New York State’s Compliance Mandate


Chapter 442 of the Laws of 2006, which established the New York State Office of  the Medicaid Inspector General (OMIG) in statute, also created a new Social Services Law § 363-d which requires that Medicaid providers develop and implement compliance programs aimed at detecting  fraud,  waste, and abuse in the Medicaid program.  


WHO MUST HAVE COMPLIANCE DOCUMENTS?

“The law provides that, at a minimum, its provisions apply to those Medicaid providers of care, services and supplies for which the Medicaid program “constitutes a substantial portion of their business operations.” Certain Medicaid provider types are automatically covered, such as those subject to the provisions of Articles 28 and 36 of the Public Health Law as well as Articles 16 and 31 of the Mental Hygiene Law”.[1]

Practice Management Alternatives, LLC, Donald Jones, PhD, MHA and Derek Jansen, PhD, MPH conducted a unique and specialized training event that focused on the New York State, Office of the Medicaid Inspector General’s guidance on mandatory compliance.
            The training provided all the materials you’ll need to prepare your organization, your compliance plan documents and your staff to meet the guidelines:
·         Federal, state and city (NYC) false claims act and whistleblower protection handouts and training documents. The training is replicated on a CD so you may use it for further staff training at your own facility;
·         Compliance Plan documents, outlines and staff education templates that meet the OMIG’s expectations; and,
·         Auditing and Monitoring tools that meet the newly created, 2008, Generally Accepted Government Auditing Standards (GAGAS). The CD includes the HHS, OIG’s useful RATSTAT software.

If you would like to recieve a copy of the slideshow and all handouts, please write to us at Contact@pmallp.org.

[1] New York State, Office of the Medicaid Inspector General, http://www.omig.state.ny.us/data/content/view/79/1/