The New York State Office of the Medicaid Inspector General (OMIG) today released its 2025 Work Plan, which outlines key Agency program-integrity initiatives planned for 2025. Reflecting OMIG’s commitment to education, engagement and collaboration with Medicaid program stakeholders, the 2025 Work Plan provides a comprehensive roadmap for citizens, policymakers, providers and managed care…Read More
Attention Managed Care Organizations:The Office of the Medicaid Inspector General (OMIG) has issued the Matrix for the next round of Managed Care Program Integrity Reviews, 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 Medicaid Managed Care Model Contract. The Matrix, as…Read More
The New York State Office of the Medicaid Inspector General (OMIG) published on its website today the presentation slides from the Fall 2024 Health Care Provider Engagement Forum sessions held Nov. 18 in Albany and Dec. 18 in New York City.To view the presentation slides, please visit: https://omig.ny.gov/information-resources/webinars.Read More
Five Medicaid transportation operators indicted in June 2024 following OMIG-assisted investigations pleaded guilty last week for defrauding the Medicaid program of more than $4.4 million through fictitious billing, kickback schemes and money laundering.Muhammad Rizwan Khan, 38, Muhammad Usman Khan, 40, and Farhan Khan, 29, all of Orange County, and their related Medicaid transportation companies…Read More
Registration remains open for the New York State Office of the Medicaid Inspector General’s (OMIG) Health Care Provider Engagement Forum to be held Wednesday, December 18, 2024, from 10:30 a.m. to noon.This session follows the Nov. 18 forum held at the Empire State Plaza in Albany and will include updates on the agency’s initiatives and opportunities for participants to provide input and ask…Read More
The New York State Office of the Medicaid Inspector General (OMIG) announced today the following updated audit protocol has been posted on its website: Diagnostic and Treatment Center Services (DTC) (Revised 11/25/2024)To view the audit protocol, please visit: https://omig.ny.gov/audit/audit-protocolsRead More
The New York State Office of the Medicaid Inspector General (OMIG) will host a second health care provider engagement forum on Wednesday, December 18, 2024, in New York City at 90 Church Street, regarding OMIG's Medicaid program integrity efforts. This session follows the Nov. 18 Forum to be held at the Empire State Plaza in Albany. The session will include updates on the agency’s…Read More
The New York State Office of the Medicaid Inspector General (OMIG) will host a health care provider engagement session on Monday, November 18, 2024, at the Empire State Plaza in Albany, N.Y. 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-person attendance is…Read More
Three Medicaid transportation company operators who were indicted in July 2024 following an OMIG-assisted investigation pleaded guilty for their scheme to defraud the Medicaid program of more than $2.1 million. Damir Yuldashev, 64, his son, Daler Yuldashev, 38, and Daler's mother, Nigina Iskandarova, 60, owners and operators of DYD Universe, Inc. (DYD), according to state prosecutors,…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