Attention OASAS Providers: OMIG Releases Compliance Guidance for Inpatient Chemical Dependency Rehabilitation and Outpatient Chemical Dependency Services

The New York State Office of the Medicaid Inspector General (“OMIG”) has released Compliance Guidance for use by providers regulated by the New York State Office of Alcoholism and Substance Abuse Services (“OASAS”).

New York State Social Services Law Section 363-d and the implementing regulations at 18 NYCRR Part 521 require OMIG to routinely identify compliance risk areas relating to the particular type of services being offered by Medicaid providers.  The purpose of the OMIG’s Compliance Guidance is to offer examples of compliance risk areas that may be of particular concern to those providing Inpatient Chemical Dependence Rehabilitation and Outpatient Chemical Dependence services.  Many of the examples are taken from OMIG Audit Protocols for OASAS Chemical Dependence Programs and Services, which can be found on OMIG’s Web site at www.omig.ny.gov.

Update: The OMIG Compliance Guidance for OASAS providers has been revised, and the guidance we wrote about in this post is no longer available online.  Please see our post about the recent revision to this Guidance.

Kathleen Evers wrote this post.  For more information, please contact David R. Ross, who served as Acting New York State Medicaid Inspector General under governors Pataki and Spitzer, as well as General Counsel, Deputy Medicaid Inspector General, and Director of Audits and Investigations for the Office of the Medicaid Inspector General.  Prior to his service at the OMIG, David held several positions at the New York State Office of Alcoholism and Substance Abuse Services, including Acting General Counsel, Deputy Counsel, and Associate Counsel.  He can be reached at (518) 462-5601 or via e-mail at dross@oalaw.com.


David Ross

About David Ross

David is Partner and concentrates his practice on Medicaid, Medicare and private insurance audits & investigations, Health Law including fraud and abuse, governmental investigations of all kinds, Medicaid compliance plans and Article 78 cases. He is head of our Government Investigations practice and also works in Healthcare Fraud & Abuse.