Protecting Our Mission Through Compliance

Elm & Oak is committed to conducting all aspects of our work with integrity, transparency, and accountability. Our compliance program ensures we uphold all applicable laws, regulations, and ethical standards while continuing to deliver exceptional care to our members and effective partnerships with providers.

Compliance isn’t just a requirement—it’s part of how we build trust, serve vulnerable communities, and support sustainable healthcare delivery.

Compliance Program Overview

Our compliance program is built to support:

Regulatory Adherence

We follow all state and federal healthcare laws, including those governing Medicaid, privacy (HIPAA), and fraud prevention.

Education & Training

All employees and partners receive routine compliance training to ensure understanding of policies, responsibilities, and reporting procedures.

Monitoring & Audits

We perform internal reviews and external audits to proactively identify and address risks.

Confidential Reporting

Employees, providers, and the public can report compliance concerns anonymously.

How to Report a Compliance Concern

If you suspect a violation of our compliance standards, policies, or any regulatory requirements, we encourage you to report it confidentially. All reports are taken seriously and can be submitted anonymously.

  • Confidential Compliance Hotline: Call 585.453.8598 / 1.800.233.4038
  • Fax: 585.242.6212
  • Mail: Elm & Oak Compliance Officer, 1120 Pittsford Victor Road, Rochester, NY 14534
  • Email: Contact Us

Non-Retaliation Policy

Elm & Oak strictly prohibits retaliation against anyone who, in good faith, reports a compliance concern. We are committed to creating a safe environment where concerns can be raised without fear.

Questions About Compliance?

If you have questions about Elm & Oak’s compliance program or need clarification on reporting processes, please contact our Compliance Office directly.

Contact the Compliance Team