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Compliance Training

In accordance with a new requirement from the Centers for Medicare & Medicaid Services (CMS), all network providers who treat our Medicare Advantage members must complete annual Medicare Advantage and Part D compliance training in an effort to combat fraud, waste, and abuse. Under this new regulation, you must complete the initial training by December 31, 2009, and then annually thereafter.

This training requires that you:

• review policies and laws related to fraud, waste, and abuse;
• review the CMS disciplinary guidelines for noncompliant or fraudulent behavior;
• identify and know how to report fraud, waste, and abuse;
• understand your protections when reporting fraud, waste, and abuse.

Review and confirm your training

We ask that you complete the following:

1. Review the compliance training materials.
2. Provide your electronic signature on the electronic compliance certification form.

Already completed compliance training?

We recognize that many providers may have already completed this training requirement through another organization. If you have already completed CMS compliance training for 2009, you will need to provider your electronic signature on the compliance certification form.