Office of Medicaid Inspector General (OMIG).

Validating Provider Eligibility

State Medicaid exclusions operate independently from federal OIG lists, creating compliance blind spots that can trigger devastating penalties for healthcare organizations. Each state's Office of Medicaid Inspector General maintains separate exclusion databases identifying providers banned from state Medicaid programs for fraud, abuse, and professional misconduct. CIChecked's OMIG screening protects your organization from state-specific exclusions that federal searches miss entirely while ensuring complete Medicaid program compliance.

What OMIG Screening Actually Reveals

• State-Specific Medicaid Exclusions: Providers banned from individual state Medicaid programs independent of federal exclusions
• State Program Violations: Medicaid fraud, patient abuse, and state healthcare violations that don't appear in federal databases
• Provider Eligibility Verification: Current authorization status for state Medicaid program participation and billing (state-specific search protocols and verification requirements)
• Multi-State Exclusion Intelligence: Complete coverage across all states where candidates have practiced or maintained licenses

State-Specific Verification Timeline: OMIG screening delivers results within 1-2 business days per state, providing rapid state Medicaid compliance verification for healthcare staffing and contracting decisions.

The State Medicaid Compliance Gap

Federal OIG exclusions don't capture state-specific Medicaid violations, creating dangerous compliance blind spots for healthcare organizations. Providers excluded from state Medicaid programs can participate in federal programs, while federal exclusions don't automatically trigger state program bans.

Each state maintains independent OMIG databases with different search procedures, verification requirements, and update frequencies. New York requires name and SSN verification, while other states use different identification protocols and search parameters requiring specialized expertise.

Complete Medicaid Program Prohibition

OMIG exclusions prohibit all activities related to state Medicaid programs including providing medical care, submitting claims, seeking payment, or participating in any capacity involving Medicaid beneficiaries. These restrictions extend beyond direct patient care to administrative and support functions.

Reading OMIG Exclusion Results: Current state Medicaid exclusions immediately disqualify providers from positions involving state Medicaid programs. Multi-state exclusions require comprehensive verification across all relevant jurisdictions where the organization operates or provides services.

Healthcare providers must verify OMIG status regularly, typically every 30 days, to maintain compliance with state Medicaid programs. Static screening at hire doesn't satisfy ongoing verification requirements for continuous program participation.

State Medicaid exclusion violations trigger substantial civil monetary penalties, program exclusions, and potential criminal charges for healthcare organizations employing excluded providers. These penalties can exceed federal sanctions in certain jurisdictions.

Bottom Line: OMIG screening protects healthcare organizations from state-specific Medicaid exclusions that federal searches miss entirely. Essential verification for complete Medicaid program compliance across all operational jurisdictions.