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

Know Your Rights, Know Your Resources
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New York RAC – Provider Portal Launched
Performant, the NYS Office of the Medicaid Inspector General’s (OMIG) New York Medicaid Recovery Audit Contractor (RAC), has implemented a portal that enables providers to exchange data and information (including PHI) more effectively and efficiently.The recently established New York RAC – Provider Portal enables providers…Read More
NYS Office of the Medicaid Inspector General (OMIG)-assisted investigation leads to arrests in $2.9 million Medicaid transportation fraud case
The owners of two Orange County Medicaid transportation companies were arrested Oct. 30 following an OMIG-assisted investigation into allegations they defrauded the Medicaid program of more than $2.9 million through fraudulent Medicaid transportation claims.Rohail Raja, 45, and his wife, Sharma Alam, 45, both of New…Read More