HCA and CMS Training - Washington State Local Health Insurance - CHPW

HCA and CMS Training

On this page, you’ll find important Health Care Authority (HCA) and CMS training & attestations for Community Health Plan of Washington’s contracted providers.

Mandatory HCA and CMS Training & Attestations

*Click to see training and attestation details

New Provider Orientation

Newly contracted providers must complete orientation within 90 days of their contract effective date.

Launch Orientation ➜

After completing the orientation you must also complete an attestation.

Complete Attestation ➜

Special Needs Plan (SNP) Model of Care (MOC) Training

The Centers for Medicare and Medicaid Services (CMS) requires all care providers who treat patients enrolled in a Special Needs Plan (SNP) to complete annual Model of Care (MOC) training.

Must be completed by: Providers and staff who render routine care to members who are enrolled in the Special Needs Plan (i.e. MD, DO, ARNP, RN, LPN, etc.). After completing the orientation you must also complete an attestation.

Start SNP Model of Care Training ➜

Patient Rights and Responsibilities & Advance Directives Training

Must be completed by: Providers and staff (i.e. MD, DO, ARNP, RN, LPN, Administrators, Office Managers, Medical Assistants, Receptionists, Medical Record Coordinators, Referral Coordinators, etc.).

Start Patient Rights and Responsibilities & Advance Directives Training ➜

General Compliance & Fraud, Waste and Abuse Training

General Compliance and/or, Fraud, Waste and Abuse Training must be completed by: Providers and all staff (I.e., MD, DO, ARNP, RN, LPN, Administrators, Office Managers, Medical Assistant, Receptionists, Medical Record Coordinators, Referral Coordinators, etc.). You must also submit an annual Attestation to CHPW to attest that training has been completed.

Start General Compliance and/or Fraud, Waste, and Abuse Training ➜

Fill out your attestation online or submit a PDF:

Complete Online Attestation ➜

Download Attestation as a PDF ➜

CMS requires the following to be completed every year:

  • Complete General Compliance and/or Fraud, Waste and Abuse (FWA) Training.
  • Maintain individual training documentation for all staff members (i.e. sign-in sheets, electronic certification, etc.).
  • Submit an Attestation form to CHPW, attesting that training requirements have been met.

As stated by CMS, there is one exception to the Fraud, Waste and Abuse training and education requirement. CMS implemented a “deeming” exception for an entity or an individual who is enrolled in Medicare Part A or B. This means that your training requirement for Fraud, Waste and Abuse is satisfied if you are enrolled in Medicare Part A or B; therefore, your annual attestation would only apply to General Compliance.

Visit our FAQ page for detailed answers to important and commonly asked questions about completing the General Compliance and/or Fraud, Waste and Abuse training, education, and provider attestation form.

CHPW Compliance Training

Providers and staff whose health or administrative job functions relate to Apple Health (Medicaid), Medicare Advantage, or CHNW Cascade Select members are required to read about CHPW’s Compliance Program.

Start CHPW Compliance Training ➜

More information regarding compliance can be found in the Provider Manual.

View CHPW Provider Manual ➜

Optional Training

*Click to see training details

Established Provider Orientation

Established providers may access our orientation for a refresher and updates.

Launch Orientation ➜

Culturally and Linguistically Appropriate Services (CLAS) Training

Recommended for all healthcare workers (i.e. MD, DO, ARNP, RN, LPN, Administrators, Office Managers, Medical Assistants, Receptionists, Medical Record Coordinators, Referral Coordinators, etc.).

Start Culturally and Linguistically Appropriate Services Training ➜

CHPW Health Management Overview

Get to know CHPW’s different Health Management programs. These programs can help patients who have complex or multiple conditions better manage their health.

CHPW Health Management Overview ➜

Questions?

Email our Provider Relations Team with questions regarding our training programs. One of our Provider Relations Representatives will contact you.

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