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Provider Fraud, Waste & Abuse
Some Medicaid providers engage in fraudulent activities. The Office of the Medicaid Inspector General reviews provider billing and other activities and investigates charges of fraudulent behavior in order to take all appropriate actions.

 
Recipient Fraud
Some Medicaid recipients engage in fraudulent behavior and abuse their privileges. The Office of the Medicaid Inspector General reviews recipient utilization and investigates other charges of fraudulent behavior in order to take appropriate actions. Some types of recipient fraud, such as forging prescriptions, are subject to criminal prosecution and will be referred to the appropriate authorities.

 

Our mission is to enhance the integrity of the New York State Medicaid program by preventing and detecting fraudulent, abusive and wasteful practices
with the Medicaid program and recovering improperly expended Medicaid funds while promoting high-quality patient care.

Copyright 2012 New York State Office of the Medicaid Inspector General. All rights reserved.