福莱律师事务所就纽约州医疗保险监察办公室合规计划的执行发表文章

Foley & Lardner LLP partners Jeffrey Thrope, Lawrence Vernaglia, and associate Zachary Sher authored the Compliance Today article, “NY OMIG compliance program enforcements begins, self-disclosure requirements expand.”

In the article, the authors offer guidance for health care organizations and their boards on how to judge the effectiveness of their compliance programs. Using New York’s Office of the Medicaid Inspector General’s (OMIG) significant changes to mandatory compliance program requirements as a guidepost, the authors summarize certain key amendments to 18 NY Codes, Rules and Regulations Part 521-1, which repealed the former regulations governing compliance programs for providers to detect and prevent fraud, waste, and abuse in the Medicaid program, as well as changes to the self-disclosure program.

The authors assess notable definition changes, compliance program elements, contracting requirements, the self-disclosure program, and the potential for the New York framework to have national applications.

“Providers should monitor this matter and OMIG’s continued enforcement going forward,” the authors conclude.