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 ➜

Dual Eligible Special Needs (D-SNP) Plan and Model of Care (MOC) Training

The Centers for Medicare and Medicaid Services (CMS) requires all care providers who treat patients enrolled in a Dual Eligible Special Needs (D-SNP) Plan 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 D-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

CHPW is required by contract with the Centers for Medicare & Medicaid Services (CMS) and the Washington State Health Care Authority (HCA) that the CHPW contracted provider network is required to complete General Compliance and (if not directly contracted with Medicare) Fraud, Waste and Abuse training that satisfy requirements under 42 CFR §438.608 (a) and (b), §422.503(vi)(C) and §423.504(b)(vi)(C).

  • CHPW contracted providers are required to maintain evidence and must make evidence of training available for up to ten (10) years upon request.
  • Such training and education must occur at a minimum annually and must be made a part of the orientation for a new employee training.
  • All staff, including your senior leadership, managers, clerical/admin staff, billing, physicians, and other clinical staff are required to receive this training.
  • Provider can use your own training materials, but must satisfy CMS standards and requirements under 42 CFR §438.608 (a) and (b), §422.503(b)(vi)(C), and §423.504(b)(vi)(C) or you can access CHPW’s GCFWA training HERE.

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.

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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