The Affordable Care Act requires Medicaid providers to "self-disclose" - to report and return any dollars that the provider should not have received. In order to aid providers in this process, on August 6th, 2014 the Office of the Medicaid Inspector General (OMIG) hosted a webinar that shows Medicaid providers in New York how to self disclose. Self disclosure efforts by OMIG and providers yielded over $20 million in returned payments during OMIG's last reporting year. OMIG suggests that every Medicaid provider view Webinar #21 - Self Disclosure to understand how the process works, and what they can do as a provider to comply with this important requirement.
You can help stop Medicaid fraud: Call OMIG’s Fraud Hotline at 1-877-87 FRAUD (1-877-873-7283), or click here to file a complaint electronically.
The OMIG may sanction some providers by excluding them from participating in the Medicaid program. These providers are excluded from offering services to Medicaid enrollees and also cannot be paid with Medicaid dollars. Prior to adding new staff members, employers should check to see if prospective employees have been excluded from Medicaid. To make it easier to perform such a check, OMIG set up a dedicated service to check the status of any exclusion.
15 July 2015
The New York State Office of the Inspector General (OMIG) has posted on its website DSRIP Compliance [ ... ]
22 May 2015
Home Health Pre-claim Review In accordance with Chapter 59 of the Laws of 2011, as amended in 2014, [ ... ]
06 April 2015
The New York State Office of the Medicaid Inspector General (OMIG) has posted on its website DSRIP C [ ... ]
The New York State Office of the Medicaid Inspector General has posted on its website Compliance Gui [ ... ]
03 February 2015
Joint Legislative Budget Testimony Testimony of Tom Meyer Acting Medicaid Inspector General Offic [ ... ]
Anytime a health care organization discovers that it was paid more than it was due, this should be reported to OMIG. Our Self-Disclosure section provides information for health care organizations to complete the recently revamped self-disclosure process.
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