Compliance at CareValue

As an FMO, CareValue has the responsibility to ensure the integrity of health plan operations.

CareValue will conduct its business in compliance with all federal, state, and local laws, rules and regulations in a manner consistent with the highest standards of business and professional ethics.

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Standards & Ethics

If you believe anyone who is or was employed by, contracted with, or otherwise associated with CareValue has done any of the below, please report this immediately to CareValue's Compliance Team:

  • Violated any federal, state or local laws, rule or regulation;
  • Behaved in a manner that does not meet business and professional standards and ethics;
  • Acted in a way to create an unsafe environment by use of violence, harassment or discrimination; or
  • Directed you to act in a way that is illegal, unethical or unsafe.

How to Report an Incident

Internal Reporting Options:
Email CareValue Compliance: Click Here
Call our Compliance Officer: 855-888-8326

Postal Service (anonymous reporting mechanism):
Compliance Officer CareValue
5263 Parkside Dr.
Building 700
Canandaigua, NY 14424

Compliance Officer CareValue
PO Box 25207
Farmington, NY 14425

External Reporting options:
Contact Office of Inspector General (OIG):
1-800-447-8477 (TTY 1-800-277-4950)

Contact the Centers for Medicare and Medicaid Services (CMS):
1-800-MEDICARE (1-800-633-4227) (TTY 1-877-486-2048), 24 hours a day/7 days a week.

Contact the Department of Financial Services:
The DFS Hotline is staffed Monday - Friday, from 8:30 AM to 4:30 PM. Call  at (800) 342-3736 or send an email.
1 State St, New York, NY 10004

Report an Incident

Use our online form to report an incident now. If you wish to remain anonymous, please skip to the incident details section.

Incident Details

Description of possible violation:

Person(s) involved?

When did this occur?

How did you come to learn of the incident/practice described above?

Do you have any evidence to prove the above allegations?

Have you discussed the above allegations with anyone else?

Do you have any further information to provide or any suggestion for verifying the allegations described above?

Are you aware of any other individuals who may be able to provide further information regarding the above allegations?

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