2015 New York Laws
PBH - Public Health
Article 44 - (Public Health) HEALTH MAINTENANCE ORGANIZATIONS
4414 - Health care compliance programs.

  4414.  Health care compliance programs. The commissioner of health,
  after consultation with the superintendent of financial services,  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  financial  services  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.