Medicaid Fraud and Abuse Notification

Overview

OMH works with the New York State Office of the Medicaid Inspector General (OMIG) to promote and protect the integrity of the Medicaid program in New York State.

OMH provides support by:

• Issuing Administrative Memoranda that specify billing standards and service documentation requirements for each Medicaid service and program operated or certified by OMH.
• Inspecting providers to determine compliance with program standards and requirements.
• Monitoring corrective actions.

Medicaid Compliance Resources for Community Providers

• About Medicaid Fraud, Waste, and Abuse
• Office Medicaid Inspector General (OMIG) Compliance Library
• OMIG Audit Protocols

Medicaid Overpayment Self-Disclosure Resources

• OMIG Medicaid Overpayment Self-Disclosures
• OMH Provider Self-Disclosure Notification Protocol

OMH Medicaid Compliance Program

• Medicaid Compliance Guidance and Resources for OMH Staff and Contractors