In recent months, the New York State Office of the Medicaid Inspector General (OMIG) has ramped up the issuance of Medicaid enrollment denials for providers seeking to be enrolled in the New York State Medicaid Program. These denials are often based on vague or unclear regulatory requirements, which OMIG then uses to classify the provider’s actions as “prior conduct.” This designation is particularly troubling because it imposes a two-year reapplication ban, preventing providers from reapplying for enrollment during that period.

If you have received a denial notice from OMIG, it is critical to act promptly. You have the right to appeal the decision and exercising that right could prevent the two-year reapplication bar from taking effect.

If you are facing a Medicaid enrollment denial or have any questions about the enrollment process, please reach out to our experienced healthcare attorneys at (212) 668-0200 or via email at info@mdrxlaw.com.