The Eight Elements of an “Effective” Compliance Program

Abstract

This article outlines practical suggestions that home health care providers can utilize to develop an effective compliance program that meets the standards and requirements. The program model was designed to meet the New York State Medicaid regulations but is easily transferable to other state and federal compliance program requirements. By using these elements, a compliance program can be put in place for other state Medicaid programs providing services in the home care setting. The article is intended to expand the home health care provider’s organizational inquiry into identifying the most salient areas to be considered in the development of the compliance program’s eight required elements. Providers are encouraged to compare existing compliance programs to the required eight elements to assure ongoing comprehensiveness of their existing programs.