The New York State Office of the Medicaid Inspector General’s (OMIG) investigative efforts played a key role in supporting the New York State Attorney General’s Office to secure a major settlement with a Nassau County-based nursing home accused of longstanding resident neglect, abuse, mistreatment and financial fraud.As announced by the state Attorney General’s office, Fulton Commons Care Center…Read More
The New York State Office of the Medicaid Inspector General (OMIG) today posted updates to its Self-Disclosure Frequently Asked Questions and Guidance document. Additionally, OMIG completed upgrades to the Self-Disclosure webpage to streamline navigation and enhance user experience.More information regarding OMIG’s Self-Disclosure Program is available at: https://omig.ny.gov/…Read More
The New York State Office of the Medicaid Inspector General (OMIG) today presented an overview of its Self-Disclosure process to Medicaid Managed Care Organizations as part of the New York State Department of Health’s monthly Managed Care Policy and Planning meeting. The presentation is available on OMIG’s website at: https://omig.ny.gov/information-resources/webinarsRead More
The New York State Office of the Medicaid Inspector General (OMIG) today released its 2024 Work Plan, which outlines key program-integrity initiatives planned for 2024. Reflecting OMIG’s commitment to education, engagement and collaboration with Medicaid program stakeholders, the 2024 Work Plan provides a comprehensive roadmap for citizens, policymakers, providers and managed care…Read More
Registration is now available to join the Office of the Medicaid Inspector General (OMIG) on Thursday, November 30 from 10:00 a.m. to 11:30 a.m. for an online stakeholder engagement session. During the session, OMIG’s Acting Medicaid Inspector General Frank T. Walsh, Jr., First Deputy Medicaid Inspector General Erin Ives, General Counsel Janine Daniels Rivera, Deputy Medicaid Inspector…Read More
Please join the Office of the Medicaid Inspector General (OMIG) on November 30 when we host an online engagement session to share feedback received during our 2023 Provider Engagement Forums, responsive actions taken by OMIG, as well as next steps and plans for ongoing provider engagement. There will also be time allotted to respond to audience questions. Similar to prior sessions, OMIG will…Read More
OMIG established an Abbreviated Self-Disclosure Process to facilitate the self-disclosure of identified Medicaid overpayments that are considered to be routine or transactional errors or meet other defined characteristics and have already been voided or adjusted. This process was recommended to reduce the administrative burden associated with previously established Federal and State requirements…Read More
Acting Medicaid Inspector General Frank Walsh today announced nearly $3.4 billion in savings and recoveries through the State’s Medicaid program integrity efforts in 2022. Medicaid recoveries - which are generated through provider audits and investigations - accounted for nearly $819 million in savings. Cost-avoidance efforts, upfront measures that prevent inappropriate and unnecessary costs to…Read More
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…Read More