All New York State Medicaid providers who are required to have a compliance program under Social Services Law Section 363-d must certify that their compliance programs are effective. The certification must be completed during the month of December each year. The Social Services Law certification is an online certification that may be accessed through the New York State Office of the Medicaid Inspector General website under the Compliance tab.
Medicaid providers subject to the Federal Deficit Reduction Act of 2005 (DRA) must also provide a certification that they are meeting the DRA’s requirements. The certification must be completed each year prior to January 1st. The DRA certification may also be accessed on OMIG’s website under the Compliance tab.
There can be significant consequences both for failing to certify and for certifying compliance when not in compliance with the regulatory requirements. Parties who are unsure whether they need to certify their programs, or who may have questions regarding their compliance programs or certifications, are advised to consult with their attorneys to review their options.