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’s (OMIG) investigative efforts played a key role in supporting the state attorney general’s office in holding several transportation companies accountable for their roles in various medical transportation fraud schemes.As announced by the attorney general’s office…Read More
For reviews beginning after July 1, 2025, the New York State Office of the Medicaid Inspector General (OMIG) will use a 12-month review period for newly initiated Compliance Program Reviews (CPR). CPRs serve to determine whether required providers have adopted, implemented, and maintained an effective compliance…Read More
The New York State Office of the Medicaid Inspector General (OMIG) today posted the following updated audit protocols on its website: Transportation Ambulette Protocol Transportation Taxi/Livery ProtocolTo view these protocols, please visit: https://omig.ny.gov/audit/audit-protocolsRead More