Four Things You Need to Know About the OMIG’s Mandatory Compliance Program

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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.”

Please see full article below for more information.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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