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CMS Action Required Information

Action Required Regarding CMS Mandatory Trainings 

The Centers for Medicare and Medicaid Services (CMS) require that Medicare Advantage Organizations inform network providers and practitioners about the requirements to complete annual training. In 2018, the required trainings for Allwell from Home State Health Plan are:

  1. General Compliance (Compliance)
  2. Fraud, Waste, and Abuse (FWA)*

For General Compliance and Fraud, Waste, and Abuse*:  effective January 1, 2016, First-Tier, Downstream, and Related Entities (FDR), as well as delegated entities, will be required to complete training via the Medicare Learning Network (MLN) website. The trainings must be completed by each individual provider/practitioner within the group rather than one person representing the group collectively. The updated regulation requires all applicable entities (providers, practitioners, administrators) to complete the training within 90 days of contracting or becoming a delegated entity and annuallythereafter. Once the training is completed, each applicable entity will need to complete the certificate(s) of completion or attestation through the CMS MLN and provide a copy to Allwell from Home State Health Plan.

*Note: FDR's deemed to have met the FWA training and education certification requirements through enrollment into Parts A or B of the Medicare program or through accreditation as a supplier of DMEPOS are exempt from the FWA training requirement only (General Compliance training remains a requirement)

To complete General Compliance and FWA training (if applicable) and access you certificate of completion:

  • Visit the CMS MLN site:
    • To access training, use the CMS Provider Compliance page and refer to the "Downloads" section of the webpage
      (See: Medicare Parts C and D Fraud, Waste, and Abuse Training and Medicare Parts C and D General Compliance Training)
  • Please provide Home State Health a copy of each certificate of completion:

**Please note that when you complete the attestation form, remember to include all tax identification numbers (TIN) that you are representing.