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

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 Compliance Program Frequently Asked Questions (FAQs). The FAQs supplement OMIG's Compliance Program Guidance. Providers with questions are encouraged to contact OMIG’s Bureau of Compliance at: [email protected] or (518) 408-0401. Read More
The New York State Office for the Prevention of Domestic Violence (OPDV) today announced that Acting Medicaid Inspector General Frank T. Walsh, Jr. has taken the state’s Pledge of Accountability Against Gender-Based Violence, affirming his and OMIG’s commitment to raising awareness of and taking actions against domestic…Read More
In response to feedback from Medicaid stakeholders, OMIG’s Self-Disclosure Program has been revised to include two pathways for entities to report, return and explain overpaid Medicaid funds. In addition to the existing Full Self-Disclosure Process, OMIG has developed an Abbreviated Self-Disclosure Process that Medicaid…Read More