Compliance program effectiveness examinations are on the rise in New York. Providers should review compliance program policies, procedures and practices.
Over the past several months, the Office of the Medicaid Inspector General (OMIG) has issued alerts and notices reminding providers of the requirements of New York’s compliance program mandate. The OMIG has published alerts and articles on annual program certification, effectiveness reviews and revised self-disclosure protocols, among other things. The recent escalation in OMIG statements is a clear signal that compliance program effectiveness examinations by the OMIG are on the upswing and will continue to be a top priority for the agency. Providers are advised to conduct thorough reviews of compliance program policies, procedures and practices to better prepare for a compliance examination. The OMIG’s website (http://omig.ny.gov/data/) contains a wealth of compliance information. Particular attention should be devoted to the OMIG’s compliance program effectiveness checklist, which is the instrument used by OMIG surveyors to evaluate a program’s strengths and weaknesses.