Latest News

2019

A Brooklyn doctor accused by federal prosecutors following an OMIG-assisted investigation of partaking in a $30 million Medicaid and Medicare fraud scheme was sentenced yesterday to 48 months in prison and ordered to pay restitution and forfeiture. Paul Mathieu, 54, of Morristown, NJ,  was sentenced by U.S. District Judge Lorna G. Schofield following a six-week trial this May in which a jury…Read More
The New York State Office of the Medicaid Inspector General (OMIG) is issuing this reminder that the annual compliance certification period begins December 1, 2019 at 12:01 AM and ends December 31, 2019 at 11:59 PM for the following certifications: Social Services Law section 363-d and 18 NYCRR Part 521 (SSL Certification).  Deficit Reduction Act of 2005 (DRA Certification). SSL Certification…Read More
A manager of medical clinics in Brooklyn and Queens arrested in 2016 by federal authorities following an OMIG-assisted investigation was convicted in federal court last week for his role in a multi-million-dollar health care kickback and money laundering scheme. Aleksandr Pikus, manager of the medical clinics that employed doctors, physical and occupational therapists and other medical…Read More
OMIG Update to 2019-2020 Work Plan Now Posted.Read More
A New York City pharmacy owner and three of her managers were arrested July 19 following an OMIG-assisted investigation for their alleged participation in a multi-million-dollar Medicaid fraud scheme involving kickbacks and HIV prescription drugs. Irina Pichkhadze, 34, of Queens, NY, the Owner of First Choice Pharmacy in Harlem, NY, and three of her managers, Raymond Dieffenbacher, 46, of Queens…Read More
A New York City doctor accused by Federal authorities in November 2017 following an OMIG-assisted investigation of writing thousands of medically unnecessary oxycodone and fentanyl prescriptions over a three-year period was sentenced to serve five years in prison. Ernesto Lopez, 76, of Flushing, NY, was sentenced on Tuesday, July 2 in Manhattan federal court by U.S. District Judge Denise L. Cote…Read More
As part of the 2019-2020 New York State Budget, the Office of the Medicaid Inspector General (OMIG) will commence reviews of managed care organizations (MCOs) to evaluate compliance with program integrity sections of the Medicaid Managed Care/Family Health Plus/HIV Special Needs Plan Contract (Contract). These reviews are authorized by Social Services Law Section 364-j (36) and 18 New York Codes…Read More
The New York State Office of the Medicaid Inspector General (OMIG) 2019-2020 Work Plan, which details the agency's program integrity focus areas in the Medicaid program for the State Fiscal Year April 1, 2019 to March 31, 2020, is available online.  Work Plans are updated throughout the year to adapt to the changing Medicaid landscape. Updates are posted on the OMIG website, and update alerts…Read More
A Manhattan pharmacist arrested in 2017 following an OMIG-assisted investigation for defrauding the Medicaid program more than $3 million via an HIV prescription drug fraud scheme was sentenced March 15 to two to six years in state prison. Hin T. Wong, 50, of Manhattan, the owner of three Manhattan pharmacies in connection with the multi-million-dollar Medicaid fraud scheme, was sentenced by…Read More
OMIG Played a Key Role Throughout the Case The former owners of a Brooklyn-based physical therapy practice and an acupuncture company - arrested by Federal authorities following an OMIG-assisted investigation for their involvement in a $1.3 million Medicaid and Medicare fraud scheme - were sentenced Feb. 12 to serve multiple years in prison and to forfeit and pay restitution of more than $1.3…Read More