OMIG’s Bureau of Compliance is pleased to announce an updated version of the Compliance Program Review (CPR) Module, which is the tool providers use to answer questions and provide supporting documentation for the Compliance Program Review process. Based on provider feedback and reviewer observation, updates were made to clarify instructions for completion, include a documentation request…Read More
OMIG Update: Protocol Posted on OMIG's WebsiteThe New York State Office of the Medicaid Inspector General (OMIG) posted the following audit protocol on its website:Applied Behavior Analysis (ABA)To view this protocol, please visit: https://omig.ny.gov/audit/audit-protocolsRead More
The New York State Office of the Medicaid Inspector General (OMIG) assisted in an investigation that led to the indictment of a New York City eye care clinic operator for his alleged role in a $9 million Medicaid fraud scheme. New York State Attorney General Letitia James and State Comptroller Thomas DiNapoli announced the indictment on June 24.Maksim Grinberg, 53, of New York City was arrested…Read More
The New York State Office of the Medicaid Inspector General (OMIG) assisted federal and state law enforcement partners in multiple investigations as part of the U.S. Department of Justice’s 2026 National Health Care Fraud Takedown.The joint investigations resulted in criminal charges against the operators of two Capital Region Medicaid transportation providers. According to federal prosecutors,…Read More
Four individuals were arrested following an OMIG-assisted investigation into allegations they defrauded the Medicaid program of more than $1.6 million through fraudulent Medicaid transportation claims. New York State Comptroller Thomas P. DiNapoli, Albany County District Attorney Lee C. Kindlon, New York State Police Superintendent Steven G. James, and Office of Medicaid Inspector General Acting…Read More
The New York State Office of the Medicaid Inspector General (OMIG) posted the following audit protocol on its website:Health Home (Adults)To view this protocol, please visit: https://omig.ny.gov/audit/audit-protocolsRead More
The New York State Office of the Medicaid Inspector General (OMIG) posted the following audit protocol on its website: HOSPICETo view this protocol, please visit: https://omig.ny.gov/audit/audit-protocolsRead More
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