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Compliance Resources

HEALI, founded as a coalition within the Health and Welfare Council of Long Island (HWCLI) with support from the NYS Department of Health as part of the Delivery System Reform Incentive Payment (DSRIP), is a program that uses federal funds to help improve healthcare delivery systems. In 2024, HEALI was named Long Island’s SCN, with HWCLI named as lead entity. The HWCLI Compliance Program encompasses HEALI in addition to other HWCLI services and business operations.

HWCLI is committed to ensuring that state and federal laws, rules, regulations, payor requirements and HWCLI’s Compliance Plan, Compliance Program policies and procedures, and Standards of Conduct are adhered to by all employees, volunteers, interns, contractors, agents, subcontractors, independent contractors, corporate officers, HWCLI Board members, and members of HEALI’s governing body.

The Compliance Program is designed to prevent, detect, and resolve misconduct and non-compliance with compliance standards.

Maintaining an effective compliance program is critical to HWCLI. It’s imperative that our service recipients, community, funding sources, and payors trust that HWCLI routinely demonstrates integrity and honesty throughout its business operations.

The 7 key elements of HWCLI’s Compliance Program are:

  1. Policies and Procedures
  2. Compliance Officer and Compliance Committee
  3. Compliance Training and Education
  4. Lines of Communication
  5. Disciplinary Standards
  6. Auditing and Monitoring, and
  7. Responding to Compliance Issues

Standards of Conduct

The Code of Conduct is the basis of our Compliance Program. It outlines the duties and The Standards of Conduct of HWCLI/HEALI set forth the basic principles and values that guide our decisions and actions, and assert our commitment to conducting business in an ethical manner. These Standards of Conduct are located within HWCLI’s Compliance Program Policy and Procedure Manual, and outline key responsibilities each individual is expected to adhere to with respect to the compliance program:

  1. Knowing and complying with applicable laws,
  2. Duty to report actual or suspected fraud, waste, abuse or other violations,
  3. Cooperating with audits and investigations,
  4. Promoting organizational compliance,
  5. Demonstrating honesty, integrity, and high ethical standards,
  6. Avoiding conflicts of interest,
  7. Providing high quality care,
  8. Providing equal opportunity to individuals receiving services,
  9. Maintaining confidentiality of information,
  10. Ensuring all requests for payment are reasonable, necessary, appropriate, and supported
  11. Treating each other with dignity and respect.

Compliance Program Manual

All persons affected by HWCLI’s/HEALI’s Compliance risk areas (as outlined in the Compliance Plan) are subject to HWCLI’s Compliance Program. The Compliance Manual contains policies and procedures and the standards of conduct that all persons and entities that participate or do business with HWCLI/HEALI, including but not limited to (i) HWCLI/HEALI and its employees, volunteers, interns, contractors, vendors, agents, suppliers, board of directors, executives and governing body members; and (ii) Participating Providers and their employees, contractors, vendors, agents, suppliers, executives and governing body members are expected to follow related to activities that affect HWCLI/HEALI operations.

HWCLI Compliance Reporting Methods

We encourage you to ask any questions you may have on the Compliance Program.

There are a variety of ways to contact Compliance personnel to make a report or ask a question:

         Attn: Compliance Officer
         Health and Welfare Council of Long Island,
        110 Walt Whitman Road, Suite 101,
        Huntington Station, New York 11746

* Reporting options marked with an asterisk allow for anonymous reporting if the reporter wishes to omit identifying information, such as name, phone number, or return address.

HWCLI maintains the confidentiality of persons reporting compliance issues unless the matter is:

  • Subject to a disciplinary proceeding,
  • Referred to, or under investigation by, MFCU, OMIG or law enforcement, or
  • Disclosure is required during a legal proceeding.
 

Reporters are protected under HWCLI’s Non-Retaliation and Non-Intimidation Policy found within the Compliance Program Manual.

© Copyright 2025 HEALI