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

Four individuals were arrested following an OMIG-assisted investigation into allegations they defrauded the Medicaid program of more than $1.6 million through fraudulent Medicaid transportation claims. New York State Comptroller Thomas P. DiNapoli, Albany County District Attorney Lee C. Kindlon, New York State Police…Read More
The New York State Office of the Medicaid Inspector General (OMIG) posted the following audit protocol on its website:Health Home (Adults)To view this protocol, please visit: https://omig.ny.gov/audit/audit-protocolsRead More
The New York State Office of the Medicaid Inspector General (OMIG) posted the following audit protocol on its website: HOSPICETo view this protocol, please visit: https://omig.ny.gov/audit/audit-protocolsRead More