Introduction to Quality Assurance/Corporate Compliance (QA/CC) for New Staff
ISSNY IS COMMITTED TO COMPLIANCE WITH STATE AND FEDERAL RULES, REGULATIONS, AND LEGAL REQUIREMENTS. THESE REQUIREMENTS GOVERN THE DELIVERY OF MEDICAID FUNDED SERVICES.
THE ISSNY QA/CC DEPARTMENT WORKS TO DETECT, PREVENT, AND AVOID FRAUD, WASTE, AND ABUSE.
ALL EMPLOYEES, VOLUNTEERS, AND CONTRACTORS ARE MANDATED REPORTERS.
NOTIFY QA/CC WHEN:
- You know or suspect suspicious behavior or identify a potential incident.
- Including potential Medicaid fraud, waste, or abuse.
- You are concerned for a participant’s health, safety, and/or well-being.
- You know or suspect another party is falsifying documentation, such as:
- You are asked to put inaccurate information on your timesheet (i.e. your timesheet does not reflect the hours you actually worked, you are asked to bill for a service that is not directly related to a valued outcome, etc.)
- You are being persuaded to submit inaccurate reimbursements for mileage, staff activity fees, etc.
- You know or suspect a fellow staff is working with two participants and/or through two different Fiscal Intermediaries at the same time.
- You are asked to forge a participant or representative’s signature.
- You are encouraged not to report incidents or concerning behaviors to ISSNY.
Resources are always available at: http://www.issny.org/compliance/
CONFIDENTIAL HOTLINE:
(833) -477-7287
QA/CC EMAIL:
QUALITYASSURANCE@ISSNY.ORG
Whistleblower Protections Disclaimer:
Intimidation or retaliation will not be permitted against persons who report potential issues to the QA/CC Department. Any allegations of intimidation or retaliation will be thoroughly investigated.
Note: Staff are mandated to complete annual ISSNY Trainings via Mind Flash. Human Resources distributes training via email. There is detailed guidance on QA/CC policies, procedures, and reporting processes in the Mind Flash Training Series. Staff are encouraged to contact QA/CC if there are any questions.
Created 04/09/26.