Self-Direct is dedicated to delivering client driven and outcome-oriented quality services. Self-Direct has developed and implemented a Compliance Program to assist the agency with achieving this goal. It is the policy of Self-Direct to continually assess risk areas, and perform regular monitoring and auditing procedures, to ensure that Self-Direct, Inc. meets NYS and Federal regulations. Self-Direct allows for confidential reporting of any compliance related concern. All individuals who are in good faith participate in the compliance program can do so without fear of intimidation or retaliation from any employee, officer or director at Self-Direct Inc. Periodic compliance audits are performed to identify compliance issues and detect any possible weaknesses. Prompt corrective action is taken to address any such issue or weakness. The audit measures Self-Directs’ performance against its own policies, procedures and state and federal laws and regulations. This includes regulation concerning kickback arrangements, self-referrals, pricing, contracts, claims development and submission, reimbursement, sales, marketing, and supplier standards. Self-Direct documents all formal and informal monitoring and auditing activities.

Self-Direct’s QA Committee is established to ensure the proper delivery of services and the maintenance and improvement in quality of care through self-review. The committee will evaluate performance that focuses on structure, process and outcomes to reduce or resolve identified problems and/or improve operations. The QA Committee shall meet quarterly, or sooner, and perform the following function:

  1. Identify issues that may adversely affect quality of care and services and develop and implement plans of action to correct identified quality concerns or deficiencies
  2. Promote quality of care through self-review without the fear of reprisal
  3. Review and audit a random selection charts
  4. Review service utilization and determine trends
  5. Review annual satisfaction survey findings; determine trends, develop a report outlining the findings, and resolve issues or concerns
  6. Review any trainings given, or upcoming trainings and provide feedback regarding their quality; make recommendations for development of new trainings or revising current trainings
  7. Assess any internal procedures which are inefficient or deter the agency’s ability to provide quality services

It is at a minimum the Agency’s goal to meet or exceed the expectations of the participant. Valued outcomes measured are as follows:

  • Increased independence
  • Improving integration in the community
  • Greater productivity
  • Client selection of outcomes
  • Progress towards those outcomes
  • Proper support provided by service agencies
  • General improved quality of life
  • Client chooses where they live and with whom they live

Self-Direct participates in the New York State Delivery Reform Incentive Program (DSRIP).

To report fraud, waste, or abuse of Medicare/Medicaid or for the HIPAA Privacy or HIPAA Security concerns within the DSRIP call the appropriate number below:

  • Central New York Collaborative DSRIP (CNYCC) 1-855-343-5598
  • Adirondack Health Institute DSRIP (AHI) 1-844-386-2242 Poster
  • Finger Lakes Performing Provider System DSRIP (FLPPS) 1-844-775-3545 Poster
  • Leatherstocking DSRIP (Bassett Healthcare) 1-844-490-0002
  • North Country Initiative DSRIP Compliance Concern Form