Provider Education and 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.).

• Start the SNP Model of Care Training (Attestation required at end of 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 the Patient Rights and Responsibilities & Advance Directives Training

You must also complete the CMS General Compliance and/or Fraud, Waste and Abuse Training and submit an annual Attestation to CHPW to attest that training has been completed.

Go to CMS General Compliance and/or Fraud, Waste, and Abuse Training

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 FWA is satisfied if you are enrolled in Medicare Part A or B; therefore, your annual attestation would only apply to General Compliance.

CMS 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.).

Fill out your attestation online or submit a PDF:

• Online General Compliance and/or Fraud, Waste and Abuse Training Completion Attestation form
• Attestation of Completion General Compliance and/or Fraud, Waste and Abuse Training

Providers will be required to complete General Compliance and/or Fraud Waste, and Abuse training using CMS materials. The link below includes CMS’s training for General Compliance and/or Fraud, Waste and Abuse. Upon completing the training, submit your attestation to CHPW as directed above.

Providers and staff whose health or administrative job functions relate to Washington Apple Health or Medicare members are required to read about Community Health Plan of Washington’s Compliance Program. More information regarding compliance training can be found in the Provider Manual.

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 the Culturally and Linguistically Appropriate Services Training

Recommended for providers and staff (i.e. MD, DO, ARNP, RN, LPN, Administrators, Office Managers, Medical Assistants, Receptionists, Medical Record Coordinators, Referral Coordinators, etc.).

• Start the Member Billing Training
• Billing Guidelines: Acupuncture Benefit (Apple Health)

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

• Care Management Overview
• Go to the Health Management program page.

• HealthMAPS Provider User Guide
• Claims Entry, Corrected Claims, and Viewing Prior Authorizations and Referrals
• HealthMAPS FAQ

• JIVA Portal User Guide
• JIVA Portal FAQ
• Updated JIVA portal training videos

If you prefer on-site training, please email our Provider Relations Team to request an in-person training session.