What's New

• The work plan of the New York State Office of the Medicaid Inspector General (OMIG) provides brief descriptions of activities that the agency plans to initiate or continue during New York State fiscal year 2012-13. This document describes the primary objectives and goals for each of nine business line teams outlined in the plan. It is intended as a guide to OMIG's work through March 31, 2013 and to enhance transparency and communication between OMIG and policymakers, providers, taxpayers, and other state agencies.
• OMIG posts hospital compliance guidance. Click here for full document.
• OMIG plays major role in pharmacy arrest in Harlem health care fraud scheme: See details here.
• OMIG Teams with NYS Attorney General's Office on Major Black Market Prescription Drug Arrest: A team of OMIG pharmacists assisted investigators from the AG's Medicaid Fraud Control Unit as they executed a search warrant and seized millions of dollars of diverted HIV medications. Read the press release here
• Convicted phamacist sentenced in New York City: OMIG testimony and investigation led to conviction. Alcindor will serve 6 1/2 to 13 years in prison. Read the release here
• Department of Health posts administrative law judge decisions: Follow this link
• A trio of Brooklyn pharmacists must reimburse state $393,000 for false Medicaid bills, thanks to the work of OMIG investigators. Read the full story here
• An investigation by the New York State Commission on Quality of Care and Advocacy for Persons with Disabilities (CQC) has resulted in the recovery of $153,491.22 in Medicaid funds overbilled to the state by Guest House Community Services, a Peekskill-based provider of services to adults and children with developmental disabilities. Guest House agreed to repay the money under the terms of a settlement agreement reached with the Office of the Medicaid Inspector General (OMIG). full article
• On February 8, 2012, Acting Medicaid Inspector General James C. Cox presented testimony before a joint legislative committee in Albany. Read his testimony here.
• OMIG's Statement on Sentencing of Dr. Suresh Hemrajani
  Dr. Suresh Hemrajani was sentenced yesterday in New York City to two to six years behind bars after having been convicted last month of charges that he stole $700,000 from New York State's Medicaid program... full article
• OMIG Joins with Northeast Parent and Child as Young Artists Illustrate Importance of Compliance full article...
• Arrest of physician and his wife in Brooklyn begins with anonymous tip to OMIG fraud hotline: Read more ...
• Felony Conviction based on OMIG investigation. Click here to view the full press release.
• The new Compliance Certification forms are now available. Click here for the forms..
• OMIG Participates in Investigation Leading to Arrest of Physician ...read more.
• OMIG and the Commission on Quality Care collaborate on settlement to recover more than $100,000. Details in the attached press release.
• Medicaid: NY auditors stumble on $60 million in savings ...read more.
• OMIG and the Commission on Quality Care collaborate on settlement to recover more than $100,000. Details in the attached press release.
• DISTRICT ATTORNEY VANCE ANNOUNCES INDICTMENT IN $1.8 MILLION MEDICAID FRAUD SCAM: Defendant Billed Medical Assistance Program for Prescription Drugs That Were Never Dispensed OMIG participated in this case, along with several other law enforcement agencies. Click here to read the complete release.
• Governor's state Medicaid Inspector General and NYC's human resources administration recover more than $10 million through Medicaid Fraud, Waste and Abuse Demonstration Project. Click here to read the complete release.
• OMIG Welcomes James C. Cox: Mr. Cox joined the Office of the Medicaid Inspector General on July 13 as Acting Medicaid Inspector General. Read more about him and his distinguished career here.
• FBI launches public campaign to raise awareness about health care fraud. Read More...
• Patient recruiter pleads guilty in $3.5 million DME scheme: Marcella Eraifej, a defendant in the U.S. Department of Justice Medicare Fraud Strike Force case against Jayson Drugs, pled guilty to a one-count indictment on May 20, 2011, at the Eastern District of New York, Central Islip. Eraifej recruited Medicare and Medicaid beneficiaries at food banks located in churches in Yonkers to receive "free shoes," ultimately paid for by Medicaid and/or Medicare. OMIG's Division of Medicaid Investigations took part in the Strike Force action.

  The following link is the press release from the U.S. Attorney's Office when Eraifej was first charged in July 2010: Press Release

• Senator Kirsten Gillibrand Visits Salient, Learns About OMIG/Salient Partnership: On June 3, New York Senator Kirsten Gillibrand traveled to the Elmira/Horseheads region and stopped into the offices of Salient. While there, she discovered the company's many-faceted approaches to data mining, including the one used at OMIG. Click here to read the story that appeared in the Corning Leader.

  Case Study: On 'target' at OMIG