New York Codes, Rules and Regulations › Title 14 - DEPARTMENT OF MENTAL HYGIENE › Chapter XXI - OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES › Part 841 - Medical Assistance for Chemical Dependence Services › Section 841.5 - Provisions applicable to all eligible providers

Current through Register Vol. 46, No. 28, July 10, 2024
(a) Limits on Compensation. The maximum
				reimbursable costs for salaries for positions/titles shall be consistent with
				the requirements of the limits on executive compensation in this
				Title.
(b) Financial and
				Statistical Reporting:
(1) Each eligible
				provider shall maintain financial records and records relative to numbers and
				types of services provided and shall prepare and submit to the Office financial
				and statistical reports in accordance with the requirements of the
				Office.
(2) All financial reports
				to be prepared and submitted to the Office shall:
(i) be prepared in accordance with generally
				acceptable accounting principles;
(ii) be certified by an independent certified
				public accountant or an independent licensed accountant and shall include a
				statement of opinion on the data therein, unless this requirement is otherwise
				waived or modified by the Office; and
(iii) be accompanied by a complete copy of
				the eligible provider's certified financial statements.
(3) All reports to be prepared and submitted
				to the Office shall:
(i) be certified by the
				chief administrative officer or director of the eligible provider;
(ii) be on forms prescribed by the Office;
				and
(iii) include financial and
				statistical data for each service for which rates or fees are
				established.
(4)
				Reporting Requirements. Reports required to be submitted by this section shall
				be submitted within 120 days after the close of the eligible provider's fiscal
				year. Extensions of time for filing reports may be granted by the commissioner
				upon application received prior to the due date of the report and only in
				circumstances where the eligible provider establishes by documentary evidence
				that the reports cannot be filed by the due date for reasons beyond the control
				of the eligible provider.
(5) If
				the eligible provider determines that the information on reports filed is
				inaccurate, incomplete or incorrect, the eligible provider shall immediately
				file with the Office the corrected reports which comply with the requirements
				of this section.
(6) If the
				required financial and statistical reports are determined by the Office to be
				incomplete, inaccurate or incorrect, the eligible provider has 30 days from the
				date of receipt of notification from the office to provide the correct or
				additional data.
(7) Penalties for
				Non-compliance.
(i) If an eligible provider
				fails to file the required financial and statistical reports, in accordance
				with this Part, on or before the due date, or Office approved extended due
				date, the Office may, at its discretion, reduce said eligible provider's
				existing Medicaid payments by up to twenty (20) percent, beginning the first
				day of the month following the original due date or approved extended due date
				and continuing until the first day of the month in which the reports are
				received by the Office. If the eligible provider fails to file the required
				financial and statistical reports by the end of the rate period during which
				the reports were due, such reduction may be increased in each subsequent month
				by up to ten (10) percent until receipt of the required information. All funds
				shall be returned to the provider once the provider is determined by the Office
				to be in compliance.
(8)
				Revocation of operating certificate. If, after a period of noncompliance
				resulting in reduced Medicaid payments, the Office determines that a program
				will likely be unable to meet its financial obligations, the Office may request
				the program voluntarily surrender its operating certificate or take action to
				revoke the operating certificate in accordance with this Title.