Medicaid fraud and abuse affects all New Yorkers by depleting valuable public funds meant to provide healthcare to vulnerable citizens. The New York State Office of the Medicaid Inspector General (OMIG) is a nationally recognized leader among Medicaid program integrity agencies. OMIG’s recovery efforts and cost-containment initiatives save hundreds of millions in taxpayer dollars each year.
New Yorkers can assist OMIG in fighting fraud, waste, and abuse by reporting potentially suspicious behavior or incidents. OMIG encourages anyone who observes instances of potential Medicaid fraud, waste, or abuse to contact OMIG’s fraud hotline. Tips can be completely anonymous—and OMIG investigates all reported information.
Healthcare fraud is not a victimless crime. It impacts all New Yorkers.
Taxpayers: Even the lowest estimates of healthcare fraud represent an enormous drain on the public health care system. Taxpayers in New York State and throughout the country pay the price.
Recipients: When a provider misrepresents his or her credentials and services, it can jeopardize your health. By falsifying or exaggerating a diagnosis, a doctor may add a condition to your medical record you don't even have. You can be subjected to unnecessary or unsafe medical procedures, may receive the wrong medical treatment, or find that your health benefits have been exhausted.
Providers: The actions of a few deceitful providers ultimately damage the reputation of trusted and respected providers. Intentionally deceiving or misrepresenting others for unauthorized benefits can jeopardize your medical care, waste taxpayer dollars, and is against the law. The penalty for allowing a Medicaid care or number to be misused is up to ten years in prison and fines of up to $500,000.