The New York State Office of Medicaid Inspector General (OMIG) is an independent entity established within the Department of Health pursuant to Chapter 442 of the Laws of 2006 to improve and preserve the integrity of the state’s Medicaid program. The same laws also created a new Social Services Law § 363-d, which requires certain Medicaid providers1 (“Providers”) to develop and implement compliance programs aimed at detecting fraud, waste, and abuse in the Medicaid program.

On January 14, 2009, the OMIG published proposed regulations2 setting forth the requirements applicable to the mandatory compliance programs, which Providers must have in place prior to becoming eligible, and in order to remain eligible, to receive payment for services or supplies rendered to Medicaid enrollees.

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