№ files_lp_4_process_3_104103
Policy and compliance program overview describing governance structure, reporting procedures, disciplinary policies, training requirements, and monitoring mechanisms established by a Medicaid transportation provider to meet New York State regulatory obligations.
Organization: Hometown Taxi Inc.
Document title: Medicaid Compliance Program Overview
Document type: Compliance program overview and policy statement
Industry: Non-emergency medical transportation services
Regulatory framework: Social Security Law Section 363-d; 18 NYCRR Part 521 “Provider Compliance Programs”
Program affiliation: Medicaid Program
Region: New York State, United States
Issuing organization: Hometown Taxi Inc.
Responsible compliance officer: William Briscoe
Executive oversight: Bryan DaParma, President
Compliance body: Compliance Committee
Date of document: December 1, 2018
Scope of compliance program: Billings, payments, medical necessity, quality of care, governance, mandatory reporting, credentialing, and provider risk areas
Training requirement: Compliance training for employees, executives, governing body members, and associated persons
Reporting mechanisms: Trip Concern Process, surveys, Compliance Committee communication channels, anonymous and confidential reporting methods, whistle-blower protections
Disciplinary policy: Sanctions for failure to report suspected issues, participation in noncompliant behavior, facilitation of noncompliance, or refusal to cooperate with investigations
Audit and monitoring: Internal quarterly compliance and risk assessment audits and bi-annual external audits
Policy reference: Compliance Code of Conduct #C100
Legal references: Health Insurance Portability and Accountability Act of 1996 (HIPAA); New York Labor Law Sections 740–741
Price: 8 / 10 USD
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