Compliance

With an industry leading Compliance Department, not only do we make sure we stay on top of the most current rules and regulations, legislation changes and marketing guidelines but we also strive to keep our agents informed and updated along the way.

Our goal is to help each of our agents and agencies conduct business in a compliant manner which not only helps prevent sales allegations but also aids our agency partners in ensuring their blocks of business are protected and, in the event of an audit, they are fully prepared to respond. We do this in several ways:

  • Compliance Corner email updates
  • Webinars
  • Personalized Compliance Program development and implementation
  • Audit assistance
  • Website reviews
  • Generic Marketing Material reviews

We want to change the way agents look at compliance; not as something frightening and overwhelming but instead as a way to grow and protect your business for years to come.  Whether it is Medicare Advantage, Medicare Supplements, ACA plans or anything in between, we are here to help.

If you are interested in contacting our Compliance Department for more information or to report an incident, please click here.

Compliance Contact Information

For any incidents that are not submitted anonymously, please indicate if you wish to remain anonymous.

Compliance Hotline

1.855.888.8326, extension 3013 This line is available 24 hours a day, 7 days a week.

You may leave a message without providing your name. If you leave a number, we will contact you to review your information.

Email

Questions, concerns or details of an incident may be emailed to compliance@carevalue.com. Please indicate if you wish to remain anonymous.

Along with any individuals, be sure to include the name of the organization involved in the incident.

Online Incident Form

We have provided an online incident form that you may fill out and submit electronically. If you experience any issues with the form, please email compliance@carevalue.com.

Mail

Mail written correspondence marked confidential to:
Care Value, Inc.
ATTN: Compliance
PO BOX 25207
Farmington, NY 14425

Additional Compliance Information

Below are additional resources for questions, concerns and regulations regarding abuse and fraud issues.

Department of Health and Human Services Office of Inspector General:
http://oig.hhs.gov/fraud/hotline/

Centers for Medicare and Medicaid Services (CMS):
http://www.cms.hhs.gov/FraudAbuseforProfs/

CMS Prescription Drug Benefit Manual:
http://www.cms.hhs.gov/PrescriptionDrugCovContra/Downloads/PDBManual_Chapter9_FWA.pdf

Medicare Learning Network (MLN) Fraud & Abuse Job Aid:
https://www.cms.gov/MLNProducts/downloads/Fraud_and_Abuse.pdf