NYS OMIG Selects Performant as its Recovery Audit Contractor
The Situation Report | May 5, 2025
The Affordable Care Act (ACA) requires New York State (NYS) Medicaid program agencies to contract with Recovery Audit Contractors (RACs) for New York’s Medicaid program integrity purposes. The State Office of the Medicaid Inspector General (OMIG) utilizes a vendor to facilitate activities to reduce improper payments through detection and collection of overpayments, the identification of underpayments, the reporting of suspected fraudulent and/or criminal activities, and the implementation of actions that will prevent future improper payments.
On April 7, 2025, NYS OMIG began its engagement with Performant as the NYS Medicaid program RAC.
About Performant
Performant supports health care payers in identifying, preventing, and recovering waste and improper payments by leveraging advanced technology, analytics, and proprietary data assets. Performant works with national and regional health care payers to provide eligibility-based, also known as coordination of benefits services, as well as claims-based services, which includes the audit and identification of improperly paid claims. Additional information regarding the NYS OMIG RAC Unit can be found on the NYS OMIG "Medicaid Recovery Audit Contractor" web page.
HCANYS members with questions can direct them to: