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Compliance and FWA Training

As a First Tier Entity, your organization must provide FWA and general compliance training to all your employees and Downstream Entities assigned to provide administrative and/or healthcare services for Ultimate Health Plans. To comply with this requirement, you can use the CMS Medicare Parts C & D Fraud, Waste, and Abuse Training and General Compliance Training which you may download by following the instructions below:

Compliance Training Requirements

Accessing the CMS Training Material

  • Provider Compliance
    Learn how to avoid common coverage, coding, and billing errors with these educational CMS resources. To access this training, here.
  • MLN Web-Based Training
    Free, self-paced learning on a broad range of topics for health care providers. To access this training, here.
  • Compliance Program Policy and Guidance
    Find information related to CMS' Compliance Program Policy and Guidance and understanding Part C and Part D compliance program requirements. To access this training, here.
Model of Care (MOC) Provider Training

Complete the required Model of Care (MOC) Training, where you will gain a better understanding of how our SNP programs meet the needs of our members. The MOC provides the foundation for care management and care coordination of our C-SNP and D-SNP members. This training is required annually for all Providers. You can find this self-paced training here.