2006 New York Code - Health Care Compliance Programs

 
    §  4414.  Health care compliance programs. The commissioner of health,
  after consultation  with  the  superintendent  of  insurance,  shall  by
  regulation  establish  standards and criteria for compliance programs to
  be implemented by persons providing coverage  or  coverage  and  service
  pursuant to any public or governmentally-sponsored or supported plan for
  health  care  coverage  or  services.  Such  regulations  shall  include
  provisions for the design and implementation of programs or processes to
  prevent,  detect  and  address  instances  of  fraud  and  abuse.   Such
  regulations  shall take into account the nature of the entity's business
  and the size of its enrolled population. The commissioner of health  and
  the  superintendent  of  insurance  shall  accept programs and processes
  implemented pursuant to section four hundred nine of the  insurance  law
  as  satisfying  the  obligations  of  this  section  and the regulations
  promulgated thereunder when such programs and processes incorporate  the
  objectives contemplated by this section.