Medicaid Fraud and Abuse Notification
It is the policy of the New York State Office of Mental Health to assist in ensuring the integrity of the Medicaid program by safeguarding against Medicaid abuse and the submission of fraudulent Medicaid claims. OMH acts under the direction of the New York State Office of the Medicaid Inspector General (OMIG) to identify inappropriate Medicaid claims and to maintain Medicaid program integrity. The OMIG has been established by statute as an independent entity within the New York State Department of Health to improve and preserve the integrity of the Medicaid program by conducting and coordinating fraud, waste and abuse control activities for all State agencies responsible for services funded by Medicaid. In carrying out its mission, the OMIG conducts and supervises all prevention, detection, audit and investigation efforts with the Office of Mental Health and other State agencies.
OMH provides support of this requirement as follows.
- OMH issues Administrative Memoranda that specify the billing standards and service documentation requirements for each Medicaid service and program operated or certified by OMH.
- OMH regularly inspects providers to ascertain compliance with program standards and requirements, and requires and monitors corrective actions as appropriate.
Under the direction of the OMIG, OMH will further strengthen its efforts to prevent and detect fraud and abuse in the Medicaid program.