FDR First Tier, Downstream and Related Entities

Annual Attestation and FAQ

DOWNLOADS
2019 Annual Compliance Program and Offshore Subcontractor Attestation
First Tier, Downstream and Related Entities (FDR) Frequently Asked Questions (FAQ) and Answers

Compliance Program Resources

CMS’ Compliance Program Guidelines and Prescription Drug Benefit Manual:
» https://www.cms.gov/medicare/prescription-drug-coverage/prescriptiondrugcovcontra/downloads/chapter9.pdf

Free Compliance/Fraud, Waste and Abuse Training Material:
» https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Fraud-Waste_Abuse-Training_12_13_11.pdf

Exclusion List Screenings

Office of Inspector General (OIG):
» https://exclusions.oig.hhs.gov/

System for Award Management (SAM):
» https://www.sam.gov/SAM/

Alabama Medicaid Suspended Providers (if applicable):
» http://medicaid.alabama.gov/content/8.0_Fraud/8.7_Suspended_Providers.aspx

CMS Preclusion List information:
» https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/MedicareProviderSupEnroll/PreclusionList.html

FDR Compliance Guide

» FDR Compliance Guide

HIPAA

» http://www.hhs.gov/hipaa/for-professionals/index.html

Additional Forms and Information

Corrective Action Plan Template and Instructions:
CORRECTIVE ACTION PLAN TEMPLATE AND INSTRUCTIONS
How to Report Ethics, Compliance, and FWA Concerns
Corrective Action Plan Template
Corrective Action Plan Template Instructions


NEWSLETTERS
2019-2020 FDR Newsletter
2018 Fall FDR Newsletter
2017 Fall FDR Newsletter
2016 Fall FDR Newsletter


Medicare Advantage Contract Amendment: » https://www.cms.gov/medicare/medicare-advantage/medicareadvantageapps/downloads/model_contract_amendment_10_05_12.pdf

For any questions regarding FDR program vendors

Please Contact:
Tanya Maddox, Vendor Oversight Program Manager
205-558-3283
tanyamaddox@uabmc.edu

Report Suspected Fraud & Abuse

» Report Fraud

Viva Health Cafés

Contact Us

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Last updated 10/1/2019

Disclaimer: Viva Medicare is an HMO plan with a Medicare contract and a contract with the Alabama Medicaid Agency. Enrollment in Viva Medicare depends on contract renewal. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium, and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

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