Medicare General Compliance and Fraud, Waste & Abuse training

Health care providers that contract with Blue Cross to provide health, prescription or administrative services to Medicare enrollees are required to complete our Medicare General Compliance and Fraud, Waste & Abuse training and submit an attestation form each year.

You may take the required training from Blue Cross or another Medicare Advantage Organization or Part D Plan Sponsor. Our training meets the Centers for Medicare & Medicaid Services (CMS) education and training requirements.

There is one exception to the FWA training and education requirement. Regulations effective June 7, 2010 implemented a “deeming” exception that exempts FDRs from the annual FWA training and education if the FDR has met the certification requirements through:

  • enrollment/participation in Medicare Parts A or B of the Medicare program, or
  • accreditation as a supplier of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)

If you are exempt/deemed from the FWA training, you must still complete the General Compliance training requirement.

  • If you are unsure if the “deeming” exception applies to you, please contact your plan sponsor for more information.

Training module & materials

Medicare General Compliance only training module (PPT) Medicare General Compliance and Fraud, Waste & Abuse training module (PPT) Attestation form (MS Word) Medicare product guide (MS Word) Federal False Claims Act (MS Word)