Senior Counsel Matthew Babcock will present during Practicing Law Institute’s, “Updating Medicaid Compliance Programs to Meet New York State’s New Requirements” on October 12th. A full description of Matt’s presentation is below:

Since 2007, New York has required Medicaid providers to implement and operate an effective compliance program as a condition of participation in the Medicaid program and as a condition of payment. Medicaid’s mandatory compliance program obligations were updated with 2020 amendments to New York’s Social Services Law § 363-d and with the NYS Office of the Medicaid Inspector General’s (“OMIG”) new updated regulations published on December 28, 2022 and effective on April 1, 2023.

This 90-minute briefing will focus on each of the 7 elements required for an effective compliance program and identify what has been updated so attorneys can assist Medicaid providers conduct a gap analysis of their historic compliance programs when compared to the 2020 and 2022 updated requirements. Faculty will specifically address: Quick reference guide to statutory and regulatory authorities, OMIG’s guidance, and some new compliance terms of art (10 minutes) Compliance program elements as identified in the OMIG regulations:

  • Element #1 – Written policies procedures and standards of conduct required for compliance programs
  • Element #2 – Compliance officer and compliance committee
  • Element #3 – Training and education on the compliance program
  • Element #4 – Lines of communication for the compliance program
  • Element #5 – Disciplinary standards supporting the compliance program
  • Element #6 – Auditing and monitoring under the compliance program
  • Element #7 – Responding to compliance issues
  • Key takeaways

Who Should Attend: In-house and law firm lawyers who advise hospitals, nursing homes, healthcare institutions or agencies and healthcare professionals who participate in New York State’s Medicaid program.

Program Level: Update Prerequisites: There are no prerequisites for this program, but a basic understanding of New York’s historic compliance program obligation would be helpful, but is not required.

Advanced Preparation: None