Andrew M. Cuomo

Governor

Thomas R. Meyer

Acting Medicaid Inspector General


Current Webinars

OMIG Webinar #25 - OMIG’s Compliance Certification Process for Mandatory Compliance Programs

Description: This webinar introduces the form that must be used by New York's Medicaid providers when they attempt to meet the obligation to certify that their compliance program meets the requirements of New York's mandatory compliance program law and regulations.

This Webinar is free and open to all. Please feel free to invite your colleagues to view this.

OMIG Webinar # 24 - Mandatory Compliance Program and Certification Obligation

Description: This webinar provides a high-level overview of New York's mandatory compliance program obligation and the compliance program certification obligation for Medicaid providers. It also provides a high-level overview of the federal Deficit Reduction Act of 2005 (DRA) and the annual certification requirement for those Medicaid providers subject to the DRA.

This Webinar is free and open to all. Please feel free to invite your colleagues to view this.

OMIG Webinar # 23 - OMIG’s Compliance Certification Process: December Annual and Enrolling Providers

Description: This webinar provides a high-level overview of the annual certification requirements and introduces the forms that required providers must use to complete the process.

This Webinar is free and open to all. Please feel free to invite your colleagues to view this.

OMIG Webinar # 22 - OMIG Exclusion and Reinstatement Process

Description: This webinar was recorded on September 29, 2014 and explains Medicaid exclusions - the process by which individuals are banned from participation in the Medicaid program. The webinar demonstrates the mechanics of the exclusion process works, and also describes how an individual can apply to get reinstated into the Medicaid program after an exclusion. The webinar also presents information on how to search for an excluded provider on the OMIG Web site as well as other important information for the public and Medicaid providers.

This Webinar is free and open to all. Please feel free to invite your colleagues to view this.

OMIG Webinar # 21 - Self-Disclosure

Description: On August 6, 2014, from 1-1:45 pm, the New York State Office of the Medicaid Inspector General (OMIG) presented "Self-Disclosure: The Importance & Process for Provider," a Webinar that explains to Medicaid providers, who identify Medicaid overpayments through their compliance programs or other internal control mechanisms, are obligated to return those funds to their state Medicaid agency.

This Webinar is free and open to all. Please feel free to invite your colleagues to view this.

OMIG Webinar #20 - OMH Protocols

Description: The New York State Office of the Medicaid Inspector General (OMIG) will offer a Webinar focusing on audit protocols for Office of Mental Health rehabilitation services on Wednesday, May 14, 2014, from 1 to 2 pm. OMIG Management Specialist Scott Lephart will be the presenter. Please note that the actual Webinar will only last from 1-2 pm, not three hours, and please note that it is Eastern Daylight Time. If you have any questions, please send e-mail to information@omig.ny.gov

Webinar #19: Governing Body’s Role in Program Integrity:

Description: This Webinar provides information for members of boards of directors and other governing bodies to understand their role in the healthcare compliance process. The speakers discuss compliance definitions and regulations, as well as examples of ways in which compliance officers and members of governing bodies can communicate to enhance compliance programs for Medicaid providers.

OMIG Webinar #18 - Compliance Certification for 2013

Description: This Webinar outlines the statutory and regulatory requirements under New York State's Medicaid program for the annual compliance certification obligation for both the state requirements and those for the federal Deficit Reduction Act (DRA) of 2005. The speaker demonstrates the new forms for 2013 and explains statutory and regulatory requirements. Finally, the speaker engages in a short discussion on the compliance program review process used by OMIG in assessing the compliance programs of Medicaid providers.

OMIG Webinar #17 - The OMIG Exclusion and Reinstatement Process.

Description: On December 19, 2012, from 2-3:30 pm, the New York State Office of the Medicaid Inspector General (OMIG) will present "The OMIG Exclusion and Reinstatement Process," a Webinar that will provide an overview of the exclusion process that takes place whenever OMIG considers a provider or individual person for exclusion from the program.

This Webinar is free and open to all. Please feel free to invite your colleagues.

OMIG Webinar #16 - Certification for December 2012: What Every Provider Needs to Know about Changes to the OMIG Certification Process.

Description: This Webinar outlines the annual OMIG certification process and contains vital information for Medicaid providers.

OMIG Webinar #15 - OMIG's New Compliance Program Review Assessment Form and Compliance Program Review Process.

Description: This Webinar outlines the statutory and regulatory requirements under New York State's Medicaid program for the compliance obligation and what must be present for Medicaid providers to meet that requirement. The new compliance program review assessment form is discussed, focusing on how it interrelates to the statutory and regulatory requirements and what specific uses providers can make of the form by tailoring it to their own needs. Finally, the speaker engages in a short discussion on the compliance program review process used by OMIG in assessing the compliance programs of Medicaid providers.

Please note: The Compliance Program Assessment Form that was the subject of the Webinar #15 has been updated since the recording of Webinar #15. If you wish to access a MS Word version of the current Compliance Program Assessment Form, OMIG suggests that you access the Form in the "Forms" section of the Compliance Library. The Compliance Library can be accessed under the Compliance tab on OMIG's website.

OMIG Webinar #14 - Certification for 2011: What Every Provider Needs to Know about Changes to the OMIG Certification Process

Description: In October 2009, New York State became the first in the nation to require Medicaid providers who fall under Article 28 and 36 of the Public Health law and Article 16 and 31 of the Mental Hygiene Law or who bill, order or receive more than $500,000 annually to certify that they have an effective compliance program in place. This certification is accomplished through an on-line process on OMIG's Web site and must be done upon enrollment and every December thereafter.

Similarly, since 2007, the federal government has required Medicaid providers who bill, order or receive more than $5 million annually to certify, under the Deficit Reduction Act (DRA), that they have instituted established written policies and procedures informing and educating their employees, contractors and agents about provisions of the DRA. This is to take place by January 1 annually. This certification is a separate process, but is also accomplished via OMIG's Web site.

These requirements are separate from, but related to, the mandatory provider compliance programs under New York Social Services Law § 363-d (SSL).

This Webinar explores changes in the certification process, including legal and regulatory requirements under New York Social Services Law and federal DRA requirements. OMIG Bureau of Compliance representatives discuss the role that the federal employee identification number (FEIN) plays in the certification process, and how to use this number correctly. Additionally, the Bureau explains how it will use this certification process as an opportunity for the provider community to aid in identifying services bureaus that may have not taken the correct steps to enroll as Medicaid providers.

Bureau of Compliance staff demonstrates how to fill out the online forms and uses a step-by-step presentation that providers may follow in completing the forms for SSL 2 011 form and DRA 2012 form.

Additionally, Bureau of Compliance staff explains other changes and enhancements made to the form and certification process, all of which are aimed at making the process more user-friendly and enabling OMIG to collect crucial information about providers' compliance programs.

OMIG/UMass Special Event - Home Health Billing for Dual Eligible Beneficiaries

Description: The Office of Medicaid Inspector General (OMIG), in conjunction with the New York State Health Care Providers (HCP) and the University of Massachusetts Medical School (UMMS), hosted this Webinar to offer education to providers on how to comply with traditional Medicaid/Medicare demand billing requirements post Third-Party Liability (TPL) demonstration project. The Webinar reviews traditional Medicaid billing procedures, including how to report Medicare determinations to UMMS, as well as the status of the TPL demo.

In addition, the OMIG reviews general NYS Medicaid home health billing regulations, along with the billing policies, and provides relevant resource sites.

OMIG Webinar #13 - The Federal Care Act 6402 and Credible Allegations of Fraud

Description: The federal Affordable Care Act (ACA) of 2010 contains many important elements that impact healthcare providers now and will continue to have further implications in the future.

Under Section 6402(h), providers with "credible allegations of fraud" face possible suspension of all government-based payments under Medicaid and Medicare until those allegations are settled.

This Webinar presents an overview of the Medicaid payment implications of 6402(h), and discusses the Office of the Medicaid Inspector General's (OMIG) collaboration with other state agencies and Medicaid providers, to manage implementation of this new law.

This Webinar offers a discussion of the complete process, and presents the requirements of 6402(h) as specified in the law.