Statutes, codes, and regulations
New York Codes, Rules and Regulations
Title 18 - DEPARTMENT OF SOCIAL SERVICESChapter II - Regulations of the Department of Social ServicesSubchapter E - Medical CareArticle 3 - Policies and Standards Governing Provision of Medical and Dental CarePart 521 - Fraud, Waste and Abuse Prevention
Subpart 521-3 - SELF-DISCLOSURE PROGRAM
Section 521-3.6 - Notification

N.Y. Comp. Codes R. & Regs. tit. 18 § 521-3.6

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Current through Register Vol. 46, No. 25, June 18, 2024
Section 521-3.6 - Notification
(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.

N.Y. Comp. Codes R. & Regs. Tit. 18 § 521-3.6

Adopted New York State Register December 28, 2022/Volume XLIV, Issue 52, eff. 12/28/2022