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CMS Requirements for Fraud, Waste, and Abuse Compliance Training


This training requirement applies to all organizations that provide health care services or administrative services for Medicare-eligible individuals under the Medicare Advantage or Medicare Part D programs. It affects you as a provider of health care services to Medicare members. As a result of this CMS requirement, all employees of each provider organization will need to complete the initial required compliance training by December 31, 2009 and repeat the training thereafter on a yearly basis. This training is now available online from the Minnesota Council of Health Plans.

Provider organizations will be responsible for administering the training to employees and tracking the organization’s completion of it. Within 30 days of the organization completing the FWA Compliance Training, an officer or director from the provider organization will need to attest to the organization’s completion of the training by completing and returning the attestation form to Medica.

Medica has sent out details about this training directly to each contracted provider organization, including the attestation form for an officer or director of the organization to complete and return to Medica.

If the organization has contracted with other entities to provide health care services or administrative services on behalf of Medicare Advantage or Part D members, it will need to make the compliance training materials available to those entities. In addition, it will need to attest that the organization has required attestation forms from those entities that they—as well as any entities that they contract with that are responsible for the administration or delivery of services to Medicare members—have completed the FWA Compliance Training.

Upon request, the organization may be asked to provide attestation forms from those entities, as well as copies of their training logs and those of the organization. As a result, organizations must retain a copy of all documentation related to this training for the required record retention period of 10 years and are encouraged to remind the other entities to keep their records for the required 10 years.

If you have any questions or concerns regarding this requirement, you may call the Medica Provider Service Center toll-free at 1-800-458-5512.