Compliance Publications

• Mandatory Compliance Program Requirement under the NYS Social Services Law OMIG's Observed Best Practices; Opportunities for Enhancement; and Insufficiencies Updated - As of March 31, 2013 - New York State Medicaid Update

  

• Mandatory Compliance Program Certification Requirement under 18 NYCRR §521.3(b) - New York State Medicaid Update - October 2013

  

• Certification of Compliance with Section 6032 of the Deficit Reduction Act of 2005, Section 1902 of the Social Security Act, and Title 42 of the United States Code Section 1396a(68) - New York State Medicaid Update - October 2013

  

• Mandatory Compliance Program Certification Requirement under 18 NYCRR §521.3(b) - New York State Medicaid Update - November 2013

  

• Mandatory Compliance Program Certification Requirement under 18 NYCRR §521.3(b) - New York State Medicaid Update

  

• Compliance Program Guidance for General Hospitals

  

• Compliance Alerts as a Method of Providing Guidance to Medicaid Providers

  

• Home Health Care Provider Self-Assesment Pre-Claim Review Process

  

• Document #7 Feedback from ER

  

• Document #6 ER Documentation Review

  

• Document #5 Announced Visit Confirmation Letter

  

• Document #4 Service Bureau Survey

  

• Document #3 Focused Review Form For Announced Reviews

  

• Document #2 Announced Visit Doc Request

  

• Document #1 Announced Visit Template

  

• Effectiveness Review Process

  

• Effectiveness Review Checklist

  

• Compliance Program Requirement for New Medicaid Providers

  

• Medicaid Provider Certification of its Compliance Program