An OMIG search is the process of checking individuals or organizations against the New York State Medicaid exclusion database maintained by the Office of the Medicaid Inspector General. Organizations perform an OMIG search to determine whether a provider, employee, contractor, or vendor is excluded from participating in the New York Medicaid program.
The Office of the Medicaid Inspector General oversees Medicaid program integrity in New York. One of its responsibilities is maintaining the New York OMIG exclusion list, which identifies individuals and entities that are prohibited from participating in Medicaid-funded services.
Healthcare organizations that operate in New York or bill New York Medicaid must perform OMIG exclusion screening as part of their compliance programs.
Why OMIG searches are required
An OMIG search helps healthcare organizations confirm that individuals connected to patient care or billing are eligible to participate in Medicaid programs. If an excluded individual provides services connected to Medicaid claims, those claims may become invalid.
Organizations that fail to perform proper screening can face repayment obligations, regulatory penalties, and compliance violations.
Because of this risk, many healthcare providers include OMIG exclusion screening in their routine compliance checks. These checks help identify exclusion risks before they affect billing or regulatory oversight.
What the New York OMIG exclusion list contains
The New York OMIG exclusion list identifies individuals and entities that are restricted from participating in Medicaid services within the state.
The list may include:
- healthcare providers
- medical staff and licensed professionals
- contractors or vendors connected to healthcare services
- organizations that bill or support Medicaid-funded programs
Individuals or entities may appear on the Medicaid exclusion list in New York if they have been involved in fraud, abuse, misconduct, or other regulatory violations tied to healthcare services.
Once excluded, the individual or organization cannot participate in Medicaid-funded programs until the exclusion is lifted.
An OMIG search helps healthcare organizations confirm that individuals connected to patient care or billing are eligible to participate in Medicaid programs.
How OMIG exclusion screening works
An OMIG search compares internal records against the state exclusion database. Healthcare organizations typically perform this check during hiring, onboarding, and vendor approval processes.
However, OMIG provider screening should not be limited to one-time checks. Exclusion databases are updated regularly, which means a provider or employee who was previously eligible could later appear on the exclusion list.
For this reason, many healthcare organizations perform ongoing OMIG exclusion screening to ensure their workforce and vendors remain eligible to participate in Medicaid programs.
State exclusion checks are often combined with federal screening sources such as the OIG List of Excluded Individuals and Entities. This layered approach helps organizations identify risks across both state and federal programs.
How Streamline Verify supports exclusion monitoring
Streamline Verify helps healthcare organizations manage exclusion screening workflows by supporting consistent monitoring and documentation across multiple regulatory databases.
The platform helps compliance teams perform OMIG searches, track screening activity, and investigate potential matches. It also maintains clear records that support compliance audits and regulatory reviews.
By supporting continuous screening, documentation, and oversight, Streamline Verify helps healthcare organizations manage OMIG exclusion checks without adding manual burden.
Want to see how Streamline Verify helps organizations maintain audit-ready screening?
