July 6, 2011

OMIG Compliance Alert Addresses Medicaid Compliance Program Effectiveness

On July 5, 2011, the New York State Office of the Medicaid Inspector General (OMIG) issued a Compliance Alert (No. 2011-06) addressing Medicaid compliance program effectiveness and providing a Documentation Review Checklist to guide providers in documenting the effectiveness of their compliance programs.

The OMIG’s Bureau of Compliance conducts effectiveness reviews of Medicaid providers to assess whether they have implemented and maintain reasonably effective compliance programs.  The Documentation Review Checklist identifies the types of documentation that OMIG may request at the time of the effectiveness review to support the existence of an effective compliance program.  The Checklist offered with the Alert is an example only, however, and a provider may submit additional documentation which the reviewers can use to assess the effectiveness of the established compliance program.

The OMIG’s Compliance Alert 2011-06 is available here.

This post was contributed by Jane Bello Burke.