Published February 13, 2024

The office of the Medicaid Inspector General issued a notice that will impact all providers enrolled in Medicaid who are subject to the mandatory compliance program requirements in SOS §363-d.

Annual Certification Statement for Provider Billing Medicaid – A provider adopting and maintaining an effective compliance program will now attest to this as part of their annual “Certification Statement for Provider Billing Medicaid.” This Form must be completed and returned to NYSDOH by the enrollment anniversary date.

DRA Certification Requirement – There is no longer a separate DRA certification requirement. By submitting the annual “Certification Statement for Provider Billing Medicaid,” providers are attesting to satisfactorily meeting the requirements of SOS §363-d, which includes the DRA.