Medicare Advantage-Prescription
Drug Fraud, Waste, and Abuse Training
The Centers for Medicare & Medicaid Services (CMS) requires all Medicare
Advantage - Prescription Drug health plans to ensure
that their participating providers complete Fraud, Waste, and Abuse training annually1.
In order to assist its member health plans in complying with this requirement,
HealthCare Administrative Solutions (HCAS) has created this website, which
includes an online training program to be completed by providers.
NOTE: In the Final Rule published in the Federal Register on April 15, 2010, CMS clarified that providers “who have met the fraud, waste, and abuse certification requirements through enrollment into the Medicare program or accreditation as a Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) are deemed to have met the training and educational requirements for fraud, waste, and abuse."
This online training program is the most up to date CMS Medicare part C and D Fraud, Waste and Abuse training, please do the following:
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Click on the first link below (Step 1) to take the training
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Click on the second link below (Step 2) and attest that you have completed
training
TRAINING – View the CMS presentation
(Note: If you have fulfilled training requirements at another location, proceed
to Step 2 – Attestation- where you may indicate the location at which you have
completed required training)
ATTESTATION –
Attest that you have completed training -
Required
For additional information click on the following
links:
For questions or assistance with this process please contact any of the health
plans below.
Blue Cross Blue Shield of Massachusetts
Network Management and Credentialing Services
1-800-316-BLUE (2583).
networkmanagement@bcbsma.com
Fraud Hotline: 1-800-992-4100
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Fallon Health
Provider Relations Line
1-866-275-3247 prompt 4
AskFCHP@fallonhealth.org
Compliance Hotline: 1-888-203-5295
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BCBSMA Dental Provider Contact
Dental Network Management
1-800-882-1178 Option 4
DentalProviderRequests@bcbsma.com
Fraud Hotline: 1-800-992-4100
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Harvard Pilgrim Health Care
Provider Service Center
Telephone: 1-800-708-4414
provider_callcenter@point32health.org
Point32Health Compliance and FWA Hotline: 877-824-7123
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Tufts Health Plan
Medicare Preferred Provider Svs
888-880-8699 Ext. 52169
THPMP_provider_relations@point32health.org
Anonymous Fraud Reporting:1-877-824-7123
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Health New England
Provider Relations Department
1-800-842-4464 ext. 5000
providerrelations@hne.com
FWA/Reporting: http://HealthNewEngland.org/Fraud-Waste-Abuse-Prevention-Program Fraud Hotline: 1-800-453-3959
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WellSense Health Plan
Provider Relations
Call: 888-566-0008
Provider.info2@Wellsense.org
Fraud Hotline: 888-411-4959
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[1] See 42 CFR
422.503, 422.504, 423.504, 423.505 et seq.; see also
Centers for Medicare and Medicaid Services, Prescription Drug Benefit Manual,
Chapter 9 – Part D Program to Control Fraud, Waste and Abuse.
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