Office of the Medicaid Inspector General (“OMIG”) published a series of Guidance documents on its website
January 31, 2023

New York’s New Medicaid Compliance Regulations: Steps to Take in the Next 30-60 Days

Harris Beach is offering a webinar to help NY health care organizations comply with new regulations to prevent Medicaid fraud, waste, abuse.
January 18, 2023

Healthcare Worker Bonus Program:  Expansion to New Employers and Employee Titles – Submission Period Announced

The NYDOH announced that the Healthcare Worker Bonus (HWB) Program will expand to include additional titles and eligible provider types.
January 3, 2023

New York Medicaid Inspector General Finalizes Rulemaking for Medicaid Program Fraud, Waste and Abuse Prevention

New York State Register published a summary of the Notice of Adoption for Rulemaking on Medicaid Program Fraud, Waste and Abuse Prevention.
December 2, 2022

Healthcare Worker Bonus Program: Survey for Employers NOT Registered for the HWB Program – Survey Open Until Dec. 6

NYDOH announced November 30th it is releasing a survey for enrolled Medicaid providers who meet the eligibility criteria for the HWB Program
November 21, 2022

Healthcare Worker Bonus Program Notice of Expansion to New Employers and Employee Titles

The New York Department of Health (DOH) announced on November 17th that the Healthcare Worker Bonus (HWB) Program was being expanded to incl
November 1, 2022

Healthcare Worker Bonus Program Portal Opening Extended for Vesting Periods 1 & 2

The NYDOH announced on October 31st it was extending the deadline for claim submissions on the HWB Portal until November 30.
October 13, 2022

New York Department of Health Schedules Stakeholders’ Meeting on Medicaid Pharmacy Benefit Transition to Fee-For-Service

The New York State Department of Health will host an All Stakeholders Meeting on the Medicaid Pharmacy Benefit Transition to NYRx
October 12, 2022

Healthcare Worker Bonus Program Portal Open for Vesting Period 2

The NYSDOH opened the Healthcare Worker Bonus Program Portal to facilitate submissions by eligible employers on behalf of their employees
September 20, 2022

Inspector General Issues Report on Telehealth Services During Pandemic

Recently, the Office of Inspector General (“OIG”) for the Department of Health and Human Services published its Report on Medicare Telehealt
September 13, 2022

Opinion on Possible Kickbacks Between Health System and Clinic

This opinion regards a proposed restructuring of financial relationships, which includes the forgiveness of debt, between a health system an
September 8, 2022

Webinar to Discuss NY Minimum Wage Law for Healthcare Workers

On September 2, 2022, the New York State Department of Health (“DOH”) announced it would host a Sept. 12 Webinar to address Home Care Worker
September 6, 2022

OIG Enforcement Summary: August 16, 2022 – August 31, 2022

The following is a summary of the federal Department of Health and Human Services’ Office of Inspector General (OIG) reports of fraud and ab
September 1, 2022

State Publishes Emergency Rule on Medicaid Telehealth Services

On August 31, 2022, the New York State DOH published an Emergency Rule Making related to Telehealth Services in the New York State Register.
August 31, 2022

New Webinar Slides on Healthcare Worker Bonus Program

On August 29, 2022, the New York State Department of Health (“DOH”) announced it published a new slide deck from the Healthcare Worker Bonus
August 30, 2022

Gift Cards For Medicare Patients Not Inducements, OIG Opines

The Department of Health and Human Services’ Office of Inspector General (“OIG”) has offered an opinion on providing a gift card to certain
August 25, 2022

OIG Opinion on Gift Cards for Medicare Patients’ Education as Inducements

This opinion regards the provision of a gift card to certain Medicare Advantage (“MA”) plan enrollees who complete specific steps in an onli
August 24, 2022

NY Webinar on Medicaid pharmacy benefit transition to FFS

The New York State Department of Health (DOH) hosted a public webinar on Aug 16 about the transition of the Medicaid pharmacy benefit from M
August 18, 2022

OIG Enforcement Summary: August 1, 2022 – August 15, 2022

The following is a summary of the federal Department of Health and Human Services’ Office of Inspector General (OIG) reports of fraud and ab
August 16, 2022

NYSDOH Hosts Health Care & Mental Hygiene Worker Bonus Program (“HWB”) Town Hall Stakeholder Webinar – August 19, 2022 at 1:00 PM

On August 19, 2022, the New York State Department of Health (“DOH”) will host a 1:00 PM Webinar to provide a general overview of the NYS HWB
August 10, 2022

DOH to hold Aug. 16 Informational Webinar on Transition of Medicaid’s Pharmacy Benefit to Fee For Service

The New York State Department of Health (“DOH”) published a Listserv notice August 9 that DOH will host an informational webinar on the stat
August 8, 2022

OIG Enforcement Summary: July 16, 2022 – July 31, 2022

The following is a summary of the federal Department of Health and Human Services’ Office of Inspector General (OIG) reports of fraud and ab
August 4, 2022

NYSDOH Launches Health Care & Mental Hygiene Worker Bonus Program and Portal

On August 3, 2022, the New York State Department of Health (“DOH”) published an MRT Listserv notice announcing the launch of the Health Care
August 3, 2022

OIG Enforcement Summary: July 1, 2022 – July 15, 2022

The following is a summary of the federal Department of Health and Human Services’ Office of Inspector General (OIG) reports of fraud and ab
July 27, 2022

Office of Mental Health Publishes Emergency Rule Making for Telehealth

On July 27, 2022, the New York State Office of Mental Health (OMH) published in the New York State Register an Emergency Rule Making related
July 21, 2022

OIG Releases Special Fraud Alert on Telemedicine

On July 20, the Office of Inspector General (“OIG”) for the Department of Health and Human Services published a Special Fraud Alert on Telem
July 7, 2022

Continued: Summary of Fraud and Abuse Enforcement Yields Insight for Health Care Compliance and Risk Assessment

The following is a summary of the federal Health and Human Services agency’s Office of Inspector General (OIG) reports of fraud and abuse en
June 27, 2022

OIG Decides Not to Impose Sanctions on Medical-Equipment Manufacturer in Financial Arrangement

This opinion addresses a durable medical equipment (“DME”) manufacturer’s arrangements with two financial institutions to make zero-interest
June 23, 2022

Summary of Fraud and Abuse Enforcement Yields Insight for Health Care Compliance and Risk Assessment

The following is a summary of the federal Health and Human Services agency’s Office of Inspector General (OIG) reports of fraud and abuse en
June 10, 2022

Advancing Medicaid Payment Reform, New York State Publishes Value Based Payment Reporting Requirements

On May 26, the New York State Department of Health (“DOH”) published the 2022 Value Based Payment (VBP) Reporting Requirements Technical Spe
May 2, 2022

Fraud and Abuse: Learn From Our Lawyers, Not From Your Experience

This Thursday, May 5, I am excited to share Lessons Learned from 2022 Office of Inspector General (OIG) Enforcement, Corporate Integrity Agr
April 27, 2022

Leadership Change Noted in New York State’s Medicaid Program

Earlier this month, the New York State Department of Health announced that Brett Friedman, who replaced Donna Frescatore in 2021 as the New
News
March 15, 2022

Matthew D. Babcock, Former Assistant Medicaid Inspector General for New York State and Health Care Executive, Joins Harris Beach PLLC as Senior Counsel

Former New York State Assistant Medicaid Inspector General Matthew D. Babcock is joining Harris Beach PLLC as a senior counsel in its Govern
Events
February 22, 2023

Roy Breitenbach and Matt Babcock Presenting at Buffalo Niagara Partnership’s Healthcare and Human Services Industry Leaders Forum

Roy Breitenbach and Matt Babcock will cover non-compete clauses and OMIG’s new compliance regulations
January 30, 2023

Matt Babcock and Roy Breitenbach to Present Webinar on OMIG’s New Compliance Regulations

Join Matt Babcock and Roy Breitenbach for an overview of OMIG’s new compliance regulations and what steps to take in the next 30-60 days
August 5, 2022

Matt Babcock to Present Webinar on Medicaid Compliance Program Requirements & OMIG’s 2022 Proposed Rule Making

Join attorney Matt Babcock for an overview of the Office of the Medicaid Inspector General’s (OMIG’s) amendments to New York’s Medicaid comp
April 15, 2022

Health Care Fraud & Abuse Webinar Series

This webinar series will cover key developments in health care fraud and abuse, and what your health care organization needs to be aware of
External Publications
All Blogs, All Insights, Health Care Blog |
 March 13, 2023
New York Medicaid Office Issues New Compliance Program Information
The NYS OMIG posted on its website a Compliance Program Review Module and a webinar that outlines the program requirements for 2023...read more
All Blogs, All Insights, Health Care Blog |
 March 10, 2023
New York Issues Technical Specifications Manual that Addresses Medicaid Payment Reporting
The NY Department of Health announced that 2022-2023 Value Based Payment Reporting Requirements Technical Specifications Manual is available...read more
All Insights, All Blogs, Health Care Blog |
 February 1, 2023
New York Medicaid Inspector General Publishes Guidance on Managed Care Fraud, Waste and Abuse Regulations
On January 31, 2023, the NYS Office of the Medicaid Inspector General (“OMIG”) published a series of Guidance documents on its website...read more
All Blogs, All Insights, Health Care Blog |
 January 31, 2023
New York’s New Medicaid Compliance Regulations: Steps to Take in the Next 30-60 Days
Harris Beach is offering a webinar to help NY health care organizations comply with new regulations to prevent Medicaid fraud, waste, abuse....read more
All Blogs, All Insights, Health Care Blog |
 January 18, 2023
Healthcare Worker Bonus Program:  Expansion to New Employers and Employee Titles – Submission Period Announced
The NYDOH announced that the Healthcare Worker Bonus (HWB) Program will expand to include additional titles and eligible provider types....read more
All Blogs, All Insights, Health Care Blog |
 January 3, 2023
New York Medicaid Inspector General Finalizes Rulemaking for Medicaid Program Fraud, Waste and Abuse Prevention
New York State Register published a summary of the Notice of Adoption for Rulemaking on Medicaid Program Fraud, Waste and Abuse Prevention....read more
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Matthew D. Babcock

mbabcock@harrisbeach.com
D: (518) 701-2780
Albany, NY Office
Matthew-Babcock
https://www.harrisbeach.com/people/babcock-matthew-d/

■ Areas of Expertise

Legal Practices

Government Compliance and Investigations Legal Practice

Industry Teams

Health Care Industry Team

■ Profile

Matt provides legal, regulatory, business, and compliance counsel based on a unique background that includes roles as a state government regulator, as well as a senior executive for both health care providers and health insurers. Matt focuses on health care clients that are under the oversight of state and federal regulatory agencies, including those facing scrutiny from government investigations into fraud, waste, and abuse in programs such as Medicaid and Medicare. Matt also has experience in issues concerning health insurers and managed care plans.

Matt served as Deputy Director of the Bureau of Program Counsel in the Division of Legal Affairs at the New York State Department of Health, where he oversaw attorneys providing legal counsel to both fee-for-service and managed care Medicaid programs, other New York State healthcare programs, and legislative, budget, and regulatory initiatives related to the State’s health insurance programs and the Office of Health Insurance Programs.

Previously, for 10 years, he served as an Assistant Medicaid Inspector General where he organized and managed the Bureau of Compliance in the New York State Office of Medicaid Inspector General.  He provided guidance, oversight, and assessment of compliance programs as he led the nation’s first Medicaid program integrity compliance initiative. In this role, Matt interacted with the New York Attorney General and U.S. Department of Justice on criminal prosecutions related to violations of Medicaid regulations and negotiated and enforced New York State’s Corporate Integrity Agreements for the Medicaid Inspector General.  He regularly worked with the federal Centers for Medicare and Medicaid Services and other state agencies on various compliance issues and initiatives.

Matt also has substantial experience on the business side of health care. He served as Chief Operating Officer, Board Secretary and Trustee, as well as Vice President of Legal Affairs for St. Elizabeth Medical Center in Utica. He served as executive vice president and general counsel for the Excellus Health Plans Utica-Watertown Division. Prior to the Utica-Watertown Division’s merger into Excellus, Matt served as its Acting CEO for 13 months where he oversaw an underwriting and financial turnaround.

Previously Matt was an adjunct professor of law at Albany Law School where he taught courses in Managed Care Law and Healthcare Finance.  He has also spent time in private practice.

In addition to his law degree, Matt is a Fellow in the American College of Healthcare Executives and he completed the Healthcare Compliance Certification Program at the Seton Hall School of Law.

■ Representative Matters

  • Development of guidance and testing tools used to assess New York Medicaid providers’ conformance with the compliance program requirements.

■ Professional and Civic

  • New York State Bar Association
  • American College of Healthcare Executives, Fellow (retired)
  • American Health Law Association
  • Healthcare Compliance Association
  • St. Maureen Joyce Center Soup Kitchen, Albany, NY

■ Education

Albany Law School of Union University
 ,JD
 ,1982
LeMoyne College
 ,BA
 ,1979

Harris Beach and its subsidiaries provide a full range of legal and professional services for clients across New York state, as well as nationally and internationally. Harris Beach is among the country’s top law firms as ranked by The National Law Journal and is among the BTI Elite law firms based on in-depth interviews of more than 600 corporate counsel at the world’s largest and most influential companies. Our clients include Fortune 100 corporations, privately-held companies, emerging businesses, public sector entities, not-for-profit organizations and individuals. Principal industries we represent include education, energy, financial, food and beverage, health care, insurance, manufacturing, medical and life sciences, real estate developers, and state and local governments and authorities.

Industry Teams
Automotive and Vehicle Dealerships
Blockchain and Digital Assets 
Cannabis
Construction and Surety
Educational Institutions Higher Ed
Educational Institutions K-12
EMS and Fire Protection Providers
Energy
Financial Institutions and Capital Markets
Food and Beverage
Health Care
Industrial and Consumer Manufacturing
Medical and Life Sciences
Municipalities and Local Agencies
Nanotechnology
Photonics
Racing and Gaming
Real Estate Developers
Science and Technology
Telecommunications and Media
Unmanned Aircraft Systems
USA Collegiate Sports
Veterinary Medicine

Practices
Alternative Dispute Resolution
Appellate
Business and Commercial Litigation
Collection Law
Commercial Real Estate
Corporate
Cybersecurity Protection and Response
Diversity Compliance
E-Discovery (e-infoSM)
Employee Benefits
Employment Litigation
Environmental Law
Environmental, Social and Governance (ESG)
Financial Restructuring, Bankruptcy and Creditors’ Rights
Government Compliance and Investigations
Health Law
Immigration Law
Insurance Coverage
Intellectual Property Law
International Trade Law
Internet Law
Labor and Employment Law
Mass Torts and Industry-Wide Litigation
New Markets Tax Credit
Patent, Trademark and Copyright Law
Product Liability and Comprehensive General Liability
Public Finance and Economic Development
Real Property Valuation Litigation
Residential Real Estate
Tax Law
White Collar Crime
Wills, Trusts and Estates

Consulting Services
HB Solutions LLC
Collegiate Sports Compliance
Data Privacy and Cybersecurity
Economic Development and Public Affairs
Educational Institution Assistance
EMRG® (E-Discovery Management Resources Group)
Energy
Health and Human Services
Human Resources
Information Technology
Marketing and Communication Services
Municipal and Local Agency Assistance

HB Cornerstone LLC
Owner Representation
Design Services
Facilities Consulting
Move Management

Caetra.io
CyMetric (Cybersecurity Regulation Compliance Software)

Offices throughout New York:

Albany
677 Broadway
Albany, NY 12207
518-427-9700

Buffalo
726 Exchange Street
Buffalo, NY 14210
716-200-5050

Ithaca
119 East Seneca Street
Ithaca, NY 14850
607-273-6444

Long Island
333 Earle Ovington Boulevard
Uniondale, NY 11553
516-880-8484

New York City
100 Wall Street
New York, NY 10005
212-687-0100

Rochester
99 Garnsey Road
Pittsford, NY 14534
585-419-8800

Saratoga Springs
513 Broadway
Saratoga Springs, NY 12866
518-587-0551

Syracuse
333 West Washington Street
Syracuse, NY 13202
315-423-7100

White Plains
445 Hamilton Avenue
White Plains, NY 10601
914-683-1200

Offices also in:

New Haven, CT
195 Church Street
New Haven, CT 06510
203-784-3159

Newark, NJ
One Gateway Center
Newark, NJ 07102
973-848-1244

Washington, DC
800-685-1429

Attorney Advertising. Prior results do not guarantee a similar outcome.
© 2022 Harris Beach PLLC

Content current as of March 23, 2023 2:23 pm
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