DSRIP Compliance

DSRIP Compliance Requirements – Updated April 1, 2019

Under New York State law and the requirements of the New York State Office of the Medicaid Inspector General (OMIG), PPS Leads, such as OneCity Health, must dedicate resources toward implementing a compliance program that will assist in preventing and identifying Medicaid payment discrepancies and fraud, waste and abuse related to DSRIP payments.

These requirements are further outlined as PPS participation requirements in our partners’ Phase IV Comprehensive Schedule B.

Information and materials to help OneCity Health partners easily meet these requirements and the requirements of the NYC Health + Hospitals Office of Corporate Compliance (OCC) can be found below. Further information about DSRIP compliance under the OMIG can be found by visiting their website.

We appreciate our partners’ support in meeting OneCity Health’s obligations.

About DSRIP Compliance Training

The OCC has prepared information found here which details the requirement that partners provide their workforce members who are involved or associated with, or otherwise affected by, the DSRIP Program, with DSRIP compliance training.

To assist partners in meeting this requirement, the OCC has developed a training course titled “DSRIP Compliance Training and Education.” The training course addresses topics which include the following:

  • Introduction to DSRIP
  • General Compliance Requirements for Medicaid Providers
  • NYC Health + Hospitals Corporate Compliance and Ethics Program
  • Special Considerations for DSRIP Compliance
  • Fraud, Waste and Abuse & Relevant Laws
  • Reporting Compliance Issues

OneCity Health partners are welcome to utilize this training course via distribution, live training sessions or by incorporation into current training programs, to satisfy their DSRIP compliance training requirement. The DSRIP Compliance Training and Education course is available here.

We recommend our partners consult with their legal counsel if they have questions.

DSRIP Compliance Attestation

OneCity Health has developed an electronic attestation titled “DSRIP Compliance Attestation of OneCity Health Partners”, which is designed to assess the compliance program integrity and provide a critical snapshot of the compliance foundation of its partners. OneCity Health requires all partners to provide and disclose compliance-related information, which includes but is not limited to:

  • The status of completion of DSRIP compliance training;
  • An acknowledgment that workforce members are familiar with and will adhere to the NYC Health + Hospitals Principles of Professional Conduct (POPC) or their own code of conduct that includes the core objectives or similar elements as the POPC; and
  • Evidence of OMIG compliance program-related certifications including the Deficit Reduction Act of 2005 certification by those partners that are required by law and/or OMIG policy to submit such certifications.

This year, to make attestation easier, you simply need to complete an online survey which can be found here.

For further information, attestation completion deadlines and more details, please refer to the “DSRIP Compliance Attestation of OneCity Health Partners” memo here.

Questions?

Please contact:

Catherine G. Patsos, Esq.

Chief Corporate Compliance Officer

Corporate Privacy and Security Officer

Office of Corporate Compliance NYC Health + Hospitals

Phone:(646) 458-5632

Email:patsosc@nychhc.org

Sofia R. Khalid, Esq.

Associate Compliance Officer

Phone: (646) 458-6443

Email: khalids4@nychhc.org

More information about the NYC Health + Hospitals Office of Corporate Compliance including policies and procedures designed to detect, deter and prevent fraud, waste and abuse and the NYC Health + Hospitals Principles of Professional Conduct, can be found here.