In consultation with state regulating agencies, OMIG has developed a series of audit protocols to assist the Medicaid provider community in developing programs to evaluate compliance with Medicaid requirements under federal and state statutory and regulatory law.
Audit protocols are applied to a specific fee-for-service provider or category of service in the course of an audit and involve OMIG's application of articulated Medicaid agency policy and the exercise of agency discretion.
These audit protocols are intended to serve solely as guidance and do not alter any statutory or regulatory requirement. In the event of a conflict between statements in the protocols and either statutory or regulatory requirements, the requirements of the statutes and regulations govern.
For reasons such as responding to a hearing decision, litigation decision, or statutory or regulatory change, an audit protocol may be amended.