Corporate Compliance Reporting
It is the responsibility of all employees to report suspected fraud, abuse or other improper activity relating to the operation of the Association for Mental Health and Wellness, whether committed by agency employees, vendors, clients, or others.
Fraud means any type of intentional deception carried out or misrepresentation made by a person with the knowledge that the deception or misrepresentation could result in the receipt of an unauthorized benefit by such person, or another individual or entity.
Abuse means activities that are inconsistent with sound fiscal, business or medical practices and result in i) an unnecessary cost to the state or federal government or the Association for Mental Health and Wellness or ii) the reimbursement of services that are not medically necessary or fail to meet professionally recognized standards of care.
Employees have several options for reporting fraudulent, abusive or other improper conduct. Employees may file reports with their supervisor or department director, the Compliance Officer, or any other member of the Compliance Committee with whom the employee feels comfortable.
All reports of fraudulent, abusive or other improper conduct will be promptly forwarded to the Compliance Officer for review. The Compliance Officer, in consultation with other Association for Mental Health and Wellness staff and legal counsel as appropriate, will determine whether the report warrants an investigation. The Compliance Officer will use best efforts to make this determination within 10 days of the receipt of the report.
The Association for Mental Health and Wellness has established reporting system (see below) through which employees, recipients of services, and other affected individuals may file reports anonymously. Employees, recipients of services, and other affected individuals are protected from intimidation and retaliation for filing reports of suspected fraud, abuse, or improper conduct under the Association for Mental Health and Wellness Compliance and Non-Retaliation Policies.
Contact:
Trinette Zizzo, CHC
Compliance Officer
tzizzo@mhaw.org
631-471-7242 x 1416
Anonymous reports may be made be submitted via the reporting website below or calling toll free.
Website: www.lighthouse-services.com/mhaw
Toll-Free Telephone: English 877-222-3056 | Spanish 800-216-1288