Credentialing Corner – November 2024

New York State Tightens Compliance Programs for Medicaid Providers: What You Need to Know 

Important Changes Impacting New York Medicaid Providers 

We want to remind you about recent changes to New York State’s compliance program requirements for healthcare providers participating in the Medicaid program. The information provided below is based on a notification from Healthfirst. 

What’s New? 

New York State has implemented stricter regulations regarding compliance programs for Medicaid providers. These new requirements are outlined in detail within 18 NYCRR Part 521, found on the Office of the Medicaid Inspector General (OMIG) website.

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