Centers for Medicare and Medicaid Services (CMS) requirements for fraud/waste/abuse (FWA) compliance trainings and attestation are described in the table below. Providers completing these training efforts should submit a training attestation. NOTE: Using the previously required, CMS-issued content is no longer mandatory; however, this training is still available as an option.
Select Health has contracted with the Center for Medicare & Medicaid Services (CMS) to begin a Dual Eligible Special Needs Plan (D-SNP) effective January 1, 2022. This plan type requires developing a detailed Model of Care (MOC) for CMS approval. Effective January 1, 2023, Select Health will reimburse providers at 100% of the Medicare fee schedule for D-SNP.
Launch D-SNP Model of Care Abbreviated Training.
Cultural competency is the ability to understand, respect, and communicate with individuals from diverse cultural backgrounds. Developing cultural competency can help providers to:
There are many ways to become more culturally competent, like taking time to learn about different cultures or building relationships within the community. Additionally, the U.S. Department of Health & Human Services provides an online cultural competency training for both providers and front office staff: Improving Cultural Competency for Behavioral Health Professionals.
All providers are required to attest in regular quarterly attestations if you have completed this training or an equivalent cultural sensitivity training. The Select Health provider directory will be updated based on the provider’s response (Yes or No) to help members find the best provider for their needs.
Regarding the Colorado Department of Insurance (DOI) requirement (3 CCR 702-4, Amended Regulation 4-2-80), clinic managers are required to attest for the providers and front office staff at location whether they have completed a cultural competency training or equivalent via this Qualtrics Survey link.
Thank you for your compliance and continued efforts to become culturally competent providers.