Per the notice below, the New York State Office of the Medicaid Inspector General (OMIG) has issued the matrix for its Medicaid managed care program integrity reviews.

OMIG Update Attention Managed Care Organizations: The Office of the Medicaid Inspector General (OMIG) has issued the Matrix for the next round of Managed Care Program Integrity Reviews, which will be conducted with a review period of calendar year 2023.  Reviews evaluate a Managed Care Organization’s performance regarding certain obligations outlined in the Medicaid Managed Care Model Contract.  The Matrix, as well as additional information regarding OMIG’s Managed Care Program Integrity Reviews, are available here: Medicaid Managed Care Program Integrity Reviews | Office of the Medicaid Inspector General OMIG Posts Office for People With Developmental Disabilities (OPWDD) Community Habilitation Services Protocol To view the audit protocol, please visit: Audit Protocols | Office of the Medicaid Inspector General

New York State Office of the Medicaid Inspector General   Our mission is 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. Contact us: OMIG, 800 North Pearl Street, Albany, NY 12204.  Phone: (518) 473-3782; Fax: (518) 474-6773; Fraud Hotline: 1-(877) 87-FRAUD/1-(877) 873-7283.  Visit us on the web at: www.omig.ny.gov.