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

The New York State Office of the Medicaid Inspector General (OMIG) today posted updates to its Self-Disclosure Frequently Asked Questions and Guidance document. Additionally, OMIG completed upgrades to the Self-Disclosure webpage to streamline navigation and enhance user experience.More information regarding OMIG’s Self-…Read More
The New York State Office of the Medicaid Inspector General (OMIG) today presented an overview of its Self-Disclosure process to Medicaid Managed Care Organizations as part of the New York State Department of Health’s monthly Managed Care Policy and Planning meeting. The presentation is available on OMIG’s website at: …Read More
The New York State Office of the Medicaid Inspector General (OMIG) today released its 2024 Work Plan, which outlines key program-integrity initiatives planned for 2024. Reflecting OMIG’s commitment to education, engagement and collaboration with Medicaid program stakeholders, the 2024 Work Plan provides a comprehensive…Read More