Medicaid Managed Care Fraud, Waste, and Abuse Prevention Programs Guidance and Forms

Guidance and Forms

Medicaid Managed Care Fraud Waste and Abuse Prevention Programs Guidance (With Addendum A - Part 521-2)

Medicaid managed care organizations and their subcontractors are required to report all cases of potential fraud, waste, and abuse to OMIG. The forms referenced in the guidance above are available on the MCO Reports to DOH/OMIG Uploads application on the Health Commerce System (HCS) at https://commerce.health.state.ny.us.