The New York State Office of the Medicaid Inspector General (“OMIG”) conducted three statewide sessions to outline its audit process as it pursues its mission to prevent and detect fraud, waste and abuse in the Medicaid program. The sessions included a PowerPoint presentation by the Frank Walsh (Acting Medicaid Inspector General), Erin Ives (First Deputy Medicaid Inspector General), and Jay Speers (Deputy Medicaid Inspector General – Audit). The three sessions included opportunities for providers to comment and ask questions related to OMIG’s audits.

Attached is a link to a copy of the OMIG presentation issued on May 26.

The sessions’ slides address the following topics:

• OMIG’s authority to conduct audits and recover overpayments
• Medicaid providers’ obligation to maintain books and records and to be subject to OMIG’s audits
• Detail on the audit process used by OMIG
• OMIG’s objective when conducting audits
• Detail on the various stages of the audit process:
• Phase 1: Planning
• Phase 2: Field work and analysis
• Phase 3: Reporting
• Provider recommendations – recommendations by OMIG to ease the audit process.