| OMIG Update June 2016
MCO ANNUAL PROGRAM INTEGRITY REPORT REPORTING PERIOD CLARIFICATION AND EXTENSION GRANTED
The March 1, 2014 Managed Care Organization (MCO) Model Contract includes a contractual obligation at Section 18.5 a) xix), which requires MCOs to complete an annual assessment of their regulatory and contractual program integrity obligations and to report to the New York State Office of the Medicaid Inspector General (OMIG) on their assessment.
OMIG expects that the 2016 Annual Program Integrity Report to respond to the MCO’s conformity with program integrity obligations between January 1, 2016 and December 31, 2016.
Therefore, OMIG is granting all MCOs an extension to file the 2016 Annual Program Integrity Report.
The 2016 Annual Program Integrity Report is required to be filed with OMIG between January 1, 2017 and January 31, 2017.
Additional clarification on this reporting requirement and the report extension information have been posted to OMIG’s website at: https://www.omig.ny.gov/images/stories/mco-comprehensive-provider-report/MCO_Annual_Program_Integrity_Report-Extension_Announcement.pdf
The MCO Annual Program Integrity Report form is available on OMIG’s website at:
https://omig.ny.gov/images/stories/mco-comprehensive-provider-report/MCO_Annual_Program_Integrity_Report_20151021.docx
The Reporting Instructions may be accessed at:
https://omig.ny.gov/images/stories/mco-comprehensive-provider-report/MCO_Annual_Program_Integrity_Report-Reporting_Instructions.pdf
If you have any questions or comments regarding the MCO Annual Program Integrity Report form or the reporting instructions, please contact OMIG by email at: [email protected].
New York State Office of the Medicaid Inspector General
Our mission is to enhance the integrity of the New York State Medicaid program by preventing and detecting fraudulent, abusive, and wasteful practices within the Medicaid program and recovering improperly expended Medicaid funds while promoting high-quality patient care.
Contact us: OMIG, 800 North Pearl Street, Albany, NY 12204. Phone:(518) 473-3782; Fax: (518) 474-6773; Fraud Hotline: 1-(877) 87-FRAUD/1-(877) 873-7283
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