Class A Contractor Compliance

Madison County is committed to providing the highest quality services and conducting our business with honesty and integrity and in conformance with all Federal and State laws, regulations, interpretations thereof, and the County’s Code of Conduct. We expect that the people who do business with our organization will support these efforts as well.

Certain types of contractors, subcontractors, independent contractors or agencies fall into the County's "Class A Contractor" category, and are considered "Affected Individuals". Class A Contractors are defined as any contractor, subcontractor, independent contractor or agent who, on behalf of the County (1) furnishes or otherwise authorizes the furnishing of Medicare and/or Medicaid health care items or services; (2) performs billing or coding functions; or (3) provides administrative or consultative services, goods, or services that are significant and material, are directly related to a health care provision, and/or are included in, or are a necessary component of, providing items or services of Medicaid-funded programs; or (4) is involved in the monitoring of health care services provided by the County; or (5) is determined by Madison County to be affected by any of its compliance risk areas as identified in NYCRR § 521-1.3(d) and set forth in Attachment 4 of the Corporate Compliance Plan

In order to enhance our Class A Contractors' understanding and appreciation of Madison County’s Corporate Compliance Program, we have established this page to provide you with necessary information. We encourage you to familiarize yourself with these materials and ask for your cooperation in ensuring that this information is reviewed by, and made available to your Compliance Officer or appropriate senior management in your organization.

ç Links to our Compliance Training and Conflict of Interest Disclosure Statement can be found on the sidebar to the left.

More detailed information regarding the components of our Corporate Compliance Program can be found below ê

  1. Federal and State Laws
  2. Enforcement and Discipline
  3. Investigation and Resolution
  4. Reporting and Non-Retaliation
  5. Exclusion Screening
  6. Conflicts of Interest
  7. Training & Education

Federal and State Laws Relating to False Statements and False Claims

The federal False Claims Act, the federal Program Fraud Civil Remedies Act and certain other New York State laws can subject individuals and organizations to significant fines and penalties if they commit fraud against either the federal or the state government.  Under the federal False Claims Act (31 U.S.C. §§ 3729-3733), false claims include knowingly submitting false or fraudulent claims to the government for payment, making or using a false record or statement in connection with the submission of such claims, or obtaining money from the government to which one is not entitled and then using false statements or records to retain the money.

View our False Claims Act and Whistleblower Provisions Policy here.

Medicaid Corporate Compliance Stop Fraud Poster

If you have any questions about our program, these policies or have any other concern, please contact Christina Kennedy, Corporate Compliance Officer, at 315-366-2832 or christina.kennedy@madisoncounty.ny.gov.  You may also report any concerns anonymously through the County's toll-free, 24/7 anonymous Hotline at 1-855-83-FRAUD (1-855-855-7283). In addition, the Office of Medicaid Inspector General (OMIG) has a website (https://omig.ny.gov/) with a toll free hotline that makes it easy for whistleblowers to file a complaint.

Last updated Jun 12, 2023