ATTENTION MEDICAID TRANSPORTATION PROVIDERS: OMIG RELEASES COMPLIANCE GUIDANCE FOR CORPORATE COMPLIANCE PROGRAMS

The New York State Office of the Medicaid Inspector General (OMIG) has released Compliance Guidance for use by Transportation providers.

The routine identification of compliance risk areas, relating to the particular type of services being offered by Medicaid providers, is required for certain providers in accordance with the New York State Social Services Law Section 363-d and implementing regulations at 18 NYCRR Part 521. The purpose of the OMIG’s Compliance Guidance is to give examples of compliance risk areas that may be of particular concern to those providing Medicaid Transportation services.

ATTENTION MEDICAID DENTAL PROVIDERS: OMIG AUDIT PROTOCOLS RELEASED

The New York State Office of the Medicaid Inspector General (OMIG) has released its final audit protocols for Dental providers in the Medicaid program. These protocols became effective October 1, 2014 and are the OMIG’s audit tool that they will use when conducting their audits of dental providers.  The protocols contain 18 areas of potential […]

US DOJ Sets New Record for Fraud and False Claims Recoveries in FY2014

As 2014 comes to a close, the United States Department of Justice (“DOJ”) has many reasons to celebrate as it reflects on the year that was. In FY2014, the DOJ recovered $5.69 billion in settlements and judgments resulting from civil fraud and false claims cases, with $2.3 billion in health care fraud recoveries alone. This […]

Medical Marijuana Draft Regulations Appear on DOH Website

The New York State Department of Health has posted draft regulations on the medical use of marijuana in New York.  We’ll have more on these regulations in coming days.  In the meantime, the interested should visit the DOH Medical Marijuana Website for the draft regulations, which run to 120 pages.

The Office of the Medicaid Inspector General (OMIG) Posts 2014 Compliance Program Certification Information and Forms

It’s that time of year again when Medicaid providers who are required to have an effective Medicaid Compliance Plan have to so certify to the OMIG. The on-line certification can only be done during the month of December. 2014 Compliance Program Certification information and forms for the December 2014 certification period are now posted on […]

CONFIRMED The Guard is Changing: James Cox is Leaving OMIG’s Top Spot

Earlier this week, we blogged about postings found on job-search sites Monster.com and indeed.com advertising that New York State is now accepting applications for the Medicaid Inspector General, the head of the state agency charged with combating fraud, waste, and abuse in the State’s Medicaid program.

The Changing of the Guard? The Search for a New Medicaid Inspector General

It appears that Governor Cuomo’s office is looking to replace New York State Medicaid Inspector General James C. Cox. An internet posting seeking applications for the position of the Medicaid Inspector General (MIG) was seen on Monster.com and also indeed.com.

SCOTUS Grants Cert in King v. Burwell

In what could be very important news this afternoon regarding the Patient Protection and Affordable Care Act (“PPACA,” or more commonly called “Obamacare”), the Supreme Court of the United States announced that it was granting certiorari in the case of King v. Burwell, decided on July 22, 2014, by the United States Court of Appeals […]