agency

Office of the Medicaid Inspector General

Office of the Medicaid Inspector General is a state agency that investigates fraud, waste and abuse in Medicaid, including social adult day care.

Acting Medicaid Inspector General

Frank Walsh

Key facts

Social adult day care subjects investigated, 2021 to 2025: 387source
Cases referred for potential criminal prosecution, 2021 to 2025: Approximately 100, to the attorney general's Medicaid Fraud Control Unitsource
Role in the governor's October 2026 directive: Directed with the Department of Health to require health plans to implement prepayment review of social adult day care claims and to pursue payment suspensionssource

WYDE coverage of Office of the Medicaid Inspector General

WYDE Newsroom has published one article about Office of the Medicaid Inspector General, on Oct 24, 2026. Office of the Medicaid Inspector General is the subject of 1 story. The most recent is New York Investigates More Than 100 Adult Day Care Providers Over Suspected Medicaid Fraud.

Healthcare

New York Investigates More Than 100 Adult Day Care Providers Over Suspected Medicaid Fraud

New York and federal investigators are examining more than 100 social adult day care providers. An audit the FBI cited found Medicaid paid roughly $2.4 billion for the service from January 2019 through October 2024.

Oct 24, 2026 · 4 min read · Subject of the story

Reported alongside Office of the Medicaid Inspector General

Federal Bureau of Investigation · in 1 story with Office of the Medicaid Inspector General
New York State Department of Health · in 1 story with Office of the Medicaid Inspector General
Office of the New York State Comptroller · in 1 story with Office of the Medicaid Inspector General
Kathy Hochul · in 1 story with Office of the Medicaid Inspector General

Sources

Governor's office: Governor Hochul Announces Joint Effort to Protect Taxpayer Dollars and Crack Down on Fraud Within Social Adult Day Care Program

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