The above audit protocols have been released by NYS OMIG for audits of the above programs. MSC: Effective Dates 5/15/13, Day Habilitation Effective 5/2/13, IRA Residential Habilitation Effective 5/2/13 and Day Treatment Effective 3/29/13.
Per OMIG Memo: "Audit protocols are applied to a specific provider or category of service in the course of an audit and involve the OMIG’s application of articulated Medicaid agency policy and the exercise of agency discretion. OMIG,consistent with state and federal law, can pursue civil and administrative enforcement actions against any individual or entity that engages in fraud, abuse, or illegal or improper acts or unacceptable practices perpetrated within the medical assistance program."
Review the Links Below to ensure your agency is in compliance and ready. Watch for upcoming Webinar postings.Link to Audit Protocols
NYS OMIG has revised the Compliance Program Assessment to require that compliance programs be applicable to the areas listed : Medicaid billing & payments, medical necessity, governance,mandatory reporting, credentialing and other risk factors http://www.omig.ny.gov/data/images/stories/compliance/compliance_program_assessment_form-revised-20130122.doc
This report includes information on audits, initiatives and recoveries for the 2011 calendar year. Please visit at: http://www.omig.ny.gov/data/images/stories/annual_report/2011_annual_report.pdf
OMIG has issued answers to Frequently Asked Questions regarding the requirements of the Medicaid Compliance Laws. It is critical to understand the requirements as they apply to your agency. Please contact us with any questions. http://www.omig.ny.gov/data/content/view/261/53
The Bureau of Compliance within the Office of the Medicaid Inspector General has issued a Compliance Alert (2012-01), which can be found by following this link: http://www.omig.ny.gov/data/images/stories/compliance_alerts/compliance_alert%202012_01_annual_certification.pdf
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