Fraud, Waste, and Abuse Training Requirements
Guidance for: Fraud, waste, and abuse training requirement that becomes effective as of January 1, 2009. updated the compliance plan requirements for Medicare Advantage (MA) organizations and Part D Sponsors. Specifically, the compliance regulation states that a compliance plan, which must include measures to detect, correct, and prevent fraud, waste and abuse, must consist of training, education, and effective lines of communication between the compliance officer and the organization’s employees, managers, and directors, as well as first tier, downstream, and related entities. This change clarifies that MA organizations and Part D Sponsors need to apply these training and communication requirements to all entities they are partnering with in the MA and Part D programs, not just the direct employees within their organizations.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: October 20, 2008
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