Excluded Provider Check

Providers that commit Medicaid fraud, waste, or abuse may be excluded from participating in the Medicaid program. These providers cannot offer services to Medicaid enrollees or be paid with Medicaid dollars.

Prior to adding new staff members, employers should check to see if prospective employees have been excluded from Medicaid.

Check the status of any exclusion.

Self-Disclosure

Medicaid Entities/Providers who received and identified Medicaid overpayments are required to report, return and explain those overpayments to OMIG. For more information and to complete the self-disclosure process, go to Self-Disclosure.

Employers who have received an overpayment of Health Care Worker Bonus (HWB) funds are required to report, return, and explain that overpayment to OMIG. For more information and to complete the HWB self-disclosure process, go to Self-Disclosure of Health Care Worker Bonus Payments.

Latest News

Attention Managed Care Organizations:The Office of the Medicaid Inspector General (OMIG) has issued the Matrix for the next round of Managed Care Program Integrity Reviews, which will be conducted with a review period of calendar year 2023. Reviews evaluate a Managed Care Organization’s performance regarding certain…Read More
The New York State Office of the Medicaid Inspector General (OMIG) published on its website today the presentation slides from the Fall 2024 Health Care Provider Engagement Forum sessions held Nov. 18 in Albany and Dec. 18 in New York City.To view the presentation slides, please visit: https://omig.ny.gov/information-…Read More
Five Medicaid transportation operators indicted in June 2024 following OMIG-assisted investigations pleaded guilty last week for defrauding the Medicaid program of more than $4.4 million through fictitious billing, kickback schemes and money laundering.Muhammad Rizwan Khan, 38, Muhammad Usman Khan, 40, and Farhan Khan, 29…Read More