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

Registration Available for the Stakeholder Engagement Session Hosted by the Office of the Medicaid Inspector General on November 30
Registration is now available to join the Office of the Medicaid Inspector General (OMIG) on Thursday, November 30 from 10:00 a.m. to 11:30 a.m. for an online stakeholder engagement session. During the session, OMIG’s Acting Medicaid Inspector General Frank T. Walsh, Jr., First Deputy Medicaid Inspector General Erin Ives,…Read More
Save the Date: OMIG Stakeholder Engagement Session to Be Held November 30, More Details to Follow
Please join the Office of the Medicaid Inspector General (OMIG) on November 30 when we host an online engagement session to share feedback received during our 2023 Provider Engagement Forums, responsive actions taken by OMIG, as well as next steps and plans for ongoing provider engagement. There will also be time allotted…Read More
Office of the Medicaid Inspector General Announces Clarification on Implementation of Abbreviated Self-Disclosure Process
OMIG established an Abbreviated Self-Disclosure Process to facilitate the self-disclosure of identified Medicaid overpayments that are considered to be routine or transactional errors or meet other defined characteristics and have already been voided or adjusted. This process was recommended to reduce the administrative…Read More