Latest News

2023

The Office of the Medicaid Inspector General (OMIG) has posted on its website Compliance Program Frequently Asked Questions (FAQs). The FAQs supplement OMIG's Compliance Program Guidance. Providers with questions are encouraged to contact OMIG’s Bureau of Compliance at: [email protected] or (518) 408-0401. Read More
The New York State Office for the Prevention of Domestic Violence (OPDV) today announced that Acting Medicaid Inspector General Frank T. Walsh, Jr. has taken the state’s Pledge of Accountability Against Gender-Based Violence, affirming his and OMIG’s commitment to raising awareness of and taking actions against domestic and gender-based violence. Launched in April and first signed by Lieutenant…Read More
In response to feedback from Medicaid stakeholders, OMIG’s Self-Disclosure Program has been revised to include two pathways for entities to report, return and explain overpaid Medicaid funds. In addition to the existing Full Self-Disclosure Process, OMIG has developed an Abbreviated Self-Disclosure Process that Medicaid entities may utilize to report and explain overpayments that are considered…Read More
Following an OMIG-assisted investigation, a New York City-based pharmacy owner and manager were indicted and arraigned Tuesday, July 11, 2023, for allegedly defrauding the Medicaid program of more $2.9 million through a drug diversion and kickback scheme involving HIV drugs. Juan Poveda, 32, of Nassau County, owner of CSE Drug Corp. - doing business as Santiago Pharmacy - and Javier Burbano, 32…Read More
The Office of the Medicaid Inspector General (OMIG) has posted on its website a new Compliance Program Self-Assessment form. Developed as a resource for providers, the form is a tool to assist them in assessing strengths and weaknesses of their compliance programs under 18 NYCRR Part 521 provisions. Please note, the Self-Assessment form is not a substitute for those provisions. In the event of a…Read More
The presentation delivered at each session of OMIG's Healthcare Provider Engagement Forum is now posted at: Webinars | Office of the Medicaid Inspector General (ny.gov) ------------------------------------------------------------- OMIG ANNOUNCES SCHEDULE OF STATEWIDE HEALTHCARE PROVIDER ENGAGEMENT FORUMS  March 31, 2023 The Office of the Medicaid Inspector General (OMIG) announced today it…Read More
The Office of the Medicaid Inspector General (OMIG) has posted on its website the Compliance Program Review Module. The Module includes regulatory information pertaining to Part 521, questions for providers to address when engaged in an OMIG Compliance Program Review, and details regarding documentation providers should submit to demonstrate an effective compliance program. OMIG has also posted…Read More
The Office of the Medicaid Inspector General (OMIG) has posted on its website comprehensive guidance related to provider compliance programs, self-disclosure, and Medicaid managed care fraud, waste, and abuse prevention programs regulations. The guidance for each component of the regulations is available via the following links: Provider Compliance Programs Self-Disclosure Medicaid Managed…Read More

2022

The Office of the Medicaid Inspector General’s (OMIG) regulations implementing 2020 changes to law relating to provider compliance programs, Medicaid managed care fraud, waste and abuse prevention programs, and OMIG’s self-disclosure program have been adopted and posted on the agency website.  The full text of the regulation, assessment of public comments, and additional information can be found…Read More
New York State Office for the Prevention of Domestic Violence Launches 'Start the Conversation,' a Multi-Media Campaign to Raise Awareness Winning 'End Domestic Violence' License Plate Design Unveiled State Landmarks and Bridges To Be Illuminated in Purple on Saturday Evening Read the Proclamation Here Governor Kathy Hochul today issued a proclamation declaring October as Domestic Violence…Read More