Links & Summaries

Deficit Reduction Act of 2005 and False Claims Acts
Health Plus is committed to preventing and detecting any fraud, waste, or abuse, especially related to Federal and State health care programs.  To this end, Health Plus maintains a vigorous compliance program and strives to educate its work force on fraud and abuse laws, including the importance of submitting accurate claims and reports to the Federal and State governments. 

In furtherance of this commitment and to comply with Section 6032 of the Deficit Reduction Act of 2005, Health Plus provides the following information about its policies and procedures and the role of certain federal and state laws in preventing and detecting fraud, waste and abuse in federal health care programs.

Health Plus has instituted policies and procedures and a compliance program for detecting and preventing fraud.  The Compliance Officer oversees these programs and, depending on the nature of the allegations, works collaboratively with the Senior Leadership or individual departments to conduct investigations in these areas. Those policies and procedures are set forth in detail in Health Plus’s Code of Ethics and Business Conduct, which is available to employees on Health Plus’s Intranet in the Ethics and Compliance Section. Applicable compliance policies are accessible to agents, contractors and vendors on Health Plus’s website at http://www.healthplus-ny.org/.

As part of Health Plus’s commitment to ethical and legal conduct, employees are required to immediately bring to the attention of their supervisor or the Compliance Officer any information regarding suspected improper conduct.  Employees may also call the Compliance Hotline at 800-826-6762 to discuss or report concerns about possible violations of the law or institutional policy.  Health Plus is committed to investigating any such allegation of fraud, waste, or abuse swiftly and thoroughly and will do so through its internal compliance programs and processes.  To ensure that the allegations are fully and fairly investigated, Health Plus requires that all employees fully cooperate in such investigations.

Health Plus devotes substantial resources to investigate allegations of fraud and abuse.  All employees should bring their concerns to the institution first, so it can investigate and address problems or avert any fraudulent or improper activity.  Any employee of Health Plus who reports such information can choose to do so anonymously, and will be protected against retaliation for coming forward with such information both under Health Plus’s internal compliance policies and procedures and Federal and State law.  Obviously, however, Health Plus retains the right to take appropriate action against an employee who has participated in a violation of Federal or State law or Health Plus policy.

Health Plus employees have a duty to bring their concerns to their managers, supervisors, or the Compliance Officer.  However, certain State and Federal laws, discussed more fully below, provide that any private citizen may bring their concerns of fraud and abuse directly to the government.

If you have any questions relating to Ethics or Compliance or have a Compliance-related issue or concern, you can report it to

• Fraud & Abuse Prevention Program - ( PDF, 78.6 KB)