Office of Medicaid Inspector General

To enhance the integrity of the New York State Medicaid program by preventing and detecting fraudulent, abusive, and wasteful practices within the Medicaid program and recovering improperly expended Medicaid funds while promoting high-quality patient care.

The Office of the Medicaid Inspector General (OMIG) promotes and protects the integrity of the Medicaid program in New York State. In carrying out its mission, OMIG conducts and coordinates the investigation, detection, audit, and review of Medicaid providers and recipients to ensure they are complying with all applicable laws and regulations. The Office works closely with the federal Centers for Medicare and Medicaid Services (CMS), the Office of the Inspector General (OIG), the New York State Attorney General's Medicaid Fraud Control Unit (MFCU), as well as a range of other state and federal agencies and law enforcement entities. OMIG has the authority to pursue civil and administrative enforcement actions against any individual or entity that engages in fraud, abuse, illegal or inappropriate acts, or unacceptable practices.

We serve New York State taxpayers, Medicaid providers and beneficiaries through comprehensive audits and investigative efforts that serve to protect the integrity of the Medicaid program and ensure a cost-effective, sustainable healthcare delivery system.