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.

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

The Office of the Medicaid Inspector General (OMIG) has posted on its website the Compliance Program Review Module. The Module includes regulatory information pertaining to Part 521, questions for providers to address when engaged in an OMIG Compliance Program Review, and details regarding documentation providers should…Read More
The Office of the Medicaid Inspector General (OMIG) has posted on its website comprehensive guidance related to provider compliance programs, self-disclosure, and Medicaid managed care fraud, waste, and abuse prevention programs regulations. The guidance for each component of the regulations is available via the following…Read More
The Office of the Medicaid Inspector General’s (OMIG) regulations implementing 2020 changes to law relating to provider compliance programs, Medicaid managed care fraud, waste and abuse prevention programs, and OMIG’s self-disclosure program have been adopted and posted on the agency website.  The full text of the…Read More