These fact sheets provide a concise and accurate overview of select OMIG audit activities. Each fact sheet summarizes an audit project, covering a discrete period and for a specific scope. Additional Fact Sheets across various audit areas will be posted as projects are completed.
Managed Care Audit
2018 Managed Care Program Integrity Reviews (MCPIR)
Audits of Mainstream managed care plans for the 2018 calendar year of their compliance with program integrity obligations under their contract with the State.
View the fact sheet
2020 Public Assistance Reporting Information System (PARIS) Match
Audits of managed care plans for the 2020 calendar year of capitation payments paid for Medicaid beneficiaries living in another state.
View the fact sheet