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.


Providers who identify Medicaid overpayments are obligated to return those funds.  All overpayments must be reported to OMIG.  For more information and to complete the process, go to Self-Disclosure.

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Latest News

The Office of the Medicaid Inspector General (OMIG) has developed and implemented a new process that affords providers the opportunity to apply for relief in the event an OMIG audit may pose a financial hardship to the organization. Providers that have received a Final Audit Report and wish to apply for financial hardship…Read More
The owner of a Queens pharmacy charged in September 2020 as part of the OMIG-assisted national health care fraud takedown was sentenced today to 36 months in prison for his participation in a health care fraud conspiracy, distribution of Oxycodone and illegal financial transactions. Harris Hussnain, 41, of Queens, N.Y.…Read More
The owner of two New York City pharmacies was arrested today and indicted in federal court following an OMIG-assisted investigation for his alleged participation in a health care fraud and kickback scheme. Robert John Sabet, 44, the owner of Brooklyn Chemists in Gravesend, Brooklyn, and Lucky Care Pharmacy in Flushing,…Read More
A Manhattan psychiatrist and a medical assistant were arrested Nov. 23 following an OMIG-assisted investigation for allegedly selling prescriptions for addictive controlled substances with no legitimate medical purpose. Psychiatrist Dr. Leon Valbrun and medical assistant Po Yu Yen were arrested following the joint…Read More
A New York City-based physical therapist arrested in 2017 following an OMIG-assisted investigation for his role in a $30 million Medicaid and Medicare health care fraud and kickback scheme was sentenced in federal court on Oct. 6 to 24 months in prison. Hatem Behiry, of Brooklyn, N.Y. was sentenced by U.S. District Judge…Read More