An OMIG education letter can look less serious than an audit demand, but New York Medicaid providers should still take it seriously. The letter may not accuse the provider of fraud. It may not demand repayment right away. It may not ask for boxes of records by a strict deadline. Still, it can be an […]
Healthcare Law
Medicaid Transportation Fraud New York: Why Transportation Companies Are Facing More Scrutiny
Medicaid transportation fraud investigations in New York have become a serious concern for ambulette companies, taxi providers, livery operators, dispatch services, and owners involved in non-emergency medical transportation. For many transportation companies, the business can look simple from the outside. A patient needs a ride to a medical appointment. A driver picks them up, takes […]
What New York Providers Should Know About the OMIG 2026 Work Plan
The OMIG 2026 Work Plan gives New York Medicaid providers a clear look at where state enforcement attention may land this year. For physicians, clinics, pharmacies, home care agencies, transportation companies, behavioural health providers, nursing homes, managed care plans, and other Medicaid participants, the plan is not just an agency update. It is a practical […]
New York Pharmacist License Investigation: How to Respond to an OPD Complaint or Pharmacy Audit
A Practical Guide for Pharmacists Facing Investigations in New York If you are a pharmacist in New York and receive a letter from the Office of Professional Discipline, the reaction is often immediate. Concern, confusion, and a sense that something serious is developing. In many cases, pharmacist investigations do not begin with a single incident. […]
New York’s Landmark Ruling on Medical Spas and Energy Devices
On March 7, 2025, the New York State Board for Medicine issued a determination that will reshape the landscape of cosmetic and aesthetic services throughout the state. In its ruling, the Board held that the use of energy-based devices-lasers, intense pulsed light (IPL), radiofrequency, ultrasound, and similar technologies-that penetrate beyond the surface of the skin […]
Introduction: The Scrutiny of Adult Day Care Centers in New York
Adult Day Health Care (ADHC) services play a critical role in New York’s healthcare ecosystem. These centers provide essential services to elderly and disabled populations who need daytime supervision, medical oversight, and social support while allowing them to remain in their communities. However, with the rise of Medicaid billing and increasing government expenditures, Adult Day […]
