Starting in the New Year, it is anticipated the OMIG will start to vigorously enforce its mandate that certain Medicaid providers adopt and implement an “effective compliance program.” Having a so-called paper compliance plan that merely sits on a shelf and gathers dust will not pass muster and non-complaint providers will be sanctioned.
The OMIG Bureau of Compliance, headed by Assistant Medicaid Inspector Matthew Babcock, will take the lead and review a provider’s compliance program as part of OIG’s “routine” audits and investigation but more importantly the Bureau will also conduct focused “Compliance Program Effectiveness Reviews.”
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