Office of the New York State Medicaid Inspector General to Review Work Plan

February 26, 2025

By: Gabriel S. Oberfield, Esq., M.S.J. and Roger Bearden

On Jan. 29, 2025, the New York State Office of the Medicaid Inspector General (OMIG) issued its 2025 Work Plan, which highlights the OMIG’s goals and objectives for the coming year. As OMIG stated, the Work Plan “provides a comprehensive roadmap for citizens, policymakers, providers, managed care organizations and other stakeholders to follow as a guide to OMIG’s program integrity initiatives planned for 2025.” Bond attorneys Roger Bearden and Gabriel Oberfield summarized the Work Plan, here.

On February 26, 2025, please join us as Erin Ives, OMIG's First Deputy Medicaid Inspector General, will provide an overview of the Work Plan and share keen insights into the agency's objectives as they relate to Medicaid providers and participants across New York State. In this complimentary program, the seventh in an ongoing multi-part series, Mr. Bearden and Mr. Oberfield will moderate a discussion concerning Ms. Ives’s presentation during the latter portion of the program.

Click here to view the presentation.

Part One: On September 27, 2023, Bond and the OMIG covered the OMIG’s release of an abbreviated process for self-disclosure concerning routine or transactional errors. A recording of the September program is available here. 

Part Two: On November 16, 2023, Bond and the OMIG covered global updates on the implementation of OMIG’s updated compliance standards. A recording of the November program is available here. 

Part Three: On January 31, 2024 the OMIG rovided medical provider compliance officers, administrators and executive officers with global updates on the implementation of OMIG’s updated compliance standards, with specific attention paid to a) compliance program training, as well as b) implementing effective lines of communication to compliance officers. The January program is available here.

Part Four: On June 5, 2024, Bond and the OMIG provided compliance officers, administrators and executive officers in healthcare with global updates on the implementation of OMIG’s updated compliance standards. The June program is available here. 

Part Five: On September 25, 2024, Bond and the OMIG discussed the roles and responsibilities in protecting New York State's Medicaid program, including in the conducting of audits, investigations, the recovery of overpayments, and in recommending managed care contractual and other program integrity requirements. The September program is available here. 

Part Six: On December 11, 2024, Bond and the OMIG provided compliance officers, administrators and executive officers in healthcare with an overview of the agency’s audit process as well as guidance on best practices both to prepare for and respond to OMIG audit inquiries. In the forthcoming program, speakers will highlight lessons learned and trends identified following OMIG’s review of programs. The December program is available here.