New York State Department of Labor
Division of Labor Standards
State Office Campus
Building 12, Room 185
Albany, NY 12240
Phone: (888) 4-NYSDOL or (518) 457-9000
Fax: (212) 775-3552
labor.sm.ls.WageParityCompliance@labor.ny.gov
Wage Parity Non-Compliance Referral Form
Instructions:
Managed Care Organizations (MCO), Certified Home Health Agencies (CHHA), or Long-Term Home Health Care Programs (LTHHCP) who elect to provide home care aide services through contracts with licensed home care services agencies, fiscal intermediaries, or through other third parties are required to refer any reasonably suspected failures of their contractors to conform to the Wage Parity requirements of Public Health Law § 3614-c.
An MCO, CHHA or LTHHCP must report any reasonable suspicion that a contractor fails to meet the Wage Parity requirements after conducting a review and assessment of the contractor’s Annual Compliance Statement of Wage Parity Hours and Expenses. Use this referral form to report your suspicions.
- Fill out each question in Sections 1 and 2, and submit the form.
- A Labor Standards Investigator will contact you for supporting documentation or to obtain more detailed responses to the questions.
- If you have questions about this form, or if you need assistance, call 1-888-469-7365.
Please click 'NEXT' to proceed with the Wage Parity Non-Compliance Referral form.