Providers: Action Required Regarding 2020 CMS Mandatory Trainings
Date: 06/26/20
Sunrise, Florida
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. The 2020 required trainings are:
- Model of Care (MOC)
- General Compliance (Compliance)
- Fraud, Waste, and Abuse (FWA)
Effective Jan. 1, 2020, for General Compliance and Fraud, Waste, and Abuse: 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, not one person representing the entire group. Providers, practitioners and administrators must complete the training within 90 days of contracting or becoming a delegated entity. Each individual must submit an annual certificate of completion to Sunshine Health.
*Note: FDRs meeting the FWA training and certification requirements, through Parts A or B of the Medicare program or via accreditation as a supplier of DMEPOS, are exempt from the FWA training. General Compliance training remains a requirement.
To complete Compliance and FWA training and access your certificate of completion:
- Visit the CMS MLN Provider Compliance page and refer to the following downloads:
- Please send a copy of each certificate to:
Email: compliancefl@centene.com
Fax: 1-866-796-0540
For Medicare Advantage Model of Care (MOC), visit Sunshine Health MOC Provider Training (PDF) to complete and submit the attestation form. The form can be submitted online and must include all tax identification numbers (TIN) that you represent.
Training | Training Location | Signed Attestation(s) From | Attestation Method |
Medicare Advantage Model of Care | Sunshine Health MOC Provider Training (PDF)
| Representative may attest for group or organization (TIN level) | Complete the electronic attestation form on Sunshine Health's website at the end of the training presentation. |
General Compliance | Each applicable provider, practitioner, administrator (entities classified as FDR) | Send a copy of the CMS certificate of completion to Sunshine Health at: compliancefl@centene.com | |
Fraud, Waste, and Abuse | Combating Medicare Parts C and D Fraud, Waste, and Abuse (PDF) | Each applicable provider, practitioner, administrator (entities classified as a FDR provided they are not exempt - see *note above) | Send a copy of the CMS certificate of completion to Sunshine Health at: compliancefl@centene.com |
Sunshine Health is committed to working with you to fulfill these CMS requirements. If you need additional information, please feel free to contact Provider Services at 1-844-477-8313 Monday to Friday from 8 a.m. to 8 p.m. Eastern.