Attention Managed Care Organizations:

The Office of the Medicaid Inspector General (OMIG) has issued the Matrix for the next round of Managed Care Program Integrity Reviews, which will be conducted with a review period of calendar year 2023. Reviews evaluate a Managed Care Organization's performance regarding certain obligations outlined in the Medicaid Managed Care Model Contract. The Matrix, as well as additional information regarding OMIG's Managed Care Program Integrity Reviews, are available here:

Medicaid Managed Care Program Integrity Reviews | Office of the Medicaid Inspector General

OMIG Posts Office for People With Developmental Disabilities (OPWDD) Community Habilitation Services Protocol

To view the audit protocol, please visit: Audit Protocols | Office of the Medicaid Inspector General