Medicaid is a program for New York State residents that provides medical care. Medicaid recipients are very important to the New York State Office of the Medicaid Inspector General (OMIG). OMIG's job is to protect recipients and the resources of the Medicaid program.
Medicaid fraud is not a victimless crime. Intentionally deceiving or misrepresenting others for unauthorized benefits can jeopardize your medical care, waste taxpayer dollars, and is against the law.
EXAMPLES OF HEALTH CARE PROVIDER FRAUD OR ABUSE
Billing for Medicaid services that were not provided or billing for the same service multiple times
Giving out or selling unnecessary prescriptions
Ordering unnecessary tests
Giving money or presents to recipients in return for agreeing to get medical care
Accepting kickbacks for patient referrals
EXAMPLES OF RECIPIENT FRAUD OR ABUSE
Doctor shopping or visiting emergency rooms to get controlled drugs
Getting medical help that is not needed
Receiving gifts or money for getting medical services
Lending your Medicaid card or using someone else's card
Forging a prescription
Receiving Medicaid when you are ineligible
Not reporting other health insurance
Altering bills or receipts
CONSEQUENCES OF IMPROPER USE OF YOUR MEDICAID CARD
Someone else’s personal or medical information could be placed in your medical records and can lead to mistakes when you need treatment.
Medicaid may not pay for the care you need if they already paid for the same care for someone else using your card information.
You or whomever uses your card can be penalized up to ten years in prison and fined up to $500,000.