New York Codes, Rules and Regulations
Title 18 - DEPARTMENT OF SOCIAL SERVICES
Chapter II - Regulations of the Department of Social Services
Subchapter E - Medical Care
Article 3 - Policies and Standards Governing Provision of Medical and Dental Care
Part 521 - Fraud, Waste and Abuse Prevention
Subpart 521-3 - SELF-DISCLOSURE PROGRAM
Section 521-3.6 - Notification
Universal Citation: 18 NY Comp Codes Rules and Regs ยง 521-3.6
Current through Register Vol. 46, No. 39, September 25, 2024
(a) Any notification issued by OMIG to the person under this SubPart shall meet the following requirements:
(1) Notification
shall be made by sending written notification to the person at:
(i) the person's designated payment address
or correspondence address or address provided on the Self-Disclosure Statement
submitted pursuant to subdivision (c) of section
521-3.4 of this SubPart;
or
(ii) an email address designated
on the Self-Disclosure Statement if the person so designates that email address
for receipt of electronic communication. It shall be the obligation of the
person electing to receive notification electronically to provide and maintain
a valid email address with OMIG. Proof of such email, containing a time and
date stamp, shall constitute sufficient notification that the electronic
communication was received by the person making such Self-Disclosure.
(2) Notwithstanding the option of
a person making a Self-Disclosure under this SubPart to select electronic
notification, any notice pursuant to paragraph (2) of subdivision (f) of
section 521-3.4 of this SubPart shall be
mailed to the person's designated payment address or correspondence address or
address provided on the Self-Disclosure Statement submitted pursuant to
subdivision (c) of section
521-3.4 of this SubPart.
(3) Notification mailed to the person's
designated payment address or correspondence address or address provided on the
Self-Disclosure Statement submitted pursuant to subdivision (c) of section
521-3.4 of this SubPart shall be
assumed to be received five (5) business days from the date on the
notification.
(b) OMIG shall provide the department with information and notices upon request and in periodic reporting at least monthly concerning providers who have received notification:
(1) that they are ineligible to
participate in the Self-Disclosure program pursuant to paragraph (4) of
subdivision (b) of section
521-3.4 of this SubPart;
(2) that their Self-Disclosure is
not accepted pursuant to subparagraph (ii) of paragraph (2) of subdivision (d)
of section
521-3.4 of this SubPart;
and
(3) of the amount of the
overpayment and interest due pursuant to subdivision (a) of section
521-3.5 of this
SubPart.
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