Compliance

WMCHealth PPS Compliance

As a lead organization in the Delivery System Reform Incentive Payment Program (“DSRIP Program”), Westchester Medical Center Performing Provider System (“WMC PPS”) is required to have an effective DSRIP compliance program so that Medicaid funds distributed as part of the DSRIP Program are not connected with noncompliant behavior or fraud, waste or abuse. WMC PPS is responsible for making submissions to New York State agencies, receiving DSRIP Program payments, and distributing those payments to WMC PPS providers (“PPS Providers”). WMC PPS is committed to submitting accurate information, based on truthful and complete documentation, in order to receive DSRIP Program payments.

WMC PPS and PPS Providers are responsible for ensuring that individuals engaging in DSRIP Program-related activities on their respective behalf (including employees, agents, and contractors”) (“Representatives”) do not knowingly present or cause to be presented documents or claims for DSRIP Program payments that are fictitious or fraudulent or based on inaccurate information. WMC PPS complies, and requires all of the PPS Providers to comply, with all applicable laws, rules, regulations, and DSRIP Program policies and procedures when submitting documentation, providing any patient encounter or service to support any DSRIP Program payment, or performing any other DSRIP Program activity.


Download our compliance manual 


Download our Code of Conduct booklet