Performant, the NYS Office of the Medicaid Inspector General’s (OMIG) New York Medicaid Recovery Audit Contractor (RAC), has implemented a portal that enables providers to exchange data and information (including PHI) more effectively and efficiently.The recently established New York RAC – Provider Portal enables providers to receive and respond to correspondence from Performant, on behalf of…Read More
The owners of two Orange County Medicaid transportation companies were arrested Oct. 30 following an OMIG-assisted investigation into allegations they defrauded the Medicaid program of more than $2.9 million through fraudulent Medicaid transportation claims.Rohail Raja, 45, and his wife, Sharma Alam, 45, both of New Windsor, were arrested and charged in Orange County District Court with…Read More
The New York State Office of the Medicaid Inspector General (OMIG) has issued its 2024 Annual Report, which details New York's Medicaid program integrity efforts for calendar year 2024.View the Report here: https://omig.ny.gov/information-resources/annual-reportsRead More
The New York State Office of the Medicaid Inspector General (OMIG) will host a health care provider engagement forum on Wednesday, October 29, 2025, from 10:00 to 11:30 AM, in New York City at 90 Church Street, regarding OMIG's Medicaid program integrity efforts.The session will include updates on the agency’s initiatives and opportunities for participants to provide input and ask questions.In-…Read More
Were you at the World Trade Center, in Lower Manhattan or, in some cases, parts of Brooklyn, or did you respond to the Pentagon or Shanksville, PA attack sites on September 11, 2001, or in the months following? Did you develop a physical or mental health condition as a result? You may be eligible for no cost healthcare and/or financial compensation from the federal government.The programs are for…Read More
The Office of the Medicaid Inspector General (OMIG) has issued the Matrix for the Managed Care Program Integrity Reviews on Managed Long Term Care Partial Capitation Plans, which will be conducted with a review period of calendar year 2023. Reviews evaluate a Managed Care Organization’s performance regarding certain obligations outlined in the Managed Long Term Care Partial Capitation Model…Read More
The New York State Office of the Medicaid Inspector General (OMIG) posted the following audit protocols on its website:Dental ProtocolDurable Medical Equipment ProtocolIndependent Provider for Private Duty Nursing ProtocolLicensed Home Care Services Agency (LHCSA) for Private Duty Nursing ProtocolTo view these protocols, please visit: https://omig.ny.gov/audit/audit-protocols.Read More
The New York State Office of the Medicaid Inspector General (OMIG) posted the following audit protocol on its website: Nursing Home Transition and Diversion Waiver (NHTD) Protocol.To view this protocol, please visit: https://omig.ny.gov/audit/audit-protocolsRead More
The New York State Office of the Medicaid Inspector General’s (OMIG) investigative efforts played a key role in supporting the state attorney general’s office in holding several transportation companies accountable for their roles in various medical transportation fraud schemes.As announced by the attorney general’s office yesterday, 16 transportation companies throughout the state entered into…Read More