This is the month practitioners who bill or order more than $500,000 or straight or HMO Medicaid money are required to certify their compliance program
for the coming year. In case you are not aware of the requirement, qualifying practitioners to the above monetary precipice are required to have a compliance program
in place, and certify annually. The compliance program is required to have certain elements included related to -
3. medical necessity and quality of care;
5. mandatory reporting;
6. credentialing; and
7. other risk areas that are or should, with due diligence, be identified by the Medicaid provider.