The New York State Office of the Medicaid Inspector General (“OMIG”) issued final regulations on December 28, 2022, overhauling the mandatory compliance program requirements imposed on certain Medicaid providers, including Article 28 and Article 36 entities, as well as those that bill or order at least $1,000,000 in Medicaid reimbursable services in any given year. The adopted regulations (18 NYCRR SubPart 521-1) repealed and replaced the existing regulations governing provider compliance programs with three new subparts addressing (1) compliance programs; (2) Medicaid managed care organization fraud, waste, and abuse prevention; and (3) the OMIG self-disclosure program

As compliance plans head into the home stretch for 2024, it is a good idea to remember the New York Health and Essential Rights Act (NY HERO Act).  The HERO Act was signed into law on May 5, 2021. The purpose of the NY HERO Act is to protect employees against exposure and disease during an airborne infectious disease outbreak.

Social work is a profession that helps individuals, families, and groups change behaviors, emotions, attitudes, relationships, and social conditions to restore and enhance their capacity to meet their personal and social needs.

On May 5, 2021, the New York Health and Essential Rights Act (NY HERO Act) was signed into law. The law mandates extensive new workplace health and safety protections in response to the COVID-19 pandemic. The purpose of the NY HERO Act is to protect employees against exposure and disease during a future airborne infectious disease outbreak.

Tucked away on page 8 of the October 2020 Medicaid Update, published on November 2, 2020, was notification to providers of a change in the provider certification process required under NYS Social Services Law §363-d. ​ Effective immediately , providers do not have to certify in December. However, certification is still required.