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

OMIG today posted the following protocols on its website. Hospital Outpatient Department (OPD) Ordered Ambulatory/Laboratory ServicesHospital Outpatient Department (OPD) Emergency Room/Clinic ServicesHospital Outpatient Department (OPD) Ordered Ambulatory Services/Other Than LaboratoryTo view these protocols, please…Read More
The New York State Office of the Medicaid Inspector General (OMIG) is committed to keeping you informed about the agency’s Medicaid program integrity initiatives. To get the latest agency news and information directly in your inbox, subscribe to the OMIG Update today!As a subscriber, you’ll receive: Important…Read More
To provide additional information and resources to assist the provider community, OMIG today posted a new protocols page on its website. The enhanced site includes information about the protocol development process, details on service dates and a protocol development planner. The new site also features an archive section,…Read More