The New York State Office of the Medicaid Inspector General (OMIG) is tasked with safeguarding the integrity of the Medicaid program by preventing, detecting, and investigating fraud, waste, and abuse, while recovering improperly expended funds, as mandated by Section 32 of the Public Health Law. OMIG collaborates closely with the Department of Health (DOH), federal and state agencies, and special investigative units of Medicaid Managed Care Organizations (MMCOs) to enforce program requirements and ensure high-quality patient care. The 2025 Work Plan outlines OMIG’s program integrity initiatives, serving as a roadmap for stakeholders, including providers, MMCOs, and policymakers.
2025 OMIG Audit Focus Areas
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