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 no
later than December 31, 2009 and annually thereafter1.
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.
This online training program was developed using material contributed by HCAS
member health plans. In order to complete the program, please do the following:
-
Click on the first link below (Step 1) to take the training
-
Click on the second link below (Step 2) and attest that you have completed
training
TRAINING – View the audio-visual 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
Provider Relations
1-800-316-BLUE (2583).
providerrelationsandcommunications@bcbsma.com
Fraud Hotline: 1-800-992-4100
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Fallon Community Health Plan
Provider Service Line
1-866-275-3247 prompt 4
askfchp@fchp.org
Fraud Hotline: 1-866-275-3247 prompt 4
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BCBSMA Dental Provider Contact
Dental Network Management
1-800-882-1178 Option 4
dentalblue@bcbsma.com
Fraud Hotline: 1-800-992-4100
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Harvard Pilgrim Health Care
Provider Service Center
1-800-708-4414
provider_callcenter@hphc.org
Fraud Hotline: 1-617-509-1029
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Health New England
Provider Relations Department
1-800-842-4464 ext. 3313 1-413-233-3313
providerrelations@hne.com
FWA/Reporting: http://www.hne.com/quality/fraud.html Fraud Hotline: 1-800-453-3959
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Tufts Health Plan
Medicare Preferred Provider Svs
1-800-279-9022
THPMP_Provider_Relations@tufts-health.com
Fraud Hotline: 1-800-246-1781
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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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