OMIG Posts ‘Compliance Program Review Guidance’


OMIG Update October 2016

OMIG Posts ‘Compliance Program Review  Guidance’

The New York State Office of the Medicaid Inspector General (OMIG) today posted on its website Compliance Program Review Guidance, which details what OMIG looks for when assessing compliance programs required under New York State Social Services Law § 363-d and 18 NYCRR Part 521.

The extensive Guidance addresses all requirements under each of the eight elements as well as the seven prime risk areas, which include billing, payment, medical necessity and quality of care, governance, mandatory reporting, credentialing, and other risk areas.   This Guidance is not intended to replace any prior guidance offered by OMIG.

The Compliance Program Review Guidance is available at:

Please direct any questions to OMIG’s Bureau of Compliance at 518-408-0401 or via email at  Please include “CPR Guidance” in the subject line of the email.


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