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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:

  1. Click on the first link below (Step 1) to take the training
  2. 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

Fallon Community Health Plan

Provider Service Line
1-866-275-3247 prompt 4
askfchp@fchp.org
Fraud Hotline: 1-866-275-3247 prompt 4

BCBSMA Dental Provider Contact

Dental Network Management
1-800-882-1178 Option 4
dentalblue@bcbsma.com
Fraud Hotline: 1-800-992-4100

Harvard Pilgrim Health Care

Provider Service Center
1-800-708-4414
provider_callcenter@hphc.org
Fraud Hotline: 1-617-509-1029

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

Tufts Health Plan

Medicare Preferred Provider Svs
1-800-279-9022
THPMP_Provider_Relations@tufts-health.com
Fraud Hotline: 1-800-246-1781




[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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