Under New York law, specified Medicaid providers must have an Effective Compliance Program as a condition of Medicaid payment. As we near one year since the New York State Office of the Medicaid Inspector General’s updated compliance program regulations took effect, Harris Beach is making available its complete seven-part micro-webinar series that covers each element of what is required for Medicaid providers to have an Effective Compliance Program.
This unique, micro-learning program is designed to help providers revise and improve their compliance programs to meet the current regulatory and statutory requirements.
An Effective Compliance Program is one that meets each of the seven elements mandated by the state and is well-integrated and supported by the highest levels of the provider. Among other things, an Effective Compliance Program must promote adherence to legal and ethical obligations, and must be reasonably designed and implemented to prevent, detect and correct non-compliance with Medicaid program requirements, including fraud, waste and abuse.
Each of Harris Beach’s seven 30-minute micro-webinars exclusively focus on one of the seven required compliance program elements:
- Written Policies, Procedures, and Standards of Conduct
- Compliance Officer and Compliance Committee
- Training and Education
- Lines of Communication
- Disciplinary Standards
- Auditing and Monitoring
- Responding to Compliance Issues
Accompanying the micro-webinar series, Harris Beach prepared a compliance Primer that provides important background on the compliance requirements covered in the series.
Harris Beach’s Health Care Industry Team is well versed in all aspects of New York’s compliance program requirements. Among other things, the team performs compliance program reviews, assessments and gap analyses. Attorneys Peter M. Hoffman and Matthew D. Babcock assist a wide variant of clients in developing compliance programs and supporting policies, procedures and standards of conduct; and routinely work with OMIG on compliance, audit and investigation-related issues, as well as self-disclosures of Medicaid overpayments.
Matt is the former Assistant Medicaid Inspector General who managed the Compliance Bureau at OMIG, and has served both as a compliance officer and as a compliance attorney in private practice. Peter has been creating, implementing and advising on compliance programs, audits and investigations since 1996 for hospitals, health systems, academic medical centers, physician groups, diagnostic and treatment centers, nursing homes, home care agencies, health homes, clinical laboratories and myriad of other provider and supplier types.
This alert is not a substitute for advice of counsel on specific legal issues.
Harris Beach has offices throughout New York state, including Albany, Buffalo, Ithaca, New York City, Rochester, Saratoga Springs, Syracuse, Uniondale and White Plains, as well as Washington D.C., New Haven, Connecticut and Newark, New Jersey.