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In accordance with Centers for Medicare & Medicaid Services (CMS) requirements, Medicare Advantage Organizations (MAO), Medicare-Medicaid Plans (MMP) and Medicare Part D (PDP) sponsors (“Plan Sponsors”) are obligated to require completion of annual fraud, waste and abuse (FWA) and general compliance training with their first-tier, down-stream and related (FDR) entities. 

In addition, FDRs are required to monitor federal exclusions lists on a monthly basis, as well as annually distribute Code (or Standards) of Conduct information. 

As a “Network Pharmacy Provider,” you are considered a FDR. On behalf of our Plan Sponsors, we are providing this training to all of our Network Pharmacy Providers.

Step 1: Complete two CMS web-based trainings

Access the CMS Medicare Learning Network® (MLN) Provider compliance site and complete two courses.

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Step 2: Distribute materials to staff

Provide your staff with links to required documents.

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Step 3: Attest completion

OptumRx online attestations must be completed to be considered in-compliance with requirements.

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Compliance resources