civic smiles senior provider and provider of health …...the centers for medicare and medicaid...

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Delta Dental of Minnesota 500 Washington Avenue South Suite 2060 Minneapolis, MN 55413-1163 DeltaDentalMN.org November 2017 Dear Doctor(s): The Centers for Medicare and Medicaid Services (CMS) require annual Fraud, Waste and Abuse and General Compliance training for anyone who provides services or care to Medicare Advantage Enrollees. As a contracted Civic Smiles Senior provider and provider of health care services to Medicare members, you and each of your employees must complete compliance training by December 31, 2017, to meet this requirement. You may download the course entitled: Combatting Medicare Parts C and D Fraud, Waste and Abuse Training Web Based Training Course by going to: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network- MLN/MLNProducts/Downloads/CombMedCandDFWAdownload.pdf. Further links can be found at www.DeltaDentalMN.org/resources/provider-resources/ . Follow the following path from the homepage for needed forms and training material: Providers o Forms and Publications § Resources for Government Programs You are responsible for administering this training and for tracking you and your employees’ completion. Enclosed, please find an attestation for the participating doctor and a training log for all employees to sign upon completion. Please remember to keep copies of all training-related documentation for the required record retention period of 10 years. If you have your own training materials, attestation or training log, they are also acceptable. If you have any questions or concerns regarding the compliance-training requirement or disclosure form, please contact us toll-free at (800) 328-1188 ext. 4170, option 3. Please ensure you have completed the following compliance checklist: ü Complete the training called Combatting Medicare Parts C and D Fraud, Waste and Abuse Training Web Based Training Course ü Complete and submit the attestation statement ü Complete and submit CMS course completion certificates or training log Please return all documents to Delta Dental no later than December 31, 2017, via email to [email protected] or by fax to 612-351-5195. Thank you for your support and for serving our members!

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Page 1: Civic Smiles Senior provider and provider of health …...The Centers for Medicare and Medicaid Services (CMS) require annual Fraud, Waste and Abuse and General Compliance training

Delta Dental of Minnesota 500 Washington Avenue South Suite 2060 Minneapolis, MN 55413-1163 DeltaDentalMN.org

November2017 DearDoctor(s): TheCentersforMedicareandMedicaidServices(CMS)requireannualFraud,WasteandAbuseandGeneralCompliancetrainingforanyonewhoprovidesservicesorcaretoMedicareAdvantageEnrollees.AsacontractedCivicSmilesSeniorproviderandproviderofhealthcareservicestoMedicaremembers,youandeachofyouremployeesmustcompletecompliancetrainingbyDecember31,2017,tomeetthisrequirement.Youmaydownloadthecourseentitled:CombattingMedicarePartsCandDFraud,WasteandAbuseTrainingWebBasedTrainingCoursebygoingto:https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/CombMedCandDFWAdownload.pdf.Furtherlinkscanbefoundatwww.DeltaDentalMN.org/resources/provider-resources/.Followthefollowingpathfromthehomepageforneededformsandtrainingmaterial:

• Providerso FormsandPublications

§ ResourcesforGovernmentProgramsYouareresponsibleforadministeringthistrainingandfortrackingyouandyouremployees’completion.Enclosed,pleasefindanattestationfortheparticipatingdoctorandatraininglogforallemployeestosignuponcompletion.Pleaseremembertokeepcopiesofalltraining-relateddocumentationfortherequiredrecordretentionperiodof10years.Ifyouhaveyourowntrainingmaterials,attestationortraininglog,theyarealsoacceptable.Ifyouhaveanyquestionsorconcernsregardingthecompliance-trainingrequirementordisclosureform,pleasecontactustoll-freeat(800)328-1188ext.4170,option3.Pleaseensureyouhavecompletedthefollowingcompliancechecklist:

ü CompletethetrainingcalledCombattingMedicarePartsCandDFraud,WasteandAbuseTrainingWebBasedTrainingCourse

ü Completeandsubmittheattestationstatementü CompleteandsubmitCMScoursecompletioncertificatesortraininglog

PleasereturnalldocumentstoDeltaDentalnolaterthanDecember31,2017,viaemailtoddmnnetworkservices@deltadentalmn.orgorbyfaxto612-351-5195.Thankyouforyoursupportandforservingourmembers!