Fraud, Waste and Abuse (FWA) Training for First Tier, Downstream and Related Entities
The Centers for Medicare & Medicaid Services (CMS) has made policy changes to 42 C.F.R § 422.503 (b) (4) (vi) and 42 C.F.R § 423.504 (b) (4) (vi) that became effective January 1, 2009. The regulation revision clarifies that Medicare Advantage Organizations (MAO) and Prescription Drug Plans (PDP) sponsors must apply FWA training to all entities that are not eligible to provide services under traditional Medicare they are partnering with to provide benefits or services in the Part C and Part D programs.
In accordance with these CMS stipulations, Anthem Blue Cross (Anthem) and its subsidiaries requires providers that are not eligible to provide services under traditional Medicare or do not have a Medicare identification number to train employees on Fraud, Waste and Abuse on an annual basis. The attestation is also included in the training and must be submitted to the plan. If you are a provider who is Medicare eligible and have a Medicare number you have already fulfilled the Fraud, Waste and Abuse requirement and do not need to attest to an MAO on an annual basis. If you would like to stay current on your FWA training, you are welcome to continue using Anthem’s free online FWA training. The training also has an attestation form that we would welcome you to fill out to keep for your records.
Anthem offers a free Fraud, Waste and Abuse training. Our training meets CMS requirements and includes an attestation statement. To access our free Fraud, Waste and Abuse training, Click here
Please be sure to check our website and provider newsletters for updates to this CMS required Fraud, Waste and Abuse training.