HCA and CMS Training

Newly contracted providers and staff must complete the orientation within 90 days of their contract effective date. To receive credit for completing the orientation, you must complete the Training Attestation Form via the hyperlink on the final slide.

Launch Orientation ➜

After completing the orientation you must also complete an attestation.

Complete Attestation ➜

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 ➜

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 Enrollee Rights and Responsibilities & Advance Directives 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.

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

Launch Orientation ➜

The Hepatitis C virus (HCV) is a public health crisis in Washington State.

Eliminating Hepatitis C in WA ➜

A Clinical Data Repository or CDR is a database designed to collect and index clinical content for specific uses.

WA State HCA CDR ➜

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 ➜

Access standards have been developed to ensure that all health care services are provided in a timely manner. It means a patient has the ability to see a qualified health provider within a reasonable period of time.

CHPW Access Standards 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 ➜

Electronic Visit Verification (EVV) is a federal requirement from the 21st Century Cures Act, passed by Congress in 2016. EVV is required for all Medicaid funded in-home personal care services, respite care services, and home health care services as a verification that care services were provided.

CHPW EVV Training Program Overview ➜