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.

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Latest News

A Brooklyn doctor accused by federal prosecutors following an OMIG-assisted investigation of partaking in a $30 million Medicaid and Medicare fraud scheme was sentenced yesterday to 48 months in prison and ordered to pay restitution and forfeiture. Paul Mathieu, 54, of Morristown, NJ,  was sentenced by U.S. District Judge…Read More
The New York State Office of the Medicaid Inspector General (OMIG) is issuing this reminder that the annual compliance certification period begins December 1, 2019 at 12:01 AM and ends December 31, 2019 at 11:59 PM for the following certifications: Social Services Law section 363-d and 18 NYCRR Part 521 (SSL Certification…Read More
A manager of medical clinics in Brooklyn and Queens arrested in 2016 by federal authorities following an OMIG-assisted investigation was convicted in federal court last week for his role in a multi-million-dollar health care kickback and money laundering scheme. Aleksandr Pikus, manager of the medical clinics that…Read More
OMIG Update to 2019-2020 Work Plan Now Posted.Read More
A New York City pharmacy owner and three of her managers were arrested July 19 following an OMIG-assisted investigation for their alleged participation in a multi-million-dollar Medicaid fraud scheme involving kickbacks and HIV prescription drugs. Irina Pichkhadze, 34, of Queens, NY, the Owner of First Choice Pharmacy in…Read More