Treating providers are solely responsible for medical advice and treatment of members. The ABA Medical Necessity Guide does not constitute medical advice. The Applied Behavior Analysis (ABA) Medical Necessity Guide helps determine appropriate (medically necessary) levels and types of care for patients in need of evaluation and treatment for behavioral health conditions. Our Compliance Department completes random audits to ensure compliance on an annual basis.īy clicking on “I Accept”, I acknowledge and accept that: You can access the training and attestation at the link(s) below. Providers continue to be notified via OfficeLink Newsletters during the summer months. Delegated Entities: Provider attestation collection for the FDR compliance requirements continue to be required for Delegated Entities.Īnnual notification regarding requirements will be sent to providers via Adobe Acrobat Sign email or postcard.MA/ D-SNP/FIDE: Providers who are in states/regions that offer MA/D-SNP/FIDE plans are required to complete an Annual D-SNP Model of Care (MOC) training and attestation.MA/MMP: Providers who participate only in our MA/MMP plans do not need to complete an annual FDR Attestation.New and existing participating providers in our Medicare Advantage (MA), Medicare-Medicaid (MMP), Dual Eligible (D-SNP) or Fully Integrated (FIDE) Special Needs Plans are required to meet the Centers for Medicare & Medicaid Services (CMS) compliance program requirements for first-tier, downstream and related entities (FDR) as identified in the Medicare compliance FDR program guide and/or D-SNP Model of Care (MOC) training. ![]() Important: Annual Medicare Compliance Program Requirements
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