The purpose of Care Design NY's (CDNY) Provider Compliance Program is to assure corporate compliance and promote corporate integrity. It is Care Design NY's commitment to ensure an environment that promotes the highest ethical conduct and compliance with applicable laws, regulations, policies, and procedures. Care Design NY has a Compliance Program aimed at establishing a culture that promotes prevention, detection, and resolution for any misconduct or violation of the Compliance Program. 

The Compliance Program includes communication lines to the Compliance Officer that are accessible to all employees, persons associated with Care Design NY, including individuals served and their families and advocates, executives and Board of Manager members, to allow compliance issues to be reported. These communication lines include a method for anonymous reporting. Any compliance issue reported to the Compliance Officer will be taken seriously and investigated. 

Anyone, may report a suspected violation of the Code of Conduct, Compliance Guidelines, operational policies, any law or regulation, or any other concern to the Compliance Officer.

Examples of Concerns Members and Families Should Report

You should speak up if you see, hear, or experience something that does not feel right. Examples include:

• You get a notice that says you had a visit, call, or service that did not happen.
• Your records say you met with your Care Manager on days you did not meet.
• Your private information is not protected
  • Staff talk about your health or services where others can hear.
  • Papers, computers, or phones with your information are left out where others can see them.
• Pressure to choose a certain provider or service
  • You feel pushed to use a certain doctor, program, or agency when you do not want to.
  • You are told you might lose services if you do not agree with a choice that does not feel right to you.
• Money, services, or supports being misused
  • You believe your benefits, funds, or services are being used for the wrong reasons.
  • You are told services were provided for you that you know did not happen.

You do not need to be sure that something is wrong to report a concern. If something does not seem right, please report it using any of the options listed (for example, the Compliance Hotline or contacting the Compliance Office).