Medicaid is a program for New York State residents that provides medical care. Medicaid consumers are very important to the New York State Office of the Medicaid Inspector General (OMIG).
OMIG's job is to protect consumers and the resources of the Medicaid program. OMIG efforts saved taxpayers like you more than $2 Billion dollars and recovered more than $879 Million in 2013. OMIG wants to hear from you:
- if you know about problems with the Medicaid program Click Here
- if you think there is fraud or abuse in the Medicaid program Click Here
Read below to learn more about how consumers can help fight fraud and abuse in the Medicaid program.
Examples of Fraud or Abuse by Health Care Providers
Examples of Fraud or Abuse by Other Consumers
Information about the Medicaid program and benefits are available on the Web site of the New York State Department of Health (DOH), under Medicaid. This includes information concerning how to apply for Medicaid, income limits for Medicaid eligibility, downloading application materials, and other useful guidelines. Consumers can also use the numbers below.
For more details, use the ACCESS NY Public Health Insurance Eligibility Screening Tool to see which public health insurance programs you and your family may be eligible for.
- Consumer Medicaid Helpline 1-800-541-2831
- New York Medicaid Choice 1-800-505-5678 or click here
As a reminder, income levels are an important test for whether someone is Medicaid eligible. Individuals should periodically assess their income to ensure that they are still eligible for Medicaid.
Medicaid is not the only state health program. Three other health programs help connect many New Yorkers with access to healthcare. These programs are:
- Family Health Plus -- Information about New York State's Family Health Plus program.
- Child Health Plus -- Child Health Plus is New York State's health care program for children
- Elderly Pharmaceutical Insurance Coverage Program -- a free New York State program that helps seniors aged 65 and older to supplement their out-of-pocket Medicare Part D drug plan costs
- Americans with Disabilities Act Complaint Form (PDF, 53KB, 1pg.)
- Disaster Relief Medicaid Evaluation Report (PDF, 4.5MB, 214pg.)
- Health Insurance Portability and Accountability Act of 1996 - HIPAA Information Center
- Long Term Care: Information about Long Term Care in New York, Consumer Guide to Long Term Care Services in New York State, Partnership for Long-Term Care, New York State
- Care at Home: A Handbook for Parents (PDF, 3.4MB, 67pg) (Currently under revision)
- Library of Official Documents
- New York State Smokers Quitline
As the United States gradually incorporates regulations associated with the Patient Protection and Affordable Care Act (ACA) of 2010, consumers may seek information about the latest changes in federal statutes and news associated with ACA. The following links from the Centers for Medicare and Medicaid Studies may be useful.
- Prescription Drug and Other Assistance Programs
- New York State Medicaid Plan
- Official Federal Healthcare Web site
- Prevention and Wellness
- Center for Consumer Information and Insurance Oversight - US Department of Health and Human Services
- Center for Consumer Information and Insurance Oversight Regulations and Guidance
- Consumer Information and Insurance Oversight Facts sheet and Frequently Asked Questions
- Office of Inspector General Recovery Act Oversight
- U.S. Department of Health and Human Services/Office of the Inspector General's Fraud Unit
- Medicaid Program Integrity Education: A CMS initiative that provides educational resources, tools, and other media to raise awareness of Medicaid fraud, waste and abuse
Health care professionals are on the frontlines in fighting fraud. We want to make sure we keep in touch. Here's some ways you can: