Notification to Providers Regarding Changes to Compliance Certification Requirements Pursuant to New York State Social Services Law (SOS) §363-d

December 30, 2020

Providers are required to certify to the Department upon enrollment in the Medicaid program that they are satisfactorily meeting the requirements of SOS §363-d. Furthermore, compliance with the requirements of SOS §363-d is a condition of payment from the Medicaid program. Effective immediately, 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, a provider adopting and maintaining an effective compliance program will now record (attest to) this as part of their annual “Certification Statement for Provider Billing Medicaid.” This annual certification shall occur on the anniversary date of the provider’s enrollment in Medicaid. Providers can find their anniversary dates on their initial Medicaid enrollment welcome letters and reminders are mailed to providers in advance if this annual date for compliance certification. All providers who are subject to the mandatory compliance program requirements in SOS §363-d will be impacted by these changes.

MCA sends out the annual “Certification Statement for Provider Billing Medicaid” annual when these are due on your behalf. Please be sure you are meetings requirements set forth in SOS §363-d.

Questions regarding this notice should be directed to OMIG’s Bureau of Compliance at (518) 408-0401 or via email at compliance@omig.ny.gov.

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