The New York State Office of the Medicaid Inspector General (OMIG) posted the following audit protocol on its website: OMH Community Rehabilitation Services for AdultsTo view these protocols, please visit: https://omig.ny.gov/audit/audit-protocolsRead More
Governor Hochul today announced EXPRESS NY, a statewide effort to make government work better by tackling outdated and burdensome state regulations, policies, and practices that stand in the way of delivering for New Yorkers. As part of EXPRESS NY, Governor Hochul is now launching a call for ideas from stakeholders across New York on opportunities to cut red tape and improve government delivery.…Read More
(U.S. Department of Justice Press Release)On Friday, a complaint was unsealed in Brooklyn charging two Queens men with defrauding Medicare and Medicaid by paying illegal kickbacks and bribes and submitting claims for services that were never provided.“The defendants allegedly turned a pharmacy and social adult day care centers meant to help senior citizens into a $120 million dollar Medicare and…Read More
The New York State Office of the Medicaid Inspector General (OMIG) posted today its 2026 Work Plan. The plan provides a roadmap detailing OMIG’s planned program-integrity initiatives for stakeholders to follow as a guide.Please note: the Work Plan should not be viewed as an exclusive list of all activities OMIG will conduct over the course of the year. The agency reserves the right to conduct all…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) ProtocolTo view these protocols, please visit: https://omig.ny.gov/audit/audit-protocolsRead More
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