Compliance Training

Medicare Compliance & FWA Training

As a First Tier Entity, Care Value must provide Medicare compliance and fraud, waste, and abuse (FWA) training for its employees, management, temporary workers, or subcontractors, if applicable. Likewise, Care Value’s downstream entities, such as our downline agencies, must provide and document the same training for any non-licensed personnel if they utilize these individuals to support their Medicare business.

Downstream entities must utilize the training modules located on the CMS Medicare Learning Network within 90 days of hiring and annually thereafter. CMS’ training modules are “Medicare Parts C and D General Compliance Training” and “Combating Medicare Parts C and D Fraud, Waste, and Abuse Training.”

OIG & GSA Screening Websites

As a First Tier Entity, Care Value must review the Department of Health and Human Services Office of Inspector General (OIG) List of Excluded Individuals and Entities and the General Services Administration (GSA) Excluded Parties List System to ensure its employees, management, temporary workers, or subcontractors, if applicable, are not listed on these exclusion lists. These databases must be checked prior to hiring the aforementioned types of personnel and at least once a month so long as they remain with Care Value.

Similarly, Care Value’s downline agencies must review these databases to ensure their non-licensed personnel are not listed on these exclusion lists if they utilize these individuals to support their Medicare business. These exclusion lists must be checked prior to these individuals being hired and monthly thereafter.