Situation Report | November 9, 2020
In its most recent Medicaid Update, the state Department of Health (DOH) has announced a change in the compliance certification requirements (under Social Services Law Section 363-d) whereby providers must attest that they are adopting and maintaining an effective compliance program.
According to DOH, providers are no longer required to complete the annual December certification, commonly referred to as the “SSL Certification,” using the form located on the Office of the Medicaid Inspector General’s (OMIG) website. Instead, providers will make the required attestation as part of their annual “Certification Statement for Provider Billing Medicaid” on the anniversary date of the provider’s enrollment in Medicaid. Providers can find their anniversary dates on their initial Medicaid enrollment welcome letters.
Compliance with Section 363-d is a condition of payment from the Medicaid program.
All providers who are subject to the mandatory compliance program requirements in Section 363-d will be impacted by these changes.
Questions can be directed to OMIG’s Bureau of Compliance at (518) 408-0401 or compliance@omig.ny.gov.